RD&E New Emergency Department

  • Client

    Royal Devon and Exeter NHS Foundation

  • Contractor

  • Value

    £16.9m

  • Completion Date

    December 2022

The Challenge

Delivering a construction project within a live acute care hospital site, with many logistical challenges – located between the hospital’s Emergency Department, Intensive Care Unit, main operating theatres, as well as various wards, in addition to being sited directly underneath the air ambulance helipad and on the blue light route – amounted to one of the busiest and most sensitive places a project could be undertaken.
 

Additionally, priorities understandably changed during the Covid-19 pandemic, resulting in the scheme having to be redesigned and the phasing re-sequenced, in order to make the project workable for the hospital. 

The Solution

Flexibility around a changing NHS landscape: By re-working the scheme, the team undertook enabling works first, the fractures department refurbishment and the installation of the temporary modular waiting room – all three of which were key phases to unlock future areas of work. This trend continued throughout the scheme, with temporary ambulance bays installed as well before the bigger extension works took place. 

Patient-first planning: Keeping clear lines of communication with multiple stakeholders was vital – from liaison with the air ambulance and blue light routes, to having conversations with ward matrons, Infection Control and the Trust’s Health and Safety Team to discuss how and when works would take place, through to mitigation of disruption and to providing confidence to the clinical team that their service would not be affected by the works. This patient-first communication mantra helped to successfully progress works whilst keeping everyone updated.  

Applying innovation to services complexity: The mechanical and electrical elements of the works were amongst its most complex. Aside from the challenge of connecting into many of the main districts on site, during excavation works for the extension, it became apparent that the level of unmapped services buried in the ground was extensive.

 To continue with a traditional style of excavation was too risk, as there were services that, if interrupted, could affect live operations. With that in mind, we brought in a VACEX machine, which carefully sucked up the ground around the services, making sure they remained uninterrupted. This intelligent piece of equipment quite literally safeguarded hospital operations, every second it was in use.

The Results

Patient first, always: Working next to ICU, theatres and wards meant that understanding patient priorities was critical. From implementing sensitive foundation solutions, patient privacy screens and stand-down communication lines, the team remain patient-focused. 

Innovative solutions: Equipment such as the VACEX to safeguard excavations was vital in providing peace of mind that services remained uninterrupted across the hospital site. 

Building trust: Our experienced team, including specialist consultants and supply chain, worked collaboratively with the RD&E’s project team to build the levels of trust and sensitivity needed to successfully deliver this hospital scheme of critical importance. 

11

Apprentices

10/10

Client Satisfaction

Contractor Performance | Commitments

Legacy

27 beneficiaries

6 jobs created314 trainee weeks 

£5,750 donations to charity 

74 volunteer hours 

Members of the project team took part in a charity skydive, raising £3,242 for the Royal Devon & Exeter’s charity, the Starfish Appeal 

Sustainability

10.1 tonnes of carbon dioxide equivalent (CO2e) saved 

100% reduction of carbon from eliminating the use of dehumidifiers to dry skimmed walls. 

Use of HVO fuel, instead of diesel, to power the site accommodation produced a carbon saving of 4.9 tonnes 

HVO fuel supplied to the static crane and forklift reduced the projects’ carbon by 2.4 tonnes 

Aftercare

Soft landings for handover 

Following handover, our project manager remained on-site full-time for 4-weeks in order to address any questions or issues that arose during the settling-in period 

Dedicated Morgan Sindall point of contact 

On-line portal for notifying any defects with 3 priority categories for response times 

Safe

CCS Score 45/45 

Fair

100% payment within 30 days terms

Client Testimonials

“The fractures refurbishment that was right at the start of this project was a real success – it was amazing – in fact it was one of the best finishes I’ve seen from a contractor, and that has set the tone really.”