Design and Access Statement Proposed Skin Centre, Mount Vernon Hospital, Hillingdon On behalf of Hillingdon Hospitals NHS Foundation Trust February 2017 No. 6650 2 contents Contents 1.0 Introduction 3 5.0 Scale 22 10.0 Appendices 36 Appendix 1: Location and Block Plan 2.0 Site Appraisal 6.0 Appearance 23 4 Appendix 2: Drawings 2.1 Urban Context 6.1 Design Philosophy 2.2 Mount Vernon Hospital 6.2 3D Views 2.3 Site History 6.3 Design Development 2.4 Clinical Justification 6.4 Material Palette 2.5 Emerging Masterplan 2.6 Access 7.0 Landscape & Environment 29 2.7 Site Character 7.1 Landscape 2.8 Existing Building Heights 7.2 Sustainability 2.9 Climate Conditions 8.0 Access 32 3.0 Use 15 8.1 Access 3.1 NPPF and Local Plan 8.2 Vehicle Access 3.2 Assessment 3.3 Site Selection 9.0 Conclusion 35 4.0 Layout & Amount 20 4.1 Layout 4.2 Amount GBS Health+ a divsion of Gray Baynes + Shew Gray Baynes + Shew, 6 Becket Street, St Thomas House, Oxford, OX1 1PP t: 01865 305130 e: [email protected] w: gbshealth.co.uk 3 introduction 1.0 Introduction The following Design & Access statement has been This document will be based on the CABE publication Project Overview prepared by GBS Health (a division of Gray Baynes + Shew ‘Design and Access Statements’, how to read, write and Hillingdon Hospitals NHS Foundation Trust provides acute LLP) on behalf of Hillingdon NHS Foundation Trust. use them. and specialist services to the communities in North West London. The Dermatology Service provides outpatient It accompanies a detailed planning application submitted USE clinics and treatment rooms at both Hillingdon & Mt by Nexus Planning Ltd to propose a new Multidisciplinary How the proposed ‘Skin Centre’ will function with the Vernon Hospitals, but due to a significant increase in Tertiary Skin Centre at Mt. Vernon Hospital to cope with surrounding context and its relationship with the existing demand, the current facilities are no longer able to provide the ever increasing demands on the existing dermatology land use. an appropriate clinical service for the patients. service. AMOUNT Quantifying the size of the proposed development in The Trust approached the project team to design a semi- This document has been compiled with consideration to the relation to the site and to the overall development ratio autonomous centre for general and specialist dermatology National Planning Policy Framework, The 2012 Hillingdon of Mt Vernon Hospital. services. This building would require a compact, clear and Local Plan, The London Plan, Approved Document M & concise design due to site & budgetary restrictions that BS 8300. LAYOUT enforce a limit to a 1200m2 footprint. The arrangement of the proposed development on the site with regard to both macro and micro scales. The ‘Skin Centre’ will provide relief to the existing facilities Reference to access routes, landscaping and the site at Hillingdon Hospital, while providing a patient centred constraints from neighbouring structures. high quality clinical environment, complementing the SCALE existing services provided by Mt Vernon Treatment Centre Analysis of the proposed ‘Skin Centre’ in relation to and The East & North Herts Trust Cancer Centre. gbs height, width & length and its effect on the neighbouring buildings and site section as a whole. LANDSCAPING The principles and philosophy behind the landscape scheme and the enhancement of the wider area. APPEARANCE Commentary of the architectural intent and proposed material palette. ACCESS The strategy for navigation, car & cycle parking, public transport, refuse collection and other site access issues. | Skin Centre | Design and Access Statement 2.0 Site Appraisal 4 2.1 Urban Context site appraisal Hillingdon Hospitals NHS Foundation Trust services are primarily used by the people living Hillingdon is an ethnically diverse borough with around 32% of the population from black in the London Borough of Hillingdon and provides healthcare to a catchment population of and minority ethnic communities, lower that London’s 35% average. The largest ethnic approximately 300,000 people*. community is Asian, with the Indian community forming 13% of the total ethnic population followed by Black at 3.7%. The Borough of Hillingdon is the most westerly borough in Greater London with a population of 273,936 according to the 2011 Census. The population is growing at a significant rate Hillingdon Hospital NHS Foundation Trust represents two Hospitals within the borough with an increase of 11.5% from 2001-2011, 4.4% higher than the national average. of Hillingdon. Hillingdon Hospital is the southern hospital and has an important strategic function as the receiving hospital in the event of an emergency at Heathrow Airport. The borough is approximately 3 times as long north to south than wide, stretching from Northwood to Heathrow Airport in the South. With three neighbouring boroughs to the Mt Vernon Hospital, located within the Metropolitan Green Belt at the North of the borough, east, Harrow, Ealing & Hounslow, Hillingdon is the second largest of London’s 32 boroughs has resided in Northwood since 1904 when ‘The North London Hospital for Consumption by area. and Diseases of the Chest’ moved to this location from Hampstead. The north of the borough is semi-rural, with large sections of land designated as ‘Green Since then it has become a hub for various services and organisations such as East & Belt’. The south of the borough is more urban and densely populated with areas falling into North Hertfordshire NHS Trust Cancer Centre, Bishopswood Private Hospital and Michael the 20% most deprived quartile nationally and signification number of areas have children Sobel House. gbs living in poverty. *LB Hillingdon Statistics Joel Street, Northwood Northwood Hills Station Hillingdon Hospital | Skin Centre | Design and Access Statement 5 2.2 Mount Vernon Hospital site appraisal Mount Vernon Hospital occupies a site of approximately 23 hectares to the west of Northwood. The site has two points of access from Rickmansworth Road to the north east and one point of access from White Will from the west. The main buildings are sited on a plateau to the north that drops away to the south providing commanding views from the listed building itself. The Southern aspect of the site is over open green space. As is the case with many hospital sites which pre-date the formation of the NHS, and have developed incrementally over a long period in response to changing clinical need, the overall configuration is somewhat confused and fragmented. Reflecting this fragmentation, the buildings on the site vary greatly in their suitability for use to deliver modern clinical care. As an example, the original tuberculosis hospital, Grade II listed, is still in use but in a deteriorating condition. There are a broad range of other services at the Mount Vernon Hospital site which are not provided by the Trust including, amongst others, Mount Vernon Cancer Care, Bishop’s Wood Private Hospital, and Macmillan Cancer Centre. gbs Key Metrics Development Ratio 2,023m2 development: 10,000m2 based on whole site 3,167m2 development: 10,000m2 site excluding open green space Site Area Total site area is 151,900m² Building Area The area developed is 50,360m² Car Parking Approximatley 1170 spaces Building Age Range 1904-present Building Heights 1-3 storeys | Skin Centre | Design and Access Statement 6 2.3 Site History site appraisal Originally founded in 1860 as the North London Hospital for Consumption and Diseases of Since that time the services have evolved from a general hospital into one providing a range the Chest, the hospital was housed in buildings on Fitzroy Square in Central London and of specialist services, as well as local acute (medical and surgical) services. subsequently in accommodation in Hampstead. The hospital site was also home to the Gray Laboratory, founded in the 1950s, with the The move to the current Mount Vernon Site in Northwood was enabled by Charles Rudd, old hospital chapel converted into a library for the Gray Cancer Institute in 1988. The Gray who made his fortune in Africa’s gold and diamond mines at the turn of the 19th Century. Laboratory has subsequently closed. On his return to the UK, Mr Rudd concentrated on philanthropy and donated £200,000 to build Mount Vernon Hospital for tuberculosis sufferers which opened its door to patients in In 1967, The Marie Curie Hospital (Specialist Cancer Services) moved to the Mount Vernon January 1904. site. This service has developed into the Mount Vernon Cancer Centre delivered by East and North Herts NHS Trust from several buildings on the estate. The original hospital is arranged as a sanatorium with the wards on one side of a corridor forming a semi-circle shape and facing out to a formal green space and rolling landscape A modern Treatment Centre was completed at Mount Vernon Hospital in 2009 as a LIFT beyond. Mount Vernon Hospital was later recognized as one of the most progressive (Local Investment Foundation Trust) project. This development is the core of the Trust’s treatment centres in Europe advocating plenty of fresh air and exercise as part of patients’ activity on the site and houses diagnostic and treatment facilities, outpatient facilities and a recovery. minor injuries unit. The original hospital building and chapel were designed by the British architect Frederick There is significant vacant accommodation throughout the site, including some of the older Wheeler. The main building is grade 2 listed and the Chapel is grade 2 listed. parts of the hospital, ex-outpatient buildings and staff residential accommodation. During the First World War, the facilities were adapted to treat military casualties, and at the The site also includes extensive areas of open space. gbs outbreak of the Second World War Mount Vernon Hospital became a general hospital.