West Herts Redevelopment Overview February 2023

. An important note about our plans and designs West Herts Teaching Hospitals NHS Trust is a Pathfinder trust (in cohort 3) of the national New Hospital Programme (NHP) The NHP s aims are to build 40 new hospitals by 2030 - together with 8 existing schemes, meaning that 48 hospitals across England will be delivered by the end of the decade The pace of redevelopment at our hospitals is set by the pace of the NHP We will continue to seek other sources of funding where we can in order to press on with delivering new and better buildings The designs in this pack may change in line with national guidance and so they should be considered as indicative. 2

2. Future Plans - Scheme Aims Better Buildings We need new and improved hospital facilities urgently our buildings are too old, too cramped and too unreliable to enable us to deliver the best patient care and patient experience. Our new buildings will enable us to be financially, clinically and environmentally sustainable Better Care We need to deliver 21st century care from a 21st century hospital to meet changing population needs and improve patient outcomes. Building on our track record of innovation, we will continuously strive for care excellence and improvement, rather than just move current services into new buildings. Innovation-driven We need to be an innovation-driven, data driven, digitally enabled hospital that is fully integrated with our local health and care system. New technology will help us deliver the best possible evidence-based care when needed, while enabling people to stay well and supported within their own home. 3

Our proposed clinical model (most of which reflects our current ways of working) Watford General Emergency and specialist care Hemel Hempstead Planned medical care St Albans City Planned surgery & cancer Same day emergency care Acute inpatient care Womens & Childrens services Complex / emergency surgery Complex diagnostics Expanded range and volume Enhanced diagnostics One stop clinics Cancer support services Fluoroscopy, MRI, CT Endoscopy Older people s care Anticipatory Care for long term conditions (with partners) One stop clinics New and upgraded imaging (DEXA, MRI, CT) Also: Urgent care Routine outpatient clinics Some maternity services Also: Also: Urgent care Routine outpatient clinics Some maternity services Urgent care Routine outpatient clinics Some maternity services Virtual hospital / robotic surgery / hybrid theatres / LDRP maternity care / AGVs / digital integration / SMART beds / paediatric same-day care / infectious disease ward ICS elective care hub / SPECT CT / one-stop diagnosis pathways Integrated frailty model / multi- disciplinary long-term condition care / community treatment unit Following extensive engagement over many years, our clinical model is agreed 4

Design Approach Repeatable Rooms . Same Day Urgent and Emergency Care Emergency Department Cubicle Women's and Children's Paediatric Single Room Paediatric Ensuite Birthing Room CAMHS Assessment Room Theatres and Intensive Care Anaesthetic Room Operating Theatre Critical Care Room Hybrid Theatre Recovery Bay InpatientWards Bariatric Bedroom Ensuite Bariatric 4 bedded bay Ensuite WC Ensuite Shower and WC Single Bedroom Ensuite for single rooms Isolation Bedroom Anti-room donning/ doffing Clean Utility Dirty Utility Drug Prep Central Staff Base Equipment Store Therapy Room Therapy Store Outpatient Consult Exam Room Treatment Room Minor Procedure Room Reception WC Ambulant WC Assisted Clinical Support CT Scanner Room (128 slice) MRI Scanner Room (1-5T) Control Room MRI X-ray room Ultrasound room Fluoroscopy Room Control Room CT General Staff Rest Room Staff Quiet Lounge MDT Meeting Room Seminar room Interview Room Baby Change Baby Feed Change Cubicle Ambulant Change Cubicle Wheelchair Open Plan Desk Space Facilities Cleaner's Room Disposal Hold >80 % of the new hospital at Watford is based on repeatable rooms 5

Design Approach - Buildability . Site Minimum floor size ( ED, critical care) Vertical & horizontal connectivity (lifts, services, clinical adjacencies) SoA into as drawn design department level SoA into as drawn design vertical stacking Off-site manufacture Standardised layouts (many of the NHP templates originate at West Herts Teaching Hospitals NHS Trust) 6

Proposed new building at Watford General Hospital 7

Design approach building in clinical adjacencies . Clinicians have been at the forefront of our planning, with over 150 planning meetings held to consider co-location, design and the impact of technology. 8

. Hemel Hempstead Hospital Plan 9

Proposed new and refurbished buildings Hemel Hempstead 10

Proposed new and refurbished buildings St Albans City Hospital 11

Subscribe to our newsletter, Blueprint Our monthly newsletter Blueprint is designed to keep local residents, patients and our health and social care partners up-to-date on our hospital redevelopment plans as well as news from across the trust. If you would like to sign up to the newsletter, please email westherts.redevelopment@nhs.ne t You can view previous editions of the newsletter on our website: https://www.westhertshospitals.nhs.uk /about/redevelopment/furtherinforma tion.asp 12