Clinical Functionality. (a) HHS confirms that, as at the date of this Project Agreement, it has reviewed the Site master plan, and blocking and stacking diagrams and that, subject to any qualifications or comments noted thereon, such Submittals satisfy the Output Specifications in respect of Clinical Functionality, so far as can reasonably be determined given the level of detail in the Submittals.
Clinical Functionality. (a) Contracting Authority confirms that, as at the date of this Project Agreement, it has reviewed the Site master plan and blocking and stacking diagrams and that, subject to any qualifications or comments noted thereon, such Works Submittals satisfy the Output Specifications in respect of Clinical Functionality, so far as can reasonably be determined given the level of detail in the Works Submittals.
Clinical Functionality. Configuration Accessibility External access to and internal access within the building is extremely poor with a combination of small doors, narrow corridors, tight corners and obstacles in circulation areas making travel from the entrance to even the closest consulting rooms challenging for anyone with a mobility problem, almost impossible for an independent wheelchair user and absolutely impossible for evacuation on a trolley in the event of an emergency. At the narrowest point, the main corridor in the consulting area is only 1.2m wide (not including obstacles) which is not even sufficient to allow two ambulant people to pass. Multiple Reception Areas The existing facility employs four separate reception areas that are all staffed and associated with the different groups who deliver services at Lochgelly Health Centre (three separate GP practices and NHS Fife Community Services). All existing service providers have agreed that this historical position needs to be reviewed in light of service delivery changes. It is intended that as the project develops during the design stage shared provision of services will be considered. Multiple Waiting Areas The existing facility includes two distinct waiting areas and multiple additional locations where chairs are provided in corridors to address concerns over travel distance / time between these and consulting spaces. All existing service users and providers agree that this is not appropriate and that any review of the reception facilities would also support a review of the waiting area. Current thought is that there may be the potential for different waiting ‘zones’ and child-friendly space – which is not available at present. Safety & Security The design of the existing building means that there are clients distributed throughout the building all through the working day, with no defined patient and staff areas. This presents a specific security risk for all that can be problematic for staff and patients alike that is exacerbated by the lack of staff alert / communication systems throughout the building and single tier security. General Consulting Rooms Many existing consulting rooms are badly designed as a result of previous compromises made during earlier extensions. This has resulted in around 80% of consulting rooms delivering the physical area defined in relevant health planning notes but not allowing for its effective use e.g., whilst most of the existing consulting rooms meet the current standard of 16.5m2...
Clinical Functionality. Fabric and Infrastructure Diverse IT systems A number of different IT systems are currently in use throughout the building, leading to a lack of operational flexibility – most notably between individual GP practices. The project is seen as a means to address this whilst also improving bandwidth connection to the facility in order to improve digital communication.
Clinical Functionality. (a) SMH confirms that, as at the date of this Project Agreement, it has reviewed the Site master plan and blocking and stacking diagrams and that, subject to any qualifications or comments noted thereon, such Works Submittals satisfy the Output Specifications in respect of Clinical Functionality, so far as can reasonably be determined given the level of detail in the Works Submittals.
Clinical Functionality. (a) CAMH confirms that, as at the date of this Project Agreement, it has reviewed the Site master plan, blocking and stacking diagrams and interdepartmental matrix and that, subject to any qualifications or comments noted thereon, such Submittals satisfy the Output Specifications in respect of Clinical Functionality, so far as can reasonably be determined given the level of detail in the Submittals.
Clinical Functionality. (a) SJHC confirms that, as at the date of this Project Agreement, it has reviewed the Sites master plan, and blocking and stacking diagrams and interdepartmental matrix and that, subject to any qualifications or comments noted thereon, such Submittals satisfy the Output Specifications in respect of Clinical Functionality, so far as can reasonably be determined given the level of detail in the Submittals.
Clinical Functionality. Capacity Issues Clinical Functionality Capacity issues have been identified as those problems associated with a lack of local space (area) that is essential to safe, effective and appropriately compliant service delivery. Needs identified within this category include: Clinical Support Spaces Historical re-development of the facility has meant that many areas originally designed to provide essential support functions have been lost in a drive to maximise clinical consultation space. This means that the facility no longer has any meaningful storage (with a consequential impact on consulting rooms); does not have a clean utility room; does not have a dirty utility room; does not have a disposal hold; does not have any cleaner’s room / facilities; does not have a quiet / interview room; or an effective disabled WC. This is effectively demonstrated by comparing the baseline Schedule of Accommodation of the current Kincardine Health Centre with that proposed for a replacement facility that has been developed based on future capacity requirements and relevant health planning guidance. Such a comparison shows that, even although the number of consulting rooms has only increased by two from the baseline (an increase of circa. 40m2 gross), the actual area now required is around 440m2 greater (680m2 as compared to 240m2). This is as a result of adding additional capacity to meet current and future need, including essential areas not present within the existing facility; addressing concerns over the size of areas that are currently present but inadequate; and making sufficient allowances for plant, circulation and communication spaces in line with national guidance. It is especially important to note that circulation (corridor) areas are a particular concern in Kincardine Health Centre, with corridors that fall far below the minimum standard required at a width of 0.8m with a number of 90 degree bends. At this width, negotiation can be difficult for able-bodied persons, very challenging for someone with mobility problems and impossible for wheelchair users.
Clinical Functionality. Configuration Issues Accessibility External access to and internal access within the building is extremely poor with a combination of small doors, narrow corridors, tight corners and obstacles in circulation areas making travel from the entrance to even the closest consulting rooms challenging for anyone with a mobility problem, almost impossible for an independent wheelchair user and absolutely impossible for evacuation on a trolley in the event of an emergency. At the narrowest point, the main corridor in the consulting area is only 0.8m wide (not including obstacles) which is not even sufficient to allow two ambulant people to pass. Safety & Security The design of the existing building means that there are clients distributed throughout the building all through the working day, with no defined ‘patient’ and ‘staff’ areas. This presents a specific security risk for all, which can be problematic for staff and patients alike that is exacerbated by the lack of staff alert / communication systems throughout the building and single tier security. General Consulting Rooms Many existing consulting rooms are badly designed as a result of being a ‘best fit’ in old buildings never intended to operate as a health facility (the main core of the building is a very old converted police station/house). As a consequence, whilst a number of spaces are able to deliver the physical area defined in relevant health planning notes, none are able to support effective service delivery, e.g., whilst most of the existing consulting rooms meet the current standard of 16.5m2 they are unable to deliver (dual-sided couch access) functionality that should be associated with this space, reducing both functionality and flexibility. This situation is further compounded by the complete lack of clinical storage space which means that large areas within clinical rooms are given over to essential storage. Patient Confidentiality Clinicians working from the existing Kincardine Health Centre have expressed concerns about patient confidentiality, primarily occurring as a result of poor sound attenuation between adjacent rooms and corridors.
