Birmingham Heartlands Hospital The A&E Department

1. Birmingham Heartlands HospitalThe A&E Department

2. Reception re-design Additional pieces of building work Access control Additional CCTV Signage Summary

3. The Reception Re-Design

4. Original reception desk • No visibility over either entrance • Amenities situated behind the reception • No view over the Maitland entrance

5. New reception desk • View over both entrances • View over Maitland • Re-cited amenities • New disabled facilities to comply with DDA

6. Completed on 29th March 2004 First used on 31st March 2004 Total cost = £175,972 + VAT includes all electrical, mechanical and engineering work for the demolition and re-build of the reception desk and entrance pod and the role of principal contractor under CDM regulations Reception desk

7. Improvements Hospital benefits Crime reduction benefits Better use of space Improved surveillance In-built security station Disabled access Enhanced wayfinding Physical protection Improved environment Compliance with NHS guidelines

8. Original patient entrance Unclear signage Not prominent

9. Modified entrance Shelters the waiting room from wind Makes the entrance more prominent

10. Original view from paramedic entrance No view of reception Public amenities

11. New view from paramedic entrance Better use of space No public amenities Surveillance of the entrance

12. Original reception and waiting area No view over entrance No protection for receptionists

13. Front of reception Cleaner, smarter environment Good surveillance over entrance Protective screen

14. Additional pieces of building work

15. New disabled toilet Triage window Additional building work • Additional door and associated building work • Modification to existing door

16. Access Control

17. Switched on 7th September 2004 Total cost = £94,647 + VAT includes 28 doors, a lift, 13 intercom routes, 4 remote release buttons, dual technology cards, specific over-ride switches, all associated cabling and electrical work and software development Access control

18. Improvements Crime reduction benefits Hospital benefits Allows control over patients Easier to identify who should not be there Reassures staff Advantageous in Major Incident situations Allows areas to be locked when not in use Protects the clinical area and staff within it

19. Access control Push buttons Proximity readers Proximity & swipe Intercom routes Remote opening

20. Access control Push buttons Proximity readers Proximity & swipe Intercom routes Remote opening

21. Access control Push buttons Proximity readers Proximity & swipe Intercom routes Remote opening

22. Additional CCTV

23. System started recording on 17th March 2004 Total cost = £4,395 + VAT includes four new cameras, the re-citing of an existing camera incorporating a pre-set linked in with the paramedic entrance, a monitor in the reception for security and a flat screen monitor for receptionists and all associated electrical and cabling work Additional CCTV

24. CCTV coverage - before

25. CCTV coverage - after

26. Views from new cameras

27. Signage

28. Hospital architect drew up the schedule Designed to match the hospitals corporate signage scheme Installed on 21st September 2004 Signage

29. Signage points

30. Questions?