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The Wolfson Prize: designing the hospital of the future

Nigel Edwards, Stephen Dunn, Paul Barach and Louella Vaughan
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DOI: https://doi.org/10.7861/fhj.2022-0105
Future Healthc J February 2023
Nigel Edwards
ANuffield Trust, London, UK
Roles: chief executive
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  • For correspondence: nigel.edwards@nuffieldtrust.org.uk
Stephen Dunn
BNuffield Trust, London, UK
Roles: visiting senior fellow
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Paul Barach
CCollege of Population Health, Thomas Jefferson University, Philadelphia, USA and Sigmund Freud University, Vienna, Austria
Roles: lecturer
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Louella Vaughan
DNuffield Trust, London, UK
Roles: senior clinical research fellow
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Abstract

Background The 2021 Wolfson Economics Prize asked how new hospitals should be designed to radically improve patient experiences, clinical outcomes, staff wellbeing and integration with wider health and social care. With a major programme to rebuild and renew hospitals in England underway, the Prize offered an opportunity to understand current thinking about hospitals and their future place.

Methods The 41 submissions that were identified as ‘most promising’ were reviewed and subjected to framework analysis. Emerging themes were identified and discussed iteratively.

Results Five dominant themes were identified: a calming environment; systems of care; distribution of services; use of technology; and going green. Several tensions and trade-offs were evident across the submissions and a number of gaps were identified in the knowledge base that need to be remedied to ensure that new hospitals are safe and efficient.

Conclusion The previous approach to building new hospitals, with its over-riding drive to reduce costs, has not served the UK well. New ways of thinking about hospital building and design are urgently needed, especially the funding of research and the creation of a national repository devoted to design solutions and post-build evaluations of new hospitals.

KEYWORDS:
  • architecture and design
  • awards and prizes
  • hospitals
  • knowledge bases
  • © Royal College of Physicians 2023. All rights reserved.
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The Wolfson Prize: designing the hospital of the future
Nigel Edwards, Stephen Dunn, Paul Barach, Louella Vaughan
Future Healthc J Feb 2023, fhj.2022-0105; DOI: 10.7861/fhj.2022-0105

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The Wolfson Prize: designing the hospital of the future
Nigel Edwards, Stephen Dunn, Paul Barach, Louella Vaughan
Future Healthc J Feb 2023, fhj.2022-0105; DOI: 10.7861/fhj.2022-0105
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