The transformation of existing estate buildings at two main critical hospitals in order to update service methods and to provide the next generation of care.

The project consists of various extensions and refurbishment projects at both Gloucestershire Royal Hospital and Cheltenham General Hospital sites.

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We have been involved at the Gloucestershire Royal Hospital site providing design advice for extensions to the existing Emergency Department and Gallery Wing along with extensive refurbishments of the AMU and AMIA departments. Our input has also included extensive review of external works areas to upgrade access to the site including improvements to drop-off areas, on-site parking and public transport facilitates to enable future expansion on the site.

Our involvement at the Cheltenham General Hospital site has included developing concept and design designs to form a new Day Surgery Unit (DSU) and new Theatre Facility to enable additional capacity to existing services and improve the local facilities available.

The significant challenges concerning the projects on both sites has including resolving the intricacies of modifications to existing historic buildings and their interaction and connection with proposed new extensions. Access to both sites have required detailed careful planning, this has included both the undertaking detailed investigations during design stages within an operational hospital, but also the impacts on phasing of construction works within the same environment.

We worked proactively with the Project team to understand and identify the risks early in the design process so that investigation schedules could be defined and sufficiently programmed in to cause least disruption. We also had increased focus on design proposals to ensure various design options were fully considered and engineered to reach pragmatic and sympathetic solutions balancing time and cost.

Jubb worked collaboratively with the wider design team, client and stakeholders to deliver a scheme that met the wider needs of the project and deliver a successful outcome at both Outline and Full Business Case Stage.

Examples where we influenced the design to add value included careful review of CT Room loading allowances and its relocation within the proposed scheme. Due to the heighten loading criteria, we worked with the Architect to relocate this facility from an existing building area into a proposed new build extension. In doing this, we prevented unnecessary strengthening of the existing structure and provided an efficient foundation solution to support specific equipment loading.

We also undertook detailed vibration analysis design work for new theatre spaces to ensure strict sensitive slab response times were met, but also to refine outline designs for construction so to ease erection and frame sequencing within the tight site setting.