Keeping the Numbers Simple: Bedside Tips for the Liver Patient
Keeping Focus on the Patient Experience
Transcript of Keeping Focus on the Patient Experience
The Christie Proton Beam Therapy CentreKeeping Focus on the Patient Experience
Main Components of a Proton Beam Facility
1
Particle
Accelerator
2
Beam
Transport
System
3
Treatment
Gantry
4
Treatment
Nozzle
Length = 15m Width = 10m Height = 12m
Overall Bunker Size: 67m x 31m
Treatment “Bunker”
Treatment Room Dimensions
Why Do It?
Bragg Peak
The Christie
Manchester
UCLH
London
Vendor Dialogue
Clinical User Dialogue
Jan ‘14 Nov ‘14Aug ‘14
2 bidder phase
3 bidder phase
Pre-Construction Design Timeline
Architectural Design RIBA Stage 4
RIBA Stages 2 & 3
Planning Approval
Jun ‘15Mar ‘15
Vendor Selected
GMP/ Start on site
Planning Submitted/ABC
Start
1:200 Design
1:50 Design
Bunker Design
Clinical Design
Parallel Design Process
fixe
d li
ne
fixed line
Freezing the Bunker Position Along 2 Axes Allowed for the Clinical Design to Commence During the Vendor Dialogue Process
Vendor A
Vendor B
Vendor C
Vendor Comparison
-10 km of embedded conduits
-1 km of embedded pipework
Concrete Design
• Full Scale Pre-Construction Test
Conduits & Co-ordination
• 3d Co-ordination of Reinforcement and Conduits/Services
• Individual pour by pour drawings issued showing all details, setting out and embedded items
• Full time Resident Engineer
• Key Vault Statistics• ~16,000 m3 concrete• ~2,500 concrete wagons• ~100 pours – up to 650m3 each• ~2,000 tonnes reinforcement• ~40,000 tonnes concrete
Pour Sequence
• Detailed Review of Pour Sequence• Co-ordinated with Concrete Sub-Contractor
• Direct impact on design – internal restraint
• Informed programme, shutter designs and logistics
PBT Equipment Rigging
Bunker = same weight as two HMS Invincibles!
The Patient Experience as the Driver
Paediatric Clinical Flows – Safeguarding Children
Dedicated Paediatric Areas:• Waiting• Play Therapy• Anaesthetic• Treatment Room• 1st and 2nd Stage Recovery
Teenage / Young Adults:• Dedicated Waiting Adjacent to
Main Adult Area
Adult Imaging Flows
Main Waiting / Treatment
Imaging (MRI / CT)
Research Room
Architectural Design and Town Planning
neighbours
Arts & Interiors
“Under the Trees”
Thank You