Website development Case studies

Please save this document in the Case Studies document library. Please include in the folder any supporting information ie. Publications, technical papers, videos, awards and images.

General information

Title: The Christie Proton Beam Therapy Centre

Suggested Keywords: Health, Innovation, BIM, Proton Beam, Manchester (to use in title, intro and content)

Intro: has delivered the UK’s first NHS high energy Proton Beam Therapy Centre in the North West on time and under budget. (approx 10-20 words)

Content: The Christie, who worked in partnership with Interserve, was selected by the Department of Health as one of two providers of the Proton Beam Therapy (PBT) (approx 250-400 words. Use headings and bullet service, together with University College London Hospitals NHS Foundation Trust. points to break up Although procured at the same time, The Christie chose to deliver the content) phase through the Procure 21 framework. This speed to site procurement route means that from 2018, patients will benefit from local access to this advanced treatment at The Christie. The state of the art 15,000 m2 five storey building will provide: 3 treatment rooms; a patient reception; consultation rooms and public space. The building is designed to be future proof with additional space for the Trust to grow into along with a dedicated research room for the University of Manchester to grow into.

The building will begin treating patients in the autumn of 2018 and once fully operational will treat around 750 people a year. This life changing facility will not only save lives, but also prevent families from enduring expensive, stressful and potentially dangerous travel abroad for treatment. Though there are other centres internationally which offer this treatment, this is unique being the first high energy NHS facility in the UK. Interserve had no blueprint to follow, so they travelled the globe extensively bringing the benefit of international expertise and learning to the UK, overcoming many challenges to deliver this world class facility. PBT is an advanced form of radiotherapy used for the treatment of complex and hard-to-treat cancers in children and adults. It uses a high energy beam of protons rather than high energy X-rays to deliver a dose of radiotherapy. It directs the radiation treatment to precisely where it is needed with minimal damage to surrounding tissue. At the centre of the facility is the cyclotron - manufactured in and transported by sea. The machine has been named “Emmeline” after Emmeline Pankhurst, the leader of the British Suffragette movement, who hailed from Manchester. The cyclotron, feeds three treatment gantries, huge machines that rotate around the patients in the treatment room to best target the tumour. Only one gantry can be used at a time whilst patients are prepped in the other two rooms.

1 | Page

What makes this facility unique is the fourth gantry, which will be used for research and development to ensure The Christie maintains its international reputation as leading experts in cancer care, research and education. The building’s list of technical features is almost as extraordinary as proton beam treatment itself: To contain the radiation, the concrete walls are up to six metres thick. The building incorporates 20,000m³ of concrete & 1,700 tonnes of reinforcement, including steel bars up to 100mm diameter. Through this, 10km of services pipework has been carefully threaded. The concrete itself weighs 48,000 tonnes, the equivalent of two aircraft carriers. To meet the building’s demanding energy needs, a new sub-station has been built, which provides an equivalent amount of power to that needed to run the nearby Trafford Industrial Park. The building is the first PBT Centre to target BREEAM excellent. Reclaiming heat from the Proton Beam equipment will make a significant contribution to the BREEAM scoring. The new Proton Beam Therapy project built on Interserve’s relationship with The Christie. Construction partners for over 10 years. The Christie and Interserve are committed to further collaborative working to deliver the new multi-tiered carpark and fit out of the PBT Outpatient facility. Improved patient outcomes and patient journeys are the values that underpin our culture. The Christie was awarded outstanding status at a recent care quality commission inspection in 2017 and given the accolade of being the country’s leading specialist Trust.

Pull out text: Full Level 2 BIM used throughout the design process (Enter at least one fact or Once operational it will treat around 750 people a year statement about the case study. Approx 6-12 words)

Interserve decided to become fully compliant to BIM Level 2, in advance of the Innovation: government’s mandate for 2016. The Revit model and the programme were put (What was innovative into the BIM model which used the data to create a 4D visualisation of the about the project? Approx building sequence, enabling Interserve to articulate the programme to non- 6-12 words) technical people.

Using a common BIM platform and fully federated model during the selection of the equipment supplier Interserve was able to exchange and review information in ‘real time’. This was essential to co-ordinate 3 parallel equipment designs, overcome cultural and language barriers and advise the client of the impact in respect of design, time, cost and quality. Each vendor’s design solution was input into the Montecarlo Simulation to check for potential radiation leakage and allow for adjustments to be made. This is the first time that BIM has been used in the UK to validate radiation protection and save lives. Client: The Christie NHS Trust

Country: UK

Value of project: £75m

Project start & end June 2015 - August 2018 date:

Image 1:

Image 2:

Related information

Asbestos management Building maintenance

2 | Page

Existing related Building services Care services: (please insert a ‘Y’ in the Catering relevant related services) Cleaning Y Construction

Consulting Energy and process

Energy management Facilities management

Fire safety Formwork & falsework

Health and safety training Healthcare staffing

High-level access and fall arrest Interior fit out

IT hygiene PFI

Power Property development and estates

Security Site services

Solid waste treatment Sustainability management

Waste management Water safety

Window cleaning Workplace management

Existing related Sectors: Aviation Central government (please insert a ‘Y’ in the relevant related sectors) Commercial Defence

Education Energy & utilities

Y Health Highways

Industrial Justice

Leisure & hospitality Local government

Marines & rivers Nuclear

Pharmaceutical Professional services

Retail Technology

Transport Water & waste

Welfare & employment

Awards & accreditations BREEAM Excellent (please add association, Considerate Constructors: 2 consecutive Gold Awards award and year) Building Better Healthcare 2015: Highly Commended ‘Patients Choice Award’ IHEEM 2015: Best BIM Initiative Building Better Healthcare 2016: Highly Commended ‘Best Use of BIM’ IHEEM 2016: Client of the Year North West Construction Awards 2017: Highly Commended ‘Digital Construction’

Ingenuity at work – knowledge centre

3 | Page

Videos: [Please send video via dropbox to be uploaded to Interserve’s YouTube channel]

Technical Papers: [Please send as PDF in email]

Publications: [Please send as PDF in email]

Insight blog: [Please contact Jude Widdowson for more information]

If you have any questions, please email [email protected]

4 | Page

Administration only

Meta-title:

Meta-Description:

Existing URL if applicable:

Case Study Content Structure

Case studies should be kept as short and to the point as possible, only cover relevant points below. Word count should be 300-600 words.

First paragraph (descriptive overview – the project and the challenge)

Provide a brief overview of what Interserve/the client wanted to achieve, and what Interserve did. Including the keywords chosen above in the first paragraph will optimise our sites for search engines, hence increasing the chances of the pages being 'picked up' from Google.

Question prompts:

• What did Interserve/the client want to achieve? • What was the problem? Or what was the opportunity presented? • Brief description of the services we offered (expand further down)

Best practice approach (describe the what, where, when, who and how)

Please keep the sustainability outcome in mind when writing your case study. If your case study covers more than one outcome, you should reference and provide detail of the multiple benefits but remain focused.

Question prompts:

• What action(s) was/were taken? What did we do to help? • How were the actions achieved? • What investment was made? i.e. money, time, people, building partnerships, relationships • What was the scope? • What were the client’s priorities/business drivers behind the decision? • Include facts and figures where available e.g. specific technologies used

Benefits or achievements (the end result)

Facts and figures as evidence to back up the points being made e.g. number of apprenticeships and in what area, tonnes of waste saved, value of investment in programme (£).

Question prompts:

• Performance data, trends (if available) • Cost savings (£), payback period • Customer service satisfaction • Did we win any awards?

Lessons learned (concluding)

5 | Page

Summarise what worked well or what could be improved. Include any lessons learnt or further work that has been identified.

Question prompts:

• Were there any significant factors that contributed to the project’s success? • What were the outcomes and the benefits of the actions taken? • What issues had to be overcome? Would you do anything differently?

6 | Page