NEW ACUTE HOSPITAL, STOKMARKNES Development and solutions PRESENTATION AT THE IFHE WORLD CONGRESS 2012 Architect MNAL Svein Erik Tøien BOARCH arkitekter as Commissioner: Nordlandssykehuset HF Architect: BOARCH arkitekter as Consultant structural engineering: Rambøll as Consultant technical engineering: Norconsult as Project administration: Hospitalitet as/ Hartmann Prosjektrådgivning as 1

NORDLANDS-SYKEHUSET HF NLSH Vesterålen NORDLANDS-SYKEHUSET HF 2 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

AREA OF SERVICE Area Vesterålen – appr. 30.000 inhabitants NLSH Vesterålen 3 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

MAIN NUMBERS Population in capture area: Appr. 30.000 inhabitants NLSH Vesterålen Population in capture area: Appr. 30.000 inhabitants Function area: Appr 8000 m2 Gross area: Appr 14.900 m2 Budget frames: Appr 900 mill. NOK Start construction: September 2010 Project planned finalised: August 2014 Normal beds incl maternity ward: 69 Observation beds: 5 Surveillance beds : 5 Post-surgery beds : 5 Outpatient treatment rooms: 26 Daycare places; dialysis, medical and surgical: 17 (7+5+5) Operating theaters: 3+1 Birth rooms: 2 4 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

Year 2000 – Existing environment HSH Stokmarknes skisseprosjekt 17.06.03 Year 2000 – Existing environment BOARCH arkitekter as ProsjektPartner Bodø as Intekno as Ingeniørtjeneste as

Optimistic start – the existing structure is assumed to be fit for future use, demanding total renovation and reconfiguration… HSH Stokmarknes generalplan 2001 – GENERAL PLAN BOARCH arkitekter as ProsjektPartner Bodø as Intekno as Ingeniørtjeneste as

…A simple pattern for logical grouping of functions was developed Ambulanse-inngang Mottagelse Observasjon Surgery Acute section: Intensive care Recovery Beds Vakt Radiology Main entrance Cantine Kiosk Lab. Outpatient Script service Radiology Resep-sjon Public/outpatient functions Acute functions Receipt Main kitcen Central supplies Treatment functions Technical plant Technical dept Laundry Waste handeling Bed- handeling Cleaning services Textile services Beds HSH Stokmarknes skisseprosjekt 17.06.03 Grouping of functions Technical and administrative functions BOARCH arkitekter as ProsjektPartner Bodø as Intekno as Ingeniørtjeneste as

… and a first complete scedule for renovation and extentions to the hospital, is commissioned, compensating low buliding heights with creative use of glass and levels HSH Stokmarknes skisseprosjekt 17.06.03 SKETCH PROJECT 2003 BOARCH arkitekter as ProsjektPartner Bodø as Intekno as Ingeniørtjeneste as

2004 – SCETCH FOR A COMPACT, NEW HOSPITAL … then, a year later, the regional health administration got a new director of medical profession, putting forth a strong urge to build new, instead of mending the old stuff… LOWER LEVEL – «PUBLIC» UPPER LEVEL – «ACUTE» HHF Stokmarknes idéprosjekt nybygg 25.02.04 2004 – SCETCH FOR A COMPACT, NEW HOSPITAL BOARCH arkitekter as

Two alternative sketch projects followed, analyzing the differences in cost, and concluding that building new is the most economic solution. HHF Stokmarknes skisseprosjekter 29.11.2004 2004 – SKETCH PROJECT 2-3 10 V BOARCH arkitekter as ProsjektPartner Bodø as Intekno as Ingeniørtjeneste as

NEW CONSIDERATIONS – SINTEF ENGAGED The project was then challenged on flexibility and generality. A period of thorough analysis and studies, led by SINTEF Health, followed... HHF Stokmarknes skisseprosjekt 2008 NEW CONSIDERATIONS – SINTEF ENGAGED 11 BOARCH arkitekter as ProsjektPartner Bodø as Intekno as Ingeniørtjeneste as

USER PARTICIPATION – TRYING OUT LAYOUTS … the users were invited to participate actively... HHF Stokmarknes skisseprosjekt 2008 USER PARTICIPATION – TRYING OUT LAYOUTS 12 BOARCH arkitekter as ProsjektPartner Bodø as Intekno as Ingeniørtjeneste as

SCETCH PROJECT 4 – 2008: INITIAL STUDIES … and the architects challenged the “usual” patterns of hospital layouts… All beds and acute functions on one level 10 2 7 8 Beds in 2 levels All beds in one level, divided from acute functions 1 4 3 Beds in 3 levels NLSH Vesterålen utvikling skisseprosjekt 2008 SCETCH PROJECT 4 – 2008: INITIAL STUDIES 13 6 5 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

STUDY OF OTHER HOSPITALS 2008 – study of other hospitals’ bed areas St. Olavs hospital 48 beds Ringerike sykehus 36 beds Bærum sykehus 24 beds Visby lasarett 30 beds NLSH Bodø forprosjekt 54 beds NLSH Vesterålen utvikling skisseprosjekt 2008 STUDY OF OTHER HOSPITALS NLSH Vesterålen sketch project 2004 58 beds BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

SCETCH PROJECT 4 – 2008: INITIAL STUDIES …trying out totally different shapes… 2A 7A 9A 12A 13A 11A NLSH Vesterålen utvikling skisseprosjekt 2008 SCETCH PROJECT 4 – 2008: INITIAL STUDIES 15 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

SCETCH PROJECT 4 – 2008: INITIAL STUDIES 2008 – closing down to 5 alternatives 2B 7A 9B 14A 8A NLSH Vesterålen utvikling skisseprosjekt 2008 SCETCH PROJECT 4 – 2008: INITIAL STUDIES 16 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

Alternativ 9B 3D from south 2008 – one model showing signs of final layout NLSH Vesterålen utvikling skisseprosjekt 2008 Alternativ 9B 3D from south 17 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

Bed clusters – early ideas Brainstorming around bed clusters – concluding that daylight into the middle of the cluster is essential NLSH Vesterålen utvikling skisseprosjekt 2008 Bed clusters – early ideas 18 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

Sengeområde – bad til alle rom Bending fasade to minimize length NLSH Vesterålen utvikling skisseprosjekt 2008 Sengeområde – bad til alle rom 19 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

Striving towards a compact sceme – but is it compact enough? Gross/net factor in one wing appr. 1,7 Length 3 bed clusters appr. 78 m NLSH Vesterålen skisseprosjekt 2008 Wing of bed clusters 20 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

Bed cluster – scheme TREAT-MENT WORKSTATION DINING KITCH EXAMIN SINGLE NLSH Vesterålen skisseprosjekt 2008 Bed cluster – scheme 21 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

Flexibility in bed area – clusters linked General bed clusters can be adapted to different needs for bed types NLSH Vesterålen forprosjekt 2009 Flexibility in bed area – clusters linked 22 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

The site in 2009 - before construction start NLSH Vesterålen forprosjekt 2009 The site in 2009 - before construction start 23 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

Most of the existing hospital buildings are plannet demolished after completion of the sceme DR. THODES GATE SYKEHJEM SYKEHJEM ? ? PSYK. BUILDINGS PLANNED DEMOLISHED PSYKIATRI PSYK. PARK. IVAR BERGSMOS GATE HADSEL- HALLEN SITE BORDER PARK-VEIEN HADSELHALLEN Exisiting site - NLSH Vesterålen skisseprosjekt 2008 BARNE- HAGE 24 BOARCH arkitekter as ProsjektPartner Bodø as Intekno as Ingeniørtjeneste as

Sun studies of existing site 12. october/3. march kl 10 og 12 Cad-generated sun studies – revealing a shadowy southern part of the site from october to march Kl. 10 Kl. 12 HHF Stokmarknes skisseprosjekter 29.11.2004 Sun studies of existing site 12. october/3. march kl 10 og 12 25 BOARCH arkitekter as ProsjektPartner Bodø as Intekno as Ingeniørtjeneste as

Sun studies of the building model NLSH Vesterålen skisseprosjekt 2008 Sun studies of the building model 26 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

Alternative 9C Climate analysis Climate study analyzing wind and snowdrift – revaling needs for shielding vegetation NLSH Vesterålen skisseprosjekt 2008 Alternative 9C Climate analysis 27 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

Sketch outdoor facilities Wind-damping vegetation and atriums for exercise is part of the sceme NLSH Vesterålen forprosjekt 2009 Sketch outdoor facilities 28 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

Pattern of expansion Possible expansion in three directions NLSH Vesterålen forprosjekt 2009 Pattern of expansion 29 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

Site plan NLSH Vesterålen forprosjekt 2009 30 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

Plan ground floor: Main entrance, outpatient functions and technical service NLSH Vesterålen detaljprosjekt Ground floor 31 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

First floor Upper/first floor: Acute entrance and inpatient functions Operation Birth Acute reception, observation, surveillance 24 beds 24 beds 19 beds incl. pasient hotel NLSH Vesterålen detaljprosjekt First floor 32 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

Second floor Administration and ventilation plants NLSH Vesterålen detaljprosjekt Second floor 33 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

Each bed cluster has its defined «square», a defined architectural place for identification and belonging for the patients… NLSH Vesterålen forprosjekt 2009 Axonometry bed area 34 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

Perspective 3 bed clusters in a row Visibilty between the workstations was crucial in the layout NLSH Vesterålen detaljprosjekt Perspective 3 bed clusters in a row 35 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

Axonometry bed cluster … NLSH Vesterålen forprosjekt 2009 Axonometry bed cluster 36 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

Perspective bed cluster - I Environment in one bed cluster… NLSH Vesterålen forprosjekt 2009 Perspective bed cluster - I 37 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

Perspektiv bed cluster - II … seen across NLSH Vesterålen forprosjekt 2009 Perspektiv bed cluster - II 38 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

Perspective bedroom Environment in bedroom, with large bay window NLSH Vesterålen forprosjekt 2009 Perspective bedroom 39 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

Perspective patient-zone Each bed cluster features a zone for patient resting near the workstation, and with access to wintergarden/multi-use space NLSH Vesterålen forprosjekt 2009 Perspective patient-zone 40 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

Vintergarden/play area …used for childrens play… NLSH Vesterålen forprosjekt 2009 Vintergarden/play area 41 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

Wintergarden/tactile-/plant room …or plant/tactile room… NLSH Vesterålen forprosjekt 2009 Wintergarden/tactile-/plant room 42 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

The main expedition is easily found by the main entrance NLSH Vesterålen forprosjekt 2009 Main expedition 43 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

Corridor by surgical area Circulation areas with daylight and wiews for orientation NLSH Vesterålen forprosjekt 2009 Corridor by surgical area 44 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

Surveillance area Extensive use of glass for contact between functions NLSH Vesterålen forprosjekt 2009 Surveillance area 45 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

Use of colours to give identity to different wings INTERIØR KONSEPT GRØNT FARGETEMA: FONDVEGG & TEKSTILER LAMMHULTS ”CINEMA SPORT”, H450mm, I GABRIEL ”COMFORT 0049” VEGG KORRIDOR, OVERFLATE FAST & LØST INVENTAR: NCS S0500-N NORTHERN LIGHTING ”DOKKA” PENDEL I KROM TIL SENGEROM VINYLGULV: TARKETT IQ NATURAL 173 OFFECCT ”GRIP” HVITT SIDEBORD, H440mm, M. TILHØRENDE BLOMSTERVASE (BORDPLATE I CORIAN) HVITPIGMENTERT EIK DETALJER I FAST INVENTAR HELLAND ”GENT” HVILESTOL, H460mm, I GABRIEL ”COMFORT 0049” GARDIN: ALMEDAHLS ”UNI 75689-3” FONDVEGG SENGEROM, TUN B1: BUTINOX 5757 ”FRI” FONDVEGG SENGEROM, TUN B2: NCS S 2030-G80Y FONDVEGG SENGEROM, TUN B3: NCS S 2010-G30Y BOARCH arkitekter as PLAN 2, FLØY B: SENGEROM NLSH VESTERÅLEN

Facade materials and details Glass, aluminium, brick, stone and wood combined to emphasize the different elements of the buliding NLSH Vesterålen forprosjekt 2009 Facade materials and details BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

Gross bulding height 4,5 m, and flat beam-and-slab constructions allow flexibility for future changes in technical facilities NLSH Vesterålen forprosjekt 2009 Constructions BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

Main technical supplies are conducted via subway, passing along the core of the building wings. Economical limitations put a hold to establishing a complete basement… NLSH Vesterålen detaljprosjekt Plan culvert 49 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

Technical supply duct … NLSH Vesterålen forprosjekt 2009 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

Ventilation plant rooms are located on roof, central on each wing, minimizing distances and duct dimensions. Calculated energy consumption 284 kWh/m2 and year NLSH Vesterålen forprosjekt 2009 Ventilation, heating BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

Access, controll and security Security combined with openness – ensured through extensive zoning NLSH Vesterålen forprosjekt 2009 Access, controll and security BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

Perspective from north east NLSH Vesterålen detaljprosjekt Perspective from north east 53 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

Perspective from south west NLSH Vesterålen detaljprosjekt Perspective from south west 54 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

Atrium south NLSH Vesterålen forprosjekt 2009 55 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

Atrium north – training garden NLSH Vesterålen detail project Atrium north – training garden 56 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

Building site dec. 2011 NLSH Vesterålen detail project 57 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

Building site march 2012 NLSH Vesterålen detail project 58 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

Building site march 2012 …the first users have already moved in… NLSH Vesterålen detail project Building site march 2012 59 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as