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

如果权力下放的英国政府要应对老龄化社会带来的挑战，以及清洁增长的需要，那么卫生和医疗保健方面的“良好设计”，以及支持此类基础设施改善的工业和公共部门技能的发展，将是关键。这项研究的目的是检验和推进由苏格兰西部卫生局NHS大格拉斯哥和克莱德(NHSGGC)在持续的建筑现代化期间进行的跨学科设计创新，以确定与地区直接相关的经验教训，并在未来更广泛地应用于英国其他地区。“治疗置地”是一种定制的艺术与健康策略，通过新颖的设计功能(包括交互式寻路、个性化患者尊严和积极的分心装置)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。这项创新是由一位公共艺术家提供的，他在建筑环境团队、卫生服务机构、当地社区和地方当局合作伙伴的界面上工作，以开发创造性的餐位制作概念，这些概念将启发新建NHS项目的设计。该奖学金的研究计划将在后工业化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，地方再生项目的努力一直难以找到解决工业衰落的复杂和复杂遗留问题的方法，包括公共卫生、福祉和当地环境的恶化。研究领导需要询问是否有可能采用另一种方法，并评估其有效性。与NHSGGC、建筑和设计苏格兰以及三个地方政府部门(西邓巴顿郡健康和社会护理伙伴关系、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，该联谊会将为新设施(克莱德班克健康和护理中心)开发一种以实践为导向的治疗方法，然后在2020年9月开放后评估其对服务使用者、服务提供者和更广泛的社区的影响。通过合作和迭代开发这样一种方法，该项目将围绕女权主义城市研究、艺术和健康以及遗产未来领域的关键和创造性地点创造促进研究。该奖学金将使创新和合作的研究领导在地区努力中改善NHS大格拉斯哥的基础设施和卫生设施。它将在卫生、公共和教育部门以及建筑和设计行业嵌入一种“治疗性胎盘制作”方法。此外，它还将让当地社区代表参与知识交流，并围绕新的治疗性胎盘形成干预措施的应用进行咨询和评估。地方当局层面的集中奖学金行动将通过研究成果和技能共享扩大规模，使研究领导地位成为全英国行业环境和地区公共部门的一项资产。可转让的创新和见解将通过国家艺术与健康和设计项目分享，产生更高的工业能力，提供新的健康和护理空间，为我们老龄化的社会提供健康和场所改善。

'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.