why build a cancer centre? - uclh internet€¦ · over 500 patients have responded to ......
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WHy bUILd a CaNCeR CeNtRe?
Cancer is a key theme for University College
London Hospitals NHS Foundation Trust (UCLH).
We are aiming to be one of the three best cancer
hospitals in Europe. We are working towards this
strategic ambition with our NHS and non-NHS
partners, as part of our academic health science
centre, University College London Partners (UCLP).
The new Cancer Centre is an integral part of
our cancer strategy. Based on research into
what works well elsewhere, the substantial
investment to create the Centre will allow us to:
Provide more treatment to cancer
patients as new treatments are
developed.
Our new facility is designed to allow us to
incease the number of patients we are
able to see and treat. Our links with the
University College London (UCL) Cancer
Institute on Huntley Street, renowned for
world class research, will give patients
access to cutting-edge treatments as they
are developed.
Provide new models of care so that
patients do not have to stay in hospital
to receive many of their treatments.
The new Cancer Centre will allow us to
extend the initiatives that have already
been introduced to improve the pathway
of care for patients, such as the use of
chemotherapy backpacks, and
ambulatory care where patients stay in a
local hotel rather than overnight in
hospital.
Improve the care experience by offering
holistic support in an environment
purpose built for cancer care.
As well as excellent patient outcomes, we
will also ensure the best possible patient
experience in purpose-built surroundings,
with a focus on wellbeing and supportive
care services.The new Cancer
Centre will open
in 2012 replacing
the Rosenheim
Wing, the current
home of
outpatients and
daycare services
for cancer
patients.
Treating elderly lung cancer patients is
quite different to treating teenagers
with leukaemia. We plan to bring the best of
US-style cancer care to the
needs of patients with different
cancers. This centre will be a
first for the UK and will set a
gold standard for the future.
Sir Robert Naylor, UCLH chief executive
2009
tIMeLINe: WHat HaPPeNS WHeN
Idea of a Cancer
Centre first discussed
The ambulatory care
model is first
introduced at UCLH
where patients who
are well enough stay
overnight in a local
hotel rather than in a
hospital bed
UCLH Board of
Directors agreed that
cancer would be the
focus of the next major
capital investment
project after the
completion of Phase 1
(University College
Hospital) and Phase 2
(Elizabeth Garrett
Anderson Wing)
An extensive
consultation
undertaken with
patients, staff, cancer
network and primary
care trusts to find out
what was most needed
from a new Cancer
Centre
Project approved by
UCLH’s Board of
Directors
Planning permission
granted by Camden
Council
Contract signed with
construction company
Skanska, to build
Cancer Centre
Piling works
commence
Final designs
completed
Foundations
completed
Superstructure
completed
Testing starts
Handover to UCLH for
installation of
equipment, ICT
systems, staff training
and move to the
building
Cancer centre opens
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a SIGNIFICaNt LOCatION
The Cancer Centre will be at the heart of UCLH – close to University College
Hospital. It will be opposite (and connected to) the UCL Cancer Institute.
The Cancer Centre is designed to fit its
location and match the architectural calibre of
the conservation area surrounding it.
A third of our patients and staff will travel to the
Cancer Centre by car, taxi or ambulance. The
majority will come by public transport. The site
does not permit a new car park to be created.
Instead, we will have a pull-in space and pick-
up space that will not create congestion.
Patients and visitors must be able to arrive and
leave easily without delays, inconvenience, or
problems. We will employ a concierge who will
ensure that patient travel arrangements work
well, whichever mode of transport used.
We know that this is an important issue for
many patients. So we have therefore
undertaken a detailed survey of cancer
patients’ views and experience of transport
services. Over 500 patients have responded to
our survey and we will use the results of this
questionnaire to plan better transport services
for the Cancer Centre.
The Centre will allow unrivalled
interaction between researchers at
the UCL Cancer Institute,
opposite the planned
centre, and cancer
physicians treating
patients.
Professor Chris boshoff FRCP Phd FMedSci
director, UCL Cancer Institute
The new Cancer Centre on the
site of the old Obstetric Hospital
on Huntley Street
The Bloomsbury conservation area runs down
Huntley Street. Buildings to the right (east) are
within it. Our proposed building is outside it.
University College Hospital
Maple House
UCLH Rosenheim building
UCLH Ear Hospital and UCL
SU
UCL Cruciform building
UCL Medical School
UCL Cancer Institute
Brown stone Georgian terraces
and terracotta Gordon
Mansions
abOUt tHe bUILdING
The UCLH Cancer Centre will open in 2012, four years after the UCLH Board of
Directors first agreed that investment in cancer facilities would follow the successful
completion of UCH and the EGA Wing.
designed and built by the best
Designed by award-winning Hopkins
Architects and constructed by Skanska,
the Cancer Centre will be of the highest
specification – built to last, built to adapt
to future use and built to enhance the
excellence of the clinical teams at UCLH.
environmentally friendly
Environmental considerations have been
fundamental in our design and build
process. A carbon footprint 38% less than
the standard set by current legislation will
be achieved by energy-efficient design to
maximise use of heat, daylight and water.
We want our Cancer Centre to be among
the greenest in the UK.
New building, new ways of providing
cancer care
The transfer of daycare and outpatient
services from the Rosenheim Wing will
mark a new era for cancer patients. Not
only will the facilities be so much better,
the way services are provided will
change.
Both the building and our services will be
designed to optimise the patient
experience.
The diagnosis of cancer is
obviously a devastating challenge
and burden for patients and their
families. Old-fashioned treatment
facilities and inflexible
systems invariably
contribute to the disease
taking over the patients’
lives. This Cancer Centre
will change all that.
Stephen Rowley, UCLH lead nurse for
cancer services
deSIGNed FOR PatIeNtS by PatIeNtS
Patients who have been treated for cancer are the most important voice in the
cancer centre development project. Listening to our patients’ views on what works,
what doesn’t and what we can do better is the only way we can make our services
truly patient-focused.
One of the groups we have been working with
is the Cancer Partnership Group, set up by the
North London Cancer Network. This group
brings together cancer patients, carers and
health professionals from across the network
who are interested in shaping the delivery of
local cancer services.
The design of the building is now agreed, but
we continue to work with and listen to our
patients as we look at how services will be
delivered in our new building. We have set up
the Patient Experience Steering Group which
consists of past and current patients and other
stakeholders, keen to bring their experiences
to the table to ensure that our services
continue to meet the needs of our patients. So
far, the group has reviewed and commented
on:
building designs
Patient pathways
Patient communications including our
It development projects
early referral and diagnosis
In addition we will be seeking broad patient
input into specific projects, such as transport
services, and our wellbeing and supportive
care services
I spent 11 months in hospital with
acute myeloid leukaemia. My role
in the group is to put forward the
patient perspective on proposed
changes
planned for the
care in the
Cancer Centre.
It’s important not
to forget that it’s
sometimes the
smaller things
that can make
such a big
difference.
Gilly angell, patient
USING teCHNOLOGy
The Cancer Centre will use new technology to streamline and improve the patient
experience.
There will be check in kiosks on the ground
floor of the Cancer Centre which will:
Enable patients to ‘book in’ for multiple
appointments quickly and easily using a
bar code scanner
Notify patients of any changes or delays to
appointments
Allow patients to update and amend their
personal details
Help patients find out how to get to
different departments in the building
General information kiosks located around
the building will also:
Enable patients to check where they
should be at a given time, in real time
Provide information about the different
departments and how to get to them
Allow patients to browse information about
cancer
Information screens on all floors will:
Give real-time information about clinics
and services
Inform individual patients that they are
due to be in a particular place at a certain
time
A new scheduling system will see one person
book all the appointments a patient needs in
one go – letters from different departments will
be a thing of the past. Changing appointments
will be simple and straightforward.
We have seen check in kiosks at
other hospitals. Feedback from
patients and staff was very positive.
Our system will do more – we are
committed to keeping patients informed
and will not be asking them to sit and
wait for long periods in waiting
rooms with nothing to do.
Chrissie baylis, Coordinator for the outpatient
floor of the Cancer Centre
dIaGNOStICS aNd PROCedUReS
The Cancer Centre will include the latest equipment and facilities to diagnose and
treat cancer, and enable research into new techniques and treatments.
The lower ground floor will be the most
technologically advanced part of the building
and will support the work of the upper floors by
enabling one-stop clinical practice.
This may mean that a patient spends some
time with us in the Cancer Centre, but avoids
some of the return visits that are currently
required.
Improving the patient experience: PICC
lines
Insertion of peripheral inserted central
catheter (PICC) lines – used to give
treatments, medication and feeding – are
an area where patients will see a
substantial improvement in the way that
care is delivered. Currently patients have
to go between sites to have their PICC
line inserted and checked by X-ray. In the
new Centre this will all happen under one
roof, reducing inconvenience and anxiety
for patients and making the process
quicker, easier and more efficient.
New treatments
We expect to develop and improve
diagnostic and treatment techniques on
this floor, for example high intensity
focused ultrasound for prostate cancer.
This technique changes the lives of
cancer patients by eliminating only the
cancerous tumour, without affecting
surrounding normal tissue, helping men
go on to lead fully functioning lives.
Alan Johnson’s prostate cancer was
treated as part of a clinical trial using the
HEMI - HIFU (Hemiablation-high intensity
focused ultrasound) technique.
It was quick and painless and I
have none of the side effects
associated with more traditional
radioactive and
surgical treatments.
Best of all it has rid
me of the cancerous
cells that would have
felt like a ticking time
bomb inside me. I
have a lot to be
grateful for.
alan Johnson, patient
The facilities on this floor will
allow us to continue our research
into new techniques and treatments
for cancer.
Mark emberton, cancer divisional clinical
director
WeLLbeING CeNtRe
For the first time, all the cancer support services (listed below) will have a home in a
single purpose-built area – the Wellbeing Centre. The Centre will be on the ground
floor, making it immediately visible and accessible to patients, their carers and
families. From here, we will continue to provide support to patients in other parts of
the Trust, including our inpatient wards.
Cancer support services:
Macmillan information centre
Welfare and benefits advice
Psychology and counselling
Complementary therapies
Lymphoedema care
educational and lifestyle group
classes
Self help and support groups
Information plays an important
role in helping patient and carers
understand more about their illness. It
can also help them to make decisions
about care and treatments. For
example sources of emotional support
which can help patients cope with the
impact of cancer and its treatment.
Kay eaton, consultant nurse, cancer and
supportive care
UCLH saved my life, complementary therapy
helped me live through it. Before I was
diagnosed with acute lymphoblastic leukaemia (ALL)
in January 2009, I was very sceptical about
complementary medicine. A year in hospital later, I am
its biggest fan. Reflexology and reiki were something
pleasurable to look forward to among the gruelling
treatments ALL patients endure. The therapies helped
me to relax, made me feel better and alleviated painful
physical symptoms. In a word, wonderful.
Sue Murphy, patient
OUtPatIeNt zONeS
The outpatients department on the first floor has four zones – women’s health; lung,
brain and head and neck cancers; men’s health; and a general zone for other
cancer services. Facilities in each zone will be tailored to the specific cancers,
ensuring patients have access to everything they need in a single area.
The single most common complaint about our
service is the length of time patients wait in our
outpatient clinics. This is why we have made
tackling the waiting times in outpatients one of
our key priorities for the Cancer Centre. We
recognise that some delays are inevitable - but
we can make things better by keeping patients
informed about how long they are likely to wait.
Our electronic kiosks and real time update
screens will ensure that patients are kept in the
loop at every stage so they know if there is
time to go to the café, or pop out without
missing their appointment.
Between now and 2012, we will be working to
develop excellent outpatient services ready for
the Cancer Centre.
This work involves:
Working with each doctor to make sure
that every clinic is correctly set up so
that patients can be seen at or near
their appointment time.
telling every patient how long they will
have to wait when they arrive in the
clinic.
Improving room bookings so that we
use the rooms more efficiently.
Making sure all patient information – in
casenotes and on the computer system
– is always available for every clinic
appointment.
Providing uniforms, training and
development for administrative staff
working in outpatients.
Introducing comment cards, so that
patients can give us feedback and we
can learn how to improve services.
Piloting electronic patient check-in in
advance of the Cancer Centre.
CHeMOtHeRaPy
The Cancer Centre will provide a greatly improved environment for our patients
receiving chemotherapy, a contrast to the current facilities at the Rosenheim Wing.
The second floor has been specifically
designed with the needs of
chemotherapy patients in
mind.
The chemotherapy floor
provides very flexible space
to support treatments where
patients often spend
several hours with us.
Key features will include:
treatment chairs in
bays and rooms
around the perimeter
of the atrium where
patients’ privacy is
guaranteed
Use of the central atrium, a stunning
open space which will allow patients to
move around or relax in a less clinical
environment while receiving their
treatment
access to It and entertainment
Catering
For longer treatments, many of which may
have to be repeated over several days, it is
important not to isolate our patients from their
environment. This floor offers the best aspect
and provides space for patients to move
around, whilst recognising that the nature of
their care may mean that they cannot use other
amenities in the building during their treatment.
Chemotherapy and
ambulatory care
Open plan treatment
spaces
beds and chairs
Single rooms
Interview room
aseptic suite for the
safe production of
chemotherapy
A more spacious and relaxed
atmosphere is required as the
current situation is counter
productive to good health.
a patient’s view of the current facility, the
Rosenheim Wing
aMbULatORy CaRe
The number of ambulatory care patients is set to double from up to 10 per night to
up to 20 per night when we move into the Cancer Centre giving freedom and
flexibility to more patients than ever before.
What is ambulatory care?
Rather than staying overnight in a hospital
bed, patients who are assessed as
clinically fit to do so, stay at home or in a
local hotel and come to hospital for
treatment each day.
The ambulatory care model was first
developed at UCLH in December 2004 and
is set to become the norm for patients
receiving particular types of chemotherapy
medication.
What patients say about ambulatory
care:
Our aim is to build on these positive
experiences and ensure that the time our
patients spend with us is as pleasant as it can
be. The chemotherapy floor – where
ambulatory patients will spend time receiving
treatment – allows greater freedom and choice
for patients. Rather than being assigned to a
chair or bed for the whole of the treatment
schedule, patients may surf the net or socialise
in the open atrium space, watch television or
rest in a quiet area.
Ambulatory care is a great example of how we
can improve the patient experience and
improve efficiency. The service is cost
effective: for certain treatments, it is cheaper
for patients to stay in a hotel than a hospital
bed. It also means that inpatient beds can be
used for the very sick patients who need them
most.
...you don’t actually see yourself
as being unwell, whereas being
in hospital you think a lot more.
…when he came to visit me in the
hotel, for him it didn’t seem
like mummy was so ill.
Ambulatory care gives you a great
sense of autonomy - in
hospital you do not have that.
In ambulatory care you hold on to
your identity … when in hospital
you slump into patient mode – you
almost let your whole metabolism
drop to get into the hospital
routine.
yOUNG PeRSONS’ CaNCeR
The young persons’ floor has been designed as an integrated daycare and
outpatient facility. The Teenage Cancer Trust (TCT) has worked with us to develop a
really exciting series of spaces that support care in confidential bespoke booths but
also offer communal areas for socialising, reflection and creativity.
The contrast between how care is provided
now and how it will be provided in the Cancer
Centre will be greatest in the treatment of
young people with cancer. Working with the
TCT, we expect this unit to set the ‘gold
standard’ of care for young people in London
and the south of England.
This combination of new facilities at the
Cancer Centre supported by the Teenage
Cancer Trust and CLIC Sargent Paul’s House
will together offer young people with cancer
the best possible environment for their
treatment and support, unprecedented within
the NHS.
Many of the treatment pathways currently
being delivered in an inpatient setting will be
transitioned to an ambulatory care model,
delivered away from the hospital ward. Paul's
House will allow many of our patients to stay
free of charge in a safe residential setting
along with their family, even while they are
receiving daily treatment in the UCLH Cancer
Centre. This will go a long way to help keep
life as normal as possible during treatment
and help relieve some of the emotional and
financial strain inherent to cancer care.
The young persons’ floor in the
Cancer Centre creates a unique
opportunity to provide care truly
centred around the young person, and
together with the Teenage
Cancer Trust and CLIC
Sargent Paul's House we
will offer a genuine home-
from-home experience for
our patients and their
families.
alison Finch, senior nurse, children and young
people’s cancer services
HaeMatOLOGy
More than 10,000 outpatient appointments and 7,000 daycare treatments take place
at the Trust’s haematology unit each year. The Cancer Centre will provide the first
purpose-built facilities to support our work on leukaemia, myeloma, bone marrow
transplant, and other aspects of clinical haematology.
The current facilities (in the Rosenheim Wing)
were not constructed for modern practice and
whilst we offer an excellent clinical service, the
new environment will be a huge step forward
for haematological care at UCLH.
The Trust already provides a service to
patients from across north London. The new
department will be significantly bigger allowing
us to continue to support patients’ complex
care needs. We currently provide outreach
care at other units and plan to continue and
expand upon this service.
Multi-disciplinary team Centre
The fourth floor will also be home to the Multi-
Disciplinary Team Centre providing a hub for
a wider network of care. The Centre will
include a conference room with video-link
facilities and seminar rooms.
Although our teams already undertake video
conferences with hospitals across north
central London and the south of England, the
new facilities will enable this to become the
norm, allowing professionals to share
knowledge and expertise and work together
across hospital sites to ensure the best
possible care for our patients.
The facilities will also allow us to strengthen
our links with international departments and
experts.
HeaLING GaRdeN
The healing garden on the fifth floor of the Centre will provide a peaceful and
tranquil space. This space is for patients, their carers and staff and is a place where
people can relax, reflect and enjoy the unique environment, away from the clinical
activities that are taking place in the rest of the building.
The garden will be
one of many focal
areas for art within
the Cancer Centre.
We are fundraising to
ensure we have art
throughout the
building, to enhance the built environment and
maximise its positive effect on patients, visitors
and staff.
Recent evidence shows that art in healthcare
environments has many positive effects on
patients, including:
Reduction of stress
Reduction of depression and anxiety
Reduced blood pressure
Reduced pain intensity
Reduced need for medication
Improved mental health
Each detail of our patients’ care and
experience is important to us. Through new
design ideas or through new partnerships we
want this facility to set the new standard for
NHS care of cancer.
The arts programme at UCLH is
vibrant, diverse and engages fully
with all stakeholders. The numerical
data demonstrates that there are high
levels of engagement with the
programme. Stakeholders report that
they find the programme a source
of interest, enjoyment and
relaxation.
Independent evaluation conducted by the
University of Lancashire, 2008
OUR PaRtNeRS
This is a highly ambitious development – we want to put the UCLH cancer centre on
the map as one of Europe’s leading centres for the treatment of cancer. Our
partners are a vital source of support in working with us to achieve this ambition.
UCLH CHaRItabLe FOUNdatION
Help us to build a better future for cancer patients
One in three people are affected by cancer.
Every day lives are changed forever by this
disease, which indiscriminately alters the
futures of people everywhere.
Inspired by America’s cancer day-care centres
which focus on an individualised and holistic
approach to treatment of cancer patients,
UCLH is building one of the top cancer centres
in Europe to make the highest standard of
cancer care available to all our patients.
This cancer centre which will open in 2012, will
be a state-of-the-art building, with each floor
designed around the needs of patients with
different cancers, including dedicated facilities
for teenage cancers, women’s health and
men’s cancers.
The cancer centre will be linked with the UCL
Cancer Institute which is situated directly
opposite the site, encouraging un-chartered
opportunity for close collaboration between
these two prestigious institutions. Together
they will form a centre of excellence for cancer.
Changing the shape of cancer patients’ futures
comes at a price – the cancer centre is costing
£100 million to design, build and equip. The
NHS trust has asked UCLH Charitable
Foundation to raise £30 million towards the
costs for the cancer centre.
There are many ways in which you can support
this project. From biking from London to Paris
or running a half marathon, organising your
own fundraising event or simply making a
donation, you can make a lasting difference to
the future of cancer patients.
For more information about events, to discuss
your fundraising idea, or to make a debit or
credit card donation, please contact the UCLH
Charitable Foundation Office on 0207 380
9558. If you wish to make a donation online
please go to www.cancercentreuclh.org, or if
you wish to send in a donation please make
your cheque payable to ‘UCLH Charitable
Foundation’ and send it to UCLH Charitable
Foundation, 3rd Floor East, 250 Euston Road,
London, NW1 2PG.
20122010
Thank you for your support.
teeNaGe CaNCeR tRUSt
Teenage Cancer Trust knows what young people need to fight cancer
We know how damaging it is to take a young
person away from their everyday life, their
friends, their environment, their family and put
them in a cancer ward with small children or
older people.
Young people have a much better chance in
their fight against cancer if they are treated by
teenage cancer experts, with other young
people, in an environment tailored to their
needs. So we’re working every day to make
that happen by building specialist teenage
cancer units in NHS hospitals.
Within the new Cancer Centre, Teenage
Cancer Trust is developing a specialist out-
patients unit for young people. This new unit
will complement the existing Teenage Cancer
Trust in-patient unit at UCLH that has been
supporting young people with cancer since
2005. The new out-patient unit will be an
exceptional facility, featuring the very best in
interior design and technology. It will include:
eight out-patient treatment pods
Nurse’s station
two private
treatment rooms
a large social
area featuring a
family area, cafe,
education zone,
dJ booth and
gaming space
Quiet rooms
did you know?
Every day in the UK, six young people are
told they have cancer
Young people can get some of the most
rare and aggressive forms of cancer. Their
rapidly growing bodies work against them,
enabling the cancer to grow faster. The
emotional upheaval of adolescence can
make a cancer diagnosis even harder to
cope with.
Teenage Cancer Trust units combine an
expert team and the best possible therapy
with the best possible environment for
teenagers and young adults. And by
focusing on quality of life, they can change
a teenager’s outlook and give them the
fight and attitude they need to beat cancer.
To date Teenage Cancer Trust has
developed 16 units across the UK. Sixteen
more are in development and by the end
of 2010, 22 will be operational, supporting
patients and families. Teenage Cancer
Trust aims to build enough units so that
every young person with cancer has
access to support and care they provide.
For further information visit
www.teenagecancertrust.org
or call 020 7612 0370
SKaNSKa
Skanska UK is a
construction
services business
with operations in
building, civil
engineering,
utilities and
infrastructure
services, piling
and ground
engineering, design, mechanical and electrical,
hard and soft FM, PFI/PPP, ceilings and
decorative plasterwork, steel decking and
Communities, which delivers ModernaHus,
Skanska’s low energy MMC residential
solution.
Our business model is to integrate our core
disciplines to deliver project solutions across
our chosen market areas. By integrating all
disciplines and working together with our
clients, our partners and our supply chain, we
make a real difference to the way construction
is delivered.
Backed by the financial strength of our parent,
Skanska AB, we focus totally on our customers
in the UK, understanding their needs. We
combine this with a “can-do” mindset to get it
right first time. By continually improving the
service we offer and delivering on safety,
environment, quality and performance – our
clients see us as the first choice of partner.
Our ability to demonstrate real responsibility to
the people, organisations and environments in
which we work attracts the next generation of
talent who want to make a real difference.
We employ around
5000 staff and
undertake over £1.5
billion of work each
year. All operating
units have
certification to the
management systems
ISO 14001, ISO 9001
and OHSAS 18001
and work strictly in
accordance with the
Skanska Code of
Conduct.
Skanska UK is part of Skanska, Skanska is
one of the world’s leading project development
and construction groups with expertise in
construction, development of commercial and
residential projects and public-private
partnerships. The Group currently has 55,000
employees in selected home markets in
Europe, in the US and Latin America.
Headquartered in Stockholm, Sweden and
listed on the Stockholm Stock Exchange,
Skanska's sales in 2009 totalled £11.4 billion.
HCa
One Centre, One Purpose…
World Class Cancer Care
Leading private healthcare group HCA
International joined forces with UCLH NHS
Foundation Trust in 2006 forming Harley Street
at UCH. Our state-of-the-art private
outpatient’s facilities which will be on the 5th
floor of the new Cancer Centre will support the
extensive inpatient facilities already available
on the 15th floor of UCH.
the new facilities will include:
access to world leading Consultants
extensive Haematology and
Oncology day Care facilities
dedicated young Person’s day
Care Centre
Comprehensive outpatient
facilities