Tracy Edwards finds out how a collaborative approach has led to innovative solutions for Broadgreen Hospital.

Diehard Liverpool fans may remember Broadgreen as the place where former boss Gerard Houllier received his lifesaving emergency heart surgery back in 2001. This time round though, it鈥檚 the hospital itself that鈥檚 been given a new lease of life, with a new diagnostic and treatment centre that includes a pioneering open-plan 鈥榖arn鈥 theatre, plus departments of urology, orthopaedics and general surgery.

Emcor has recently completed the final handover on the innovative NHS Procure21 project, a 拢22 million m&e contract secured as part of the scheme鈥檚 Principal Supply Chain Partnership. The work, which began in October 2003, was completed on time and significantly within budget. Emcor鈥檚 design manager, Ken Lewis, explains: 鈥淥riginally, there were more than 20 handovers planned, but we put our heads together with Norwest Holst Construction, the main contractor, and managed to get it down to seven. We share our offices, so there鈥檚 no 鈥榰s and them鈥, as there might normally be. We鈥檝e been working together, which is great.鈥 Although the project was a design and build, m&e consultant Hully and Kirkwood was also employed due to its specialist nature.

A high level of collaboration with the client was a key benefit to the partnering contract. 鈥淭he biggest difference is that we were able to get around the table with the client a lot earlier,鈥 says Ken. 鈥淲e could co-operate on innovations a lot more easily, because we could ask what their values were at the design stage, rather than waiting until it鈥檚 too late.鈥

One of the major challenges was the barn theatre, which features Ultra-clean ventilation canopies above the adjacent operating tables to tackle the increased risk of infection associated with this type of shared space. 鈥淲hat you鈥檝e got here is the first such theatre to be built in more than a decade,鈥 explains Ken. 鈥淭here are only two others in the country. With the Ultra-clean, the client knew very early on that this was the way they were thinking, but they weren鈥檛 sure how to deliver it. The trail had gone a bit cold after ten years, but we tracked the company down and brought them round the table. Because we were involved early, we were able to contribute to that exchange of information.鈥

A collaborative package called 4 Projects was chosen for the planning stage. The software improves the project management process by providing a comprehensive toolset for online collaboration, document control and information management. Unlike e-mail, the 4Projects solution is secure and allows for full auditing of the progress of any project. In an independent survey, respondents said average drawing approval times were reduced by 26%.

However, Ken believes the use of IT could have been taken even further. 鈥淲e are already using more 3D on other current projects, but I guess what it comes down to is that you can only take on so much newness at once. Some of the technical solutions we used, in particularly the off-site manufacturing, required a lot more detailed drawing, so there are a lot of new processes there, and to tackle another one would have given us indigestion. But certainly, 3D鈥檚 the place to be.鈥 Emcor is certainly proactive when it comes to seeking out pioneering technologies. 鈥淭oday鈥檚 innovation is tomorrow鈥檚 anachronism,鈥 says Ken. 鈥淵ou might think you've got it, but in five years鈥 time, perhaps not. Your competitors are finding better ways all the time. You can never stand still.鈥

Prefabricated solutions were used extensively throughout the project, with off-site assembled bedhead trunking, pre-wired three phase distribution boards and offsite manufactured, multi-service modules, supplied complete with pipework and cable tray. The advantages are numerous. 鈥淭he Trust always wants jobs delivering on time, if not ahead of time,鈥 says Ken. 鈥淭his approach is quicker, and it saves a lot on deliveries and materials, so it鈥檚 good for the local neighbourhood. It鈥檚 a sustainable solution if you like. For the first time at Emcor, we鈥檝e had distribution boards manufactured off site, so there are far fewer field connections. That quickened things up and helped to make things right the first time. By being able to test products somewhere else, you鈥檙e reducing the risk of having problems later on.

Pre-assembly keeps down on-site labour as well, a factor that Emcor had to consider carefully. 鈥淚n this day and age, it鈥檚 very difficult to get skilled labour. There weren鈥檛 many Poles around when we started the project,鈥 explains Ken. 鈥淏ut it鈥檚 also about safety,鈥 he adds. 鈥淭he less activity on site, the safer it is. It鈥檚 not just about heights, it鈥檚 also about handling substances and drills, oils and compounds. Solutions such as the pre-assembled bedhead trunking save on costs, but even if prefab is cost neutral, it鈥檚 worth doing.鈥

However, the multi-service off-site manufactured modules did throw up a few challenges with regards to co-ordinating work, and Emcor had to work through a detailed installation methodology with Norwest Holst. 鈥淓veryone鈥檚 got to be pushing the same way,鈥 says Ken. 鈥淭hings have to be built in the right order, as with this being a hospital, there are lots of small rooms and partitions. If some are built before you have access, you can鈥檛 manoeuvre your module in 鈥 bear in mind, these things are three or six metres long. You need close programming with the contractors and subcontractors. We had a learning curve. We can鈥檛 say it went perfectly, but when you have the right spirit of co-operation 鈥 when you鈥檙e sharing the benefits financially 鈥 it makes a lot of difference. There鈥檚 something in it for everybody.鈥

Non-ferrous pipework

The team favoured widespread use of copper pipework for the project. 鈥淭his will benefit the customer, who鈥檚 going to be looking after this for the next 20 or 30 years, because it鈥檚 not going to produce scale and rust. A cleaner system is a more efficient system,鈥 explains Ken. 鈥淔or such a large heating system, it鈥檚 quite an accomplishment, because there are not a lot of non-iron choices available for the larger sizes.鈥

Modern jointing techniques such as Press-fit have also been employed, supporting Emcor鈥檚 zero tolerance accident policy by reducing the need for hotwork. The crimp fittings also use less compounds and the tooling is easier, reducing installation time.

Thermostatic mixing valve and basin tap

Emcor worked with washroom controls specialist Rada to design and install a unique elbow-operated basin tap, which was coated in an anti-microbial finish to decrease the risk of waterborne diseases such as legionella. The combined thermostatic mixing valve and basin tap not only eradicates the usual dead-leg between the tap and the valve, which is a breeding ground for diseases, but also means that all components are accessible from above the basin. 鈥淲hat we tried to do here is hit several hot buttons,鈥 says Ken. 鈥淭hose taps were not only great for reducing infections, but also quicker to install and easy to maintain.鈥

The thermostatic valves, which replace traditional double regulating valves as a further precaution against legionella, are set to 45掳C to eliminate the risk of scalding.

Pre-wired three-phase distribution boards/Flexishield cabling

The boards were pre-wired and fixed to the wall before any wiring took place on site. The terminals were connected to DIN rail connectors housed in a box above the board as the circuit was wired. The work would otherwise have taken place in the corridors, obstructing the thoroughfare.
Emcor used Flexishield cabling for lighting and small power. Flexishield eliminates the need for secondary containment, moving installation to a first fix activity. The cabling is also lightweight, weighing up to 60% less than traditional varieties. Though the initial cost was higher, savings were made due to installation times being reduced by approximately 40%.

Combined heating and power (CHP)

Although the hospital was designed before the introduction of the new Part L, Emcor was able to anticipate the amendments, reducing Broadgreen鈥檚 carbon footprint by installing CHP.

By putting to use the by-product heat that is normally wasted to the environment, CHP can increase the overall efficiency of fuel use to more than 75%, compared with around 50% from conventional electricity generation. The emissions per kWh of electricity or heat generated are relatively low, and the typical energy saving is 35%.

Barn theatre

A Supply air ducts 鈥 supply an even distribution of air in the plenum.

B Plenum 鈥 pressure chamber removes turbulence from the supply air and creates even pressure for laminar flow

C Supply air grilles

D Canopy screens 鈥 define zone of laminar clean air flow. The screens contain 36 watt fluorescent tubes with acrylic prismatic diffusers Return air grilles with prefilters 鈥 HEPA filters remove dust and other particles from the air to combat infection

F Pendants 鈥 movable pendants with electrical and gas supplies keep the floor clear of cables

G Surgical lighting 鈥 lightweight, adjustable light heads with dichroic filters to eliminate infrared radiation

H Wall panels 鈥 19 mm thick panels consisting of 0.8 mm chrome nickel steel sheet glued to plasterboard