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Client
Essex Lodge Surgery
Details

London

1100sqm

01

Introduction

01

Essex Lodge is a teaching and training Personal Medical Services (PMS) practice in Newham. Having merged with a neighbouring GP practice, the combined list size of 16000 plus and a 130-bed nursing home to support meant the premises required expansion.

Side view of rear extension
02

Strategic goals and objectives

02

Murphy Philipps was appointed to design a new extension on vacant land to the rear of the site.  The expansion provides an additional ten consulting rooms, three treatment rooms, plus admin and support spaces, more than doubling its size. The project also included the refurbishment and upgrade of the existing building to meet current standards. The existing Essex Lodge building is Grade II listed. Built on the site in 1836, it includes salvaged items from the demolition of an earlier original mansion named Essex House. Its historic importance required careful design treatment with the scale and massing of the new extension reduced, to respect the setting of the listed asset.  

Feature colours in corridor
Feature colours in corridor
Main reception desk
Main reception desk
03

Implementation and engagement

03

The Surgery needed to remain operational throughout the work.  The main construction was on the rear site, but breakthroughs and existing area refurbishment had to be managed with careful phasing.  Noise was also a potential disruption factor, however, activities were risk assessed with the contractor on a rolling six-week look ahead programme.  This enabled either out of hours or set times agreed for work, with mitigation measures put in place to minimise impact.

Admin spaces
Admin spaces
First floor subwait
First floor subwait

04

Outcomes and success

04

A thoughtful evaluation of the new extension and its integration with the surrounding environment enabled the expansion of the existing building’s area.

The rear of the building sets back at the first level to minimise any overlooking of the adjacent residential block.  This also ensures there is no infringement on the 25-degree daylight angle from the ground floor habitable rooms, thereby avoiding any loss of daylight to these spaces.

The User/Stakeholder engagement included a wide range of interest groups, from GPs and patient reference groups to staff and local community associations.  

In leading discussions and managing the process, we developed the vision and consolidated a design that provides:

  • A more integrated care approach through innovative working practices.  For example, flexible spaces allow co-location of social work teams as well as existing nurses, community services, and district nurses. This joined-up approach has reduced the frequency of patient A&E attendances.
  • Increased primary care capacity with better access for the community.
  • Flexibility to become an out-of-hours cluster hub in the future for potentially 12 practices in the area.

First floor subwait
First floor subwait