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4 Building Concepts King's Health Partners – Cancer Centre at Guy's 1 32 1.1 Villages Overview The purpose of the Cancer Centre is to consolidate cancer treatment in one building to make treatment easier and less stressful for patients. The design has been developed around the needs of the patient as well as the urban context. 1.2 Village Concept The building is a number of stacked ‘Villages’ each relating to a particular patient need. There are three Villages for treatment: Radiotherapy, One Stop (Out Patients) and Chemotherapy. Each village will contain most of the facilities that a patient needs for their particular treatment; the villages will be relatively selfcontained and obviate the need for visiting multiple departments around the Guy’s & St Thomas’ campus. Private Patients Unit Two additional villages complete the building. At ground level is a ‘Welcome Village’ containing common facilities and street and public related activities. The upper four floors house a Private Patients Unit. Chemotherapy Village & King’s Research The Chemotherapy Village includes a research floor for King’s College. This allows complete integration of research and treatment, with a large proportion of patients being involved in clinical trials and giving the Cancer Centre a national / global significance in the treatment of cancer. Patient outcomes are improved in research environments, even for patients not directly involved in clinical trials. One-Stop Village Radiotherapy Village By breaking up the building into Villages, a human scale is created; a patient will be treated in a two or three storey village rather a fourteen storey tower. Each village will be organised around a corner atrium that links the levels and provides clear orientation. Welcome Village Section showing stacked Villages Building Concepts — King's Health Partners — Cancer Centre at Guy's 2 Organisation King's Health Partners – Cancer Centre at Guy's The plan form of the building is articulated into two main parts. At the north is a Treatment zone that will house the more clinical and technological facilities of the Centre. At the south, facing the corner of Great Maze Pond and Snowsfields, is a Care zone housing the more social and interactive parts of the Cancer Centre. The Treatment zone has an 8.9m structural grid and will be highly serviced; the Care zone has a 6.3m grid and will be more lightly serviced. The site is roughly triangular in plan and the Cancer Centre takes this shape to reinforce the street frontages and maximise the footprint so that a critical number of clinical activities can be located on each level. Cores are at the perimeter to provide a clear floorplate and so that the elements of the building are made legible. The main lifts are in partly glazed shafts adjacent to the corner of Snowsfields and Great Maze Pond where they give access to an atrium space at the main level of each Village. This atrium space overlooks the streets and provides good connectivity between the most public of the interior spaces with the surrounding neighbourhood. It will give an open and animated corner to the building. The Care zone is at the south of the site. Here it can benefit from the frontages to Great Maze Pond and Snowsfields for open views and natural ventilation, and it allows the Cancer Centre to open up to the surrounding streets, in contrast to the closed and defensive nature of many institutional buildings. The Treatment zone is at the north in a location appropriate to the more private and less open clinical uses. 33 Early sketch showing organisational principles of the scheme. The more clinical Treatment Zone is shown in grey and the less clinical Care Zone in yellow. Building Concepts — King's Health Partners — Cancer Centre at Guy's 3 Massing The Care and Treatment zones are expressed as separate volumes, while the service cores and plant tower are distinct elements connected to the Treatment zone at the north. This articulates the building form and helps make it legible, whilst also breaking up the mass. Roof plant is located at the north of the building with some being on a raised deck. This minimises the height of the building along Snowsfields and fits with the transition in height from the Shard to Guy’s Tower to the Cancer Centre and on to the lower building to the south. The main level of each Village will have a generous balcony that provides useable external space, defines the ‘ground’ level of the village and articulates the stacked Villages on the elevations. The balconies also provide solar shading on the southern elevations. They will have screen walls that contain the external spaces to make them usable and less exposed. The screens will be a mixture of translucent and clear glass with some solid elements. Some areas of balcony will be for maintenance access only and these will not have screens. The building appears within the Wider Consultation Setting Area of the London Views Management Framework for one view from Kenwood House. A separate report on the topic by Capita Symonds is submitted as part of this Planning Application. The building sits very close to Borough Wing. This is an under-utilised building as its floorplates do not suit contemporary clinical needs and it may be removed in the future. Parts of Borough Wing are unoccupied. The balconies are about 2.5m wide and the translucent and clear screens are about 2.4m high. They are supported by Y shaped props set back from the leading edge that allow them to be articulated as separate elements. The lowest balcony is two storeys above ground and will define a human scale and degree of protection as well as relate to the smaller buildings across Snowsfields. This balcony has more solid screening than the upper balconies, both to provide more privacy and to define a base to the building. At the top of the building is a louvre sunshade. It is of similar components as the balconies but is lighter and makes a positive termination against the sky, forming a cornice / sunshade to express the building form. In addition to the balconies, there will be external terrace spaces that bring light into the building as well providing outdoor space and articulating the elevations of the building. 34 The south corner of the building is cut back at both the top and bottom to make gardens that break the mass of the building. View showing volume of Care Zone distinct from volume of Clinical Zone to north with service cores beyond Wider Setting Consultation Area Wireline image of Proposed CTC Building View from Kenwood from LVMF report by Capita Symonds Aerial view with Care Zone to left and Clinical Zone to right with service cores beyond King's Health Partners – Cancer Centre at Guy's 3 Massing 35 View along Crosby Row Building Concepts — King's Health Partners — Cancer Centre at Guy's Study model showing massing of main elements King's Health Partners – Cancer Centre at Guy's 4 36 City Scale and Street Scale The Shard Guy's Tower Cancer Centre City scale section with the Shard, Guy's Tower and the Cancer Centre The building has been designed so that it can be appreciated at different scales and distances, from the neighbourhood, and while walking by. From the middle distance the balconies define the Village scale of the scheme and significantly break up the mass. At a city scale and in long views, the 14 storey height of the building provides a transition from the Shard and Guys Tower to the lower rise areas to the south, and defines a new gateway to the Guy’s campus. The site is at the edge of an area designated for tall buildings in the Draft Bankside Borough & London Bridge SPD and is of a height to suit. Up close at street level, the lowest balcony defines a two storey base that relates to the scale of the street and the nearby buildings. Views into the building, small garden areas, an entrance canopy and court, visible lifts and the detailing of the balconies and cladding will give the scheme scale, grain and animation. Building Concepts — King's Health Partners — Cancer Centre at Guy's The open nature of the ground floor facilities and the cafe, as well as seating and cycle parking on the pavements, will support active use of the streets. Two storey scale at street level King's Health Partners – Cancer Centre at Guy's 4 City Scale and Street Scale 37 Building Concepts — King's Health Partners — Cancer Centre at Guy's King's Health Partners – Cancer Centre at Guy's 5 Balconies & Gardens Patients may spend several hours at the Cancer centre and access to outside space will be a benefit to them as well as to staff. Outside space will be provided by balconies at the main Village levels and by gardens cut-out of the volume of the building. Generally the balconies will be accessible to patients from the corner atria and from their north and east ends. These portions of the balcony will be enclosed with screens. The central parts of the balconies are for maintenance only and have a simple handrail. The gardens and balconies are an extension of the interior and an integral part of the Cancer Centre. View on balcony 38 Plan showing balcony and garden areas on Level 5 Building Concepts — King's Health Partners — Cancer Centre at Guy's Level 5 Garden Terrace View of Level 5 Balcony and Garden > 39