Design and Delivery of Robust Hospital Environments in a Changing Climate (DeDeRHECC)

卫生部（DH）和NHS特别受到气候变化的影响。虽然其他建筑类型的居住者可能会考虑在夏季稍微提高他们的舒适温度阈值，并暂停使用机械冷却，但NHS患者的健康和安全很可能会受到夏季温度升高的影响。事实上，卫生署和国民保健服务受到双重打击，减少能源消耗的压力，与保护病人和工作人员免受过热的压力相冲突，这种危险在近年来的夏季热浪中显而易见。创新的低能耗设计策略和技术将需要新的建筑物，最重要的是，现有的建筑存量，27,701,676平方米的NHS保留房地产。然而，在NHS建筑物中实施这种创新干预措施存在许多障碍，患者安全至关重要。担忧包括无法实现稳定的温度控制和安全通风（正如我们的同事Cath Noakes博士坦率地承认的那样，病原体的空气传播是一门新兴的科学），医疗设备的使用的扩散增加了医院内部的热量，现代合同安排的机制使私人公司负责卫生建筑的设施管理，这并不奇怪，考虑到他们面临的惩罚，他们对采用变革非常谨慎。这个项目，“在不断变化的气候中设计和提供稳健的医院环境”（DeDeRHECC），将调查这些难题，为现有医院提出经济实用的低能耗翻新策略。它将在急诊医院的背景下得出更接近的弹性定义，特别是为医院中发现的各种空间类别的医院环境设定的标准;非临床，病房，诊断和治疗，甚至手术室。该团队怀疑这些都符合cherent要求，并将审查英国和美国的标准。使用从该项目的四个主要参与NHS信托基金中抽取的四组医院网站，它将从NHS股票的这一相当大的样本中“编目”基本医院建筑类型，确定最常见的，评估其当前对气候变化的适应能力，并为每种“类型”提出适当的解决方案或干预措施。它将对这些想法进行建模，以便可以量化相对的能源节约，并确定它们对外部温度升高的适应能力。这将花费他们。它将计算生命周期的运行成本和能源节约，并评估资金的价值。它还将审查需要提供这些创新解决方案的采购环境，以及设计、批准和实施翻新项目的协议。它们的交付将带来风险。该项目将采取创新的风险评估工具，为工程设计开发，并将其应用于这些未来的大中型建设项目。它将制定流程，使这些创新的低能耗干预措施更顺利地融入医院翻新项目，并为那些将提供这些干预措施的人所熟悉。它将以文本和网络形式提供指导和工作实例，最重要的是，作为与会者讨论挑战、他们的焦虑、想法和如何实现这些想法的DVD电影。伴随的动画将生动、快速地向非常忙碌的人传达策略和沟通。

The Department of Health (DH) and the NHS are particularly exercised by climate change. Whereas the occupants of other building types might consider raising their comfort temperature thresholds a little in summer and suspend the use of mechanical cooling, NHS patients' well being and safety may well be compromised by higher summer temperatures. In fact the DH and the NHS are hit by a double whammy, the pressure to reduce energy consumption, colliding with the pressure to protect their patients and staff from overheating, the dangers of which were manifest in recent years' summer heatwaves. Innovative low energy design strategies and techniques will be required both for new buildings and, most importantly, for the existing building stock, the 27,701,676 square metres of the NHS Retained Estate. However there are many barriers to the implementation of such innovative interventions in NHS buildings, patient safety being paramount. Worries include the inability to achieve stable temperature control and safe ventilation (the airborne transmission of pathogens is an emerging science as our colleague Dr.Cath Noakes freely admits), the proliferation in the use of medical equipment adding heat to hospital interiors and the mechanics of modern contractual arrangements which place private companies in charge of the Facilities Management of health buildings, which, unsurprisingly, given the penalties they face, are ultra-cautious about adopting change.This project, 'Design and delivery of Robust Hospital Environments in a Changing Climate' (DeDeRHECC), will investigate these conundra to come up with economical and practical low energy refurbishment strategies for existing hospitals. It will derive a closer definition of resilience in the context of an acute hospital and, most particularly, the criteria set for hospital environments for the various categories of space found in hospitals; non-clinical, patient rooms, diagnostic and treatment, even operating theatres. The team is sceptical that these all align into a cherent requirement and will review UK and US criteria. Using four sets of hospital sites drawn from the project's four participating major NHS Trusts, it will 'catalogue' basic hospital building types from this sizeable sample of NHS stock, identify those most frequently occurring, assess their current resilience to climate change and propose appropriate solutions or clusters of interventions for each 'type'. It will model these ideas so that relative energy savings can be quantified and their resilience to warming external temperatures determined. It will cost them. It will calculate the lifetime running costs and energy savings and assess Value for Money. It will also examine the procurement environment in which these innovative solutions need to be delivered, the protocols by which refurbishment projects are designed, approved and implemented. Their delivery will incur risks. The project will take innovative risk assessment tools for change, developed for engineering design, and apply them to these future large and medium scale construction projects. It will develop processes to make the integration of these innovative, low energy interventions into hospital refurbishment projects smoother and more familiar to those who will be delivering them. It will produce guidance and worked examples in text and web form and, most significantly, as a DVD film of participants discussing the challenges, their anxieties, the ideas and how to deliver them. Accompanying animations will communicate the strategies and communications vividly and quickly to very busy people.