July 08
Royal Devon & Exeter Foundation Trust Emergency Care Strategic Outline Case
Appendix A: Map showing site locations and site plans
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A B C D E F G H J K
Wonford Site Plan
A&E
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Royal Devon and Exeter NHS Foundation TrustSOC for Emergency Care Services
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July 08
Royal Devon & Exeter Foundation Trust Emergency Care Strategic Outline Case
Appendix B: Schedule of Accommodation
Version 3 Royal Devon and Exeter NHS Foundation Trust
SOC for Emergency Care Services 07038
Emergency Hub
1 Version Control2 Notes & Assumptions3 Project Summary4 Departmental Summary5 Base Schedule: Emergency Hub15 Standard Rooms16 Circulation & On Costs17 Existing Facilities
Document AuthorStrategic Healthcare Planning
Document CompilerHuw Lambert
Document OwnerHuw Lambert
Contents
Schedule of Accommodation
VERSION CONTROLROYAL DEVON AND EXETER NHS FOUNDATION TRUST
Developing a SOC for Emergency Care Services
Date No. Issued to RevisionBuilding
Gross (sqm)Impact of Change from Previous Version
Benchmark Gross (sqm)
Author Q/A
1 Version 1 created from a number of briefing Trust papers. 4,562.35
Benchmark taken as the combined gross departmental area of existing ED, CDU and MAU at 2,360 with the same whole hospital grossing factors as the SoA applied for plant and communication
3,000.00
Gross Hospital Area is 1562.35sqm over the Benchmark
2Version 2 updated following Workshop 19th December 2008. Main changes combine CDU with SAU/MAU and added consumerism and en suites
4,852.17 increases area by 289.8sqm
Gross Hospital Area is 1852.17sqm over the Benchmark
3Version 3 updated to reflect concerns raised at non-financial appraisal workshop 14th February 2008 and subsequent Trust review 10th March 2008
4,979.51 increases area by 127.3sqm
Gross Hospital Area is 1979.51sqm over the Benchmark
Area ApprovalsRevision
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NOTES ASSUMPTIONSROYAL DEVON AND EXETER NHS FOUNDATION TRUST
Developing a SOC for Emergency Care Services
Notes
Document Author
Document Compiler
Document Owner
N001 General
N002 Colours
Linked Cells Cells derived from other parts of the Workbook
Reference Cells Cells used to populate other parts of the Workbook
Estimates Temporary or Estimated Value
Bespoke Rooms Bespoke Rooms as described within the Clinical Output Specification
Standard Rooms Standard Rooms utilised throughout the Project
SPV Rooms Room to be both "owned and operated" by the Private Sector
Existing Room Existing facility to be retained
Reduced Space Indicates a smaller number/size than in previous version
Increased Space Indicates a larger number/size than in previous version
Assumptions
ActivityNo dedicated provision within the Emergency Hub other than front door portal/super triage assessment for: Pre reported myocardial infarction, Obstetrics, Paediatrics, Gynaecology, Oncology, Renal, Ophthalmology, T&O
Standards"E" in the comments column
An existing space standard (E) has been used where it is deemed to be within reasonable toleranceas compared with current HBN recommendations;
Standards"E" in the comments column
A revised space standard has NOT been used where an existing space is deemed to fall outside areasonable tolerance compared with current HBN recommendations. In this case the appropriateHBN space allowance has been used instead. The existing space (E) is indicated either in thecomments column or on a separate row for comparison but hatched and zeroed in the quantumcolumn;
StandardsHBN 22 has been used for reference generally. Derogations from HBN 22 to be considered andagreed - see separate discussion paper;
Standards
HBN 22 cross-refers to HBN 4 for application to bedded areas, however, due to the limited length ofstay SHP has suggested a reduced level of ‘bedroom family and clinical support’ accommodation.These and other derogations from HBN 4 to be considered and agreed - see separate discussionpaper
StandardsHBN 22 recommendations for 90,000 attendances has been used based on Trust reported activity of between 200-300 admissions per day. In particular this has determined the number of resus bays
Colours have been used consistently within worksheets to both identify linked cells and highlight bespoke and generic rooms
This Workbook has been developed by SHP as an integrated suite of linked Worksheets and must be viewed as a co-ordinated product. Consequently the Version Control is attributed to the Workbook as a whole and not individual worksheets
Date of Endorsement
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NOTES ASSUMPTIONSROYAL DEVON AND EXETER NHS FOUNDATION TRUST
Developing a SOC for Emergency Care Services
On cost Opportunity for new dedicated theatre lift to be considered (not scheduled)
Op Policy No overnight accommodation for relatives
QualityShort LOS in CDU/SAU/MAU may justify bedrooms with no natural light and mechanical ventilation - consideration could be given to alternative 'feel good' quality provisions
Activity This schedule makes no additional spatial provision for any outpatient clinics
Issues The following clarifications are required
Op Policy Check if pathology samples are portered or conveyed by some other system such as pneumatic tube
Op Policy Is separate phlebotomy space required within Super Triage
StandardsThe schedule assumes single rooms having solid partitions, alternative, more flexible space dividers have not been considered
Op Policy Catering policy to be clarified, especially for night shift
Standards Further information on clerical staff requirements is anticipated
Op Policy Preferred pharmacy service configuration to be confirmed
A001 Switchgear
A002Engineering Allowance
A003 Plant Allowance
A004 Exiting Facilities
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DEPARTMENTAL SUMMARYROYAL DEVON AND EXETER NHS FOUNDATION TRUST
Developing a SOC for Emergency Care Services
Functional Zone Version 2 Version 3 Notes
Emergency Hub 3944.85 4048.38
Blank 2 Worksheet not used
Blank 3 Worksheet not used
Sum of Gross Departmental Areas
3944.85 4048.38
Plant 11.00% 433.93 445.32
Communication 12.00% 473.38 485.81
Gross Internal Area 4,852.17 4,979.51
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BASE SCHEDULE: Emergency HubROYAL DEVON AND EXETER NHS FOUNDATION TRUST
Developing a SOC for Emergency Care Services
Strategic Content Proposed Function CommentsProposed Unit Area (sqm)
QuantumTotal Area (sqm)
Sub Totals (sqm)
Date Raised ByDescription/Reason for Change
Approved By
Effect of Change on Area from previous version
Portal Ambulance bay, 2: External E 0.00 0 0.00 0.00
Ambulance bay, 4: ExternalTrust to confirm numbers and turn around arrangements 0.00
0 0.00 0.00
Walk in lobby E 12.00 1 12.00 0.00Ambulance lobby 12.00 1 12.00 0.00
Admissions reception, clerking and records
E. Check functionality / use of area labelled "S/H/R" with Trust 47.00
1 47.00 0.00
Wheelchair bay, 2 chair and 2 trolley
E12.00
1 12.00 0.00
Public telephone 1.50 1 1.50 0.00Public telephone - wheelchair accessible 2.00
1 2.00 0.00
Drinks dispenser 0.50 1 0.50 0.00Vending machine(s) 3.00 1 3.00 0.00Security base E 8.00 1 8.00 0.00
Shared Resources OfficeE. Check functionality / use with Trust 24.50
1 24.50 0.00
Care StoreE. Check functionality / use with Trust 5.50
1 5.50 0.00
Porter's Store E 6.50 1 6.50 0.00Major Incident Store E 6.50 1 6.50 0.00Decontamination, pass-through lobby
E6.50
1 6.50 0.00
Decontamination External provisions TBC 0.00 1 0.00 0.000.00 0 0.00 0.00
Sub Total (Net) 147.50
Super TriageWaiting Area: 40 places incl. 4 wheelchair places
E. Existing area is 61 sq m66.00
1 66.00 0.00
Counselling/Consulting / Interview room
E. Based on existing 'see & treat' pass through room configuration 9.00
6 54.00 0.00
C/E room - double sided access
Although described as rooms, these spaces may become cubicles; subject to design development 16.50
3 49.50 49.50
Version 3 Change ControlEmergency Hub
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BASE SCHEDULE: Emergency HubROYAL DEVON AND EXETER NHS FOUNDATION TRUST
Developing a SOC for Emergency Care Services
Strategic Content Proposed Function CommentsProposed Unit Area (sqm)
QuantumTotal Area (sqm)
Sub Totals (sqm)
Date Raised ByDescription/Reason for Change
Approved By
Effect of Change on Area from previous version
Version 3 Change ControlEmergency Hub
Children's play & wait: 10 places
E18.00
1 18.00 0.00
Treatment / Examination, Paediatric
E. Pass through: Shared with Minors 11.00
0.5 5.50 0.00
Nappy change Existing area is 2.5 sq m 4.00 1 4.00 0.00WC - Independent wheelchair user 5.00
1 5.00 0.00
WC Male Ambulant E 6.50 1 6.50 0.00WC Female Ambulant E 6.50 1 6.50 0.00
0.00 0 0.00 0.00Sub Total (Net) 215.00
Walk in Centre Reception, 1 position E 7.00 1 7.00 0.00Security lobby E 5.00 1 5.00 0.00Waiting Area: 15 places incl. 1 wheelchair place
E. Existing area is 22 sq m24.00
1 24.00 0.00
Children's play & wait: 3 places
E. Existing area is 4 sq m8.00
1 8.00 0.00
O O H Doctor E 20.00 1 20.00 0.00
C/E - single sided accessE. Based on existing Consult rooms 13.00
3 39.00 0.00
Treatment room, with prepExisting Exam / Treat area room 13.5 16.50
3 49.50 0.00
Dirty utility - outpatient 12.00 1 12.00 0.00Sluice E 4.50 0 0.00 0.00Store: small E 6.00 1 6.00 0.00WC - Ambulant E 3.00 2 6.00 0.00WC - Independent wheelchair user
E. Also used by staff5.00
1 5.00 0.00
0.00 0 0.00 0.00Sub Total (Net) 181.50
Minors Treatment room, with prep 16.50 6 99.00 0.00Examination / Treatment E 10.00 0 0.00 0.00Preparation / Sterile Supplies E 18.50 1 18.50 0.00Sub Wait (X-ray Return) E 5.50 1 5.50 0.00Treatment / Examination, Paediatric
E. Pass through: Shared with Super Triage 11.00
0.5 5.50 0.00
Treatment / Examination E. Closed room 8.00 0 0.00 0.00
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BASE SCHEDULE: Emergency HubROYAL DEVON AND EXETER NHS FOUNDATION TRUST
Developing a SOC for Emergency Care Services
Strategic Content Proposed Function CommentsProposed Unit Area (sqm)
QuantumTotal Area (sqm)
Sub Totals (sqm)
Date Raised ByDescription/Reason for Change
Approved By
Effect of Change on Area from previous version
Version 3 Change ControlEmergency Hub
Examination room 9.00 2 18.00 0.00
Interview, 5 personsHBN 22 Social care & distressed / disturbed persons 11.00
1 11.00 0.00
Treatment / Examination, Ophthalmology/ENT
E16.50
1 16.50 0.00
Staff Base and Clerking E 14.50 1 14.50 0.00Clean utility - outpatient Existing area is 10.4 sq m 14.00 1 14.00 0.00Dirty Utility E 10.00 1 10.00 0.00
Disposal E. Existing pass thro from utility; review operational policy 1.00
1 1.00 0.00
0.00 0 0.00 0.00Sub Total (Net) 213.50
Majors Treatment room, with prep 16.50 8 132.00 0.00Treatment / Observation E 9.50 0 0.00 0.00Examination room 9.00 4 36.00 0.00Nurse Base / Clean Supply E 11.00 1 11.00 0.00Drug / Alcohol / Recovery E 9.50 1 9.50 0.00Assisted bathroom/WC/WHB 16.00 1 16.00 0.00Assisted Bath/Specimen WC E 8.00 0 0.00 0.00Dirty utility - outpatient Shared with Resus 12.00 0.5 6.00 0.00
0.00 0 0.00 0.00Sub Total (Net) 210.50
Resus Resuscitation, 3 bayExisting including mobile X-ray machine bay 71.00
0 0.00 0.00
Mobile X-ray machine bay 5.00 1 5.00 0.00Resuscitation, 5 bay 143.00 1 143.00 0.00Dirty utility - outpatient Shared with Majors 12.00 0.5 6.00 0.00
Disposal E. Existing pass thro from utility; review operational policy 1.00
1 1.00 0.00
0.00 0 0.00 0.00Sub Total (Net) 155.00
CDU/SAU/MAU 48 Bed Unit 0.008 bedded room including nurse base
E93.50
0 0.00 0.00
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BASE SCHEDULE: Emergency HubROYAL DEVON AND EXETER NHS FOUNDATION TRUST
Developing a SOC for Emergency Care Services
Strategic Content Proposed Function CommentsProposed Unit Area (sqm)
QuantumTotal Area (sqm)
Sub Totals (sqm)
Date Raised ByDescription/Reason for Change
Approved By
Effect of Change on Area from previous version
Version 3 Change ControlEmergency Hub
WCE. Included in SAU/MAU below 3.50
0 0.00 0.00
Dirty Utility E 5.00 0 0.00 0.00Clean Utility E 5.00 0 0.00 0.00Office E 6.50 0 0.00 0.00Office E 6.50 0 0.00 0.00Office E 6.50 0 0.00 0.00Office E 6.50 0 0.00 0.004 bedded room - acute CDU 61.00 2 122.00 0.00En Suite - Assisted Shower/WC/WHB 4.50
2 9.00 0.00
En Suite - Assisted WC/WHB 4.50 2 9.00 0.00Staff Base: 2 staff - inpatient Included in SAU/MAU below 4.00 0 0.00 0.00Assisted bathroom/WC/WHB Included in SAU/MAU below 16.00 0 0.00 0.00WC - Assisted Included in SAU/MAU below 3.50 0 0.00 0.00Clean utility - outpatient Included in SAU/MAU below 14.00 0 0.00 0.00Dirty utility - outpatient Included in SAU/MAU below 12.00 0 0.00 0.00
Office - Single personIs co-location with CDU essential or historical? 9.00
4 36.00 0.00
0.00 0 0.00 0.004 bedded room - acute SAU/MAU 61.00 2 122.00 0.00En Suite - Assisted Shower/WC/WHB 4.50
2 9.00 0.00
En Suite - Assisted WC/WHB 4.50 2 9.00 0.00En Suite - Assisted Shower/WHB 4.50
0 0.00 0.00
Single bedroom - acute with overnight 19.00
0 0.00 0.00
En Suite - Assisted Shower/WC/WHB 4.50
0 0.00 0.00
Single bedroom - acute (basic) 16.00
32 512.00 0.00
Bedroom family and clinical support areas 3.00
0 0.00 0.00
En Suite - Assisted Shower/WC/WHB 4.50
32 144.00 0.00
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BASE SCHEDULE: Emergency HubROYAL DEVON AND EXETER NHS FOUNDATION TRUST
Developing a SOC for Emergency Care Services
Strategic Content Proposed Function CommentsProposed Unit Area (sqm)
QuantumTotal Area (sqm)
Sub Totals (sqm)
Date Raised ByDescription/Reason for Change
Approved By
Effect of Change on Area from previous version
Version 3 Change ControlEmergency Hub
Staff Base: 2 staff - inpatientAssumes a basic 1 per 12 bed nursing section 4.00
4 16.00 0.00
Resuscitation trolley bay 1.00 2 2.00 0.00
Office - Psychologist / Interview
Available for meetings16.00
1 16.00 0.00
Quiet room 10.00 1 10.00 0.00Waiting Area: 10 places incl. 2 wheelchair places 18.00
1 18.00 18.00
Reception, 1 position 6.00 1 6.00 6.00WC - Staff Ambulant 2.00 2 4.00 0.00Staff changing, with cubicle & handwash: 10 places 14.00
1 14.00 0.00
WC - Assisted 4.50 2 9.00 0.00
Assisted bathroom/WC/WHBShared with CDU subject to X infection control 16.00
1 16.00 0.00
WC - Independent wheelchair user
Shared with CDU subject to X infection control 3.50
0 0.00 0.00
Clean utility - inpatientShared with CDU subject to X infection control 14.00
2 28.00 0.00
Dirty utility - inpatientShared with CDU subject to X infection control 9.00
2 18.00 0.00
Linen trolley parking bay 2.50 1 2.50 0.00Mobile equipment bay 5.00 2 10.00 0.00Pantry: ward 12.00 1 12.00 0.00Food trolley parking bay 1.50 2 3.00 0.00Store: large 12.00 1 12.00 0.00
Disposal Assume segregation between clinical, domestic and returns 2.00
3 6.00 0.00
Cleaner's room 7.00 1 7.00 0.00Switchgear Room 2.00 1 2.00 0.00
0.00 0 0.00 0.00Sub Total (Net) 1183.50
Support: Staff On call bedroom / office 13.00 1 13.00 0.00On call room E 8.50 1 8.50 0.00Staff Shower / WC / Wash 5.00 1 5.00 0.00Doctor's bedroom E 8.50 1 8.50 0.00
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BASE SCHEDULE: Emergency HubROYAL DEVON AND EXETER NHS FOUNDATION TRUST
Developing a SOC for Emergency Care Services
Strategic Content Proposed Function CommentsProposed Unit Area (sqm)
QuantumTotal Area (sqm)
Sub Totals (sqm)
Date Raised ByDescription/Reason for Change
Approved By
Effect of Change on Area from previous version
Version 3 Change ControlEmergency Hub
Office - Single person E. Social Worker 11.00 1 11.00 0.00Office - Single person E. Clinical Tutor 9.00 1 9.00 0.00Office - Single person E. Interview 9.00 1 9.00 0.00Office - Single person E. Doctor 9.00 1 9.00 0.00Office - Single person E. Consultant 9.00 4 36.00 27.00Office - Single person E. Secretary 9.00 0 0.00 -9.00Office - Three person Secretary 15.00 1 15.00 15.00Office - Single person E. Senior Nurse 9.00 1 9.00 0.00Seminar / Training Room E 22.00 1 22.00 0.00Staff Rest E 23.00 1 23.00 0.00Staff pantry HBN 22 6.00 1 6.00 0.00
Staff Change (M&F)E. Separate provision is also scheduled in SAU/MAU 18.50
1 18.50 0.00
Staff Shower E 4.00 1 4.00 0.00Staff Shower HBN 22 2.50 4 10.00 0.00WC - Staff Ambulant 2.00 3 6.00 0.00
0.00 0 0.00 0.000.00 0 0.00 0.00
Sub Total (Net) 222.50
Support: Clinical Communications BaseTeam meetings and clinical handover for 20-25 person plus workstations 45.00
1 45.00 0.00
WC - Staff Ambulant 2.00 2 4.00 0.00Major Treatment Room E 19.00 1 19.00 0.00Near patient testing / Lab HBN 22 8.50 1 8.50 0.00Dirty Utility / Disposal / Urine Testing
HBN 2212.00
1 12.00 0.00Ultrasound trolley parking bay
HBN 22 1.00 1 1.00 0.00Plaster / Treatment room E 14.50 0 0.00 -14.50Plaster area, 3 bay E 35.00 0 0.00 -35.00Plaster area, single room E 7.00 0 0.00 -7.00Treatment room, with prep Plaster room 16.50 1 16.50 16.50Store: small Plaster room 6.00 1 6.00 6.00Pharmacy, satellite dispensary
Policy and space requirements TBC 22.00
1 22.00 0.00
Out of Hours Take Home Drugs Store 10.00
1 10.00 0.00
Laying out room / viewing E 10.50 1 10.50 0.00
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Developing a SOC for Emergency Care Services
Strategic Content Proposed Function CommentsProposed Unit Area (sqm)
QuantumTotal Area (sqm)
Sub Totals (sqm)
Date Raised ByDescription/Reason for Change
Approved By
Effect of Change on Area from previous version
Version 3 Change ControlEmergency Hub
0.00 0 0.00 0.00Sub Total (Net) 154.50
Support: AncillaryRelatives Room & Beverage Point
Existing has one room at 21.5 sq m 16.00
2 32.00 0.00
WC - Independent wheelchair user
En Suite to Relatives Room5.00
2 10.00 0.00
Interview / Counselling HBN 22 9.00 1 9.00 0.00Store, Appliance E 4.00 1 4.00 0.00Store, Equipment E 10.50 1 10.50 0.00Store: small Existing area is 2.5 sq m 6.00 3 18.00 0.00Store, Ambulance HBN 22 6.00 1 6.00 0.00Store, Equipment / Supplies HBN 22 24.00 1 24.00 0.00Store, Sterile Supplies HBN 22 9.00 1 9.00 0.00Store, Gas Cylinders HBN 22 9.00 1 9.00 0.00Cleaner's room 7.00 1 7.00 0.00Cleaners E 2.50 0 0.00 0.00Switch HBN 22 4.00 1 4.00 0.00Battery / UPS HBN 22 9.00 1 9.00 0.00
0.00 0 0.00 0.00Sub Total (Net) 151.50
Net Departmental Area 2835.00Planning Allowance 5.0% 141.75
Sub Total 2976.75Engineering Allowance 3.0% 89.30Circulation Allowance 33.0% 982.33
Gross Departmental Area 1.43 4048.38
RD&EFT soa Hub master v3.xls
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