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CASE STUDIES

Healthcare

The Royal United Hospital – Emergency Department 

SCOPE OF WORK

The Royal United Hospital Emergency Department (ED) medical assessment unit and trauma assessment unit were all in need of a refurbishment. Whilst we were carrying out this work, we also combined adding an extension to the front of the existing ED building to house a Red Resus area.

 

All of this was carried out whilst the ED was still operational and abiding to COVID protocols.


HOW WE HELPED

Working closely with the ED team, as well as wider teams across the RHU, so as to create as little disruption for the hospital as possible, our site team started with the refurbishment of the medical assessment unit. To reconfigure the layout of this department and then fully refit and install new furniture and decoration. We also upgraded the existing M&E distribution to include; lighting, power, data, nurse call, fire alarm, access control, heating, water and medical gases.

 

Next, we added the new extension to the front of the existing ED building to house a Red Resus facility. We erected a steel frame with timber frame walls and concrete beam roof clad. All external walls we covered with rain screen cladding and all new openings were aluminium to fit with the current systems in place. We then completed a full M&E install and a complete redecoration in line with the finishing for the medical assessment unit.

 

Lastly, we worked on erecting the new extension to the enclosed courtyard to extend the trauma assessment unit. A concrete strip with block and beam floor, timber frame wall and timber beam roof clad. Again, rain screen cladding was used on the external walls and a full M&E install, complete redecoration and furniture install were carried out. Given that the courtyard was enclosed, this involved materials being delivered to site over the top of the building with the forklift accessing through the trauma unit during closing hours.

 

With works starting just a month before the COVID-19 pandemic our site team and sub-contractors worked in a safe and efficient way to deliver these two highly finished buildings. 


THE RESULTS

This project was completed within a tight programme and we were proud to note that the end results delivered were of an excellent quality.


Client: NHS

Timescale: 20 Weeks

Value: £2.1m

Location: Bath

The Royal United Hospital Emergency Department Bath

Customer Testimonials


‘The team should all be very proud of your achievements of delivering such a fantastic facility - especially when considering the ever-challenging timeframe.’

               Technical Project Manager - RUH

 

‘The team were friendly and respectful and were always willing to discuss and involve us in any changes or problems they encountered along the way. DAA was built and refurbished to a very high standard and has continued to be a great environment to work in for my team and for the patients that we care for. We are very proud of it and we thank DUKE and all involved for making our dream area happen’

                     Ward Sister - RUH


Creation of a new Facial Surgery and Orthodontist Department 

SCOPE OF WORKS

The Royal United Hospital in Bath wanted to create a new modern and spacious Oral and Maxillofacial department co-located with a new Orthodontic department.


The works were completed in two phases:

Phase 1

  • A new flat roof covering over the existing Chapel area
  • Relocation of all M&E plant from within the existing courtyard to roof level
  • New lift installed for the catering department

Phase 2

  • Creation of new clinical space within the existing courtyard, and the refurbishment of the former trust HQ offices and associated rooms. New paragraph


HOW WE HELPED

Working very closely with the design team and the Trust, communication was key to ensure milestones were met.


Liaising with internal departments to ensure our works weren’t disrupting their day to day activities, and arrange resolutions when they did.


Our programming and relationships with our sub-contractors were key on this project, ensuring each part of the phases were complete on time meant we had to work very effectively to achieve the results.


Ensuring the design of the full M&E package from the outset was reviewed and brought under budget. 


THE RESULTS

The new department has a bright and welcoming reception and waiting area, four modern consulting rooms, a fully-equipped orthodontics suite, two minor operations rooms, an updated dental laboratory and new X-ray equipment.


Trust Chair Alison Ryan said: "Congratulations to everyone for the part they played in creating this great facility. This is the sort of development for the future that the Trust aims to provide and its part of a major long-term investment that is good for our patients and staff. We are all very proud of it."


Client: RUH Bath

Timescales: 33 Weeks

Value: £2.7m

Location: Bath, Somerset

University Hospitals Bristol beds

University Hospitals Bristol NHS Foundation Trust

Project
Refurbishment of surgical and medical day units
Timescale
37 Weeks
Value
£1.8 Million
Location
Bristol
REFURBISHMENT/FIT OUT
Project comprised of the complete strip out and refurbishment of multiple areas within Bristol Royal Infirmary. This included new partitions, ceilings and floor coverings. Much of the fit out involved high level specifications due to the type of areas being refurbished. These included wards, operating theatres and medical care units.
MECHANICAL & ELECTRICAL
A specific area of the project involved a specialist air handling system as well as extensive work to the existing medical gas unit. We took a lead role in the refurbish.
HEALTH & SAFETY MANAGEMENT
A key part of the project was health and safety compliance. This was paramount because of the level of medical and mechanical equipment being upgraded and refurbished. We were able to maintain the highest standards of health and safety management throughout the project thus ensuring the well being of operatives, hospital staff, patients and members of the public.
WORKING IN LIVE ENVIRONMENTS
Restricted access and limited on-site storage was a main consideration with the works located on the fifth floor. It was vital that work did not interfere with the day to day running of the hospital, so deliveries had to be organised and crane lifts were brought in for delivery of specialist mechanical plant. This required additional liaison with the Local Authorities Highway department which we took a lead role in. Other considerations included cleanliness and minimal disruption outside of the specific work area (noise, dust), restricted working hours and interaction with patients and public.
PROGRAMME MANAGEMENT

We took a lead role in advising on and planning the project to achieve minimum disruption to a vital area of the hospital. We worked closely with the hospital’s estates team and key clerical staff to ensure that they were kept up to date with progress against the programme throughout the project.

DIRECTLY EMPLOYED TRADES PEOPLE
We used a number of our directly employed labour force to ensure high levels of project and work force management.
NHS

University Hospitals Bristol NHS Foundation Trust

Project
Building Maintenance Measured Term Contract
Timescale
2 Years ongoing
Value
Undisclosed
Location
Bristol
MAINTENANCE
This project is a framework contract for general maintenance, refurbishment and fit out at Bristol Royal Infirmary.
COST MANAGEMENT
Managing budgets is something that we deal with on a daily basis in this framework. Our dedicated team work in partnership with our client to ensure work is agreed and completed within the budgetary targets.
PROJECT MANAGEMENT
A key element of a contract such as this is the programme and project management. We employ a specific team to manage and carry out all these works. This ensures efficiency and performance on site is of the highest standard.
WORKING IN LIVE ENVIRONMENTS
Bristol Royal Infirmary is an extremely busy hospital in the heart of Bristol City centre. On every piece of work we do we have to consider the impact on the patients, visitors and staff at the hospital. We work closely with the clinical staff and the hospital’s estates team to ensure that disruption is minimal and the hospital functions as normal.  
HEALTH & SAFETY MANAGEMENT
Due to the nature of the building we are constantly monitoring health and safety. Our client has trust in us to undertake the highest levels of health and safety management. This is something we take very seriously and have consistently performed successfully in this area.  
DIRECTLY EMPLOYED TRADES PEOPLE
We used a number of our directly employed labour force ensuring high levels of project and work force management. 
University Hospitals Bristol corridor

University Hospitals Bristol NHS Foundation Trust

Project
Refurbishment of Ward 15 Bristol Royal Infirmary
Timescale
12 Weeks
Value
£270,000
Location
Bristol
REFURBISHMENT/FIT OUT
Full strip out and refurbishment of Ward 15 at Bristol Royal Infirmary.
PROGRAMME MANAGEMENT
From the very beginning our client had a strict deadline that had to be hit. The Ward had to be completed and functional before patients were brought in on a specific date. We worked closely with the hospital to agree and implement a rigid programme of works to successfully deliver on the deadlines set.
PARTNERED APPROACH TO CONTRACTS
This entire project was based around the partnered approach we took with the hospital’s estates team and clerical staff. We implemented an honest approach and excellent levels of communication with the client at every stage of the project.  
WORKING IN LIVE ENVIRONMENTS

Project was undertaken in a live hospital environment. There were areas of restricted access so site deliveries needed to be managed efficiently. Live operating theatres nearby could not function successfully with external noise so this had to be kept to a minimum at certain times. All of these issues were discussed and certain parameters were agreed by our contracts manager, site manager, the hospital’s estates department and senior hospital staff so that the work could be completed on time and without interfering with the functionality of the hospital..

DIRECTLY EMPLOYED TRADES PEOPLE
We used a number of our directly employed labour force to ensure high levels of project and work force management.
Royal United Hospital Gamma camera Bath

Royal United Hospital, Bath

Project

Pre Installation Works - Nuclear Medical Department

Timescale
8 Weeks
Value
£100,000
Location

Bath

REFURBISHMENT/FIT OUT

The Royal United Hospital in Bath recently purchased a new Gamma Camera and after a competitive tender process, they appointed us to carry out the pre installation and refurbishment works prior to the camera being delivered. The works firstly consisted of the strip out of the entire room. We then installed new floor screed to support the weight of the camera. The refurbishment work was extensive with new flooring, new lighting and new electrical supply being the major elements. We have also built new lead lined partitions and doors, installed a new counter, ventilation system and re-decorated the entire space.

PROGRAMME MANAGEMENT
Deadlines were tight for the completion of this particular project. This was mainly because the camera had to be up and running by a certain date. The room needed to be fully refurbished before the camera was delivered. We worked in partnership with the projects team and clerical staff at the RUH to create a solid programme to ensure the works were completed on time. The room was completed within the set timescale and the camera is currently being configured and will be ready for use in mid November 2012.
ELECTRICAL DESIGN & MANAGEMENT
Our highly experienced Electrical Contracts Manager and his team took a lead role in the fitting of an extensive new electrical supply to power the camera.  
DIRECTLY EMPLOYED TRADES PEOPLE
We used a number of our directly employed labour force to ensure high levels of project and work force management.
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