Healthcare architecture: building better hospitals – how to get more for public money

The division of fabrication and assembly tasks has been carefully considered to maximise the efficiency of both factory prefabrication and on-site assembly.

Instead we need a design integration approach which progressively and iteratively develops the design philosophy that will deliver the value in construction and operations..All the parties involved in the IPD need to share in the value of the project.

Healthcare architecture: building better hospitals – how to get more for public money

The core project management KPI’s are scope, cost and time however purely focusing on these has two fundamental contra-indications.Firstly, they provide a limit to the value which can be delivered to the client: - as long as we get,., close to the time, cost and scope we have done a good enough job.

Healthcare architecture: building better hospitals – how to get more for public money

If we shoot for the moon and get into orbit we have done well enough.. Secondly, there will be direct antagonism in the value sought by each delivery organisation, the parties will not be aligned in value drivers.. Open discussions and agreements need to be had about what value means firstly for the intent of the endeavour e.g.patients looking for access to medicines; secondly for the party who own the endeavour e.g.

Healthcare architecture: building better hospitals – how to get more for public money

profitability of the client; and, often missed, the parties who will deliver the endeavour with the client.

These different measures of value need to be expressed not so narrowly as purely financial e.g.There is a pressing need to reduce carbon emissions in the short term, so although having an efficient building over a 50-year period is a good outcome, it is insufficient if it causes a huge emission of CO2 in the next few years.

There are technologies being developed that extract CO2 from the atmosphere to incorporate into building materials.These ideas offer the opportunity to make the construction of an asset carbon negative.. How can we build and not just protect diversity (e.g.

move a threatened species) but provide the foundations to increase natural habitats?This is not just putting money aside to plant trees, it’s about working with environmental groups – not to seek reluctant acceptance but instead enthusiastic support and ideas.

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