1. Delivering healthcare projects

3. Healthcare project delievery must focus on We have a holistic approach to project
people: the patients and visitors and those delivery; an approach that demands
who delivery the healing: doctors, nurses, a committed partnership between all
technicians, administrators and maintenance members of the project team, the healthcare
staff. And then there are those whose job it is provider, and the stakeholders in a patient-
contents to construct the building on time and within centred delivery process.
budget. Each has important but different
needs. We believe that collaborative working is key
01. introduction to the success of all our healthcare projects.
At Capita Symonds we specialise in delivering We achieve this collaboration by talking to
02. delivering success healthcare projects that meet all of these end users (patients, nurses, consultants, and
needs. Our team has an unparalleled managers), engaging them in the process,
03. brampton CV project knowledge of the issues, people and find out what they need, stimulating debate
04. guild Lodge processes involved in healthcare facilities.
We understand the rate at which healthcare
and discussion on best practice, in order to
generate a dynamic vision for their new or
05. guild Lodge Ph2. delivery evolves, and we recognise refurbished healthcare facility.
the need to design adaptable, flexible
06. new pathology & pharmacy building accommodation, which can change in line
with our clients needs.
07. wembley hospital
08. royal victoria hospital We have the capacity to meet our clients’
requirements; from delivering large acute
09. downe lisburn hospital facilities through intermediate care facilities,
polyclinics, health centres, GP surgeries and
10. the london clinic mental health units. Capita Symonds are
able to help our healthcare clients through
11. diamond light source all stages of the project lifecycle from the
12. services initial investigation and evaluation of the
service strategies, through the detailed
13. company briefing and design of capital schemes,
to the commissioning and evaluation of
completed facilities in terms of construction
management services.

4. Delivering Success
One team, one goal
Healthcare requires more
There’s no denying it’s a complex process than a grand facade
with significant sums being invested
and spent. And that’s before the actual The project manager and their team
building starts. In addition to project must listen to and try to accommodate
managers you have architects, healthcare everyone’s needs: planners, engineers,
planners, engineers, builders, surveyors, builders, cost advisors, equipment
construction managers and landscape specialists, and, especially nurses,
architects involved. Each has important clinicians and healthcare managers. Often
skills to offer that requires effective needs are conflicting and an optimised
management. compromise must be sought. The co-
ordination must work on many fronts;
Building a healthcare facility requires aesthetics, construction, safety, cost, and
team players. You need a project manager maintenance.
that understands healthcare and can
inspire a design team produce an efficient And of course it must have the flexibility
design which is also affordable. But just to support the delivery of changing
as important is the project manager’s healthcare services which are becoming
ability to bring people of differing ever more complicated. Whether our
opinions together. Capita Symonds is commission is for a hospital, a primary
skilled at creating teams that break down care clinic or a laboratory, it must focus
the traditional barriers between Health on people; staff, patients, and visitors. A
Facility Users, Designers and Contractors, grand design just will not be enough.
thereby creating an integrated team
dedicated to one goal; successful delivery.

5. A new challenge procurement routes place a premium on and an improvement in the quality and It’s about what works, not just
speed of construction. The requirement robustness of the completed design.
With the advent of innovative for the builder to maintain finished
organisational diagrams
procurement routes, such as PFI, facilities at a high standard for 30+ Do it once, do it right When as project manager we put together
Procure21, Express LIFT and Framework years has also placed a much greater a team of architects for a healthcare
How do you delivery a better quality
appointments, much of the responsibility emphasis on quality. These factors taken project, each team has designers and
product, faster? By re-evaluating the
for delivery of the project has passed together were the impetus for Capita specialist healthcare planners. We
whole project delivery process which
to the contractor. However, as project Symonds’s rethinking of the whole understand that good management goes
can sometimes mean spending more
manager we ultimately assume single design development process, to allow for hand in hand with innovative design and
time on one element of the process to
point responsibility for delivering success. techniques such as off site construction, a solid understanding of best practice in
save a greater amount of time latter
In addition many of these innovative site waste minimisation and recycling, healthcare design.
on. You also must look closely at the
construction and fit-out processes and
see where time on site can be reduced. The project manager works closely with
One way to reduce time / minimise risk the contractor and project consultants
is to reduce the number of different and alongside the planners and designers.
elements by replacing multiple units Our role is to make sure the work is
with identical repeatable ones. E.g. whole adequately programmed and resourced
rooms such as clean utilities, dirty utilities, and to keep track of progress and costs.
bedrooms and sanitary facilities, can It is a key management role and we
be easily replicated, manufactured off deliberately separate the roles of project
site and swiftly installed. The unit cost management from that of designer and
may increase but this is outweighed by healthcare specialist to ensure it is given
the benefit of a shorter time on site. It proper weight.
also results in higher quality building by
using appropriate off site construction
techniques.

6. future trends, of what constitutes ‘best we go to great lengths to make sure that
practice’, and of the high expectations of everyone, understands the vision for their
staff, patients and visitors. new facility and the processes involved to
deliver it.
Gently does it
From the start of the process to the Place making
selection of the design team and then on
Project Management is just one of
to the award of the construction contract,
several areas in which we specialise.
we manage for change. During the various
Our healthcare designers and planners
types of bidding process much can
often work alongside colleagues in our
evolve. New rules and regulations can be
firm who are experts in urban design,
introduced, patient numbers can fluctuate
environmental graphics, interiors, retail
and some treatments can take precedence
and education. They are able to contribute
over others. Our flexible and informed
their knowledge to ensure that the
approach means that these changes need
healthcare facility becomes a viable,
not mean drastic re-thinking or re-scoping
dynamic environment and part of the local
of the project. Our team has been through
community.
this process several times. But for a
Trust, it may be their first introduction
to the issues involved in delivering major
Our wider team
capital works and as project managers we Aside from Project Management Capita
help and support the Trust throughout Symonds can offer a fully integrated
We know what works But perhaps of more importance is the the delivery process. We are aware of design service including Architecture, Civil
We’ve been delivering healthcare fact that to every project we can call upon the issues that can arise, the disruption and Structural Engineering, Mechanical
buildings; hospitals, primary care clinics over 40 years of experience acquired in which can be caused and the difficulty and Electrical Engineering, Landscape
and laboratories, in the UK for many healthcare economies throughout the clinicians and administrators have with Architecture, Acoustic Engineering, Fire
years. We are familiar with all forms of world including the America, and the interpreting drawings and accepting Engineering, Traffic Engineering, Clinical
procurement, with their unique funding, middle and far east. Capita Symonds are change. Therefore, when we meet the end Healthcare Planning and Construction
tendering and reporting processes. therefore very aware of current and likely users, be they patients staff or visitors, Management.

7. If there is an interest in the wider services Our work - case studies affordable and incorporate the most up
we can offer due to the economies of scale to date practices; and contractors want
there can be significant savings to the Patients and visitors want environments buildings that are quick to build with
delivery costs on a healthcare project. that are welcoming, comfortable, safe and minimum risk.
which help healing. Healthcare workers
and their managers want environments At Capita Symonds we recognise that this
that support their efforts to care for is the background against which modern
patients and to improve productivity. healthcare facilities need to be delivered
HealthcareTrusts want designs that are in the UK and it is this knowledge that
underpins our ability to deliver successful
healthcare projects.

9. community
CASE STUDY Brampton Community Ventures Project
CLIENT Cumbria PCT and Cumbria County Council
LOCATION Brampton, Cumbria
VALUE £10m
This integrated healthcare and community project includes facilities
for Brampton GPs, PCT nursing beds and 30 adult social care beds.
In addition, flexible space for the local Community Association is
included together with facilities for children’s services. There is also
provision for a pharmacy and shared space and facilities have played
a prominent part in the initial accommodation and models of care
assessments.
Our engagement has been both to provide project management
services and also fully integrated design and cost management .Our
role has required effective communication with stakeholders beyond
the partners actually taking space in the facility including the local
neighbourhood forum and traders association. We have also been
tasked with co-ordinating delivery of an outline business case and
planning application.
Two sites are under consideration for the facility and thorough in-depth
analysis of both sites has resulted in the delivery of a detailed report.
This shall allow a highly informed choice of site to be made, providing
confidence that users, investors and the local community can be sure
that the facility provides maximum value to the environment and
population it serves.

10. community
CASE STUDY Guild Lodge - Medium Secure Unit and High
Dependency Unit
CLIENT Guild Community Healthcare NHS Trust
LOCATION Guild Park, Preston
VALUE £10m
Part of the old Whittingham Hospital at Goosnargh, Preston the
Guild Lodge facility has been developed as a new state-of-the-art
combined 54 bed Medium Secure Unit (MSU) and High Dependency
Unit (HDU).
The 30 bed Medium Secure Unit comprises the following:
• Single storey 8 bed acute ward including a seclusion suite
available to other wards;
• Two storey block with a 12 bed ongoing therapy ward on
the ground floor and a 10 bed pre-discharge ward on the
first floor.
The 24 bed High Dependency Unit is a single story building comprising
three 8 bed wards, that is linked directly to the main entrance and
sports hall to form a secure courtyard.
Serving both the MSU and HDU are the following:
• Single storey occupational therapy unit;
• Part single/two storey building administration building
providing office, kitchen, dining and changing
facilities, with meeting areas for family visits and a GP
surgery space; and
• Single storey gymnasium.
A flexible but disciplined approach was needed to control all stages
of the project, within the required 29 month programme from
commencement of Outline Business Case to the commissioned
facility. Whilst much emphasis was placed on security, the careful
selection of materials and components ensured a domestic and relaxed
environment for more effective patient rehabilitation.

11. community
CASE STUDY Guild Lodge Phase II - Long Term Medium Secure
Unit
CLIENT Lancashire NHS Trust
LOCATION Guild Park, Preston
VALUE £9m
The Guild Lodge Phase II project was an expansion of an existing
Medium Secure Facility, to provide a new 38 bed Long Term Medium
Secure Unit, together with alterations and extensions to existing
facilities.
The single storey development comprised a cluster of six individual
buildings as follows:
• House with 16 beds;
• House with 14 beds and an Extra Care Suite;
• House with 8 beds;
• Vocational Therapy Centre;
• Rehabilitation Management Centre; and
• Social Centre/Café
The buildings were set within a common landscape with interconnecting
walkways. Each house had access to an external ‘garden’, some of
which were secure, that provided a recreational and therapeutic
environment.
The architectural style of each building reflected its intended use.
Capita Symonds worked very closely with the Trust and stakeholders,
to develop a scheme that established a community, where quality of
life was maximised, creating a safe and spacious environment, which
was both attractive and comfortable, and yet provided maximum
observation with minimum obtrusion.

13. centre of excellence
CASE STUDY Regional Cancer Centre, City Hospital, Belfast
CLIENT Belfast City Hospital Trust
LOCATION Northern Ireland
VALUE £60m
The new Belfast Cancer Centre is planned to serve Northern Ireland
as a Regional Centre of Excellence. It replaces existing facilities at
Belvoir Park Hospital and provides patients and their families with
access to treatment and support services, diagnosis and treatment,
through to follow-up care. The centre is part of a government plan for
cancer care across the UK which involves regional centres supported
by satellite follow-up centres.
Linked to the existing City Hospital by underground and elevated
walkways, the 84-bed centre will provide integrated access to support
surgical and chemotherapy facilities. The hi-tech treatment facilities
include 10 linear accelerator vaults for radiotherapy – making this one
of the largest cancer care facilities in the UK – and a High Dose Rate
(HDR) operating theatre.
The diagnostic and treatment planning for radiotherapy facilities
utilise the very latest technology for all imaging modalities currently
being employed. These include 2 MRI scanners, 3 CT scanners, X-ray,
ultrasound and 2 gamma cameras. There is also an Outpatient Clinics
for Rehabilitation and Palliative Care.
A “patient focused care” approach was adopted for the delivery of
cancer care throughout Northern Ireland.
The new centre has been designed to create a non-institutional,
human-scale environment with maximum use of natural daylight,
which will provide a therapeutic and harmonious atmosphere to
benefit and improve the patient’s progress and well being.

15. clinical support
CASE STUDY New Pathology and Pharmacy Building
CLIENT Bart’s and the Royal London NHS Trust
LOCATION London
VALUE £58m
The new Pathology and Pharmacy Building is one of the advance
projects of the £1billion Bart’s and the Royal London Hospitals PFI
redevelopment planned at Whitechapel, East London.
Main image: The 16,000sqm accommodation is housed in a 7-storey
Second floor laboratory building, located on a prominent corner site in the London Hospital
Below:
Conservation Area. The state-of-the-art building contains teaching
Colourful west staircase
laboratories, lecture rooms, seminar rooms, and a fully automated
multidisciplinary analytical laboratory. The modular-designed
laboratories provide flexible accommodation for a range of Pathology
disciplines, including Biochemistry, Immunology, Histopathology,
Virology, Molecular Biology, and Haematology. A pedestrian tunnel
links the building with the main hospital complex, to provide a
convenient route for internal trolley traffic and specimen deliveries.
The project was very challenging. The site was constrained; opposite
is the construction site for the PFI, Queen Mary’s
School of Medicine and Dentistry lies to the west and Whitechapel
Underground station is situated directly below. Additionally, these
departments are notoriously difficult to design together, as Pharmacy
is ultra clean, whilst Pathology is not.
There were many end users to consult with as the new building
accommodates 14 different pathology and pharmacy divisions that
were originally scattered across East London in separate buildings.
Capita Symonds worked very closely with the Trust and clinicians
both during planning and design in order to understand the different
requirements of each of the different disciplines.

16. Main image:
Main entrance
Above & below:
Reception area

17. primary care
CASE STUDY Wembley Hospital, London
CLIENT Parkside Health
LOCATION London
VALUE £6.4m
Parkside Health is committed to delivering out-patient
services in a different way. The model of care is unique and
involves a wide provision of Health Services under one roof.
The centre is located at Wembley Hospital and will provide
modern and efficient accommodation for GPs, primary care
health teams, health promotion unit, welfare advice and
specialist services, women’s services, general hospital
outreach services, pharmacy, local authority and a minor
accident and treatment service (MATS).
The building comprises a mixture of single and two storey
wings arranged around a double height, circular reception
area and central core with semi-scenic lift. This ‘heart’ of the
building acts as the pivotal hub from which all health services
are approached.
The massing of the building has been carefully considered,
responding to the surrounding suburban environment and
disguising the overall floor area from its neighbours. The building
received a highly commended award at the NHS Estates -
Building Better Healthcare Awards 2001.

19. design competition
CASE STUDY Royal Victoria Hospital, Belfast
CLIENT Health Estates
LOCATION Belfast, Northern Ireland
VALUE £91.4m
Phase 1 comprises a 7-storey glazed hospital street serving 16 wards
of 400 beds on levels 4-7. Day procedures, ITU, theatre suite and
recovery are on level 3 and a range of investigations, outpatients and
pharmacy facilities on Levels 1 and 2.
Medical areas are supported by a new hospital main entrance
and restaurant above and enhanced by a major programme of
landscaping and integrated art work.
The external cladding is of composite aluminium insulated panels
finished in sterling silver PVF2. The ‘street’ is fully glazed on both
sides using a ‘stick’ curtain walling system.
Phase 2 will be carried out in stages after demolition of 20 Victorian
wards and will comprise a new A&E department, Admissions ward,
additional theatres, PFI imaging centre, OPD departments, Education
centre and west entrance.
Main image:
Royal Victoria Hospital, main
entrance

21. Design for Excellence
CASE STUDY Downe Lisburn Hospital
CLIENT South Eastern Health and Social Care Trust
LOCATION Northern Ireland
VALUE £47m
Won under an invited design competition in May 2004 Capita
Symonds adopted an holistic approach to the design. We are
committed to partnership between all members of the design
team, Trust and stakeholders in a patient centred design process.
It is an approach that encourages a truly inclusive plan for the
design development, based on a common vision to provide a better
healthcare experience. The local community is also seen as an
important element in the design process and takes ownership of the
final design.
The New Downe Hospital site is set within a powerful and dynamic
landscape, housing the existing Grade II listed Hospital which is
retained and converted for Civic usage. The new hospital respects
it’s surroundings and corresponds to the major views of the famous
Mourne Mountains to the South West.
Departments provided include: 10 bed observation unit, accident
and emergency, outpatients, 20 bed in patient ward, coronary care
unit, health records, dementia, 25 bed acute psychiatric unit, day
procedures unit, clinical support, rehabilitation, radiology, children’s
day care, pharmacy, miscellaneous, support services and mortuary.

22. Specialist & Medical Provision
CASE STUDY The London Eye Clinic
CLIENT The London Clinic
LOCATION 119 Harley Street, W1
VALUE £4.6m
The Eye Clinic is a specialist medical provision providing ‘state-
of-the-arts’ eye care within The London Clinic’s private health
care campus. It prides itself on housing highly respected leading
ophthalmic consultant surgeons, physicians, orthoptists,
optometrists and nursing staff. It provides unrivalled excellence
and individual care to patients including members of the Royal
family. It is self-contained using the latest diagnostics and
treatment for eye disorders.
The London Clinic is the UK’s largest, independently owned and
operating, non-profit hospital.
This high profile project consisted of the extensive refurbishment,
extension and conversion of the Grade II listed building resulting in
a ‘one stop shop’ for outpatients seeking the very best in eye health
treatment and care.
The provision includes nine consulting suites, eight procedure and
treatment rooms including laser surgeries and full nursing support
situated over six storeys.
The clinic was successfully completed and fully operational in
line with its royal opening by HRH Princess Alexandra on 23rd
November 2012.

23. Centre of Excellence
CASE STUDY Diamond
CLIENT Diamond Light Source
LOCATION Didcot, Oxfordshire
VALUE £276m
Diamond Light Source (DLS) is a scientific facility on the Harwell
Science & Innovation Campus, Rutherford Appleton Laboratory site
in Oxfordshire.
It is a circular-shaped machine, called a synchrotron that uses arrays
of magnets, called insertion devices, to generate bright beams of
synchrotron light.
Around the machine is a collection of experimental research
laboratories called beamlines. At each beamline, scientists
independently use the light generated by the machine for a wide
variety of experiments.
The Diamond project team consisted of 250 dedicated engineers,
scientists, support staff and technicians. By 2012, Diamond will
grow to 300 staff and will welcome about 2,000 scientific users per
annum.
The Synchrotron building is aluminium clad steel framed building
enclosing a high bay experimental hall with a curved roof profile,
the concrete machine housing, inner access and service zone.
Around the external perimeter of the building are arranged two
storey perimeter offices and laboratories with precast concrete
suspended floors.
Diamond now produces pinpoint ultra-violet and X-ray beams of
exceptional brightness. These highly focused light beams enable
scientists and engineers to probe deep into the basic structure of
matter and materials, answering fundamental questions about
everything from the building blocks of life to the origin of our
planet. State-of-the-art instrumentation complements the light
source, ensuring that researchers from the UK and abroad have
access to cutting-edge analytical techniques and services.

24. services
Capita Symonds are in a position to • Environmental Noise • Technology
• Facilities Management • Telecoms Engineering
provide an integrated multi-disciplinary • Geotechnical Engineering • Town Planning and Masterplanning
team. Services include: • GIS and Data Management • Traffic Surveys
• Health & Safety Training • Transport Planning
• Healthcare Planning • Tunnel Design and Refurbishment
• Highway Asset Management • Urban Design
• Arboriculture
• Highway Design • Value Management
• Architecture
• Highway Maintenance • Water Environment
• Aviation
• Highway Pavement & Construction Materials • Waterways
• Bridge Design
• Innovations Software Development
• Brief development
• Insurance
• Building Services Engineering
• Instrumentation Consultancy
• Building Surveying
• Interior Design
• Communications and Technology
• Landscape and Urban Design
• Construction Management
• Leisure and Event Safety
• Construction and Occupational Health & Safety
• Litigation
• Consultation and communication
• Masterplanning
• Contract Management
• PFI/PPP Consultancy
• Conservation
• Project Management
• Cost Management
• Property Management
• Countryside Management
• Rail Engineering/Operations
• Decriminalised Parking Enforcement
• Rail Project, Commercial and Risk Management
• Design Management
• Rail Property (Estates)
• Development infrastructure
• Regen and Contaminated Land
• Development Monitoring
• Resource and Waste Management
• Development Planning
• Risk Management
• Disability Access Consultancy
• Road Safety / Road Safety Audits
• Earth Sciences
• Security
• Ecology
• Space Planning
• Electronic Data Management
• Sport, Leisure and Culture Consulting
• Energy
• Structures
• Environmental Impact Assessment
• Sustainable Design

25. company
Capita Symonds employs over
4000 staff located around
the UK and cover fourteen
key sectors with a significant
track record and expertise
in each. Each of our offices
are run by directors who
oversee operations, business
development, design quality,
commercia and construction
management. We undertake a
wide range of work across the
UK and overseas and have won
numerous awards for the quality
of our completed projects.
Capita Symonds
T +44 (0) 207 492 0200
www.capitasymonds.co.uk