This document summarizes a presentation given by Jane McElroy on challenges and opportunities for creating sustainable and efficient healthcare. It discusses rising healthcare costs, changing demographics like aging populations, shortages in healthcare talent, ensuring access to care, and advances in technology. It presents four hospital projects - Royal Liverpool University Hospital, Massachusetts General Hospital, Cleveland Clinic, and Jiahui International Hospital in Shanghai - that show how architecture and design can help address these challenges by reducing costs, accommodating new patient types, boosting recruitment, providing better access, and accommodating new technologies.

1. 2016 UK-China Green Hospital Design and Service
Management Summit
Jane McElroy RIBA
Principal, NBBJ
RIBA London, 7th June 2016
Hospital of the Future:
Challenges and Opportunities to
Creating Sustainable, Efficient
Healthcare

4. These clients are innovating how we work and live
They are shifting how and where we learn
They are shaping the future of health and wellbeing
They are seeking cures for health and breakthroughs in science
And they are reinvigorating our shared sense of civic pride

5. The Human Side -
Experience and Performance

6. Applied
Research
Design
Computation
Outcomes

7. Today’s Talk
The Challenges Before
Us
PART 1:
PART 2: Architecture and Design as a
Solution

8. United Kingdom China
Population: 64.1 million
Area: 242,495 km2
GDP: 1.86 trillion (GBP)
Population: 1.36 billion
Area: 9.596 million km2
GDP: 6.42 trillion (GBP)

9. The Challenges Before Us
Rising
Costs
Changing
Demographic
s
Shortag
e of
Talent
Ensuring
Access
Advances
in
Technolog
y

10. Rising Costs

11. Rising Costs
£75 Billion
Healthcare Spending
£130 Billion2014
2004

12. Rising Costs
increase
Healthcare Spending

13. Rising Costs
2004 £62 Billion
2014 £408 Billion
Healthcare Spending

14. Rising Costs
increase
Healthcare Spending

15. Changing
Demographics

16. Changing Demographics
Urban Population Growth
(per year)
2.82%1%

17. Changing Demographics
Current Senior Citizen Population
(over 65)
14%2016

18. Changing Demographics
Senior Citizen Population in 2050
(over 65)
25%BY 2050
18,000,000

19. Changing Demographics
Current Senior Citizen Population
(over 65)
9%2016

20. Changing Demographics
Senior Citizen Population in 2050
(over 65)
30%BY 2050
400,000,000

21. Shortage of
Talent

22. Shortage of Talent
Clinician shortages are
impacting every country
around the world

23. Shortage of Talent
The main culprits:
Pay
Variances
Long Hours Many Close to
Retirement
Age
Increased
Patient Load

24. Ensuring
Access

25. Ensuring Access
90%90% of interactions with doctors take
place in hospitals in China
of interactions are in the
primary care setting in the
UK

26. Advances in
Technology

27. Advances in Technology
https://commons.wikimedia.org/wiki/File:Telemedicine_Consult.jpg

28. I believe design is one
of the most important
ways to combat these
challenges

29. Today’s Talk
The Challenges Before
Us
PART 1:
PART 2: Architecture and Design as a
Solution

30. Reduce costs
Accommodate new types of patients
Boost recruitment and retention
Provide access
Accommodate new technologies
These four projects show how architecture can:

31. Royal Liverpool University Hospital

33. Concept

35. Organisation

37. Building Stacking

38. Building Stacking

39. Bedrooms
Hot Floors
Interstitial Floor
Facilities & Services

40. Building Stacking

41. Inpatient Wards

46. Public/Ambulatory Flows

48. Inpatient Flows

51. Massachusetts General Hospital

57. Cleveland Clinic

60. Jiahui International Hospital, Shanghai

63. Other Clients in China
Aier Eye Hospital in Changsha
American Sino in Ningbo
Karamay Central Hospital
Shanghai Children’s Hospital
Shanghai Children's Medical Center
Shanghai Jiahui International Hospital
Shanghai the Sixth People’s Hospital
SRRS Hospital in Hangzhou
Xizi Hospital in Hangzhou

64. I believe we are on the
threshold of a new era
of medicine.