TTC House,
Hadley Park,
Telford, Shropshire TF1 6QJ
Tel: 01952 677660
Fax: 01952 605716
Email: info@shp-uk.com
Ward Refurbishment

Developing a realistic strategy
Trusts with aging in patient accommodation have a major dilemma in developing a realistic investment strategy. SHP is uniquely placed to develop solutions for this important agenda.
Changes are being driven by the following service drivers:
‘SHP is uniquely placed to support NHS Trusts with developing a way through this agenda….’
Service Drivers
The need for more single bedrooms and improved sanitary provision, driven by:
Changes to balance of acute and rehabilitation beds
Embedded support accommodation
Improved sanitary facilities
Gender separation
Separation of elective and non elective flows
Complex technical solutions
Incremental investment strategies
- Patient Preferences and perceived quality of care;
- The ‘Healing environment’;
- Minimising acquired hospital infections;
- Gender segregation and privacy and dignity improvements; and Central policy direction
The need to adjust overall in patient capacity driven by:
- Population demographics;
- Service developments;
- More assertive rehabilitation and step down strategies;
- Rationalisation of some acute care sub specialties to single sites;
- Competitive strategies that change traditional boundaries and flows.
The need to reconfigure and designate beds driven by:
Separation of assessment elective and emergency care processes;
Short stay and more complex surgery;
Increasing day case rates.
SHP is uniquely placed to support NHS Trusts with developing a way through this agenda. We have the knowledge and approach that:
Understands and relates to the service issues;
Evaluates the operational implications;
Investigates the critical structural constraints,
Relates the strategy to the Trusts business plans’
Develops concept solutions that can engage clinical and executive team colleagues
Typical constraints
The opportunity to address the single ward agenda is often constrained by:
- The physical envelope of the building and the efficiency with which new space standards can be imported into old structural grids;
- The minimum number of beds that can be achieved in an area and the financial viability of nursing ratios; The need for a common approach in multi storey ward blocks to enable a realistic infrastructure strategy for drainage and other services;
- The need to provide future flexibility between adjacent areas as capacity requirements change over time;
- The availability of centrally allocated capital, the affordability of capital borrowing, the prospective general constraints on public sector spending and other business priorities make the prospect of major wholesale investment in existing wards or the provision of new build wards remote.

