Design Quality Objectives. A key part of the development of the Initial Agreement Document was to ensure that stakeholders were fully engaged in the NHS Scotland Design Assessment Process (NDAP). There were two key strands to this work;
1) A multi-stakeholder event where the Achieving Excellence, Design Evaluation Tool (AEDET) was completed for the existing unit.
2) An NDAP Design Statement was developed to capture the ‘non-negotiable’ points that need to be addressed by the project.
Design Quality Objectives. 3.1. The use of AEDET will help assess the Design quality and suitability both at this early Initial Agreement stage throughout the life of the project by repeating the assessment at various key milestones including at the Business Case stage and during any Post Project Evaluation. AEDET stands for Architectural Excellence in Design Evaluation Toolkit and was principally developed for use with Framework Scotland and Procure 21 projects in the NHS.
3.2. The toolkit provides a methodology for evaluating the quality of design in healthcare buildings and can be used for refurbishment projects as well as for new builds plans. It is divided into 10 sections which have set questions that are weighted depending on the type of project and then scored with regards to the specific project proposals.
3.3. The option to be chosen to carry out this exercise will follow the guidance in the adoption of a workshops type arrangement. An AEDET assessment will be carried out once the Design Team has been appointed and a practical scheme design has been developed.
Design Quality Objectives. An AEDET review has been carried out on the existing facilities (both Operating Theatre and Xxxx). The summary results of the workshop are included in Figure 39 below. As per Scottish Government guidance, all projects with a value of over £5m are required to develop a Design Assessment Statement. The development of a Design Statement is intended to assist NHS Scotland Boards in using good design to get the most out of their development projects. The Design Statement is a means of setting out the Board’s objectives for an individual project in a series of agreed statements of intent and then defining a benchmark for how the physical result of the project will help deliver those objectives. The benchmarks should not require a pre-determined design outcome, but provide the parameters for what success might look like. The third part of the Design Statement is a plan of action for how the objectives and benchmarks established for the project will inform key decisions throughout the project including the development and consideration of the business case, and the eventual evaluation of the project’s success. The following summarises the objectives in the design statement that must be present in the development:
Design Quality Objectives. The Design Statement is the first design control document produced for this programme and is consistent with NHS Xxxxxxx’s overall vision contained within the strategic Design Action Plan. Design Statements will be used as a tool for briefing, communication, and programme promotion to describe the design intention/vision. They will subsequently be developed into the design brief, supplemented by more detailed briefing materials such as schedules of accommodation, key adjacencies, and room data sheets. The Design Statement sets out NHS Xxxxxxx’s objectives for the REH campus development in a series of agreed statements of intent drawn up by a representative group of stakeholders. It then defines benchmarks that will be used as reference points to measure design proposals against. The third part of the Design Statement is a plan of action that describes how the objectives and benchmarks will be used at key decision points throughout the programme from the development and consideration of the business case through to the eventual evaluation of the programme’s success. In conjunction with Design Statements this programme will use the Achieving Excellence Design Evaluation Tool (AEDET) to assess design quality throughout the procurement process and evaluate how successfully the design responds to the following objectives: • Impact - the buildings need to create a sense of place and contribute positively to the lives of those who use them and are their neighbours. • Build Quality - in terms of the technical and engineering aspects, the buildings need to be soundly built, easy to operate, and sustainable. Build quality also covers the actual process of construction and the extent to which any disruption caused is minimised. • Functionality - the buildings need to serve their primary purpose and facilitate the activities of the people who carry out the functions inside and around the buildings. A Design Statement for mental health and learning disability services is described in Section B (para 3.2). This will be used for the services in the first phase of the programme. Further Design Statements will be developed to reflect the needs and objectives for other services that transfer to the REH campus in later phases of the scheme. As well as efficient use of energy, water, waste management NHS Lothian aims to make more efficient use of its asset base and dispose of surplus assets as part of the NHS Lothian’s Property and Infrastructure Strategy.
Design Quality Objectives. The project will use the Achieving Excellence Design Evaluation Toolkit (AEDET) to assess design quality throughout the procurement and design process and as part of the Post Project Evaluation. An initial Design Statement was drafted in order to help the practice consider the various aspects of design benefits. The Design Team thought it would be beneficial to hold a sprint design workshop (to include Infection Control and Estates) to try and bottom out the main requirements and capture any cross-over elements that could be raised and resolved at this point. AEDET Workshops will be undertaken at various stages throughout the design process to ensure design is capturing all the essential requirements and incorporating as many desired elements as possible. The Tool will then be used again at the Project Evaluation stage to provide feedback on how well the design works and where any limitations may have occurred. NHS Lothian has recently made the decision to forward all capital projects to the Scottish Government for funding. This will now require this project to go through the full NHS Scotland Design Assessment Process (NDAP) in line with the Scottish Capital Investment Manual (SCIM). This process will involve an overview from Architecture + Design Scotland (A+D) and Health Facilities Scotland (HFS). Discussions with HFS have now commenced.
Design Quality Objectives. As detailed within the SCIM guidance, all preferred strategic/service solutions are likely to need a designed physical solution. The process of developing design objectives has commenced and a multi-stakeholder review of existing property arrangements was carried in September 2017 to establish a benchmark score for each facility and setting a target score from which design expectation can be measured [see appendix 22: Diagram 1: Denburn Achieving Excellence in Design Evaluation Toolkit [AEDET] Benchmark Summary, Diagram 2: Northfield AEDET Benchmark Summary and Diagram 3: Mastrick AEDET Benchmarking Summary. As per the AEDET Refresh guidance, the requirements of the IA stage have been met in that an AEDET workshop was held using the generic question set only, to achieve Target and Benchmark scores. Due to difficulties in arranging a suitable date for this workshop, this has only just been completed and has now been submitted via the NHSScotland Design Assessment Process (NDAP). A summary table detailing the benchmark and target for each facility is included within Appendix 22. The diagrams detail the benchmark scores for each facility and the target score for the project. Further AEDET workshops will be carried out at OBC and FBC stages and Post Occupancy Evaluation (XXX) stages where a combination of AEDET and project specific Design Statements will be used.
Design Quality Objectives
