King’s Mill Hospital
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Location: Nottingham
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Sector: Health
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Division: Regional Building
Tilbury Douglas was directly awarded this project via the Pagabo framework, after Sherwood Forest NHS Foundation Trust had identified the need to provide a new Ambulatory Emergency Care Unit (AECU) and Resus department.
The upgrade works were funded by the government to relieve COVID and winter pressures and allowed people to be assessed more efficiently to see if they need to stay in hospital overnight. In turn this benefits the Trust as it provides a better flow for patients, freeing up staff resources and avoiding congestion to the wards.
At a glance...
£3.1m
Project value
October 2021
Completion date
Sherwood Forest NHS Foundation Trust
Client
Owing to the scheme being delivered in a live hospital environment, the works were delivered in the following phases:
- AECU
- Same Day Emergency Care (SDEC)
- Relocation of the existing AECU and SDEC to new expanded area, making way for the new Resus area
- Extension and refurbishment to Resus creating five new majors bays
Given the nature of the scheme, we delivered this fast-track project with a lean, flexible and efficient multi-disciplinary team and provided the Trust with:
- Full turnkey project solution including cost advice and design development
- Efficient decision-making including mobilisation on site within one week
- Minimal impact achieved through early client engagement and optimisation of phased programmes
- ‘One Stop Shop Service’ including demolition, refurbishment, upgrade of building services, extensions, alterations, maintenance, design and construction
- Local and unique supply chain
- Value for money
Challenges and solutions
Live environment: We used lessons learned on our previous healthcare projects to ensure the hospital could operate as normal throughout the construction period. The scheme included the installation of MEP services, coordinated from the hospitals existing plant. To ensure minimal disruption, we liaised with the Trust to organise planned shutdowns, allowing resus to continue to operate, medical requirements always taking precedence.
Incomplete design: When we were appointed via the framework, the design was incomplete. To overcome this issue and challenge, ensuring we delivered to the Trust’s tight programme, we worked with the Trust and client team to finalise a design, agree a GMP and commence on site within just one week. We achieved this by instructing work before confirming final design sign-off costs and efficiently procuring the supply chain through previous market testing.
Health Technical Memoranda (HTM) compliance: The existing Resus bays within the hospital were underperforming and non-compliant with HTM specifications. To ensure compliance, specialised medical equipment was required. However, owing to the pandemic, lead times for delivery were longer than expected.
Tilbury Douglas assisted the Client by proposing an alternative product to ensure we met the programme.
Although the product was not HTM compliant, non-critical patients were able to use it, which allowed the facility to open and operate on programme. Once delivery was possible, we successfully replaced the equipment with the HTM compliant version, with minimal disruption to the Trust.
Our partners
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Architect: TAD Architects
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M&E Engineer: William Bailey/Fusion
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Structural Engineer: TAD Architects
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Project Manager: Edge