Therapeutic placemaking as a pathway to improved public health: realising our health and care centres of the future

如果英国的地方政府要应对老龄化社会带来的挑战，以及清洁增长的需求，那么健康和护理的“良好设计”，以及工业和公共部门技能的发展，将是支持基础设施改善的关键。这项研究的目的是检查和推进由苏格兰西部健康委员会NHS大格拉斯哥和克莱德（NHSGGC）在建筑现代化的持续时期试点的跨学科设计创新，确定直接区域相关性的经验教训，并在未来更广泛地应用于其他英国地区。“治疗场所”是一种定制的艺术和健康策略，通过新颖的设计特征（包括交互式寻路、个性化患者尊严和积极的分心装置）来支持设施功能，并通过将文化维度引入医疗环境来促进健康。创新是由公共艺术家在建筑环境团队、卫生服务、当地社区和地方当局合作伙伴的界面上工作，以开发生成性的场所制作概念，这将启发新建NHS项目的设计。该奖学金的研究项目将在后工业城镇克莱德班克进行，在那里，一个新的NHSGGC初级保健设施的发展被设想为更广泛的城市更新进程的催化剂。到目前为止，当地的再生项目一直在努力寻找解决方案，以解决工业衰退带来的复杂而复杂的遗留问题，包括公众健康、福祉和当地环境的恶化。研究领导需要询问是否有其他可行的方法，并评估其有效性。该奖学金将与NHSGGC、苏格兰建筑和设计以及三个地方当局部门（西邓巴顿郡卫生和社会保健伙伴关系、西邓巴顿郡图书馆和博物馆以及西邓巴顿郡规划和建筑）合作，为新设施（克莱德班克卫生和护理中心）开发一种以实践为主导的治疗场所制作方法，然后评估其对服务用户的影响。服务提供商和更广泛的社区将于2020年9月开放。通过这种方法的协作和迭代发展，该项目将推动围绕女权主义城市研究、艺术和健康以及遗产未来等领域的批判性和创造性场所创造的研究。该奖学金将使创新和协作研究在区域努力中发挥领导作用，以改善NHS大格拉斯哥的卫生保健基础设施和设施。它将在卫生、公共和教育部门以及建筑和设计行业中嵌入一种“治疗性的场所制造”方法。此外，它将使当地社区代表参与知识交流，并围绕应用新的治疗性场所营造干预措施进行咨询和评估过程。通过研究成果和技能分享，地方政府层面的集中研究行动将扩大规模，使研究领导力成为全英国工业环境和区域公共部门的一项资产。可转移的创新和见解将通过国家艺术与健康和设计项目分享，提高工业能力，为我们老龄化社会提供新的健康和护理空间，改善健康和场所。

'Good design' for health and care, and the development of industry and public sector skills to support such improvements in infrastructure, will be key if the devolved governments of the UK are to address the challenges brought about by an ageing society, and the need for clean growth. The aim of this research is to examine and advance an interdisciplinary design innovation piloted by a West of Scotland Health Board NHS Greater Glasgow and Clyde (NHSGGC) over a sustained period of building modernisation that identifies lessons of immediate regional relevance, and for wider future application in other UK regions. 'Therapeutic placemaking' is a bespoke Arts and Health strategy that supports facility functionality through novel design features (including interactive way finding, personalising patient dignity, and positive distraction installations) and promotes wellbeing by bringing a cultural dimension into the healthcare environment. The innovation is delivered by a public artist working at the interface of a built environment team, the health service, local communities, and local authority partners, to develop generative placemaking concepts that will inspire the design of a new-build NHS project. The Fellowship's programme of research will take place in the post-industrial town of Clydebank, where the development of a new NHSGGC primary care facility is being envisioned as the catalyst for wider processes of urban renewal. Efforts at local regeneration programs have so far struggled to identify solutions to the complex and compounded legacies of industrial decline, including the deterioration of public health, wellbeing and the local environment. Research leadership is required to ask if another approach is possible, and evaluate its effectiveness. Partnering with NHSGGC, Architecture and Design Scotland, and three local authority departments (West Dunbartonshire Health and Social Care Partnership, West Dunbartonshire Libraries and Museums, and West Dunbartonshire Planning and Building), the Fellowship will develop a practice-led therapeutic placemaking approach for the new facility (Clydebank Health and Care Centre), and then evaluate its impact on service-users, service providers and the wider community upon its opening in September 2020. Through the collaborative and iterative development of such an approach, this project will advance research around critical and creative placemaking in the fields of feminist urban studies, arts and health, and heritage futures.The Fellowship will enable innovative and collaborative research leadership in regional efforts to improve infrastructures and facilities for health provision in NHS Greater Glasgow. It will embed a 'therapeutic placemaking' approach in the health, public and education sectors, and the architecture and design industry. Additionally, it will engage local community representatives in knowledge exchange, and consultative and evaluative processes around the application of novel therapeutic placemaking interventions. Concentrated Fellowship actions at the local-authority level will scale up through research outcomes and skill-sharing, making research Leadership an asset in UK-wide industry settings and regional public sectors. Transferable innovations and insights will be shared via national Arts and Health and design programs, generating improved industrial capacity to deliver renewed spaces of health and care that are health and place improving for our ageing society.