🏥What a dusty book about a hospital’s past can tell us about the future - a thread . . . 📚
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I got a little lost today in the old bowels of my hospital. On an old dusty cupboard, I found this old dusty book. It details the reasons behind the building plans of @CV_UHB . Re-learning lessons from the past may help design the future.
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Integration of research & medicine was a clear goal. In the world of audit and QI, this close relationship can be lost. Here corridors filled with science and trials are next to patients. This fosters true integration, changing human behaviour hand in hand with science.
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Staff are also at the centre of these plans. Here we even see a staff sickness wing to care for the carers. Looking after your staff is the best way to ensure patients receive great care. That is more important now than ever. We need to remember to care for those that care.
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So too are the needs of patients & families at the centre of design including rehabilitations services. Many of these spaces have been squeezed out from modern hospitals in their quest for efficiency. Yet being efficient can leave humanity and functional recovery squeezed.
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There have also been some welcome changes since 1966. The staff dining room was separated into areas for “sisters, nurses, resident medical staff, students and domestics.” I do think having some areas for staff give them a “third space” to problem solve and network.
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Finally, brining together communities of people to learn, laugh and meet was a cornerstone of academic design. Here the emphasis was on a “shared foyer” area as well as a location to allow patients from the hospital to easily access the lecture theatres to help education.
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I’m glad I stumbled into that old dusty corridor today. Looking over our shoulder can sometimes help us walk forwards with purpose and care.
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