Keeping Focus on the Patient Experience

The Christie Proton Beam Therapy CentreKeeping Focus on the Patient Experience

Main Components of a Proton Beam Facility

1

Particle

Accelerator

2

Beam

Transport

System

3

Treatment

Gantry

4

Treatment

Nozzle

Length = 15m Width = 10m Height = 12m

Overall Bunker Size: 67m x 31m

Treatment “Bunker”

Treatment Room Dimensions

Why Do It?

Bragg Peak

The Christie

Manchester

UCLH

London

Vendor Dialogue

Clinical User Dialogue

Jan ‘14 Nov ‘14Aug ‘14

2 bidder phase

3 bidder phase

Pre-Construction Design Timeline

Architectural Design RIBA Stage 4

RIBA Stages 2 & 3

Planning Approval

Jun ‘15Mar ‘15

Vendor Selected

GMP/ Start on site

Planning Submitted/ABC

Start

1:200 Design

1:50 Design

Bunker Design

Clinical Design

Parallel Design Process

fixe

d li

ne

fixed line

Freezing the Bunker Position Along 2 Axes Allowed for the Clinical Design to Commence During the Vendor Dialogue Process

Vendor A

Vendor B

Vendor C

Vendor Comparison

-10 km of embedded conduits

-1 km of embedded pipework

Concrete Design

• Full Scale Pre-Construction Test

Conduits & Co-ordination

• 3d Co-ordination of Reinforcement and Conduits/Services

• Individual pour by pour drawings issued showing all details, setting out and embedded items

• Full time Resident Engineer

• Key Vault Statistics• ~16,000 m3 concrete• ~2,500 concrete wagons• ~100 pours – up to 650m3 each• ~2,000 tonnes reinforcement• ~40,000 tonnes concrete

Pour Sequence

• Detailed Review of Pour Sequence• Co-ordinated with Concrete Sub-Contractor

• Direct impact on design – internal restraint

• Informed programme, shutter designs and logistics

PBT Equipment Rigging

Bunker = same weight as two HMS Invincibles!

The Patient Experience as the Driver

Paediatric Clinical Flows – Safeguarding Children

Dedicated Paediatric Areas:• Waiting• Play Therapy• Anaesthetic• Treatment Room• 1st and 2nd Stage Recovery

Teenage / Young Adults:• Dedicated Waiting Adjacent to

Main Adult Area

Adult Imaging Flows

Main Waiting / Treatment

Imaging (MRI / CT)

Research Room

Architectural Design and Town Planning

neighbours

Arts & Interiors

“Under the Trees”

Thank You