CINTOCARE HEAD AND NECK HOSPITAL IS THE FIRST GREEN 5 STAR RATED HOSPITAL IN SOUTH AFRICA
Cintocare Hospital is a specialist surgical facility located in the Menlyn Maine Precinct designed by A3 Architects Johannesburg, developed by Growthpoint Properties together with Cintocare.
Client Brief
The initial architectural brief to A3 Architects envisioned it as a symbol of mobility in the human body represented through present day construction methods, while containing a mass of complex service networks required to supply the state-of-the-art equipment housed within.
The functional component of the brief was derived essentially from the Department of Health license for the site, which dictates the number and mix of beds and operating theatres. The hospital’s primary focus will be on the head and neck, spinal, neuro, and vascular surgeries with its highly specialised medical professionals supported by state-of-the-art technology with a capacity of up to 160 beds and 5 theatres, one of which is a hybrid. The brief also called for a symbolic, hi-tech hospital conforming to established Menlyn Maine Precinct guidelines and aesthetics, whilst creating not only a place for treatment but also for healing.
Working closely together, Growthpoint and Cintocare developed a tailor-made specialist surgical hospital within a high-performance space which promotes positive social and environmental interaction. The development partnership delivered the full suite of services for the hospital from inception to completion.
The Design
The 29,000m2 hospital includes seven floors: the hospital plant room, three clinical and consulting levels and three parking levels with 335 secure parking bays, linking directly to Menlyn Maine Central Square with another 1,300 parking bays.
With the site footprint fully utilised and enclosed on 3 sides, the design raised the hospital above the required parking areas. Green walls surround the parking from the ground up and float the hospital on ‘green lungs’. This allows clinical areas on upper levels to have access to natural lighting from north and south aspects.
Central to the architectural design is the visual link to nature from internal and street facing areas of the hospital. This is achieved by the main reception and all clinical areas facing two large atriums at the centre of the hospital, allowing visitors, patients and medical professionals to be welcomed within a space where nature is appreciated and aids in recovery.
The continuation of landscaping from the ground floor through to the Level 4 and Level 7 gardens plays a critical role in providing the majority of the wards and consulting areas with a view and access to nature. While the site area is 96.4% utilised and surrounded on three sides by a densely built-up precinct, there is a visual connection with nature from the approach to a vast majority of the occupied spaces, with a view to elements of nature, living systems and natural processes, both internally and facing out towards the north, east and west aspects.
Integrating aesthetically pleasing elements into a space can help building occupants derive a measure of comfort or joy from their surroundings. Creating the space in alignment with Greenstar standards that uplift the environment was the ultimate goal.
Achieving this goal in a hospital is considerably more complex than any other building type. Detailing played a critical role in successfully merging a hi-tech look and feel of the hospital with the hospital-specific surgical and sterile requirements of such a facility. The design had to factor in the custom Greenstar tool into an already complex.
The Façade
The building’s exterior reflects its fundamental purpose. The glass façade, which also serves to shade the building, has been designed to be evocative. Representing a curve in the spinal vertebrae found in the neck, it swoops across an impressive glass façade from east to west elevations and across the 100m long north façade, hinting at the inner purpose of the building.
Externally a continued play on contrast between elements and unbroken movement finds its roots in the conceptual use of a single flowing strand, linking mobility, proportion and contrast into one façade. The result is a building that stands out from the ordinary though reflection
of its function.
Interior
Medical care is not limited to diagnostic and operative procedures. At Cintocare Hospital, it begins at the entrance and the experience takes the patient or visitor into a healing space. Dynamic and diffuse lighting in the atria leverages varying intensities of light and shadow that change over time to create conditions that occur in nature.
This culture of world class high-tech design is embodied in the corporate colours and signage of Cintocare, displaying its royal pastel base with its roots in the natural, rather than the artificial.
The heart of the hospital is in its east and west atria, with both sides providing a visual link to nature and natural lighting by means of multiple skylights, thus creating a comfortable and relaxing space. This link is reinforced through use of natural materials, textures and colours that imitate nature.
The Level 4 entrance and reception provide a free-flowing link between the atria, Menlyn Maine Shopping Centre and a well positioned coffee shop, all facing inwards towards lush planting, all the while maintaining a unique contemporary feel.
Nature in the space addresses the direct, physical and ephemeral presence of nature. This link between nature, benefits of biophilic orientated design and healing of the human body embody
the ideology and the basis of the design. Instead of walls, the building floats on green lungs and celebrates nature by incorporating landscaped areas across all levels and through use of beautiful organic forms and materials.
Sustainability
The hospital has earned South Africa’s first Custom Healthcare 5 Green Star rating from the Green Building Council of South Africa (GBCSA) - making it the first hospital to achieve this milestone.
The collaboration between Growthpoint, Cintocare, GBCSA and the professional team has resulted in a new green building certification tool for the healthcare and property sectors. This green certification tool is a road map to drive the development of more green healthcare buildings in South Africa in the future. The team have created a sustainable healthcare facility designed around the well-being of patients and hospital staff that supports the environment and its communities.
Sustainable Elements
Conventional hospitals often have considerable carbon emission profiles due to the energy and water consumption required for their daily operations. The hospital was able to reduce its operational footprint considerably. Other green building features include high levels of thermal comfort for 95% of the usable area, a recycling waste storage facility, metering of energy and water use, a rainwater storage tank for routine fire protection and the creation and implementation of a sustainable procurement guide.
The inclusion of as much daylight as possible was also critical. Natural daylight is an
environmental factor that has a great impact on health and well-being of people within a space. Research suggests that healthy hospitals, where these factors are considered, improve patient outcomes and assist in the recovery process. The performance glazed façade ensures that 92% of the bedded areas have access to daylight and external views.
HVAC System
The user-first approach informed some of the key design decisions. These included designing an appropriate HVAC system that places infection control and indoor air quality to the fore, while also ensuring increased maintenance access to keep it functioning optimally.
The building has a BMS (Building Management System) installed linking all systems and services, while allowing monitoring and control across the entire facility from a central system.
Conclusion
The new Cintocare Hospital leads the way in hospital design centered around the well being of both patients and staff. The focus on the importance of green building elements has ensured that the hospital has embraced the healing component so often lacking in health facilities.