We propose to lead a presentation on the completed Paterson Building, a research laboratory development at The Christie Hospital in Manchester.
The realised project, handed over mid 2023, was commissioned by CRUK, The Christie NHS FT, and University of Manchester. IHP, the joint venture between VINCI Building and Sir Robert McAlpine and its supply chain partners, BDP, Arup and Imtech have realised a fantastic, state-of-the-art facility that is a world-class transformational cancer research facility.
The primary project objective was to create a collaborative ‘Team Science’ environment, which brings together scientific researchers and cancer care clinicians under one roof, co-located on the same campus. This alignment connects all stakeholders in the cancer care delivery system. The building is home to the largest concentration of scientists, clinicians and clinicians in Europe. 300 scientists and 400 clinicians and operational staff are now delivering clinical trials covering the full extent of the patient pathway, from prevention and novel treatments to living with and beyond cancer.
At 25,000m2 and ten storeys high, the building is more than twice the size of the previous facility, allowing experts to deliver discovery research and translate their findings into innovative clinical trials, at scale.
The building is occupied by all three of the partners. It’ll be home to the Cancer Research UK Manchester Institute, as well as several other teams from The University of Manchester’s Division of Cancer Sciences. It will also be Manchester’s scientific headquarters for discovery science within the international Alliance for Early Cancer Detection.
A central component of the building will be the new Cancer Research UK Cancer Biomarker Centre. The centre’s focus will be on biomarkers to aid in early cancer detection and diagnosis, and enable personalised management of a patient’s cancer, to determine which therapy will bring the most benefit.
The development provides a model for other providers to emulate and forms part of a wider, long-term strategy to constantly drive ‘bench to bedside’ cancer translation research to clinical trials.

We live in a digital world where vast amounts of information are available and new technologies are constantly emerging. Digitisation at the user interface enables:

• - optimum functionality
• - improved user experience and control
• - integration of services, systems and functions
• - plan efficient clinical models

From an estate perspective it provides invaluable data to understand space and energy utilisation and helps:

• - manage existing estate and assets
• - track resources
• - reduce revenue costs

Following on from our mini workshop “Delivering excellence in capital projects” this session will discuss what “smart” actually means and why to deliver excellence digital technologies must be planned for at inception.

Doing things differently at GOSH

Historically, healthcare estates have faced entrenched barriers to incorporating digital technologies. These include poor WIFI, out-of-date systems and insufficient funding.

Great Ormond Street Hospital (GOSH) is a world-leading children’s hospital, committed to pioneering breakthroughs in cancer care and treatment with the help of digital technologies. The GOSH redevelopment team are in the process of building a new Children’s Cancer Centre (CCC), which will use digital tools and methods to further transform children’s cancer care. These include:

Bedside digital accessibility – enabling patient connectivity with the outside world

An integrated Electronic Patient Record (EPR) system, streamlining the patient pathway

A new digital hospital school, leveraging first-class connectively to minimise gaps in education and feelings of isolation

Digital apps – using augmented reality (AR) to help children plan their patient journey, reducing anxiety pre-arrival and whilst on site

Digital wayfinding – using AR to aid patients’ journeys throughout the estate.

New digital diagnostic facilities – improved diagnostics, less invasive procedures and reduced length of stay.

While hugely beneficial to patients, implementing digital technologies can present estates and facilities management (EFM) professionals with several challenges:

Understanding and use – Many healthcare professionals do not have a technical background, and may not feel comfortable using digital technologies – let alone leading on their implementation, maintaining them and explaining them to others

Implementation in a live care setting – This places additional pressure on EFM teams to get new technologies up and running and staff members educated on their use

This presentation explains how GOSH is overcoming these challenges by:

Developing in-depth training – All EFM professionals are continually trained on digital tools and are themselves training other healthcare team members, helping to embed knowledge; and

Planning – EFM teams implement digital technology in a live care setting, creating a seamless transition from the existing estate into new facilities

Healthcare planning comprises a very wide-ranging, complex and interrelated set of skills, competencies and expertise that underpin the planning of healthcare service delivery and the requisite resources.  It is often excluded from key projects and frequently misunderstood.

IHEEM SEM AP healthcare planning subgroup has developed a course to

• - train individuals in the skills involved in healthcare planning
• - give clients confidence and reassurance in the abilities of the successful students to
  •    - undertake the role of a healthcare planner
  •    - ensure delivery of excellence in healthcare projects.

They are excited to launch this course and outline the way forward.

Delivered as a collaboration between Airedale General Hospital, Curtins and Hive Projects, during this session participants will learn about RAAC; its behaviours, risks and mitigation using Airedale Hospital as a key case study.

RAAC was typically used in hospitals from the late 1950s to 1990s. Unlike standard and dense concrete, the aeration in RAAC makes it relatively weak with an estimated design life of around 30 years. Analysis has since reported that it is prone to excessive deflections, and instant failure. In 2019 SCOSS issued an alert for buildings containing RAAC, after the collapse of roof planks in a school.

In recent years Curtins have acted as one of the UK’s leading engineers appointed to inspect and recommend appropriate mitigation. They have advised a number Trusts across the country, including those on the NHP programme, to provide practical solutions to allow the continued safe running of the estate. Their experience has enabled them to contribute to the IStructE’s guidance on RAAC roof planks, and they have been working with BRE and Loughborough University to analyse planks removed from Aintree Hospital and Airedale Hospital.

Participants will learn about the process of identification and assessment, structural design considerations, practicality of solutions and examples of remediation. As not all RAAC used in construction is obvious or recorded, engineers will continue to be essential to identifying and providing advice over the coming decade.

Potential solutions will be shared, based on real-life projects delivered by Curtins’ engineers identified on the IStructE’s RAAC Approved List, and representatives from those involved in the Securing the Future Programme of Work at Airedale NHS Foundation Trust.

The presentation will also consider the legal requirements of building owners / occupiers and how climate change and increased extreme weather can contribute to the failure of RAAC.

LED lighting is evolving, and the brightness of lighting elements has increased over time. Many NHS organisations opt for a like for like replacement of their aging Fluorescent lighting. That means if a room had 6 fittings of fluorescent lights they now have 6 fittings of LED lights. The lux level is usually 3 or 4 times what is required for building standards and as a result there is wasted energy (and sunglasses for the staff). In a survey of 10 NHS locations with LED lighting without a lighting design all sites were on average 300% over the recommended LUX level for their environments.

Implementing an energy dashboard across hospitals can save energy in several ways:

Real-time Monitoring: Energy dashboards provide real-time monitoring of energy consumption across various hospital facilities. This allows facility managers to identify areas of high energy usage and take immediate corrective actions, such as turning off equipment that is not in use or adjusting HVAC settings.

Identifying Energy Inefficiencies: By analyzing data collected by the energy dashboard, hospitals can identify energy inefficiencies and areas where energy is being wasted. This could include inefficient equipment, poorly insulated buildings, or outdated lighting systems.

Setting Energy Goals: Energy dashboards allow hospitals to set energy-saving goals and track their progress over time. By setting targets for energy reduction, hospitals can motivate staff to adopt energy-saving behaviors and implement energy-efficient technologies.

Behavioral Changes: Energy dashboards can raise awareness among hospital staff about energy consumption and encourage behavioral changes to reduce energy usage. For example, staff can be reminded to turn off lights and equipment when not in use or to use energy-efficient practices in their daily routines.

Equipment Optimization: Energy dashboards can help hospitals optimize the performance of their equipment. By monitoring equipment in real-time, facility managers can identify maintenance issues or inefficiencies that may be causing excessive energy consumption and take corrective actions to improve performance.

Predictive Maintenance: Some advanced energy dashboards use predictive analytics to anticipate equipment failures before they occur. By identifying potential maintenance issues early, hospitals can avoid costly breakdowns and ensure that their equipment operates at peak efficiency.

Benchmarking and Comparison: Energy dashboards often allow hospitals to benchmark their energy usage against similar facilities or industry standards. This comparison can highlight areas where the hospital is underperforming and provide insights into best practices for energy efficiency.

KPI management: Key Performance Indicators (KPIs) for assessing the effectiveness of energy management initiatives in hospitals. These include tracking total energy consumption, energy intensity normalized by hospital activity or size, managing peak demand to avoid costly charges, monitoring energy costs against benchmarks, etc

Financial Savings: Ultimately, saving energy translates to cost savings for hospitals. By reducing energy consumption, hospitals can lower their utility bills and allocate those savings to other areas of patient care or facility improvement.

Overall, implementing an energy dashboard across hospitals provides a comprehensive solution for monitoring, analyzing, and optimizing energy usage, leading to significant energy and cost savings while also contributing to sustainability efforts.

Developing digital innovation in healthcare - the missing link
Digital innovation has fundamentally transformed the landscape of healthcare, ushering in an era of enhanced patient care and well-being.
Understanding the importance of innovation and the principles driving the adoption of digital health solutions is key to solving the health problems of the 21st century and the factors influencing accessibility and equity nationally, as well as on a global scale.

The skills to analyse prevailing market trends and capital investments can be taught and are particularly relevant to digital health initiatives. By more effectively articulating the value of their ideas, technical innovators can more easily attract suitable potential investors to increase the likelihood and timing of ‘new tech’ becoming reality.
From telemedicine and electronic health records to AI-driven diagnostics and wearable devices, technological innovation in healthcare collectively contributes to a more proactive, patient-centric, and interconnected healthcare ecosystem. The intersection of technology and healthcare continues to drive groundbreaking solutions, promising advancements in preventive care, timely interventions, and overall improvements in health outcomes.
We present a new educational initiative from the award-winning Digital Health Academy which aims to :
• Encourage critical reflection on the limitations and potential adverse consequences associated with technology in healthcare
• Empower innovators to craft compelling arguments to support their novel healthcare technology
• Foster proficiency in the creation of business models to support their ideas.

By exploring likely trajectories of novel healthcare solutions and considering developing care models alongside transformative technologies, innovators and collaborators across medical and technological disciplines can guide this evolution towards more rapid and effective outcomes. By fostering and pooling collaborative problem-solving skills, novel ideas and new applications of established technology can be more quickly harnessed and navigated from concept to market viability.

Join us for an engaging and insightful session designed for all NHS employers and suppliers. This event aims to explore various opportunities to employ and support the careers of young people, thereby developing a diverse and inclusive workforce.

Discover the multitude of ways to get involved and tap into the pool of diverse talent specialising in fields such as construction, engineering, technology, and digital skills.

Led by Pure Innovations, a leading supported employment charity, this session will introduce you to employers and young people they are currently collaborating with. Don’t miss this chance to understand the different avenues for involvement and the numerous benefits that come with it, such as recruiting great staff, meeting organisational needs, meeting social value commitments, and contributing to the broader community.

Whilst appreciating the importance of developing a smart digital infrastructure that improves operations and clinical outcomes, in this presentation I would like to discuss how digital technology can be used with and by patients on a more personal level and how this affects their relationship with their health condition and with clinicians.
I often joke I am part automated; I wear two digitally enabled healthcare devices one that monitors levels in my body and one that adapts treatment as a result of the monitoring. They work well individually but are most useful working together. Both devices run continuously 24 hours a day and send results to a clinical team at my local hospital who can read the data and make an assessment on my health.
From an NHS perspective this saves time and resources, with less administration and fewer appointments. If successful and used proactively it should prevent people being admitted to hospital and developing further health complications. From a patient perspective it offers reassurance, enables a higher degree of self-monitoring and knowledge and promotes personal responsibility.
But is this the full story? How will we stop the patient losing their voice to the data produced by a machine? Does the data ever reflect life? Is it more difficult to develop a relationship with patients when the knowledge you have or them is data driven rather than person centred? Do we as patients set ourselves up to fail by using data driven and reported standards and targets to monitor, control and assess ourselves?
And if are depending on the data too much, how can we do things better?

The demand for cutting-edge, sustainable, and integrated clinical spaces is paramount. Our presentation delves into clinical space design, focusing on operating theatres of the future, critical and isolated power systems, and the overarching need for compliant, digital-first approaches to clinical space management. We address the imperative of increasing patient and clinician safety, ensuring business continuity, and meeting stringent regulatory compliance standards through innovative design and digital transformation. Join us to explore tested and validated reference architectures, sustainable electrification strategies, and the role of digital technology in shaping the future of clinical spaces.

Understanding lighting risk assessments, the lighting process and  importance of emergency lighting

Panellists in this session are:

Andrew Poplett, Chair- IHEEM Ventilation Technical Platform

Panellists in this session are to be confirmed

Panellists in this session are:

Richard Burgin, Estates Projects Manager - RAAC- Airedale General Hospital

Andy Buckley, Design Director- Curtins

Oliver Organ, Team Leader

Chris Waine, Project Director- Hive Projects

Arun Sebastian, Project Manager-Capital Delivery- The Royal Wolverhampton NHS

Panellists for this session are:

Rachelle Mcdade, Director of Healthcare Planning- Currie & Brown

Denise Cafarelli Dees, Royal London Hospital

Panellists in this session are:

Dr Jane Fitch, Regional Director- Community Health Partnerships

Eugene Prinsloo, Development Director- Community Health Partnerships

Philippa Robinson, Regional Director - London- Community Health Partnerships

The pressure on the built environment due to escalating costs means that every m2 must be accounted for. The priority of the clinical requirements for the patients, bedrooms, outpatients rooms and the clinical support required means that the environment for the staff is often squeezed and omitted. Often leading to ill fitting, substandard staff spaces.

Purpose
Rethinking our healthcare settings and utilising technology creatively, we have the potential to transform our spaces.

By challenging the space usage and requirements, we can change how we deliver services and provide staff with spaces fit for their changing needs.

Method
The paper demonstrates the possibilities of reimagining healthcare spaces and how integrating technology can improve overall wellbeing for staff as well as patients.

Reduction of clinical spaces
Can more inpatient care and consulting be done remotely?

When patients are remotely cared for in the comfort of their own environments, they can be supported by friends and family, it is convenient and flexible without lengthy stays in hospital and unnecessary travelling to appointments. The patient can relax and recover in the privacy of their own home. With the remote support this ensures the patient feels prioritised.

With less space designated for clinical requirements, more space is made available for staff. For their multi discipline collaboration, areas to decompress, socialise and prioritise their wellbeing. A happier, healthier, more collaborative and more valued workforce will lead to higher productivity, efficiency and better patient outcomes.

Remote appointments can also minimise exposure to contagious diseases for both patients who are often already vulnerable and staff, minimising their chances of sickness and again increasing their productivity.

We can use our knowledge and experience from other sectors, the lessons learnt and best practice to rethink and better design these staff spaces. #AHR experience

Integration of technology to provide better diagnostic outcomes
In remote appointments, patients can access specialists who may not be available in their local area, ensuring they receive the best possible care. Easier and quicker access to specialists can also lead to faster diagnoses and treatments.

The use of AI within diagnostics can also remove human error, support and improve training and education by providing real life AI scenarios, improving clinical competency and confidence, ensuring better patient outcomes. Digital record-keeping and communication can streamline many administrative processes, reducing the pressure on staff and freeing up their time for staff to focus on patient care.

Results
Reimagining our healthcare spaces and utilising technology creatively, can provide better outcomes for patients and reduce the time and cost pressures on the NHS estate.

Conclusions
Challenging our traditional healthcare environments and long term investment in technology can have significant benefit to patients and staff.

The presentation will feature the progress and results so far from smart lighting, environmental sensing and energy monitoring and integration work currently being commissioned at Westmorland General Hospital Outpatients department. A digital twin and real-time location services trial at Royal Lancaster Infirmary will also be showcased.

The approach to setting up these works with a multi-disciplinary team of clinical, estates and digital colleagues in collaboration, securing innovation funding from commercial partners, the challenges, benefits and expected benefits will be covered and what we have learned so far.

Multivista assist both new builds and the built environment using AI to ascertain a buildings fire strategy within days. We will look at the challenges within both new builds and existing buildings of managing the fire compartments, are they intact or have tradespeople or maintenance teams jeopardised the strategy? Also looking at the Building Safety Act and how this affects your strategy in both short and long term.
We will also provide an insight into how AI can speed up processes to reduce time on site and costs.