New facility for Chch acute services

New facility for Chch acute services
The new Acute Services Building at Christchurch Hospital will provide a larger range of services, will be significantly more efficient, more spacious and have substantially greater capacity than current buildings.

Sun-drenched rooms with river and treelined park views await in-patients when the Canterbury District Health Board’s (CDHB) new Acute Services Building opens towards the end of this year.
Occupying land immediately adjacent to the existing hospital buildings and behind the existing Christchurch Women’s Hospital, the new building has expansive views of the Avon River and Hagley Park.
Beautifully and thoughtfully designed by Katoa, an amalgamation of architects led by health design planners Chow:Hill and including Warren and Mahoney and Thinc Health, the new 10-storey building will be home to an expanded emergency services department, currently housed in the Parkside building.
The new Acute Services Building which will provide a larger range of services, will be significantly more efficient, more spacious and have substantially greater capacity than current buildings which will be re-purposed.
The new facility will include an acute medical assessment unit, state-of-the-art radiology department, sterile services department, 12 new operating theatres and procedure rooms, an expanded intensive care unit with 36 beds, and in-patients services—the wards.
The new theatres will allow the Canterbury DHB to perform an additional 6,000 surgeries a year, while in-patient ward blocks over six floors will provide approximately 400 beds, including purposedesigned spaces for children. The project also includes a link connecting the new building to the existing hospital.
A helipad will do away with the need for serious injury victims to be airlifted to Hagley Park, transferred to an ambulance and then transported to the emergency department.
Instead, the helicopter will land on the helipad on top of the building, the patient will be stabilised, then transported via lift directly down to the emergency department.
At around $500 million, development of the Acute Services Building is the largest project in Christchurch by some considerable margin in terms of Government expenditure, says Tony Lloyd, Ministry of Health programme director for Acute Services Building.
“The construction of this building has been on the programme for quite some time and pre-dates the Canterbury earthquakes. It’s fair to say that development of the building was brought forward because of the quake and the amount of damage that was sustained throughout the CDHB.”
Back in 2008 the CDHB began to plan health facilities according to projected growth and changes in Canterbury’s population by 2020, and beyond. “It’s all about expansion, meeting modern clinical standards and future proofing,” explains Tony.
“The reality is that the population is not static and we have a tertiary hospital for the South Island so patients from all around the region go to the hospital. Plus the reality is that medical techniques are getting more advanced and if we can house them in modern buildings then so much the better.”
Future-proofed to the extent that it can be added to, the building has been designed and built as two towers sitting on a podium, with capability to add a third tower at the East end of the building, as and when required.
At 160 metres long and 48 metres wide the podium consists of four levels with the basement containing a number of support services and a drop off area.

New facility for Chch acute services
Maia donor Richard Vanderpyl, service manager Jane Trolove and CD haematology Dr Mark Smith.

 
Emergency department, sterile services—where equipment is cleaned—and radiology are housed on the ground floor, while intensive care, theatres and associated services are on the 1st floor.
“The plant room is directly above the theatre level as it is more efficient to provide services directly to them. “The lower levels make up the podium with two six-storey ward towers located above.”
The central core contains the service lifts—there are 13 lifts in total in the building—and a shared space for reception areas, administration and meeting rooms. The West Ward Tower—Levels 3 – 10— contains general surgery wards, vascular, stroke, children’s medical, oncology and the helipad.
The East Ward Tower—Levels 3 – 8—contains neuro surgery, pediatric, bone marrow transplant and AYA, oncology, orthopaedics, SARA and general surgery.
With the central core, the building forms a ‘U’ shape, enabling the beds to be positioned around the outside of the building, maximising natural light as well presenting an aesthetically pleasing outlook for the patients.
“There’s quite a body of evidence to suggest that if you build a good quality and modern building with views of nature people will recover quicker.
“We were incredibly lucky and privileged to be able to design a building to fit in that location. “It’s not every day that you get to design a hospital that looks onto a park and over a river in that area.”
In total the building contains approximately 3000 rooms, over 400 toilets and in excess of 1000 fritted glass panels on the towers.
Tony says that the development of the building was broken up into three phases, the first of which was the enabling phase commencing in May 2015 removing the existing building on the site, along with relocating high voltage cables and other services and preparing the ground. Fletchers was then engaged to build the foundation raft and columns.
“While that was going on we were continuing the consultation and design of the building and went out to procure a main contractor.
CPB Contractors NZ was selected through an open tender process. CPB was formerly Leighton Contractors from Australia and has a long history developing and building hospitals.
Main construction started in January 2017.” With a building footprint of 10,450qsm and a total floor area of 62,000sqm, the Acute Services building will be the South Island’s largest hospital building.
Built with over 6000 tonnes of structural steel framing, over 100,000 bolts, a curtain wall constructed of 1300 panels, and significant seismic protection, Tony says the building has been designed in such a way that it can operate as an island in the event of an earthquake.
“With its own backup power supply, water and energy sources the new building can operate independently of the existing campus. The building is base isolated with 129 base isolators installed on concrete columns and raft slab. This enables the building to move 650mm side ways in any direction, so it’s pretty resilient.”
Built to IL4 (Importance Level 4) seismic standards,—the highest level for a building designated as an essential post-disaster facility—the Acute Services Building will be a safe environment for staff, patients and visitors.
Tony says that, at about 95% complete, it is expected when complete the building will be handed over to the CDHB mid-way through this year enabling time to move equipment over, complete the fit out and conduct staff training for operational activities towards years’ end.
“I’ve been working on this project for the last six years. I’ve been privileged to be involved in the project, as it will make an enormous difference to the people of Christchurch.
“At the end of the day it’s a building—but actually it’s not—it’s really about good healthcare and wellbeing of the people in Christchurch and helping them get a good service. “That’s the bit that I take away from this and that I’m most proud of.”
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