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Kingston Hospital NHS Trust Masterplan July 2010

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Page 1: Kingston Hospital

1

Kin

gsto

n H

ospi

tal N

HS

Tru

st

Masterplan

July 2010

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Introduction

This document proposes the principles for an agreement on the future improvement of Kingston Hospital.

The aim is not to produce a fixed masterplan but a site strategy based upon simple principles that can be developed in more detail as opportunities arise and as developments come forward.

The principles have developed from the Hospital Estate Strategy and four subject areas are covered in this first edition.

The Key Hospital Service BuildingsThe observation that the core hospital functions are predominantly found within buildings in the centre of the site and that it is a good idea to build on this in the future.

Height opportunities and constraintsA massing envelope to provide a strategy for the location of new buildings and the possible height of any new development within the site boundary.

The StreetA strategy for improving way finding and communication around the hospital as a whole. A simple way of transforming the site.

Parking StrategyAn approach to the location and purpose of parking on the site.

The masterplan strategy will be an evolving process and further topics added in the future.

NHS Trust

Royal Borough of Kingston upon Thames

MasterplanK

ings

ton

Hos

pita

l N

HS

Tru

st

Masterplan

May 2010

• EstateStrategy

• FutureStrategy

• KingstonHospital Galsworthy Road Kingston Upon Thames Planning and Urban Design Brief

• ParkingatKingstonHospital Health Overview Panel

• UDP/LDFPolicy

• HealthyTransportPlan

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Page 5: Kingston Hospital

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Hospital Services

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Non-Key Buildings

Non-Key buildings

3Wolverton Centre

22Multi Storey Car Park

15Maple Children’s Centre

16Regent Wing

21Catering Wing

20Creche

13Generator, Works Yard

9Pain Management & Diabetes

N

14Roehampton Wing,

6Davies Wood House

Wolverton Centre

Multi Storey Car Park

Davies Wood House

Maple Children’s Centre

Pain Management and Diabetes

Generator, Works Yard

Roehampton Wing

Regents Wing

Nurses Homes

19Nurses Home

4Averil ResidenceBurley ResidenceCecil ResidenceLaundry

Residences

The Estate Strategy produced a qualitative survey of all thebuildingswithinthehospital.Fromthisbuildingswereidentified as either nonessential, under performing or in need of major investment.

Key

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Key Buildings

7A&E Wing

19Nurses Home

2Kingston Surgical Unit

17Out Patients Wing

10Bernard Meade Wing Paediatric/Pathology

8Maternity/SDU

18Esher Wing

5Boiler House

N

1Sir William Rous Unit

11Princess Alexandra Wing

Esher Wing

Princess Alexandra Wing

A and E Wing

Maternity /SDU

Boiler House

Wolverton Centre

Sir William Rous Unit

Kingston Surgical Unit

12Mortuary

Key buildings

Key

This diagram shows the buildings that form the core functions of the Hospital.

By this process the key buildings were identified.

In the Estates Strategy these buildings were called ‘core’ buildings but to avoid confusion with the ‘core’ area of the site we are calling these key buildings.

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Key buildings

Non Key buildings

Peripheral Sites

Services StrategyThe Core and the Periphery

The identification of Key buildings has helped define a future strategy whereby the site has a Core area consisting of the majority of the Key hospital buildings and a periphery that contains the majority of the Non Key buildings.

This principle enables us to develop a strategy that provides the most efficient use of the site in terms of capacity and massing and allows the closest and strongest possible connections to be made between clinical services.

N

Toward Norbiton Station

Coom

be Road

Galsworthy Road

Coom

be Road

Kingston Hill

Kingston Hill

Key

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Services StrategyEstates Strategy 5 Year Plan

The Trust’s Estate Strategy includes a 5 year plan for capital and revenue expenditure. This is updated annually.

The Strategy adopted in March 2010 focuses resources primarily on investment in maintenance and improvements in the existing hospital buildings.

Only one service proposal is identified which could involve a new building proposal and this would be an extension to Maternity to resolve the current overcrowding and future growth in the service.

The Estates Strategy notes a potential opportunity for this to take place on the adjoining site currently occupied by the Creche and Consultants Car Parking.

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Building Envelope

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FutureCapacityPeriphery Capacity

The periphery of the hospital currently contains parking servicing landscaping and residential accommodation. No ‘key’ buildings are found here.

As this is the area that adjoins the neighbouring residential area it is the part of the site where building size and use is most constrained by the context of the site.

The future strategy recognises that any redevelopment of this area should be sympathetic to the surrounding context and would be unlikely to exceed the heights of the surrounding buildings.

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Peripheral Capacity

FutureCapacityNotional Core Capacity

Existing Core Heights

The core area of the site has potential for higher massing because it is less constrained by the surrounding context.

Maximum potential height (Determined by the Esher Wing)

Peripheral Development on constrained land

Existing hospital development

This diagram shows a summary of the notional capacity and massing for the hospital site.

Peripheral sites may be constrained to the height of the surrounding residential buildings.

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FutureStrategy

Whilst the peripheral areas of the hospital are constrained by the surrounding context, the internal ‘Core’ areas are less constrained. Buildings in this area could achieve a similar height to Esher Wing and would allow for the density of services to be increased and greater opportunitiesforcloserlinksbetweenservices.Lowdensity buildings in this area could be wasteful.

N

Coom

be Road

Galsworthy Road Coom

be Road

Kingston Hill

Kingston Hill

Peripheral Sites - Constrained by the surrounding context.

Core area - Potential for height - fewer constraints.

Landscaped Space

Key

- Maintain and enhance existing Landscaping surrounding the hospital

Garden Area - Maintain and enhance existing Garden Area along Kingston Hill

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The Street

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Existing Movement

N

It is agreed that there would be major benefits for everybody who uses the hospital if we were to be able to improve access and way finding around the hospital.

A review of the site has suggested that we could work towards the creation of a new ‘street’ which would run right through the very middle of the hospital.

As the following diagrams show, the creation of a central route would help to improve routes to all buildings as existing routes could be connected to it.

The opportunity for a new ‘Street’ arises because there is an almost completely straight and building free route through the site today. Only the temporary Roehampton Wing is in the way.

This image shows the existing ad hoc movement of people throughout the site.

Improving Circulation

This image shows the hospital looking south from Kingston Hill. Highlighted in red is the temporary Roehampton Wing.

By removing the Roehampton Wing from this view the opportunity for the street becomes apparent.

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A New StreetThe Street

The development of an Estate Strategy has highlighted the opportunity for a new street which could provide a single route by which the majority of the hospital can be accessed.

The street is not envisaged as a route for vehicles.

Toward Norbiton

Station

N

Galsworthy Road

Coom

be Road

Kingston Hill

Kingston Hill

Bus Stop

Bus Stop

Bus StopBus Stop

Bus Stop

Bus Stop

Bus Stop

Pedestrian/Cycle Access

Pedestrian/Cycle Access

Pedestrian / Cycle Routes

Key

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The new street would encourage better use of the garden at the Kingston Hill frontage of the hospital. It could be an amenity garden used by patients, visitors and staff but at present it is difficult to find and access.

In the future it could be found very easily at the end of the street and signposted accordingly.

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Strategy: A New Street

The key to the creation of the street would be to agree that it is a desirable objective and to ensure that no new structures are built in its path.

The Estates Strategy supports this proposal.

The creation of the street could take place incrementally with the development of sites adjoining its route such as the redevelopment of Roehampton Wing and the Catering Block.

N

Toward Norbiton Station

Coom

be Road

Galsworthy Road

Coom

be Road

Kingston Hill

Kingston Hill

Bus Stop

Bus Stop

Bus StopBus Stop

Bus Stop

Bus Stop

Bus Stop

Kingston Hill Garden Area

Kingston Hill Garden Area

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Parking Strategy

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Parking Management

The management of parking at the Hospital is a multi-faceted task.

The diagram to the right shows how the existing spaces are being managed to alter the balance between staff and visitors to increase those available for visitors and patients. It also shows how Healthy Transport Planning initiatives are influencing the overall balance between cars and public transport. These are long term initiatives that have been underway for some time and are yielding results.

At the same time hospital services are expanding and demand to travel to the hospital is increasing and may be expected to continue to do so.

This growth, together with the fact that surveys show that many visitors are currently using local streets for parking, combine to create significant problems from an inadequate parking capacity on site.

Finallywehaveanopportunitytorationalise the ad hoc arrangement of parking across the site to improve its function and the relationship with the surrounding streets. This last topic is the main focus of this document.

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Parking Management

Patient Demand

Sta

ffV

isito

rs

Now Initiatives Taken Initiatives Result Future

75% of Spaces

25% of Spaces

Parking Contract Review

Healthy Transport Plan

Largefallinthenumberofpermits being issued. Staff passes have been reduced by around 50%, from well over 2,440 in 2002 to around 1400 by 2009

50% of Spaces

50% of Spaces

Now Expansion Areas Future

Pat

ient

s MaternityFacilities

Norbiton Station

Coom

be Road

Galsworthy Road

Coom

be Road

Kingston Hill

Kingston Hill

Disabled/Drop off/Bus

Car Park

Car Park

Bus Stop

Bus Stop

Bus Stop Bus Stop

Bus Stop

Bus Stop

Bus Stop

Pedestrian/Cycle Access

Pedestrian/Cycle Access

Diagnosis Services

ElectiveFacilitiesEmergencyFacilities

Residencies:

Multi-Storey:

Galsworthy Road 1:

Galsworthy Road 2:Goods Yard:

Generator:

Coombe Road:

Maternity:

MasterplanNow Parking StrategySite Strategy

Parking CapacityNow

Spa

ces

800 on site

Future

Review Parking Policy

400 off site?

The Street

Maintain essential on site requirement

Possible off site restriction reduced capacity

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Existing Parking

Car parking is currently provided by a series of ad hoc parkinglocations.Theseareservedbysixentrance/exitpoint, from around all four sides of the hospital.

The existing parking arrangement is insufficient for the parking requirements of the hospital and currently 29% of all staff parking for the hospital is located off site in the surrounding streets.

Galsworthy Road

Kingston Hill

Wolverton Avenue

Coom

be Road

Staff:265 Spaces

Staff:37 Spaces

Public:54Spaces

Public:101 Spaces

Staff:18 Spaces Staff:36

Spaces

Staff:36 Spaces

Staff:37 Spaces

Staff:45 Spaces

Public:50 Spaces

Staff:8 Spaces

Staff:16 Spaces

245 cars, (29%) of all Staff parking is off siteOdyssey Travel Survey 9th March 2010

245 cars, (29%) of all Staff parking is off siteOdyssey Travel Survey 9th March 2010

805 Spaces within the hospitals boundaryOdyssey Travel Survey 9th March 2010

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Existing EntrancesExisting Entrances

Galsworthy Road

Kingston Hill

Wolverton Avenue

Coom

be Road

1.2.

3.

4.5.

6.

1. Galsworthy Road Main Entrance and Exit point for visitors to the hospital site.

2. Galsworthy Road Entrance, this is an extra entrance point providing relief for the main entry point into the hospital (1).

3. Entrance from Coombe Road mainly utilised by staff for surface parking located to the South of the site.

4. Entrance and Exit from Wolverton Avenue. This is used by staff only for surface parking to the west of the site.

5. Traffic light controlled junction providing access for staff to the multi storey car park to the north of the site.

6. Ambulance only entrance from Galsworthy Road to the A&E wing.

The existing arrangement of parking within the site is hard to navigate, creating a backup of cars which often tails out onto Galsworthy Road, creating traffic problems for local residents.

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Parking StrategyParking Anchors

New parking areas could feed onto this street providing easy access to all the hospitals facilities.

1. A+E vehicular entrance

2.Dropoff/Disabled/TaxipointfromGalsworthyRoad

3. Car park entrance off Kingston Hill

4. Car park entrance off Coombe Road

Galsworthy Road

Kingston Hill

Wolverton Avenue

Coom

be Road

Car Park

DropPoint/Disabled/Bus

2

4

3

Car Park

No Parking

1

Bus Stop

Bus Stop

Bus StopBus Stop

Bus Stop

Bus Stop

Bus Stop

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Masterplan Strategy

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Masterplan Strategy

N

Toward Norbiton Station

Coom

be Road

Galsworthy Road

Coom

be Road

Kingston Hill

Kingston Hill

N

Toward Norbiton StationC

oombe R

oad

Galsworthy Road Coom

be Road

Kingston Hill

Kingston Hill

Car Park

DropPoint/Disabled/Bus

2

4

3

Car Park

No Parking

1

N

Toward Norbiton Station

Coom

be Road

Galsworthy Road Coom

be Road

Kingston Hill

Kingston Hill

Parking Strategy - Parking ProvisionThe Street - Way finding

FutureStrategy-BuildingEnvelopeServices Strategy - Key Buildings

N

Toward Norbiton Station

Coom

be Road

Galsworthy Road Coom

be Road

Kingston Hill

Kingston Hill

Parking Strategy - Parking Provision

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Masterplan Strategy

This conceptual diagram shows the combination of the strategies and the interaction between them. The development of this masterplan creates a legible, more efficient use of space, providing a clear approach to the future development on the hospital site.

Norbiton Station

Coom

be Road

Galsworthy Road

Coom

be Road

Kingston Hill

Kingston Hill

N

LandscapedSpace

Peripheral Area

Core Area with existing building

Core Area for possible redevelopment

The Street

New connections to the street

Car Parking

Vehicular Entrances

Core Area

A&E Only

Disabled/Drop off/Bus

Car Park

Car ParkThe Street

Bus Stop

Bus Stop

Bus Stop Bus Stop

Bus Stop

Bus Stop

Bus Stop

Pedestrian/Cycle Access

Pedestrian/Cycle Access Kingston Hill Garden Area