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2016 UK-China Green Hospital Design and Service Management Summit Jane McElroy RIBA Principal, NBBJ RIBA London, 7 th June 2016 Hospital of the Future: Challenges and Opportunities to Creating Sustainable, Efficient Healthcare

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2016 UK-China Green Hospital Design and Service Management Summit

Jane McElroy RIBAPrincipal, NBBJ

RIBA London, 7th June 2016

Hospital of the Future: Challenges and Opportunities to Creating Sustainable, Efficient Healthcare

These clients are innovating how we work and live

They are shifting how and where we learn

They are shaping the future of health and wellbeing

They are seeking cures for health and breakthroughs in science

And they are reinvigorating our shared sense of civic pride

The Human Side -Experience and Performance

AppliedResearch

Design Computation

Outcomes

Today’s Talk

The Challenges Before Us

PART 1:

PART 2: Architecture and Design as a Solution

United Kingdom ChinaPopulation: 64.1 millionArea: 242,495 km2

GDP: 1.86 trillion (GBP)

Population: 1.36 billionArea: 9.596 million km2

GDP: 6.42 trillion (GBP)

The Challenges Before Us

Rising Costs

Changing Demographic

s

Shortage of

Talent

Ensuring Access

Advances in

Technology

Rising Costs

Rising Costs

£75 BillionHealthcare Spending

£130 Billion2014

2004

Rising Costs

increase

Healthcare Spending

Rising Costs

2004 £62 Billion2014 £408 Billion

Healthcare Spending

Rising Costs

increase

Healthcare Spending

Changing Demographics

Changing Demographics

Urban Population Growth(per year)

2.82%1%

Changing Demographics

Current Senior Citizen Population(over 65)

14%2016

Changing Demographics

Senior Citizen Population in 2050(over 65)

25%BY 2050

18,000,000

Changing Demographics

Current Senior Citizen Population(over 65)

9%2016

Changing Demographics

Senior Citizen Population in 2050(over 65)

30%BY 2050

400,000,000

Shortage of Talent

Shortage of Talent

Clinician shortages are impacting every country

around the world

Shortage of Talent

The main culprits:

Pay Variances

Long Hours Many Close to Retirement

Age

Increased Patient Load

Ensuring Access

Ensuring Access

90%90%of interactions with doctors take

place in hospitals in Chinaof interactions are in the

primary care setting in the UK

Advances in Technology

Advances in Technology

https://commons.wikimedia.org/wiki/File:Telemedicine_Consult.jpg

I believe design is one of the most important ways to combat these

challenges

Today’s Talk

The Challenges Before Us

PART 1:

PART 2: Architecture and Design as a Solution

Reduce costs

Accommodate new types of patients

Boost recruitment and retention

Provide access

Accommodate new technologies

These four projects show how architecture can:

Royal Liverpool University Hospital

Concept

Organisation

Building Stacking

Building Stacking

Bedrooms

Hot Floors

Interstitial Floor

Facilities & Services

Building Stacking

Inpatient Wards

Public/Ambulatory Flows

Inpatient Flows

Massachusetts General Hospital

Cleveland Clinic

Jiahui International Hospital, Shanghai

Other Clients in China

Aier Eye Hospital in ChangshaAmerican Sino in NingboKaramay Central HospitalShanghai Children’s HospitalShanghai Children's Medical CenterShanghai Jiahui International HospitalShanghai the Sixth People’s HospitalSRRS Hospital in HangzhouXizi Hospital in Hangzhou

I believe we are on the threshold of a new era

of medicine.