PSBJ June 2013 Supplement

20
Healthcare Focus www.psbj.co.uk June 2013 Infection prevention Maintain patient and staff care with sanitising systems Bespoke shading Maple provides effective solar control at new hospital Feel at home Durable flooring enhances the look and feel of hospice

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PSBJ June 2013 Supplement

Transcript of PSBJ June 2013 Supplement

Page 1: PSBJ June 2013 Supplement

Healthcare Focus

www.psbj.co.uk

June 2013

Infection prevention Maintain patient and staff care

with sanitising systems

Bespoke shading Maple provides effective solar

control at new hospital

Feel at home Durable flooring enhances the

look and feel of hospice

Page 2: PSBJ June 2013 Supplement

2 Public Sector Build Journal

Housing Focus

Online Enquiry 066

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www.kempersystem.co.uk

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• Flatandpitchedroofs,balconies,terraces,podiumsandwalkways,warmroofs,coldroofs,greenroofsandlivingwalls,fountainsandwaterfeatures,andthemostcomplexdetailing.

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Page 3: PSBJ June 2013 Supplement

Public Sector Build Journal 3

Healthcare Focus

Welcome...to the Healthcare Focus

I n sensitive healthcare environments, it is imperative that the building solutions meet strict hygiene standards and accommodate the needs of patients and staff. In these locations, architects, specifiers and contractors must leave no aspect uncovered.

High traffic corridors and atriums require durable floorcoverings, while walls and ceilings should be stimulating for both children and adults alike. In more serious cases, inadequate HVAC solutions can harbour life-threatening diseases therefore considerable attention must be given to ventilation and additional pipework systems.

In PSBJ’s inaugural Healthcare supplement, we bring you a collection of leading suppliers who tailor their products specifically for the healthcare market. Among the contributors is Polyflor, which demonstrates its ability to cater for large-scale developments through the durable, hygienic and design properties of its portfolio. Elsewhere, Gainsborough Specialist Bathing unveils its new tool to assist architects and designers meet the bathing requirements of inclusive facilities.

For anyone currently involved in a healthcare project, this is the ultimate reference for specification.

Hannah Frackiewicz - Editor, PSBJ Magazine

Hannah Frackiewicz

5 Early protection: Doors and their surrounding surfaces are subject to high levels of wear and tear, but prevention can be cheaper than the cure explains Intastop.

7 Well-balanced surface: A broad range of Polyflor material has been specified and installed throughout Bury Hospice’s new £5m development enhancing the look and feel.

8 Bespoke shading solution: Stylish external solar shading from Maple Sunscreening is providing effective control of solar gain, light and glare at a new hospital in Northern Ireland.

10 Bathroom design assistance: The newly-launched Aspect design service from Gainsborough is the innovative tool assisting architects and specifiers select the right bathroom.

12 Hand hygiene: With an increased focus on improving infection prevention and hand hygiene in healthcare settings, Deb explains how to encourage ‘best practice’.

15 Maintaining supply: Resilience testing of standby power equipment ensures that vital electricity supplies are maintained in the event of an emergency, explains KiWi Power.

18 Waiting game: Digital screens are being used to deliver real-time information to patients in various departments throughout the Central Manchester University Hospitals.

Contents

Mixed Media InformationBarham Court, Teston, Maidstone, Kent, ME18 5BZTel: 01622 232702 Fax: 01622 816874www.psbj.co.uk www.mixedmediainfo.com

Editor Hannah Frackiewicz [email protected] 01622 232702

Managing Director Sam Ball [email protected] 01622 232702

Publication Manager Steve Gull [email protected]

Account Executive Adam Barron [email protected]

Studio Manager Chris Lilly [email protected]

Artworker/Sub-editor Ben Bridgeman [email protected]

Accounts Simone Jones [email protected]

Terms and Conditons: Contributions are invited and when not accepted will be returned only if accompanied by a fully stamped and return addressed envelope. No responsibility will be taken for drawings, photographs or literary contributions during transmission or in the editors hands. In the absence of an agreement the copyright of all contributions, literary, photographics or artistic belongs to Mixed Media Information Ltd. The Publisher accepts no responsibility in respect of advertisements appearing in the magazine and the opinions expressed in editorial material or otherwise do not necessarily represent the view of the publisher. The Publisher does not accept any liability of any loss arising from the late appearance or non publication of any advertisement.

According to Dulux Trade, colour can have a dramatic impact on the dynamics of a room and influence how people feel.

Front cover:

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www.kempersystem.co.uk

Kemperol®

we have the liquid solution...• Idealforrefurbishment,repairandnewbuild.• Completesolventfreeandodourlesswaterproofingsystemsavailable.• Kemperolmembranesarelaidinasinglewet-on-wetprocess,withnoneedformultiple

coatings,savingtimeandmoney,andformatotallyseamless,fleecereinforced,UVstable,elastomericmembranethatcannotdelaminate.

• Flatandpitchedroofs,balconies,terraces,podiumsandwalkways,warmroofs,coldroofs,greenroofsandlivingwalls,fountainsandwaterfeatures,andthemostcomplexdetailing.

• Infact,justaboutanythingyouneedtowaterproof,wehavetheliquidsolution...

Call01925 445532todiscussyourneeds,askforaQuotation,NBSSpecification,FREESiteSurvey,BrochurePackortoarrangeaRIBAAccreditedCPDSeminar.

Formoreinformationvisit:www.kempersystem.co.uk

Sustainable, Solvent-Free and Odourless

Kemperol® Liquid waterproofing and roofing at its very best

Image Copyright QQ7, 2012. Used under license from Shutterstock.com

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Page 4: PSBJ June 2013 Supplement

4 Public Sector Build Journal

Housing Focus

Supreme clarity with ‘invisible’ slip resistance & enhanced decoration

A safety floor that looks like a smooth with all the Polysafe credentials

A mix of subtle and bold tones with a micro-granite decoration

Suited for commercial showcase areas or traditional safety locations

Fully HSE Compliant – 36+ Pendulum wet test

Reinforced with Polysafe PUR for superior cleaning & appearance retention

Conforms to European Safety Flooring Standard EN 13845

Meets the 50,000 cycles abrasion test for sustainable performance

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Take a closer look today to unlock the secret of invisible slip resistance! Order FREE samples and a complimentary magnifying glass for safety reassurance. Email: [email protected] or call Polyflor’s Samples Direct hotline on 0161 767 2551.

“It is vital that our hospital remains welcoming and comfortable for our visitors whilst also remaining safe and secure. We chose to specify Polysafe Modena PUR due to its high

aesthetic appeal but also for its sustainable slip resistant properties and full HSE compliance. Modena does not look like a traditional safety floor but we were assured by the

product’s status as a Polysafe range. Being a very busy facility with lots of footfall, we need to ensure that our floor will stand up to a lot of traffic, provide underfoot safety whilst

also being easy to clean”.

Sheffield Children’s Hospital, Accident & Emergency Ward.

Aventurine 4055

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Page 5: PSBJ June 2013 Supplement

Public Sector Build Journal 5

Healthcare Focus

C linical buildings such as hospitals, health centres and medical facilities place huge emphasis on cleanliness

and the importance of an infection-free atmosphere. In addition educational buildings experience high traffic areas and have a need for protective products, in particular for doors and walls. In general, a product that can offer protection whilst at the same time provide aesthetic qualities for the built environment has to be an essential element to any maintenance programme.

Doors and their surrounding surfaces in busy access zones and high traffic areas are subject to extremely high levels of wear and tear, which can rapidly lead to expensive repairs and frequent repetitive maintenance. By preventing the damage from occurring in the first place the cost of door replacement is greatly reduced plus there is no compromise on safety and security – huge factors to consider in public buildings.

Versatile solutionProducts from leading UK door and wall protection manufacturer Intastop include post formed fully clad door sets or frame guards. Both provide an aesthetically pleasing and versatile long-term solution to ugly, hazardous and damaged door surrounds.

Frame guards protect the pull and push side of door frames as well as the vulnerable rear edge of the door. Intastop’s Rigid Frame Guards are designed to meet the highest standards and bear all UK fire safety and EN standards. They are manufactured in a high quality aluminium that incorporates a PVC-u insert secured into the guard.

The standard finish of the guard is in satin anodised aluminium (SAA), however aware of the different commercial finishes required to ensure facilities are refurbished to a high standard, Intastop, provides other anodised

finishes or colour coating, including wood effect.

Aesthetics aside choosing the right product for the job is important, looking at the door itself and its operational requirements there are different options available. Slimline guards can be used on frames with no door opening restrictions and for architraves up to 50mm. Alternatively standard guards are ideally suited for the push side of the door and protects both the frame and the rear edge of the door when it is in the open position and are primarily suited for architraves up to 100mm.

High resistanceAnother element that can help estate managers cut maintenance costs is the protection of walls and corners. Traditionally the upkeep of walls has been with the use of paint, a fresh coat instantly covers scratches and indents caused by general wear and tear. Plus it adds to the general ambience providing aesthetically pleasing surroundings. Yet when damage has been irrevocably made the cost of repair is dramatically increased.

Intastop’s Impact Protection Sheet and Corner Guards are products that can provide the aesthetic qualities of paint and paint effect yet offers augmented durability. They benefit from being available ‘off the shelf’ or bespoke. They are highly impact resistant, are class ‘O’ fire rated; tested to BS476 parts 6 and 7 and are also available with a wipe clean anti-graffiti and anti-bacterial coating.

Advancements in technology and products means that even the most demanding of building can look good whilst providing a cost effective low maintenance solution to its owners and managers.

From large scale re-fits through to decorative maintenance, the on-going upkeep programme of many buildings poses differing challenges for estate managers. The diverse nature of public buildings together with their intended use can mean a multitude of considerations for the maintenance itinerary.

Prevention cheaper than the cure?

Frame guards protect the pull and push side of door frames as well as the

vulnerable rear edge of the door

By preventing the damage from occurring in the first place the cost of door

replacement is greatly reduced

enq 082 * [email protected]

( 01302 364666

Page 6: PSBJ June 2013 Supplement

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Public Sector Build Journal 7

P olyflor’s Forest fx PUR in Rustic Oak was installed in circulation and dining areas, giving a warm and homely

feel to the building. Representing the natural beauty and sophistication of wood, the collection of 14 shades includes authentic reproductions of various wood designs with intricate grains and natural colourways.

The durability of Forest fx lends itself perfectly to the demands of areas where appearance and performance are equally important. To enhance the cleanability of the collection, Forest fx features a high quality, cross-linked polyurethane reinforcement (PUR) providing a low cost, polish-free maintenance regime for the lifetime of the product.

A total of 700m2 of Polyflor’s leading

decorative smooth vinyl range, Pearlazzo PUR was installed in bedroom and reception areas. The unique decoration of the striking 24 colour range provided plenty of design options with multiple colours used in both the reception and bedroom areas to create a calm, fresh and welcoming environment.

In bathroom and physiotherapy areas Polyflor’s latest safety floor, Polysafe Modena PUR was used to ensure sustainable wet slip resistance. Polysafe Modena PUR is fully compliant with HSE and UK Slip Resistance Group Guidelines, achieving 36+ in the Pendulum wet test and a surface roughness of 20 microns and above. Importantly Polysafe Modena also meets the EN13845 Abrasion 50,000 cycles test, a key indicator of

sustainable wet slip resistance. Featuring a high-clarity micro-granite

appearance Polysafe Modena PUR has the look of a smooth floor with virtually invisible slip resistance so there was no compromise in design and again multiple colours were selected from the 14 colour palette.

In the kitchen area, Polysafe Ultima was selected due to the higher viscosity contaminants present in a commercial kitchen environment. With concentrated levels of safety aggregates in the vinyl Polysafe Ultima achieves 40+ in the Pendulum wet test and a surface roughness of 70 microns and above, offering a low slip potential in what is clearly a demanding area.

In total 1500m2 of Polyflor materials were installed by Manchester based D Holt Flooring. Approximately 50% of the material used on the project was donated free of charge by Geoffrey Halstead, a long standing supporter of the hospice and Executive Chairman of James Halstead PLC. Other ranges used include Polysafe Hydro Evolve for walk in shower areas, Standard XL in treatment rooms and Polysafe Standard PUR for laundry areas and store rooms.

Jacqui Comber Chief Executive of Bury Hospice comments: “We are delighted with our Polyflor floorcoverings; they enhance the environment we were looking to create in our new hospice. The team at Polyflor were a pleasure to work with and their assistance and advice was invaluable.”

A broad range of Polyflor material has been specified and installed throughout Bury Hospice's new £5m development. The large, modern facility has 12 inpatient bedrooms and is a significant development in the local area, 76% funded from donations from the people of Bury, Lancashire.

Feel at home with Polyflor

Polysafe Modena PUR in Copal and Forest fx PUR Rustic Oak complement each other in the café area of Bury Hospice

A total of 700m2 of Polyflor’s smooth vinyl range, Pearlazzo PUR was installed in

bedroom and reception areas

enq 084 * [email protected]

( 0161 767 1111

Healthcare Focus

sustainable-buildingproducts.com

SBPLIBRARY

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Page 8: PSBJ June 2013 Supplement

8 Public Sector Build Journal

N atural wood panels shade the south facing elevation, while specially angled glass louvres protect the

hospital’s clinical facilities from direct sunlight. In addition to sunscreening systems, a copper-coloured mesh screen, custom-designed for the project by Maple, creates a dramatic design statement at the main entrance.

Main contractor, FCC Elliott Construction Partnership, worked closely with the project’s design team to source effective solutions for the hospital’s solar shading needs. FCC Elliott’s Design Manager, David Ortiz, comments: “Maple was the clear winner for this prestigious contract with a bespoke product and service package which satisfied

the project’s practical and aesthetic demands at a competitive cost. Maple’s solar shading system will begin to pay for itself from day one with energy savings for the hospital; it will cut its carbon footprint by reducing cooling and heating requirements.”

Solar shading to the south facing facade of the new hospital is provided by an all-timber system from Maple’s Corona range featuring a distinctive aerofoil blade design. Panels measuring 280 x 44mm were manufactured in natural pine to complement the building’s exterior timber cladding. The wood was heat treated to extend its service life without the need for chemical preservatives.

A Glass Louvre shading system from

Maple is installed to exterior glazing in the hospital’s clinical laboratories to control light intake. Specially designed for the application, the 700 x 2000mm louvres were fabricated from toughened laminated glass with a frosted finish. Installing the louvres at a 30 degree angle, with each glass fin overlapping by about 100mm, ensures that only northern light can enter and so protects the interior from the potentially damaging effects of solar radiation from intense southern light.

Completing Maple’s product package for the new hospital is a bespoke 25 x 10m mesh screen with a copper look-alike finish which provides a dramatic architectural feature for the main entrance. The custom-coloured powder coating was applied to perforated aluminium panels, creating the design impact of real copper on a durable, low maintenance material that won’t discolour over time. A walkway is provided between the mesh screening and facade to allow access for window cleaning and other building maintenance.

Maple Sunscreening has been at the forefront of developments in solar shading, brise soleil and climate facades since 1983. It offers a complete expert design, manufacturing and installation service with stylish systems for building energy saving, glare control and greater comfort (and productivity) for occupants.

Today Maple’s portfolio includes canopies, louvres, architectural facades and internal blinds. The company’s progressive design and technical excellence is combined with an exceptional level of customer service based on the traditional values of reliability and integrity.

A bespoke 25 x 10m mesh screen with a copper look-alike finish provides a dramatic architectural feature for the main entrance

A Glass Louvre shading system from Maple is installed to exterior glazing in

the hospital’s clinical laboratories

Maple provides bespoke solar shadingStylish external solar shading from Maple Sunscreening is providing effective control of solar gain, light and glare at a new hospital in Northern Ireland. Maple designed, manufactured and installed a complete brise soleil and screen package for the PFI project which complements the extensive use of wood and glass in the hospital's visually striking facade.

■ enq 085

* [email protected] ( 0845 384 5000

Healthcare Focus

Page 9: PSBJ June 2013 Supplement

Leisure FocusOctober 2013

In the fourth of its 2013 sector-specific supplements, PSBJ will be taking an in-depth look at the latest projects and

products injecting life into play and leisure spaces.

Image: The 21st century sports facility in Clapham bucks the current trend for severe public spending cuts, and features a six-lane 25m swimming pool with moveable floor.

To submit editorial content for the editor’s consideration or to enquire about advertising spaces, contact us on

01622 232 702, or email [email protected]

Enquiry 086

Coming up in our next

dedicated supplement:

Page 10: PSBJ June 2013 Supplement

W ith over 25 years of specialist knowledge focusing on bathing needs, Gainsborough Specialist

Bathing is the leading choice for the design, installation and after-sales support of assistive, hi-lo powered baths for all long-term care environments. Gainsborough delivers the optimum accessible bathing solution for all building specifiers, contractors and local authorities engaged with new build and retrofit public sector projects ranging from residential care homes to acute hospitals.

Available only through Gainsborough, the sophisticated Aspect design software provides enhanced visualisation and specification capabilities during the survey

and design stages of a new assistive bathing installation. It delivers highly accurate scaled drawings, 3D room layouts and bespoke plan drawings so designs can be visualised more effectively. These are combined with detailed quotations and prices in one concise document for quick and easy reference.

Product innovationAspect is a unique service available to all specifiers and architects who choose to specify a bath from the market leading Gainsborough range. Aspect ensures that client expectations are managed more effectively as Gordon Farmiloe, Care in Bathing Managing Director, comments: “This launch represents a significant development

for our business. Gainsborough Specialist Bathing has been respected for several years in terms of product innovation and installation expertise and the launch of Aspect reiterates this pioneering approach.”

Complementing the introduction of the Aspect accessible bathroom design service, Gainsborough Specialist Bathing, has simultaneously launched its new Architects and Specifiers Guide for design professionals operating in public and private healthcare sectors. Gainsborough has invested extensively in developing this essential architectural resource that incorporates extensive technical information regarding its assistive bathing range.

Quick referenceThis comprehensive pack incorporates a series of detailed product brochures that are designed to highlight the suitability of each Gainsborough bath to specific care requirements alongside an easy-to-use product selector guide. Also available is a handy, credit card size USB flash drive containing all relevant product information in electronic format. These are all housed in a robust, easy to use slipcase and folder – ideal for quick reference.

The new Architects and Specifiers Guide can be ordered free of charge and is an essential reference for all architectural practices engaged with long term and acute care building projects.

10 Public Sector Build Journal

The new and unique Aspect Accessible Bathroom Design Service from Gainsborough Specialist Bathing assists architects, designers and specifiers operating in the public sector

The Architects & Specifiers Guide from Gainsborough Specialist Bathing is an

essential resource for all architects, contractors and designers

Gainsborough launches AspectAccessible Bathroom Design ServiceGainsborough Specialist Bathing, part of Europe's leading Care in Bathing Group, has introduced the innovative, Aspect Accessible Bathroom Design Service to assist architects, designers and specifiers operating in the public sector environment.

enq 087 * [email protected]

( 0800 542 9194

Healthcare Focus

Page 11: PSBJ June 2013 Supplement

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The smarter way to access news and products for the sustainable building market.With its easy-to-navigate format, users can benefi t from a variety of useful tools, such as the magazine’s latest issue, digital archive, suppliers and newsbank. The App is also synced with

SBP Library (www.sustainable-buildingproducts.com) providing an essential specifi cation portal.

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Page 12: PSBJ June 2013 Supplement

F rom hospitals, medical centres, surgeries and clinics to occupational health environments, community care

settings, nursing homes and care homes, there are two key issues that healthcare hand hygiene is concerned with: Patient Care – ensuring that the hands of staff are clean and decontaminated as appropriate; helping to prevent the spread of harmful bacteria and viruses – and Staff Care – with the high frequency of hand washing and hand sanitising demanded, ensuring staff maintain good skin condition can be a challenge.

So, what can be done to help drive improvements across all departments and working environments?

Phil Spark, Marketing Director at Deb advises: “Firstly, it is imperative that you select hand hygiene products that will encourage ‘best practice’ to achieve safe and acceptable levels of patient and staff care. It is also important that the skin care products are not only effective, but they are pleasant and easy to use; this in turn will lead to high levels of acceptance, thereby increasing hand hygiene compliance.”

Hand sanitising is an effective way to reduce bacterial counts on visibly clean hands, when access to soap and running water is inconvenient. In most healthcare environments, alcohol is the preferred active biocide for skin sanitising without the need for rinsing with water.

Finally, the most important step in maintaining good skin condition is through the use of skin conditioning cream, yet it is one of the most frequently overlooked steps. As a consequence of frequent hand washing, it is necessary to regularly replenish the natural oils and secretions lost from the skin that keep the hands in good condition. For healthcare workers, maintaining good skin condition is vital to both their own long term health and the health of those in their care.

The format for how products are dispensed is of paramount importance in the daily challenge of implementing effective hand hygiene practices; closed, sealed dispensing systems preserve product integrity and prevent any risk of cross-contamination. Wall-mounted dispensing systems, that are colour-coded for ease of identification,

have long been recognised as the overall ‘best practice’ solution for delivering skin care products and such dispensing systems ensure the correct amount of product is used to minimise wastage and provide economy of material usage; they can also be permanently sited where they are needed the most.

Removing barriersPhil Spark advises: “Deb pioneered the introduction of lockable, sealed cartridge dispensing systems into UK hospitals. Our dispensers also offer a combination of language neutral iconography, strong visual colours and clear, unambiguous wording to ensure that our skin care products and dispensing systems are easily understood and easy to use.

“Deb now also offers a custom dispenser service which is a great way to raise awareness of the hand hygiene facilities available and also to promote an appropriate infection prevention message; these dispensers can help to remove the barriers to non-compliance with hand hygiene protocols.”

Good communication is also at the heart of achieving levels of compliance. It is imperative that a variety of support and communications materials are used to help reinforce hand hygiene training and messages.

In conclusion, to help raise the level of staff compliance, improve skin condition and reduce the risk of cross-infection it is important that the skin care solution chosen not only satisfies all occupational, community and acute healthcare needs but that it also comprises a complementary range of skin care products and support activities to overcome obstacles and encourage employee motivation to comply with a rigorous hand hygiene philosophy.

12 Public Sector Build Journal

In recent years there has been an increased focus on improving infection prevention and hand hygiene in healthcare settings, with the particular aim of reducing hospital acquired infections. Deb offers advice on how to drive improvements and encourage behavioural change amongst colleagues, patients and visitors to prevent the spread of harmful bacteria and viruses.

Improve hand hygiene compliance

Wall-mounted dispensing systems can be colour-coded for ease of identification

It is imperative that a variety of support and communications materials are

used to help reinforce hand hygiene training and messages

Healthcare Focus

enq 089 * [email protected]

( 01773 855100

Page 13: PSBJ June 2013 Supplement

Public Sector Build Journal 13

Housing Focus

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The smarter way to access news and products for the sustainable building market.With its easy-to-navigate format, users can benefi t from a variety of useful tools, such as the magazine’s latest issue, digital archive, suppliers and newsbank. The App is also synced with

SBP Library (www.sustainable-buildingproducts.com) providing an essential specifi cation portal.

| Bespoke, reader-friendly features tailored to professionals on the move |

| Timely industry news delivered at the touch of a button |

| Manage print & digital subscriptions |

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Housing Focus

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The new comprehensive online specifi cation portal for interior and exterior design professionals. in+ex takes visitors on a virtual

journey, inspiring the design community with the latest news, on-trend products and high-profi le interviews.

www.inex-online.comwww.inex-online.comwww.inex-online.comwww.inex-online.comThe new comprehensive online specifi cation portal for interior

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Online Enquiry 091

Page 15: PSBJ June 2013 Supplement

Public Sector Build Journal 15

F acilities managers working in NHS-run hospitals will undoubtedly be familiar with health and safety

legislation and guidance surrounding the issue of resilience. Resilience management refers to: ‘All activities undertaken to give NHS facilities the capacity to anticipate, prevent, prepare for, respond to and recover from disruptive challenges that would otherwise prevent the organisation from meeting its primary duties.’ (HBN 00-07)

Essentially, resilience is the ability of a building and its services to withstand the impact of an incident or emergency. Such emergencies might include acts of terrorism, civil disturbances, storm damage and unplanned interruptions to utility supplies.

Emergency planning measures and detailed risk assessments are carried out in order to prevent loss of power. Furthermore, hospitals are legally required to ensure that systems must be reliable, available, maintainable and economic (in terms of efficiency) under the Health and Safety at Work Act 1974.

A hypothetical example of a resilience requirement developed from a risk assessment listed in HBN 00-07 states that hospitals should have: “Provision for an

Together with lower carbon CHP technology, Lister Hospital is provided with 4.5MW which can be dispatched to provide short-term operating reserve (STOR)

Within one month of being awarded the contract, KiWi Power upgraded the electrical services and increased the load capacity of Colchester General Hospital

Healthcare Focus

Yoav Zingher, Director and Co-Founder of KiWi Power, explains how several hospitals throughout the UK are incorporating resilience testing regimes into their demand response programmes, providing NHS Trusts with lower energy bills, optimised standby power equipment and substantial risk-free recurring revenue streams.

Testing times

web | mobile | tablet

The new comprehensive online specifi cation portal for interior and exterior design professionals. in+ex takes visitors on a virtual

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Page 16: PSBJ June 2013 Supplement

electricity supply system that is capable, in the absence of mains electricity, of sustaining the essential load of the facility for a period of not less than 200 hours.”

Due to historically high levels of grid reliability, disruptions to electricity supplies are rare. To mitigate against loss of power, all healthcare premises are connected to the public electrical supply (PES), which is provided and operated by a local distribution network operator (DNO). It’s recommended, where possible, that larger healthcare premises should be supplied with a dual PES from separate DNO substations. These, in turn, should ideally be fed from separate parts of the National Grid in order to avoid having a single point of mains failure. (HTM 06-01).

Power capacityIn addition to a dual PES, hospitals are also equipped with emergency standby power generators, which are designed to offer significant power capacity in the event of a supply interruption or outage.

The increasing use of power-hungry devices within hospitals can result in electrical infrastructure running at full capacity. IT equipment, air conditioning and vital electronic diagnostic and monitoring medical equipment all require a constant supply of uninterruptible power. Without this, patient health is put at risk, particularly in departments such as operating theatres, cardiac wards, A&E and radiography, where life support equipment is used. Non-clinical and support departments also rely on secure power supplies to maintain vital services and provide continuity of care.

Legal obligations, reducing clinical and non-clinical risks and business continuity are

important reasons why a thorough resilience testing regime is essential for hospitals. Recent events in the US demonstrated how inadequate standby power contingency plans forced several hospitals and medical centres to close and evacuate patients following Hurricane Sandy. Closer to home the failure of a 500 kVA standby power generator at Watford General Hospital in November 2004 was caused by an excessive electrical load.

Recently, several NHS-run hospitals throughout the UK have improved their standby power resilience testing regimes through a programme called ‘demand response’ (DR).

Demand response is an increasingly popular green alternative to the expensive carbon-heavy ‘peaking power stations’ that the National Grid relies on during times of grid stress. The process involves electricity demand management whereby participants temporarily switch off or turn down non-essential power. Alternatively, companies can switch over to their existing independent standby power generators for a short period of time – usually around an hour. This reduces electricity use and helps National Grid to meet the needs of the country at times of grid stress without having to fire up expensive and dirty coal-fired power stations, or to import electricity from abroad.

Like a car engine, generators require frequent use to keep them working efficiently and, in order to ensure emergency preparedness, should be tested at least once a month. Testing ‘off-load’ can cause poor combustion, soot formation, clogging of injector rings and unburnt fuel creating oil contamination. Fuel kept in storage for extended periods of time can lead to further deterioration and damage. Demand response

allows standby generators to be tested ‘on-load’ and at full capacity, making it an ideal way to prove engine resilience and optimise performance. Generators are most valuable in DR programmes where they are able to synchronise with the mains grid supply because they can support significant site

Aerial view of Lister Hospital

16 Public Sector Build Journal

Healthcare Focus

Generators are most valuable in DR programmes where they are able to

synchronise with the mains grid supply

Page 17: PSBJ June 2013 Supplement

Public Sector Build Journal 17

electrical loads.The National Grid is willing to pay

organisations to use less electricity at times when it is struggling to meet peak demand. It is able to do this because it is cheaper than paying for polluting coal-fired power stations to be kept ‘warm’ or on standby in

order to meet this occasional extra demand for energy. Larger organisations, such as NHS-run hospitals, can earn up to £100,000 per year by participating in a DR programme with no upfront costs to pay. The installation of smart grid metering equipment and, if necessary, integration with existing building management systems, is carried out with no upfront cost by some DR aggregators such as KiWi Power.

Service upgradeIncreasing numbers of facility management staff working in hospitals are beginning to see the value of utilising their existing standby power assets for DR, or are incorporating DR measures when planning upgrades to electrical infrastructure.

Lister Hospital is an acute NHS-run hospital in Hertfordshire that is currently participating in a DR programme. The hospital recently upgraded its electrical systems, which included a new combined heat and power plant (CHP). To help ensure the hospital had a reliable standby power solution in the event

of a power failure, it installed new on-site generators and duplicate electricity feeds. Together with lower carbon CHP technology, Lister Hospital is provided with 4.5MW which can be dispatched to provide short-term operating reserve (STOR) and is able to avoid peak energy tariffs through TRIAD management.

Demand response aggregator and smart grid company KiWi Power, was responsible for the project management and support for the deployment of four newly installed 2MVA, LV diesel generators, which provide full backup for a new 5MVA, duplicate 11kV feed from UK Power Networks. It also implemented a system for controlling and monitoring these generators remotely from its smart grid operations centre in London. Remote monitoring of the hospital’s standby power equipment allows facility managers to be contacted immediately should any problems arise.

Colchester Hospital University NHS Foundation Trust provides healthcare services to around 370,000 people from Colchester and the surrounding area of north-east Essex. Within one month of being awarded the contract, KiWi Power upgraded the electrical services and increased the load capacity of Colchester General Hospital. The DR programme allows a fully remote automated start from KiWi Power’s control room and has improved the Trust’s resilience testing regime, improved energy bill savings and generated a new revenue stream for the hospital.

A DR programme mitigates the risks associated with poorly managed backup energy supplies. The advantages of such a scheme are: costly load bank testing is reduced; an improvement in generator reliability at times of mains failure; hour-long run times so no alteration to generator cooling is required; and the replacement of a normal testing schedule with a revenue-generating load test exercise.

Through DR aggregators such as KiWi Power, hospitals are now reducing their energy consumption from the grid at peak demand times while getting paid by National Grid. In this way, hospitals are earning significant recurring revenue streams, gaining visibility into their real-time energy use, improving resilience testing regimes as part of their emergency preparedness and decreasing their carbon footprints.

Healthcare Focus

KiWi Power smart grid operations centre

Increasing numbers of facility management staff working in hospitals are beginning to see the value of utilising their existing standby power assets for DR

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( 0207 183 1030

Page 18: PSBJ June 2013 Supplement

18 Public Sector Build Journal

I n the initial phase of the project four 55-inch LCD screens were installed in the Accident & Emergency Department

at Manchester Royal Infirmary. Suspended from the ceiling, the four screens have been synchronised to play the same content at exactly the same time and are constantly refreshed with live information relating to the status of the department and patient waiting times. Saturn worked with the Trust’s Communications and IT departments to ensure maximum reliability and optimal system performance.

Catherine Bartlett, Acting Lead Nurse for Urgent Care says: “The screens are a good source of entertainment and distraction while patients are waiting. We are also using the screens as a way of informing patients of the approximate waiting times which has meant that they don’t need to ask our reception staff as often and have an indication of when they will be seen.

“In the future we hope to develop the screens to promote Choose Well messages and display more detailed information with the

intention of educating patients on what service to use, therefore reducing the overall waiting time and the number of repeat visitors who could access healthcare services elsewhere such as their local Pharmacist.”

Enhanced communicationThe Saturn digital signage system also provides the opportunity to present richer patient guidance and medical information, compared to traditional media such as leaflets and posters. By creating dynamic content with audio, which can be as simple as a voiceover, hospitals can present more detailed and persuasive messages that help patients maximise the benefits of their treatment and enjoy a better overall experience.

The Trust can provide recommendations tailored to the particular department where each screen is located, such as advice on optimising fluid intake to enjoy the best possible ultrasound images. The system allows them to manage content centrally while also providing each department with their own portal to upload relevant messages such as

real-time status updates and departmental notices.

The system is able to feed a combination of TV programmes and the hospitals’ own content while a live ticker displaying information such as waiting times and the status of various clinics is displayed permanently at the bottom of the screen. TV shows can be selected specifically to appeal to the types of audiences in each department. For example, the children’s departments can be configured to show CBeebies or CBBC, interspersed with appropriate medical information films.

Saturn worked with the Trust’s IT department to get the system set up and running, including installing the central infrastructure and ensuring the system delivered the required functionality with all screens operating reliably. The Saturn Connectvision software selected for this project is known to be intuitive and easy to use with technology features built-in to minimise bandwidth requirements on corporate networks.

The Trust has rolled the Saturn system out to six of its hospitals at present, to deliver richer and more dynamic patient information via a total of 97 LCD screens in a significant number of public areas.

Tailored patient guidanceCentral Manchester University Hospitals NHS Foundation Trust has announced the installation of enhanced digital information screens from digital signage specialist Saturn Communications Group. The screens are being used to deliver richer information in real time to patients in various departments throughout the organisation's hospitals.

enq 093 * [email protected]

( 01942 824224By creating dynamic content with audio, which can be as simple as a voiceover, hospitals can present more detailed messages

Healthcare Focus

The Saturn Connectvision software selected for this project is known to be

intuitive and easy to use

Page 19: PSBJ June 2013 Supplement

Get qualified and get recognised!

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As well as holding a prestigious qualification, membership is an assurance of quality and a demonstration of your professional achievement that sets you apart from the crowd. Being a member means that you can attend a range of networking and CPD events, keep up to date with the latest developments in the industry and have access to

professional opportunities and qualification.

In joining the Chartered Institute of Architectural Technologists provides you with the opportunity to qualify as a Chartered Architectural Technologist, MCIAT or a professionally qualified Architectural Technician, TCIAT; recognised building

professionals of the highest standard and regarded as one of the best within the industry

CIAT is a progressive, enthusiastic and proactive Institute and its members are at the forefront of Architectural Technology. To consider your options please visit www.ciat.org.uk

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To gain a further insight into the qualifying processes and the type of work our members undertake, visit our YouTube channel: www.youtube.com/ciatechnologist.

If you have any queries about membership or routes to attaining Technician (TCIAT) or Chartered (MCIAT) membership, please do not hesitate to get in touch - [email protected].

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Q-railingUnit 706, 707 - Centre 500Lowfield DriveNewcastle-under-LymeST5 0UUUnited Kingdom

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Tel 0800-7814245Fax 0800-7814246Text 0753 [email protected]

Q-railingUnit 706, 707 - Centre 500Lowfield DriveNewcastle-under-LymeST5 0UUUnited Kingdom

Coming soon... The new 2013product catalogue.

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