1. 25TH June 2014, Manchester Andrew Arnold - Director

2. - Over 135 years in Practice - Two offices, 58 qualified staff, including in-house Interior designers - Over 45 years in the Healthcare sector - 2 Offices in Chorley and Liverpool - Member of 5 supply chains under P21+ - Over 760m of live or completed work Healthcare building spread over 60+ Projects nationwide. - Over 450 million of live/completed Specialist healthcare/Mental Health work undertook in the last 6 years. Who are we? 3. Current Projects North Staffordshire NHS Trust Major redevelopment Project Arizona, Walton Centre, Liverpool Whole site Redevelopment of Blackpool Victoria Hospital Warrington and Halton Hospitals NHS Foundation Trust redevelopment The Harbour, LancashireCare NHS Foundation Trust Broadmoor Hospital Redevelopment, West London Mental Health NHS Trust 4. Mental Health experience Specialisms; - Adult Acute inpatient units - Rehabilitation Services - Dementia - CAMHS (Child and Adolescents Mental Health Services) - Personality Disorder - Learning Disabilities - Psychiatric Intensive Care (PICUs) - Assessment and Treatment - Community Mental Health Services - Low/medium/High Secure Services - Forensic Services - DEAF Services - Step Down Services - Drug and Alcohol Services - Assisted Living - Eating Disorders - Challenging behaviours 5. CAMHS Tier 4 CAMHS services work to help young people with significant mental health needs and who may pose a high risk to themselves and others. Patient group - young people with serious mental illness including psychosis, bipolar disorders, eating disorders, dual diagnosis and emerging personality difficulties. Other issues anti-ligature, self-harming behaviour, mood disorders, safeguarding issues, psychosis and poor coping skills such as misusing substances. Support in daily living skills such as cooking, budgeting and shopping as well as more formal psychological therapies such as cognitive-behavioural therapy, family therapy and art and music therapy. Age range 13-17 6. Client GMW provides district mental health services in Bolton, Salford and Trafford, both inpatient and community-based means. The Trust also provides inpatient alcohol and drug recovery services in Prestwich as well as community services in Trafford, Salford, Cumbria, Wigan and Leigh, Blackburn with Darwin and Central Lancashire. GMW also provides secure services for adults across the wider North which include a range of care pathways. Standardised components, Continuous PPE, shared r+d/testing Long term relationship with GDA 7. The McGuinness Unit Key issues; Significant Ligature risks Privacy and dignity issues Absconding issues Lack of therapy space/activity areas High levels of serious incidents/flash points Stigma High re-admittance levels Poor staff morale/retention Insufficient beds so out of area placements Overheating/cold/dark/stuffy Acoustics problems/ fire risks Dont call me crazy tv programme. 8. Existing Site / Unit / Context. Site of the proposed new buildExtg McGuinness unit to be demolished Site 9. Site Constraints plan Site topography 10. Design Approach Service User engagement key Tailor to the audience Role plays / games / workshops Interactive and fun On their patch Win their confidence Dont patronise The Arts as an outlet bribery works! 11. Key outcomes / debates - brief development What is an institutional design? How do YP use their environment? Activity driven spaces Respect / dignity / transparency Sensible approach to risk Mixed gender living Stigma in particular Eating Disorder sufferers Choice, interaction and retreat Ownership Who What WhenWhy How Develop the brief 12. Typologies form, flow and scale 13. Site plan 14. Upper Ground floor plan 15. Lower Ground floor plan 16. Key Design tools Building as enclosure Fluid circulation, flowing lounge spaces Curved form masks scale / views out Multiple circulation options Curved corridors mask scale Extra- care areas not PICU. Immediacy of garden spaces Clustered activity spaces Boundaries and thresholds 17. Key areas Bedroom and En-suites Dining areas Sight lines Discrete observation Access Access boundaries Sight lines and observation. Snugs and break out spaces Views out Access 18. Aesthetics/imagery Look of the building, dynamic, movement, boat/sails?, distinctive, interest, layers, stimulation 3d printing to show form/context 19. Aesthetics/imagery 20. Role of interior design Rebranding the service, welcoming reception, first impressions, Arts projects, naming competitions, poetry, Signage and motifs, photography, Ownership and sense of place. 21. Structural challenges 22. Construction Site works begin March 2012 23. Finished building Phase One H/O June 2013. Phase 2 Oct 2012 24. Finished building 25. Finished building 26. Finished building 27. Finished building 28. Official openingDecember 2013 Olympic champion - Dame Kelly Holmes 29. Post project evaluation June 2014 Improved Quality of Clinical Care ; Reduction in recorded incidents incl safeguarding incidents Improved therapeutic milieu Reduced lengths of stay Improved education engagement Reduced acute escalations (ie via new time out areas/observation) Improved Privacy and dignity incl gender issues Better intensive nursing outcomes More dignified/controlled admissions facilities Closer/more efficient clinical adjacencies Improved Patient environment ; Appropriate colour schemes / interior design Activity led spaces Immediacy/accessible garden spaces Choice and variety of activity/therapy spaces Light and airy spaces No fences/invisible security Improved meet and greet/visitor facilities 30. Post project evaluation June 2014 Safety and Security ; Built in robustness Reduced incidents of absconding in the last 12 months (previously a huge issue)* Reduced incidents of self harming in the last 12 months Reduced instances of Fire Alarm triggering Miscellaneous; Reduced use of out of area placements Reduced incidents of YP in Adult MH facilities Better overlap with Tier 3 CAMHS Improved staff facilities Improved staff morale, pride, retention/recruitment Improved Service reputation, Identity, perception YP ownership in environment eg Personalised gardens *change in staff focus (ie less keeping YP in, now helping YP recover) Reduced Revenue costs (Cost per bed per day etc) 40% reduction in energy costs Reduced maintenance costs 31. Legacy New Low Secure Unit due on site in November 2014 New Recovery Academy currently out to tender. Design Project of the Year DMHN conference 2014 Next phase of development - Future replacement Gardner Unit. 2015 32. Design evolution. Above CAMHS unit for Lancashire Care NHS Trust, Preston Below CAMHS unit for Lincolnshire Partnerships NHS Foundation Trust Right - Evolved bedroom/en-suite design Above - CAMHS unit for Black Country Partnership NHS Trust. Dudley Plus CAMHS Projects for Nottinghamshire Healthcare NHS Trust and Cheshire and Wirral Partnership NHS Foundation Trust. 33. Reflections/critical success factors Importance of design Champions Sensible risk debate Repeatable design data Continuity Empathy Brave client / Experienced Design team Enlightened Contractors Meaningful End user engagement Ownership by the End users 34. Thank you www.gillingdod.com