Wednesday, August 25, 2010

A conspiracy or a stuff up

I am told about a memo from the SA Health Dept to Department Heads that says that the proposed railyards hospital is tgo be 8 storeys.            When South Australians expressed concern about the proposal before the March election, the published concept drawings were a 3 storey building so that the view to the North  from North Terrace would be unsullied.   The Government assured us that the concept was firm and 3 storeys it would be!

Consider the practicalities.
(1)   On Frome Rd, the T shaped building known as the North Wing was designed in the late 1960's to have  3 wards on each floor each holding 30 patients = 90 patients with 6 occupied floors.  That's a capacity of 500 patients and its footprint would be about 1ha.        The proposed hospital is to have more beds than that in a modern layout .    Single rooms, each occupies at least 4x the space of a bed  so the area required would be 4 x the present size.    If 500 beds on 6 floors take up 1ha then 4x the space would be 4ha , over half the height means the space would be extended to 8ha.     The proposed plan is for 700 beds so they said, adding  more space and we have 10ha required for bed space alone!    This is without any treatment areas  - theatres, Xray, clinics, laboratories .     On the Frome Rd site, the Treatment areas are about the same area as the "hotel "space so on this simple logic the proposal at 3 storeys should be 20ha which then leads to another set of questions.
(2)     A problem in modern complex medical treatment  facilities is the distance patients have to traverse or be wheeled between clinics.    It can be done but, the walking patients need a guide, or orderlies wheel the bedfast/chairfast.      Over a 20ha (or to be kind a 10ha treatment only portion) site the traversing time is longer.    There is insufficient staff to manage this aspect at Frome Rd,  how many more staff would be required on the Railyards, and all of this in a financial climate where the Department is looking to SAVE ie REDUCE expenditure by $450m every year.    
(3)     The concept drawings published before the election showed a building with lots of glass.  It is high school physics that the amount of heat transfer (losing in winter, gaining in summer) is proportional to the surface area exposed.    This large spread out building maximises the heat transfer    Any such heat loss/gain is managed by the air conditioning systems which use energy which we know is costing us more and more. (just look at your Electricity bill next month. )    One way of reducing the problem is to reduce the surface area exposed, that can be done by condensing the building ie having a higher building with a smaller footprint.   Is this where the 8 storey concept story has come from?     But that would give a lie to the promises preelection.      Logic (of which there seems to be little) says that with all the expertise on this project the Government, the Dept of Health would have known all this at the planning concept stage.     
The only explanantions available are (a) a conspiracy, or (b) a stuff up.     My money is on a stuff up because a conspiracy takes vision, organisation, discipline, cooperation and nerve.     None of those qualities have been demonstrated in this saga.

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