The building is designed to accommodate Acute Services at each of the three floor levels and is fully integrated into the existing hospital at each level. As part of the project delivery a two-storey building was constructed within an internal hospital courtyard close to the works to provide temporary accommodation in the short-term during construction and to house new scanning equipment thereafter. The new accommodation at ground floor was designed to significantly improve the treatment procedures offered to patients in emergency situations and involved increasing the footprint of the existing department two-fold and fully integrating the new with the existing. Floor levels for the project were chosen to match existing hospital levels and additional plant was located in a two-storey steel framed enclosure over roof. Structural in-situ reinforced concrete framing provided the most appropriate structural solution, addressing the complex layouts at each floor level and also providing the necessary flexibility for the provision of building services, which became a key driver in the design process.
The adjacency of the construction works to live hospital services, and the interfacing of the new with the existing, presented challenges both to the Design Team and Client in terms of sequencing and constructability, and to the Contractor in terms of health and safety and infection control. Close collaboration and detailed planning addressed the issues successfully.