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Magnetic Resonance Imaging (MRI)
Tullamore Area Hospital
The Midland Regional Hospital in Tullamore is a modern live acute HSE hospital campus. The project consisted of a new MRI scanner, control room, Tech room, plant room, coms room, five bay recovery area, Anaesthetic prep area, three ultrasound rooms, consultants offices, waiting areas, changing areas and reception area. The MRI & Ultrasound Department is attached to the side of the existing X-Ray & CT department and below the operating theatres. The project consisted of five different tie in points and also remodelling of the existing hospital corridors. All M&E services also had to be tied into the existing hospital services. The chilled water had to be brought from the existing roof plant room to the MRI plant room in order to serve the new MRI scanner. Significant existing services had to be diverted prior to any construction works commencing on site. All hospital interfaces were agreed thought a strict method statement procedure. A method statement tracker was issued at each progress meeting to track the status of submitted method statement and also one that were pending. Once the diversions of the existing services and the aspergillus prevention measures were completed the construction works could commence. The frame consisted of concrete pad foundations, foundation columns, rising walls, ground bearing slab (Strengthened under the MRI scanner), concrete columns, beams, roof slab and screed. The entire building frame was designed to allow for vertical expansion of three more floors.
Trauma & Orthopaedic
Craigavon Area Hospital
A major capital development to provide of the diversion of major hospital services, LV/HV infrastructure, a 3 storey building, 2 no 55m2 modular laminar flow operating theatres with 7 bed recovery, ancillary accommodation, 19 bed orthopaedic ward, associated corridors, 2 no bed lifts / staircase, 170 space car park and conversion of ward to Trauma standard ward. Theatres to include for paediatric facilities to ensure clinical flows maintain segregation between children and adults within trauma unit.
Community Nursing Unit (75 Bed)
St. Camillus Former Hospital, Limerick
New accommodation for a 75 bed residential health care ward replacement programme to meet the National Quality Standards for Residential Care Settings for Older People and to comply with the Health Act 2007 with regard to long stay residents, to ensure continuing registration of these units and improved patient care in St Camillus hospital. The building consist of three building sections to include a two storey 50 bed ward block, a 25 bed single storey dementia block & an ancillary supporting service block. The service provided includes Lead Consultant, Architect & Assigned Certifier.
Bluestone Phase Two
Craigavon Area Hospital
The project provided a new twenty bed residential mental health unit consisting of a ten bed Adult Learning Disability Assessment Unit (ADLU) & a ten bed Psychiatric Intensive Care Unit (PICU). This development referred to as Bluestone Phase Two connected into the existing Bluestone Unit mental health unit which was contained with the live operational campus of Craigavon Area Hospital. The connection of the buildings incorporated live infrastructural interfaces. The proposed location for the new buildings was determined by the requirement to connect into the existing Bluestone unit, with the adjacent car park becoming the preferred option. As the hospital campus could not afford a loss in car parking, an enabling works contract was undertaken to provide a new car park on a greenfield section of the site, at the outset of the project. This allowed for a replacement car park whilst the site of the existing car parking was handed over for the location of the new Bluestone buildings. Site works included new areas of plant space, car parking, drainage, secure landscaped courtyards and a landscaped meadow. Milligan Reside Larkin Architects provided Full Architectural Services including Lead Consultant (services provided throughout all of the RIBA Stage of Work)
Killenard, Co. Laois
The project consists of the construction of a nursing care centre of 116 beds, 40 assisted living units, 65 sheltered homes, 1 wardens gate lodge, ancillary support facilities comprising - medical consulting rooms, dispensary, gym/pool, bistro/restaurant, community meeting room, bored well surface water attenuation system, plant room and services, entrance, all associated site works.
Existing & Modular Theatre Works
Daisy Hill Hospital
The project included the internal refurbishment and upgrade to existing theatre floor at Daisy Hill Hospital. This section of the works included demolitions, new internal construction, new finishes, equipment & M&E infrastructure with the latter incorporating live infrastructural interfaces. The works also included modular theatre extensions to provide additional theatres and ancillary facilities. It was a requirement that the new theatres connect to the existing theatres at first floor level. Due to a lack of space on-site it was proposed to locate the new theatres over existing ground floor accommodation which included the hospital pharmacy. Modular construction was proposed as the most effective way of minimising disruption on the live operational campus of Daisy Hill Hospital. A steel super frame structure was constructed first as part of the enabling works, this structure being used as the base to support the modular units. The stanchions for this super frame structure extended down through the existing hospital building and as a result sections of the building were closed for minor periods of time to allow for this work to be undertaken. The modular units were lifted into place using one of the largest cranes in Ireland which was positioned in the hospital car park but only required for a two day period, again minimising disruption. Milligan Reside Larkin Architects provided the role of Lead Consultant and Project Architect within the Design & Build Contract. MRL, acting as client agent with associated design team provided an exemplar design and administered the contract through contractor design and site installation to commissioning and completion. works included reviewing contractors design proposals (as D&B contract) and reviewing design and works to ensure compliance with statutory documentation including htm/hbn and local building regulations.
Community Nursing Unit (100 Bed)
St. Vincent’s Hospital was a workhouse built in the 1840s and a listed heritage site. With the exception of the Hospital Chapel, all residential accommodation was removed from the original ‘workhouse’ building in the early 1970s into purpose built pre-cast units located to the rear of the original building. This project includes the removal of these pre-cast units and the construction of a New 100 Bed— Community Nursing Unit (CNU) at St Vincents, Athy Co Kildare for the Health Service Executive (HSE). The development at the hospital is for the design, construction, and commissioning of a new ward block, of mainly single beds to replace inpatient accommodation.
New Hospital Masterplan
Craigavon Area Hospital
The Craigavon Hospital proposals embrace the city’s culture and setting, adopting a site specific landscape strategy that plays on relationships between interior and exterior spaces. We have considered the proposed building as a series of natural landscape aspects to be woven into the existing site and its wider environs. Our theme of ‘forest canopy’ not only provides a strong narrative but it also provides a good logical base for the new masterplan. The design proposals create a building of distinct elements, with the building is conceived as a podium of shared clinical services. The diagnostic and treatment functions utilise the topography of the site to nestle into the earth forming a rocky outcrop on the site cutting back into the sloping hillside, supporting low level ward ‘pods’ of 4 storeys in height. The podium roof becomes a private garden for the use of patients, hospital staff and other services as desired. The ward pods and the stilts that support them above the podium garden then become the tree trunks and tree canopy above the forest floor, drawing strong analogies with the surrounding tree lined parkland landscape. The green gardens, courtyards and living walls bring nature into the building and create a patient-centred environment that supports and encourages patient recovery.
Hospital Ward Extension (50 Bed)
Portiuncula Hospital, Ballinasloe, Co. Galway
Portiuncula Hospital provides acute hospital services to East Galway and into the Midlands. The main hospital building was substantially unaltered since the 1940s. Our Design Team was appointed to prepare a masterplan for the future extension to the hospital on a phased basis- Phase 1 included a 50 Bed Ward Extension- and a hospital ‘street’ providing separate access to the various departments within the hospital without passing from one to another. The project has successfully achieved Planning Permission, Fire Cert and DAC and is currently awaiting approval to proceed to Tender.
Community Treatment & Care Centre (CTCC)
Proposed redevelopment of site to provide a new Community Treatment and Care Centre (CTCC), to include GP surgeries, treatment rooms, physiotherapy, dentistry & ophthalmics. The accommodation also includes gymnasium, pharmacy, café, bank, cultural resource centre and associated ancillary facilities. Site landscaping and provision of amenity areas, a multi-level car park for 350 cars and vehicular access and highway improvements.
National Maternity Hospital Extension
Extension and refurbishment of existing delivery unit at third floor level supported over existing buildings. Due to the tight site and the need to connect to the existing devices it was designed to cantilever over the existing 2 storey engineer building and connect to the existing Labour and delivery unit. Mini- pile foundations where designed between the existing national maternity unit and engineering building a narrow gap of 1200mm. To erect the structure the existing ventilation system needed to be relocated to allow for piling. The existing carpentry workshop was relocated off site and road closures where sought to aid construction and allow for safe construction traffic access. To maximize the useable space a cantilevered section was proposed over the right of way at Holles lane. This involves the entire depth of the 1 storey structure acting as a trusses to stabiles the structure. The design set out to allow the speedy erection of the metal / concrete composite deck. This would reduce erection time and allow for minimal road closures. The scheme allowed for the 8 week decant period of the engineering building below for structural steel erection. The proposal of the modular build unit was design to allow the contractor to crane in modules units and / or elevation and reduce impact on the hospital and its patients by reducing build time and thus disruption caused by on site construction works.
Hospital Modular Acute Wards
Royal Devon & Exeter Hospital
The scheme was to provide a single level [with rooftop plant] “Design & Build” 16500sqft modular ward extension linked to the existing Royal Devon & Exeter Hospital, to include a 48-bed split between the two new acute and rehabilitation wards. The accommodation comprises of a 28 bed Acute ward and a 20 bed Rehabilitation ward, both with support and ancillary accommodation. There is a combination of 4 bed and single bedrooms with integral en-suites within the wards.
The proposal was designed on a Modular template basis in association with The McAvoy Group. In this fast track process first fix pods were manufactured in the McAvoy Lisburn plant and then shipped over to site and essentially attached together to form the finished building.
Primary circulation within the building is clear, linear and logical with line of sight to nurse bases within each ward. The layout provides ease of access within the wards through the two main streets with adjacent perpendicular corridors feeding off these routes to its specialist facilities. Wards and corridors have generous natural lighting [through wall and rooflights] which helps generate a light airy environment and thus provides a seamless link between existing and new.
The project included the internal refurbishment and upgrade to existing theatre floor at Daisy Hill Hospital. This section of the works included demolitions, new internal construction, new finishes, equipment & M&E infrastructure with the latter incorporating live infrastructural interfaces.
Milligan Reside Larkin Architects provided the role of Lead Consultant and Project Architect to the Design & Build contractor. MRL, acting as client agent with associated design team provided an exemplar design and administered the contract through contractor design and site installation to commissioning and completion. works included reviewing contractors design proposals (as D&B contract) and reviewing design and works to ensure compliance with statutory documentation including htm/hbn and local building regulations.
Mental Health Hostel
The project included the demolition of the existing two storey dwellings No’s 26-29 Stanhope Terrace & proposed construction of a new two storey Mental Health Hostel containing 10 bedrooms & other ancillary accommodation with associated site works. In recognition of the street that largely comprises of residential buildings at domestic scale, the design intention takes the massing, form and scale of the original buildings and provide a new building which is similar with a contemporary aesthetic. The building will be constructed using high levels materials with low maintenance. Brick will be used on all the facades again allowing the building to sit comfortably with the existing urban setting.
Craigavon Area Hospital
The project provided a catheterisation theatre (possible for use as operating theatre or interventional radiology facility), an 8 bed recovery area, cardiac research unit and associated accommodation and site works. Also associated infrastructure works associated with new T&O phase 1 modular theatres building such as HPHW, med gas diversions, LV and HV upgrade works
Community Alcohol and Drugs Service Building [CADS]
Tullamore Area Hospital
Milligan Reside Larkin Architects were involved with this HSE project from Stage [ii]C to Stage 5. The works included a new single storey treatment centre for the Community, Alcohol and Drugs Service [CADS]. A new purpose-built treatment centre provided a reception, waiting area, supervised toilet facilities, treatments rooms, consultation rooms, group and counselling rooms and ancillary and staff accommodation. Onsite parking, new access roundabout and landscaping features also formed part of the works. A Japanese Knotwood Aboriculturalist was required from outset to agree on removal of same and monitoring strategy within live, acute hospital environment.