DTB’s commissions in the Health Care and Aged Health Care related sectors have regularly involved strategic analysis, feasibility studies & recommendations into existing facilities with a view to determine a new or expanded strategic direction. These commissions often require DTB to act as an independent, third party to a Consultant Team, acting as the Client’s representative to write Performance and Design Briefs and act as Peer Review in the Design and Documentation phases.
Helga ten Brummelaar’s expertise also includes her ability to identify and clarify operational flows and interrelationships. This has led to numerous commissions to analyse and provide feasibility analysis for a range of project types and sizes from consideration of an awning to provide shelter for a loading dock to a hospital extension to double the number of operating theatres and increase bed capacity by 250 beds. Repeat Clients understand that they can rely on DTB to give impartial advice even if it means that a potential architectural commission may not eventuate.
DTB have recently completed the purpose designed Chaplains’ facilities at the Adventist Hospital Wahroonga. Currently DTB are finalising Concept design for a specialist fit-out within a new hospital based consulting suite and considering upgrade of a Central Sterilising Facility and Endoscopy Unit.
San Clinic Parkway – Specialist Suite
DTB has been commissioned to design & document the fit-out for a specialist consulting suite within this new facility. The Parkway Suites are part of Adventist Healthcare’s commitment to one of the largest developments in the history of the private hospital.
Sydney Adventist Hospital – Chaplains Facilities
The Chaplains’ suite accommodating Spiritual Care Services and Mission Integration had occupied an existing office space in a building now undergoing renovation. A purpose designed facility was required to be located in the main Tulloch Building close to the chapel. Relocation was required within a tight time frame and budget. Budget constraints meant that utilisation of the Hospitals’ new standards for FF& E was required which also assisted the time constraints in minimising the selection process for finishes & colours and long lead time ordering. Time was spent maximising light availability within the space between the various functions.
DTB Architects were employed as Project Manager to manage the design team, comprising Arborist, Architect, PCA, Civil & Stormwater, Electrical, Heritage, Hydraulic & Fire, Landscape, Mechanical, Planner, Quantity Surveyor, Services, Structural, Surveyor & Traffic consultants. The team were commissioned after extensive separate tenders to carry out Feasibility & Concept Design analysis of the potential for expansion of the Hospital onto adjoining properties owned by Adventist Health Care to create a new and independent Theatre complex to supplement the existing and upgraded facility. Particular care and note had to be paid to the surrounding, existing environment and historic homes.
Sydney Adventist Hospital:
Consultant Fitouts - Design and document consultant group fitouts such as the Clinical Trial Unit, and Women’s Ultrasound Unit on level 3 of the existing main building.
Central Sterile Services Department - Measure up and masterplaning options developed for doubling its capacity while remaining operational
Loading Dock - Awning feasibility concept & analysis. Separate clean and Dirty movement
Level 5 - Masterplaning & Staging Analysis- impact of additional 8 theatres and 250 beds to be examined on this ‘hot floor’ - increase of ICU and CCU beds required, Pathology Department to be expanded for additional services and Cath Labs to be upgraded. All to be completed while the existing ICU and CCU, Cath Labs and Pathology Department remain operational
Linen Unit Concept - Design for extension of existing Linen Storage Unit due to building extensions
Emergency Unit – Concept Design refurbishment - Improve flows through the unit - increase bed numbers (if possible), improve administrative area and reception area. ED to remain operational at all times.
Extension to Hospital ($100M) – Concept Design - Prepare preliminary concept design to increase the numbers of theatres by 8 (almost double the existing number), increase the number of beds by 250, add 400 car parking spaces to the site and increase back-of-house appropriately to service the increase in the number of beds. Show how the works can be done with minimal impact on the current operational needs of the hospital.
Main Kitchen – Studies for Staged upgrade to double the capacity within the existing foot print while still maintaining operational kitchen. Design development and construction documentation. Advice during the construction phase.
Upgrade of existing Cath Lab No 1 - Concept design, design development and construction documentation for the reconfiguration of existing Cath Lab No 1 into compliant Hybrid Theatre, installing state of the art equipment (used for the first time in the Southern Hemisphere)
Pathology – Concept studies to upgrade/double capacity of the existing Pathology Department to provide increased services due to major hospital extension. The department needed to remain operational during construction.
Maternity Unit and Neo-natal Care Care Unit - concept design for upgrade to existing room layout (increase ensuite size to comply with AHFG and upgrade finishes) . Also concept designs for improved, associated neonatal care unit within the maternity unit foot print. Ward to remain operational during construction.
New Nurses Accommodation and Staff Amenity
Concept design for a new 400 bed nurses accommodation wing - including space for 400 cars.
Adventist Hospital – Conversion of select Metropolitan sites to purpose designed Theatre facility
St Vincent’s Hospital - Darlinghurst:
• Patient Care Levels 6-10 - Concept Study & Feasibility for major renovation
• Staff Canteen - Fit out of upgraded Staff Canteen concept development for approval. Canteen to remain operational during construction
• New Northern Wing Extension - Project Design Brief for the proposed new 200 bed addition
Northern Sydney Central Coast Area Health Scheme (NCCAHS)
PET (Nuclear Medical Imaging) – Concept Design RNSH and advice during construction Royal North Shore Hospital - Psychiatric Emergency Care Centre – full service
Manly Hospital Psychiatric Emergency Care Centre – Concept Design and advice during construction
Manly Hospital – Emergency Department Waiting Room
Redesign waiting area to ensure direct vision from reception (ED to remain operational during construction)
Bega Valley Health Facility – Bega
• New integrated Health Facility – Project Procurement Plan and Project Delivery Plan to feasibility (including concept designs at 1:200)
Northern Sydney Local Health District - Ryde Hospital
• Ward 2 General Inpatient Ward - Project Brief and Options Analysis
• High Dependancy Unit - Project Brief and Options Analysis
Shoalhaven Hospital - Nowra
• Functional Brief for new Sub-Acute Mental Health Unit for Health Infrastructure
Port Macquarie Base Hospital
• Functional Brief for new ‘wing’ to hospital
Forster Health - Forster
• Service Procurement Plan/Project Development Plan, new Ambulatory Care and Aged Care Rehabilitation Units – Concept Designs
Gosford Mental Health Unit – Gosford
• Inpatient Acute Care Unit (30 bed) – Concept Design, Site Analysis and preparation of Service Delivery Plan and Project Delivery Plan.
Manning Base Hospital, Taree
• New Emergency Department – Service Delivery Plan and Project Delivery Plan and Concept Design.
Health Related - Previous
Ambulance Service of NSW
• Kempsey Ambulance Station - Options Analysis & Design for replacement of existing
• Cessnock Ambulance Station - Options Analysis & Design for replacement of existing
• Auburn & Liverpool Ambulance Stations - Options Analysis & Design for replacement of existing
• Architectural Support - Ambulance Station Guidelines
Dalcross Adventist Hospital – Day Surgery FacilityThe relocation of several functions from the hospital at Killara to Wahroonga allowed the space to introduce a Day Procedures Clinic that could be separated from the Rehabilitation Facility.
The Clinic required that the new entry lobby, reception, waiting, discharge and Stages 2 & 3 holding all in the new style that the hospital was creating for their masterplanning of the site. Clean, modern and reassuring were the key experiences that were to be conveyed.
Dalcross Adventist Hospital – Rehabilitation Upgrade. Relocation of facilities from Killara to Wahroonga also provided the opportunity to separate and expand the Rehabilitation facilities.
Expanded Physiotherapy, gymnasium, gait training and ADL Kitchen & Dining were added in a stage development, in addition to increasing the number of Rehabilitation bedrooms.
Northern Haematology & Oncology Group – Consultant Rooms at Sydney Adventist Hospital.
NHOG were one of the first private consultancies to move into the new purpose designed Cancer Centre in the SAH Wahroonga.
The requirement was for reception, waiting, consulting, administration & storage rooms within the allocated space. While the fit-out needed to reflect NHOG’s own branding, there were also strict guidelines within the Cancer Centres’ style & mood.
Construction & services had to be coordinated with the hospitals’ construction on adjoining floors.
Sydney Adventist Hospital
Main Kitchen – Tender documentation for Staged upgrade to double capacity within existing foot print while still maintaining operational kitchen.
Nurses Training Unit- tender and construction documentation (fast track)
NewRehabilitation Unit - Conversion and Fit out of existing Maternity area (note maternity to be relocated to new extension) - prepare tender and construction documentation.
Day Patient Chemo Centre – full architectural service- new centre
Women’s Ultra Sound Unit – full service architectural new centre within existing footprint
Angiography Procedure Room – Fast Track Design and Documentation for new Cath Lab located within the Cardiac Investigation Unit on Level 5 (unit to remain operational during construction)
Maternity & Neonatal Intensive Care – upgrade for existing bed rooms and neonatal unit - full architectural service
Clinical Trial Unit - full service - including establishing tenancy area required.
Mount Druitt Hospital – Mount Druitt
Rehabilitation & Aged Care/Transitional Care Unit (22 beds) - full architectural service
Emergency Department – Paediatric Focus - full architectural service
Out Patients Paediatric Clinic - full architectural service
Medical Records Department - relocation - full architectural service
Ryde Hospital – Ryde
Medical Wards (two) - bathroom refurbishments - full architectural service
Emergency – new Triage - Fast Track - full architectural service
Switch Room – new for hospital - full architectural service