Virtual Reality (VR)
- Transparency of final outcomes is enhanced through the development of VR in construction. Estates are able to walk around and explore their finished space before a single piece of material is cut.
- Clients, designers and stakeholders can collaboratively make real-time adjustments to a design in a virtual world, visible on a smart phone, tablet, laptop or VR headset.
Circular Economy and Sustainability
- Transparency of the final result at the front end means little to no changes are made once the materials arrive on site, reducing waste and speeding up construction
- An automated digital system minimises the potential for human error leading to reduction of waste and re-ordering of materials, as well as overall project time
- Creating a digital file allows for re-use and reconfiguration of the materials in the future, detailing which elements are available for re-use and which, if any, to buy new.

The presentation will cover key opportunities and positive outcomes enabled by the digital transformation of the NHS and will provide a general overview of ongoing strategic projects in this space. The first part of the presentation will focus on the digital strategy championed by the NHP to modernise assets, systems, processes and workforce. The second part will introduce the AIP and its current composition, innovative approach and aspirations around accelerating the digital transformation and the realisation of benefits for the NHS.

Panellists in this session are:

Ian Strangward Managing Director, Architecutral Wallsz (International ltd)

Professor Servio Cavalaro, Associate Dean for Research and Innovation (Loughborough University), in representation of the AIP, Loughborough University and Academia-Industry Partnership (AIP)

The use of a UPS has become routine within electrical healthcare design and is seen as the 'go to' solution to meet the less than 0.5s changeover times called for in Section 710 of BS 7671 and HTM 06-01. However, although frequently provided as an electrical source of safety for a Group 2 location, this equipment is often misunderstood by the designer, installing contractor and eventually the team responsible for operations and maintenance.

This means that the UPS can be incorrectly sized not just in terms of autonomy or operational capability when dealing with multiple single-phase loads across a 3-phase inverter, there are often misunderstandings relating to how the UPS will deliver the power under normal and fault conditions in both mains supported and loss of mains scenarios.
These misunderstandings lead to incorrect application of circuit protective devices leading to inadvertent compliance failures.

This presentation intends to demonstrate the limitations of a UPS to deliver expected fault current compared to that of the mains supply. This will lead onto understanding inrush of Medical IT systems and how the UPS can deliver (or fail to deliver) sufficient current to operate the relevant devices.

Finally the presentation will identify pointers as to how to specify the correct equipment and devices to comply with BS 7671 and to understand the impact on the supplies to critical equipment and potential faults within those systems.

It is agreed that there is an essential and urgent need to redevelop St Mary’s Hospital, part of the Imperial College Healthcare NHS Trust. St Mary’s has a long-established reputation as a leading teaching and research hospital being the place where Sir Alexander Fleming discovered penicillin in 1928 right through to identifying the first personalised rapid Covid test during the recent pandemic. St Mary's is now London's busiest major trauma centre and home to the NHS's largest biomedical research centre. However, the condition of the estate, which dates from the 1850s, presents an existential threat to the continuation of services on this site. Imperial College Healthcare has a clear and deliverable plan for a new St Mary’s – the clinical and wider public health benefits of which are indisputable and we are working with the New Hospital Programme to deliver this - but the opportunity to redevelop 10 acres of public sector land, next to a new St Mary’s, the world leading Imperial College London and Paddington Station, the gateway to the UK, creates a once in a life-time opportunity to develop a major life-sciences campus delivering major social, health, research and economic benefits for the UK. The recently launched Paddington Life Sciences cluster is already benefiting from bringing together many of the life sciences businesses is Paddington Basin to work collaboratively with researchers and clinicians at St Mary's to improve patient care, increase inclusion in medical research and create social value locally.

Panellists for this session are:

Paul Kaye, Director, Quiq Solutions

Anisha Mayor, Advisory Panel Member, IHEEM Strategic Estate Management Advisory Platform

Matt Tulley, Redevelopment Director, Imperial College Healthcare NHS Trust

The new MMC toolkit is aligned to the Government MMC framework and has taken this to the next level. The MMC toolkit works alongside the social value charter and with the NHS Net Zero Carbon Building Standard tool aiding Trusts in their thinking and approach. Aides discussion and thinking between Stakeholders and Contractors in the consideration of the opportunities, benefits and desired outcomes in development work across all typologies of buildings. It incorporates a very useful executive summary capturing the proposal complete with 'RAG - STOP/Re-Think/GO'.

The Construction Playbook includes a separate section on MMC in which it states:
It is important to stress that MMC is not an end in itself and contracting authorities should consider whether, how and to what extent the use of MMC can drive wider value and achieve the project or programme outcomes. The goal is improving outcomes, such as increasing productivity and efficiency in infrastructure projects, and creating wider social value by using platform approaches and MMC where appropriate. MMC may not always provide the best result. Still keeping the overall MMC principle requirement just aligning it with wider governmental advice about choosing the right MMC solutions, balancing it with other drivers and ensuring that all forms of MMC (not just offsite) are considered.

The assessment toolkit has been developed to support clients, design teams, Contractors and Supply chains in responding to the NHSE MMC business case requirements, setting outcome objectives, quantifiable targets and evidence of compliance by enabling them to be embed through the decision making, design procurement, construction & operational phase.

MMC toolkit drives value through a consistent approach in MMC collating data from business case submissions and with regular review by the P23 working group to be agile in updates, responding to informed data & industry changes. The metrics supported and reviewed by a number of cross government programmes.

The toolkit is being adopted in P23, NHP and Wider Government bodies.

Feedback following recent introduction of the toolkit:

NHP consultant - Kevin Masters - KPMG Technical Director - Major Projects Advisory:
'I think the model is absolutely right - I like to think of it as a process/product sandwich. We tend to focus on the filling and forget the bread!
Great work - really stimulates a great discussion, one that is desperately needed'

'I just wanted to let you know what an exceptional piece of work I think this is'.

Scott Tacchi, Head of MMC , Sir Robert McAlpine Ltd:
'My previous role was running the DfE's £3bn off site framework, we required PMV calcs to pass business case, this is much more comprehensive than I asked for, much much better'.

'Most don't understand PMV, 99% are reporting it incorrectly, this will hopefully set a benchmark across public (and private) sectors'.

Innovative and sustainable approaches for the healthcare estate are required to efficiently provide additional capacity within hospitals.

Paul Stansfield, Principal Project Manager from University Hospital Southampton NHS Foundation Trust (UHS), will outline the business case and progress for their innovative strategic expansion plan working with Prime and the multi-disciplinary design team, ONE Creative environments (ONE).
Situated on a constrained site, Southampton General Hospital is UHS's largest estate. It is well-established as a world-leading research, training and academic centre as well as proving specialist patient care. Their expansion strategy includes a second nearby site, Adanac Health & Innovation Campus, and has enabled: the development of a leading health and innovation campus, a training space for healthcare professionals, a park and ride facility to ease congestion at the hospital and the relocation of supporting services (Aseptic Pharmacy and Sterile Services Department) to free up space with the main hospital site.

Colin Hamilton, Sector Director, Health, ISG

Andrew Rolf, Technical Advisory Lead, Mott MacDonald

Helen Sturdy, Head of P23 Procurement Framework & Construction Lead-, NHSE

Paul Stansfield, Principal Project Manager, University Hospital Southampton NHS Foundation Trust (UHS)

Abz Randera, Director and Architect, ONE Creative environments (ONE)

NHS hospital trusts have very complex and specific utilities requirements with a real emphasis on the need to regulate heat and ventilation to ensure the comfort and care of patients. So, it's vital that facilities management teams have access to software and systems that can monitor and regulate energy usage. The data these systems produce can be used to drive efficiencies and help to reduce waste and emissions.

Kas Mohammed, Vice President, Digital Energy, Schneider Electric UK and Ireland, will discuss how facilities and estates managers can leverage digital services, and specifically digital twin and virtualisation technologies, to maintain energy efficiency across NHS hospital buildings and estates.

Panellists in this session are:

Steven Hipwell, Digital Lead NHP Lancashire and South Cumbria, New Hospitals Programme

Kas Mohammed, Vice President, Digital Energy, Schneider Electric UK and Ireland