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Title: A medium-rise 1970s maternity hospital in the east of England: resilience and adaptation to climate change
Authors: Short, C. Alan
Giridharan, Renganathan
Lomas, Kevin J.
Keywords: Adaptation
Climate change
Mixed mode
Issue Date: 2015
Publisher: SAGE Publications Ltd.; The Chartered Institution of Building Services Engineers
Citation: SHORT, C.A., GIRIDHARAN, R. and LOMAS, K.J., 2015. A medium-rise 1970s maternity hospital in the east of England: resilience and adaptation to climate change. Building Services Engineering Research and Technology, 36 (2), pp. 247 - 274.
Abstract: The late 1970s design for the Rosie Maternity Hospital on the Addenbrookes campus in Cambridge is a recurring type across the UK National Health Service, a framed three-storey courtyard configuration in brick masonry. It was selected as a case study project for the 'Design and Delivery of Robust Hospitals in a Changing Climate' project, pursuing the methodology developed for that research. Temperature data were collected in representative spaces within the hospital, over a two-year period. These revealed overheating in mild conditions relative to an observed 24 threshold for sleep but concealed within the customary 28 threshold marking the upper limit of acceptable conditions. The building was modelled using current climate data to predict 2010 conditions. The model was then calibrated against the observed 2010 data and used to predict the likely internal temperatures in current and 2030s. The results indicated an increase in peak temperatures. Four adaptive intervention schemes were subsequently developed: an 'enlightened' industry standard 'Passivhaus'-type option providing superinsulation, sealed glazing and heat recovery; a lower technology-based scheme promoting natural cross-ventilation by providing greater opening glazing area, opening up the plan, sunshading and additional insulation; an enhanced natural ventilation scheme glazing over the courtyards to provide supply air winter gardens, and an advanced natural ventilation option pursuing passive downdraught cooling. All four schemes were modelled using the projected current and 2030s weather data and their performance was compared. The schemes were fully costed to yield relative 'value for money' guidance to National Health Service Trusts.Practical application: The Heat wave Plan for England 2014 warns National Health Service (NHS) organisations of the risks to patients, particularly the very young, the elderly and the seriously ill, from extreme summer heat events.1 The Chief Medical Officer in her introduction challenges each NHS locality to plan well in advance of hot spells, as appropriate. This paper describes the likely extent of overheating risk and a series of potential adaptation plans for a recurring NHS hospital building type. As a consequence, estates and facilities decision makers in NHS organisations and Public Health England officers charged with the mitigation of risk resulting from overheating of wards and clinical spaces will benefit directly in their necessary decision making from the findings. Policy makers in the Department of Health and policy advisors in the NHS Sustainable Development Unit and the Climate Change Committee Adaptation Sub-Committee will benefit from the evidence presented in advising the NHS and Department of Health.
Description: This article is distributed under the terms of the Creative Commons Attribution 3.0 License (http://www.creativecommons.org/licenses/by/3.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (http://www.uk.sagepub.com/aboutus/openaccess.htm)
Sponsor: This work was undertaken at part of the UK Engineering and Physical Sciences Research Council project, ‘Design and Delivery of Robust Hospital Environments in a Changing Climate’ [grant number EP/G061327/1] through the ‘Adaptation and Resilience to a Changing Climate’ (ARCC) programme under the auspices of the ‘Living with Environmental Change’ (LWEC) initiative. The Project also received funding directly from the Department of Health.
Version: Published
DOI: 10.1177/0143624414567544
URI: https://dspace.lboro.ac.uk/2134/17060
Publisher Link: http://dx.doi.org/10.1177/0143624414567544
ISSN: 0143-6244
Appears in Collections:Published Articles (Civil and Building Engineering)

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