Sustainability in Re-use Document

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This publication looks at four case studies, examining the impact and opportunities of re-using existing healthcare facilities.

In the on-going drive to deliver high quality healthcare environments, the re-use and renovation of existing buildings is a key opportunity for increased sustainability in the NHS estate through energy and material savings. Existing buildings can be seen as ill-suited for adaptation to modern standards. However, this is not necessarily the case, as demonstrated by the four case studies presented in this publication, where new or improved service configurations have been realised through the re-use of existing facilities.

The existing estate held by the NHS is extensive and it is now frequently no longer appropriate, sustainable or affordable to demolish, sell land and rebuild. There can be substantial benefits in the continued use of existing buildings. Scottish Government policy places a high value on sustainability and waste reduction, and client teams must consider the reduced impact of refurbished buildings on the environment as well as the best use of resources already invested in the buildings. The location of existing health buildings within settlements also links with wider policy, context and benefits, supporting transport plans, healthcare access and sustainable local communities.

This study aims to support the work of estates teams in the NHS tasked with making decisions on the re-use and replacement of buildings, helping them to more fully appraise the value and performance of the existing estate when the time comes to make inevitable changes.

The content of this report was researched and compiled by Locate Architects. With thanks to representatives from NHS Borders, NHS Lothian, and NHS Tayside.

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Our Health Design Advice service, delivered with Health Facilities Scotland, helps those who commission new, or substantially redeveloped, facilities.

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