BHR University Hospital - Emergency Dept

This Project was carried out under the NHS SBS framework. In 2017, Scott Tallon Walker were appointed under the NHS SBS Framework to undertake a project at the Queens Hospital in Romford. The Emergency Department at Queens is one if the busiest units in the UK. The Trust had been allocated special emergency funding by NHS England to address capacity issues and improve Emergency Department experiences for patients and staff.

Barking Havering and Redbridge Hospitals

Romford, United Kingdom

In Use



Our brief was to decant all non-essential clinical and administrative occupied spaces out of the main areas adjacent to the existing emergency department. This freed up space to allow the creation of a new Emergency Urgent Care Centre, and an improved Ambulatory Care Centre, and introduce a new Patient Assessment Streaming model to assist in improving patient throughput and experience.

The model of care is manifested through a number of features, namely:

  • A single front door for adults and children, and direct access to assessment facilities for GP referrals.
  • Senior input at the earliest appropriate stages of assessment and subsequent minimal handovers.
  • Generic and flexible accommodation to provide maximum flexibility for reassignment of accommodation over time. (This demands both flexible room shapes and content, as well as a configuration that avoids isolating pockets of accommodation and rendering them inflexible)

The key changes and benefits of the project include:

  • New Consultation rooms New Reception space and streaming rooms with improved privacy
  • New Enhanced Urgent Care Centre
  • Enhanced Ambulatory Care environment
  • Relocation of Emergency Department walk in entrance, (separated from Majors and Resus)
  • Improved Patient Experience Despite increases in scope and changes to the Trust brief along the way, the project was completed and handed over January 2018, on an exceptionally tight programme and on budget.