One of the principal aims of NKS is to enhance the interaction between care, research and education; these have been reflected in the architecture. The compact structure ensures proximity between different functions, encouraging interdisciplinary working methodologies. The lower floors contain treatment rooms, X-ray and hospital services, while wards for 715 patients are situated on the upper levels.
Based on a highly patient-centred approach, drawing on extensive research in healthcare innovation and the design of healing environments, Nya Karolinska Solna offers patient facilities and public spaces flooded by natural light that prioritise wellbeing.Hans Forsmark, Architect
Taking evidence-based design theories as a starting point, as much daylight as possible has been introduced into the building, incorporating vistas onto the wider surroundings. Each ward contains 28 private patient rooms, flooded by natural light and offering sweeping views across the city. Support functions, such as administrative offices, staff and conference rooms, are also oriented to receive maximum amounts of daylight. On the roof, there is a helipad with space for two air ambulances. The public circulation space and elevator access is housed in a glazed link between buildings, framing city and parkland views.
Halving environmental impact
The first phase of Nya Karolinska has been certified to a LEED Gold and Miljöbyggnad Guld standard. The buildings’ energy consumption for electricity, heating and cooling is 110 kWh/m2 per year – less than half of most existing hospitals today. 99.7% of energy comes from renewable sources with low CO2 emissions, delivered through a combination of district heating, remote cooling, a separate geothermal plant, plus recycled energy from ventilation air.
‘Patient First’ was the guiding ethos for the whole project; everything was designed and planned based on what was best for patients. The generous 20 sqm ensuite private rooms are designed for single occupancy, enhancing patient integrity, confidence and security. The rooms accommodate interdisciplinary examination and treatment medical teams; instead of being wheeled around the hospital to different diagnostic departments, the clinicians come to the patient. This allows undisturbed consultation with medical staff to increase patient participation and wellbeing.
Patients have their own en-suite bathroom and an additional bed to accommodate an overnight guest, the support and close proximity of friends and family is crucial to recovery. The light, airy rooms are designed so medical functions do not dominate. Vital technical access points are integrated into the bed-head panel and there is storage space in the support zones within the ward for mobile medical equipment. Strategic sink locations, private hygiene rooms and smart logistical solutions help prevent the spread of infections.
Rooms are designed to be welcoming, furnished with outwards views and filled with natural light; an important aspect for the wellbeing of patients and staff alike.
The move to single rooms affects the structure of the whole hospital. It becomes almost political: driving healthcare towards better, safer outcomes but also creating the demand for new ways of working and operation.Charlotte Ruben, Project Architect
Specialist clinicians, who have traditionally worked in isolated clinics, are now part of thematic diagnostic care and treatment units, each staffed by a full range of specialist healthcare professionals. Support functions and equipment are located inside the ward, close to small, decentralised nursing stations. Supplies can be quickly and efficiently moved around the building to and from the bedside using pneumatic tubes and remote-controlled robot carts, which have their own dedicated elevators. These efficiencies mean medical staff are able to spend the maximum time with patients.
There are clear divisions between patient and public areas, professional and service zones, minimising germ transmission.
Natural, tactile materials have been applied throughout; the natural stone of the entrance plaza, light blonde ash wood for wall panelling and furniture, durable granite floors and white concrete elements lift and lighten the atmosphere. Colour and material palettes work thematically with the signage, lighting and public artworks to assist wayfinding. NKS has received one of the most significant public art investments in Swedish history; a number of site-specific artworks have been commissioned along with paintings, sculpture and mixed-media acquisitions. Art plays an important therapeutic role for patients, and provides attractive environments for staff and visitors, further strengthening the idea of a hospital as a civic building that people can take pride in.
Open and welcoming interiors: materials, colours and art are used as tools to add variety to a human and caring environment
Sweden's largest BIM project
The project is Sweden’s largest BIM project to date. Strict specifications were set for the BIM project design to streamline and coordinate the immense volume of data between consultants, generated by a project of this scale and complexity; from visualisation to detailed design and information management. Practical completion is expected in 2018.