February 2009 Archives
The strange tower in the middle is a core (it was just a test)
Light Blue - Wards and patient rooms
Yellow - Treatment and Staff Offices
Green - Courtyards
Purple - Circulation
Blue Squares - Cores
![090225_ward-sketcwww].jpg](http://www.aadip9.net/amandine/090225_ward-sketcwww%5D.jpg)
This model explores how the different types of slab can function
together. The larger slab functions as the main structure defining the
interior and exterior of the building - it is the carpet that connects
the entire building. The smaller slab contains the a more discreet
program of the hospital. I am trying to demonstrate how the slab can be
read on many levels within the same massive podium. The building begins
to take form on both a massive and small scale. I think that this layering of different slabs had potential. The structural slab reads as slab while the programmatic slab functions almost as the mat building within the slab.
In this model the the slabs are meeting mid floor to define both the walls and the (on the top slab) technical fittings
This shift should be understood for what it actually is: the third architecture's spatial possibility."




I chose to quickly develop _02 because I provides the formal language of the intersecting slab. The Slab varies in thickness based on necessity and then can literally disintegrate at the edges allowing for vegetation from the gardens bellow to rise through to the next floor.
This method also allows for the control of light entering the floor bellow. The progressive disintegration also creates a natural barrier from the edge.
In the first image I started to investigate how the grid can be broken to create larger outdoor balconies in the private clinic. The heights of the vertical slabs also vary to to vary depth. This scenario shows the descent from the balcony via a ramp next to what is intended to be a private pool to a private garden. ( This is just a graphic sketch - its a bit hard to read).
I know it is a simple grid at the movement but I think that this type of language makes sense with the idea of the sterility of the hospital slab - also starting points have always been 'basic elements' - Slab, column..ect..grid? It also works with the staking of the different floors to create a moire effect that allows the very generic to be read as extremely complex (in plan only at the moment). I image steam rising from the genericish grid of the public hospital in the same way is rises from a sewer grid in a city street...? Its a bit dark side but...that can be ok..?
Feed back on if this is the right direction would be super helpful.
I have not frogotten the triptic or the slab plate - I am really excited about pushing that direction and I have lots of ideas but I need some thing to work with....
I









This model is exploring different distortions of the slab. These floor are meant to be part of the public hospital - they are more generic in character.
The Slab becomes deeper in the areas where it supports the gardens. In the main hall it is rippled to break the monotony of the large open space. In this case I think it will also help with acoustics.
The second floor is a ward for multiple patients. The third floor is smaller individual patient rooms and treatment facilities. On the second and third floor the slab also comes down to form the walls.
I slit haven't resolved the columns that support the double height area where two buildings intersect.
At the moment the pattern of the slab in plan is made of lines but this could become some thing much more intricate. A pattern that appears and disappears, revealing itself during the winter cycle when the vegetation dies away. This would allow the building to be in a constant state of change - reflecting the cyclical nature of both the history of the site and the program of the hospital.



I split the site in the centre between public and private. (I am not a fan of the black background but I my drawings always look invisible on the blog.)
I will try to do a colour coded and labelled one for tomorrow, so that we can discuss programmatic distribution.
I found the the floor distribution from UCL - each floor has a distinct program.
(see bellow)
16th floor: Gynaecology & Breast
15th floor: Private patients, outpatient and day
assessment
14th floor: Cancer inpatients - Oncology/Head &
Neck
13th floor: Cancer inpatients - Haematology/Transplant
12th floor: Adolescent inpatients: UCLH was the first
Trust to introduce a dedicated adolescent ward for cancer care over 20 years
ago, and the evolution in patient care. The new facilities, designed in
association with The Teenage Cancer Trust, will consolidate our position at the
forefront of adolescent care, with the largest multidiscpinlary adolescent unit
in the country, specially furnished and equipped to provide a home from home
for any teenager
11th floor: Paediatrics inpatient
10th floor: Medicine/Care of the elderly
9th floor: General surgery/Gastro intestinal
8th floor: Infectious diseases, for patients with
tropical/infectious diseases, HIV/AIDS, and patients requiring isolation and
other specialised care
7th floor: Urology/Short stay
6th floor: Trauma &
orthopaedic/Vascular/Rheumatology
5th floor: Nuclear medicine & HD Radiation.
The Institute of Nuclear Medicine is already an internationally recoginised
service and academic unit. With the first PET/CT scanner in the UK, SPET/CT
gamma cameras and bone densitometers for NHS and research activity. The
Institute will also serve as a training centre for doctors of other
specialities seeking training and expertise in areas such as oncology,
radiology, cardiology and neuro-psychiatry. The unit is also a key centre for
the training of scientists and physicists.
4th floor: Engineering Plant
3rd
floor: Critical care
facility including High Dependency Unit – the largest in London, with 35 beds,
reducing average dependency levels in other wards, directly linked by bridge to
the operating theatres.
2nd floor: Ambulatory intervention unit.
Growing technical sophistication means that increasing numbers of interventions
are performed without the need for extended in-patient stays. This new unit
will boast 38 rooms with the latest in image-guided diagnostic equipment.
Currently located on three wards in two separate buildings, our new Acute
Admissions Unit will be located directly above A&E, enabling continuity of
treatment between the two.
Our new A&E facilities anticipate a 10% increase on current figures (rising
to 70,000 – 80,000) and will include two paediatric bays, a cot bay, and
fracture clinic.
Podium
Block
4th floor: Engineering plant/Central sterile services
3rd floor: 12 operating theatres and 18 recovery beds
2nd floor: Ambulatory intervention unit (including Gastro intestinal), stretching across to include the Tower, containing seven endoscopy suites, 15 recovery beds, six first stage recovery beds, interventional CT, ECRP, laser bronchoscope.
Basement 1: Mortuary and Pharmacy with viewing & teaching gallery and two vigil rooms.
Basement 2: Receiving station for pathology samples, linked by wide-bore pneumatic tube to every floor in the hospital



















