Accident and Emergency Department Refurbishment

Royal Free London NHS Foundation Trust

Project Name: Royal Free Hospital A&E

Location: The Royal Free Hospital, Pond Street, London, NW3 2QG

Value: £8m

Principal Consultants: Mace group, Currie & Brown, Ansell & Bailey, Capita, Wareham Engineering

Project Duration: 78 weeks

The project involves the complex phased demolition, extension and fit-out refurbishment of the live A&E department within the Royal Free Hospital, situated throughout the lower ground floor.

Scope of works:
The works were undertaken in two construction packages, comprising of multiple phases:

Phase 2a: Demolition of existing public toilets and construction of new reception and back office. Works to the reaming waiting area will also be required with new fitted seating and ceilings.

Phase 2b: Works include new power and water to serve decontamination tent for major incidents. Demolition of existing decontamination hut. New extension to create major bays, team bases and temporary clean utility and temporary pantry. Expert care will need to be taken during this phase as the majority of this area of works will be under live MRI’s and CT scanners.

Phase 3a: Demolition of minor elements to create new access corridor from waiting area.

Phase 3b: New extension to create RAT area consisting of treatment bays and streaming rooms, an isolation room and new ambulance entrance.

Phase 3c: Works include provision of new diagnostic facility including X-rays and CT scanner, as well as procedure room and a six bay resus.

Phase 4a: Works include extension and construction of remaining major bays, isolation rooms, mental health and ancillary accommodation within Majors. Along with the creation of the final part of the 23 hour assessment unit.

Phase 4b: Comprises of alterations to previously created bays to become clean and dirty utility rooms. Works to adjacent corridor and single bedrooms, making good of floors, walls and ceilings.

Phase 4c: Demolition of clean utility, providing a new access corridor. Works to adjacent corridor, making good of floors, walls and ceilings.

Phase 4d: Works include alteration to existing dirty utility room and waiting space to become new phlebotomy room and mini pharmacy spaces.

All hospital departments above, below and adjacent to the A&E remained occupied and fully operational throughout the works. The refurbishment works were carried out within the fully operational 24/7 A&E.

Key challenges:
The refurbishment included working at high-level to the service floor which houses manufacturing pharmacy and confined working in the service level undercroft.

We also had to ensure the constant safety of both hospital staff and patients as works were adjacent to the main entrance and imaging department.

We were also working adjacent to sensitive equipment including MRI’s, CT’s, X-ray’s and Ultrasounds, all which could be subjectable to any vibration generated.

It was essential that we caused minimal disruption within the hospital.

This was a challenging refurbishment project with all works undertaken within active and fully functioning A&E. To ensure that bed loss and treatment areas were not disrupted, works were undertaken in complex multiple phases and were highly coordinated.