英国Jean Bishop综合护理中心
The Jean Bishop Integrated Care Centre / Medical Architecture

由专筑网王沛儒，李韧编译

来自建筑事务所的描述。开创性的Jean Bishop综合护理中心 于2018年夏季开业，这是一种新型的国家卫生服务新级别设施，该设施旨在满足日益增长的老龄化人口中无需住院的服务需求。

Text description provided by the architects. The pioneering Jean Bishop Integrated Care Centre, opened summer 2018, is the first of a new class of National Health Service facilities designed to cater for the needs of an increasingly elderly population without the recourse to hospital admission.



在过去的十年里，英国国家医疗服务体系（NHS）面临着根本性的挑战。随着需求增加，资金受到限制，特别是对患有复杂和慢性疾病的老年人的治疗。医院正在为许多老年病人提供长期住院服务，但实际上他们可以在自己的家中得到更好的修养。

The last decade has seen fundamental challenges to the NHS. Funding has been constrained while demand has increased, particularly for the treatment of older people with complex and continuing illnesses. Hospitals are accommodating many elderly patients on a long term basis who could be better served by being supported in their own homes.



NHS Hull临床调试小组决定通过规划一种全新的卫生服务方式来改变这种昂贵和低效的状况。综合保健汇集了一系列专业知识，为卫生、保健和支助需求提供更全面的方法。2013年，CCG接洽了Citycare和Medical Architecture，帮助他们规划和开发了全新的综合护理医疗中心。

The NHS Hull Clinical Commissioning Group resolved to transform this costly and inefficient situation by planning an entirely new way of delivering health services. Integrated care brings together a range of specialities to provide a more holistic approach to health, care and support needs. In 2013, the CCG approached, Citycare and Medical Architecture to help them plan and develop a new Integrated Care Centre.









Hull是英国的文化之城，自20世纪60年代以来一直处于经济衰退的状态，而Hull东部的Southcoates是特别贫困的地区。2012年，David Lister学校关闭，市议会决定将这块地应用于混合开发的住宅和社会基础设施项目，其中包括这座护理中心。

除了NHS的服务外，该综合体还为Humberside消防救援中心配备了全新的消防站，同时会为滑倒和摔倒的病人提供服务。多机构规划的结果是一个具有里程碑意义的公共产业的再生。

Hull, the UK City of Culture in 2017, had been in economic decline since the 1960s and Southcoates in east Hull is an area of particular deprivation. The David Lister School had closed in 2012 and the City Council decided to gift the site for a mixed development of housing and social infrastructure, including the care centre.
As well as NHS services, the complex incorporates a new fire station for Humberside Fire & Rescue, who also cater for patients who slip and fall. The outcome of the multi-agency planning is a piece of landmark public estate regeneration.



医疗建筑面临的挑战是在一个困难的经济环境中开发一座新建筑，在这个环境中，规划和成本方面尚不存在先例。所以项目需要进行快速的场景规划和测试周期，确保该建筑的功能,同时检验它是否具有可行性。

The challenge faced by Medical Architecture was to develop a building in a difficult economic climate where precedents in terms of planning and cost did not yet exist. This led to a rapid cycle of scenario planning and testing to make sure the building was functional and affordable.



通过组织在低层建筑的中心欢迎点，所有的临床和支持功能都环绕于附近。该设计的治疗性和非体制性的特点显而易见，使用者可以看到花园、日光和舒适方便的等候空间。

By organising the welcoming point at the heart of the low-rise building, all the clinical and support functions are nearby and accessible. The therapeutic and non-institutional character of the design is immediately apparent with views of gardens, daylight and comfortable and convenient waiting spaces.



治疗和公共空间的一些区域让使用者具有安全感。这是患者、工作人员和来访者从诊断到治疗体验核心部分。

The planning logic of interspersing the clinical and public spaces is intended to foster a sense of reassurance and wellbeing. This is central to the experience of patients, staff and visitors in their journey from diagnosis to treatment and therapy.





项目的预算十分有限，因此建筑师构思了现代的风格体系，使用有限的材料和组件，使得建筑看起来更加清新。亮黄色的窗户吸引眼球，传达出线性形式中的结构和秩序感。宽敞的公共空间分隔了交通，并有着林荫大道和花园空间，鼓励使用者的交流与互动。

Working within a constrained budget the design is contemporary and uses a limited palette of materials and components. Features such as the bright yellow oriel windows draw the eye and communicate a sense of structure and order within the linear form. The generous public realm segregates traffic and provides a boulevard and garden spaces which encourage mobility.





医院需要很好地处理病人与医护人员之间的关系，以及患者的治疗，但它们不太适合对日益老龄化的人群进行复杂和持续的护理。国民健康保险制度中有广泛的共识，那就是需要一种全新的基础设施，而Jean Bishop综合医疗中心将会代表这一趋势。

Acute hospitals can usually deal well with trauma and specialist episodic treatment, but they are poorly suited for complex and continuing care of an increasingly elderly population. There is a broad consensus in the NHS that a new class of infrastructure is needed, and the Jean Bishop Integrated Care Centre may set that new direction.























建筑设计：Medical建筑师事务所
地点：英国，英格兰
项目类别：医疗设施
承包商：Sewell
工程设计：GGP Consult
执行工程：Anderson Green
景观设计：One Environments
客户：Citycare
成本顾问：Currie & Brown
面积：2761.0平方米
项目年份：2018年
摄影：Jill Tate
制造商：Altro, Schindler, Parex-Group, Technal, Trespa, Wienerberger, Siniat

Architects: Medical Architecture
Location: Hull, East Yorkshire, England, United Kingdom
Category: Medical Facilities
Contractor: Sewell
Engineer: GGP Consult
Services Engineer: Anderson Green
Landscape Architect: One Environments
Clients: Citycare
Cost Consultant: Currie & Brown
Area: 2761.0m2
Project Year: 2018
Photographs: Jill Tate
Manufacturers: Altro, Schindler, Parex-Group, Technal, Trespa, Wienerberger, Siniat