WHy bUILd a CaNCeR CeNtRe?

Cancer is a key theme for University College

London Hospitals NHS Foundation Trust (UCLH).

We are aiming to be one of the three best cancer

hospitals in Europe. We are working towards this

strategic ambition with our NHS and non-NHS

partners, as part of our academic health science

centre, University College London Partners (UCLP).

The new Cancer Centre is an integral part of

our cancer strategy. Based on research into

what works well elsewhere, the substantial

investment to create the Centre will allow us to:

Provide more treatment to cancer

patients as new treatments are

developed.

Our new facility is designed to allow us to

incease the number of patients we are

able to see and treat. Our links with the

University College London (UCL) Cancer

Institute on Huntley Street, renowned for

world class research, will give patients

access to cutting-edge treatments as they

are developed.

Provide new models of care so that

patients do not have to stay in hospital

to receive many of their treatments.

The new Cancer Centre will allow us to

extend the initiatives that have already

been introduced to improve the pathway

of care for patients, such as the use of

chemotherapy backpacks, and

ambulatory care where patients stay in a

local hotel rather than overnight in

hospital.

Improve the care experience by offering

holistic support in an environment

purpose built for cancer care.

As well as excellent patient outcomes, we

will also ensure the best possible patient

experience in purpose-built surroundings,

with a focus on wellbeing and supportive

care services.The new Cancer

Centre will open

in 2012 replacing

the Rosenheim

Wing, the current

home of

outpatients and

daycare services

for cancer

patients.

Treating elderly lung cancer patients is

quite different to treating teenagers

with leukaemia. We plan to bring the best of

US-style cancer care to the

needs of patients with different

cancers. This centre will be a

first for the UK and will set a

gold standard for the future.

Sir Robert Naylor, UCLH chief executive

2009

tIMeLINe: WHat HaPPeNS WHeN

Idea of a Cancer

Centre first discussed

The ambulatory care

model is first

introduced at UCLH

where patients who

are well enough stay

overnight in a local

hotel rather than in a

hospital bed

UCLH Board of

Directors agreed that

cancer would be the

focus of the next major

capital investment

project after the

completion of Phase 1

(University College

Hospital) and Phase 2

(Elizabeth Garrett

Anderson Wing)

An extensive

consultation

undertaken with

patients, staff, cancer

network and primary

care trusts to find out

what was most needed

from a new Cancer

Centre

Project approved by

UCLH’s Board of

Directors

Planning permission

granted by Camden

Council

Contract signed with

construction company

Skanska, to build

Cancer Centre

Piling works

commence

Final designs

completed

Foundations

completed

Superstructure

completed

Testing starts

Handover to UCLH for

installation of

equipment, ICT

systems, staff training

and move to the

building

Cancer centre opens

deC

2004

Feb

2008

aUG

2008

NOV

2008

JUN

2009

aUG

2009

NOV

2009

MaR

2010

JUN

2010

deC

2010

May

2011

NOV

2011

Spring

2012

2008

1990s

2010

2012

a SIGNIFICaNt LOCatION

The Cancer Centre will be at the heart of UCLH – close to University College

Hospital. It will be opposite (and connected to) the UCL Cancer Institute.

The Cancer Centre is designed to fit its

location and match the architectural calibre of

the conservation area surrounding it.

A third of our patients and staff will travel to the

Cancer Centre by car, taxi or ambulance. The

majority will come by public transport. The site

does not permit a new car park to be created.

Instead, we will have a pull-in space and pick-

up space that will not create congestion.

Patients and visitors must be able to arrive and

leave easily without delays, inconvenience, or

problems. We will employ a concierge who will

ensure that patient travel arrangements work

well, whichever mode of transport used.

We know that this is an important issue for

many patients. So we have therefore

undertaken a detailed survey of cancer

patients’ views and experience of transport

services. Over 500 patients have responded to

our survey and we will use the results of this

questionnaire to plan better transport services

for the Cancer Centre.

The Centre will allow unrivalled

interaction between researchers at

the UCL Cancer Institute,

opposite the planned

centre, and cancer

physicians treating

patients.

Professor Chris boshoff FRCP Phd FMedSci

director, UCL Cancer Institute

The new Cancer Centre on the

site of the old Obstetric Hospital

on Huntley Street

The Bloomsbury conservation area runs down

Huntley Street. Buildings to the right (east) are

within it. Our proposed building is outside it.

University College Hospital

Maple House

UCLH Rosenheim building

UCLH Ear Hospital and UCL

SU

UCL Cruciform building

UCL Medical School

UCL Cancer Institute

Brown stone Georgian terraces

and terracotta Gordon

Mansions

abOUt tHe bUILdING

The UCLH Cancer Centre will open in 2012, four years after the UCLH Board of

Directors first agreed that investment in cancer facilities would follow the successful

completion of UCH and the EGA Wing.

designed and built by the best

Designed by award-winning Hopkins

Architects and constructed by Skanska,

the Cancer Centre will be of the highest

specification – built to last, built to adapt

to future use and built to enhance the

excellence of the clinical teams at UCLH.

environmentally friendly

Environmental considerations have been

fundamental in our design and build

process. A carbon footprint 38% less than

the standard set by current legislation will

be achieved by energy-efficient design to

maximise use of heat, daylight and water.

We want our Cancer Centre to be among

the greenest in the UK.

New building, new ways of providing

cancer care

The transfer of daycare and outpatient

services from the Rosenheim Wing will

mark a new era for cancer patients. Not

only will the facilities be so much better,

the way services are provided will

change.

Both the building and our services will be

designed to optimise the patient

experience.

The diagnosis of cancer is

obviously a devastating challenge

and burden for patients and their

families. Old-fashioned treatment

facilities and inflexible

systems invariably

contribute to the disease

taking over the patients’

lives. This Cancer Centre

will change all that.

Stephen Rowley, UCLH lead nurse for

cancer services

deSIGNed FOR PatIeNtS by PatIeNtS

Patients who have been treated for cancer are the most important voice in the

cancer centre development project. Listening to our patients’ views on what works,

what doesn’t and what we can do better is the only way we can make our services

truly patient-focused.

One of the groups we have been working with

is the Cancer Partnership Group, set up by the

North London Cancer Network. This group

brings together cancer patients, carers and

health professionals from across the network

who are interested in shaping the delivery of

local cancer services.

The design of the building is now agreed, but

we continue to work with and listen to our

patients as we look at how services will be

delivered in our new building. We have set up

the Patient Experience Steering Group which

consists of past and current patients and other

stakeholders, keen to bring their experiences

to the table to ensure that our services

continue to meet the needs of our patients. So

far, the group has reviewed and commented

on:

building designs

Patient pathways

Patient communications including our

It development projects

early referral and diagnosis

In addition we will be seeking broad patient

input into specific projects, such as transport

services, and our wellbeing and supportive

care services

I spent 11 months in hospital with

acute myeloid leukaemia. My role

in the group is to put forward the

patient perspective on proposed

changes

planned for the

care in the

Cancer Centre.

It’s important not

to forget that it’s

sometimes the

smaller things

that can make

such a big

difference.

Gilly angell, patient

USING teCHNOLOGy

The Cancer Centre will use new technology to streamline and improve the patient

experience.

There will be check in kiosks on the ground

floor of the Cancer Centre which will:

Enable patients to ‘book in’ for multiple

appointments quickly and easily using a

bar code scanner

Notify patients of any changes or delays to

appointments

Allow patients to update and amend their

personal details

Help patients find out how to get to

different departments in the building

General information kiosks located around

the building will also:

Enable patients to check where they

should be at a given time, in real time

Provide information about the different

departments and how to get to them

Allow patients to browse information about

cancer

Information screens on all floors will:

Give real-time information about clinics

and services

Inform individual patients that they are

due to be in a particular place at a certain

time

A new scheduling system will see one person

book all the appointments a patient needs in

one go – letters from different departments will

be a thing of the past. Changing appointments

will be simple and straightforward.

We have seen check in kiosks at

other hospitals. Feedback from

patients and staff was very positive.

Our system will do more – we are

committed to keeping patients informed

and will not be asking them to sit and

wait for long periods in waiting

rooms with nothing to do.

Chrissie baylis, Coordinator for the outpatient

floor of the Cancer Centre

dIaGNOStICS aNd PROCedUReS

The Cancer Centre will include the latest equipment and facilities to diagnose and

treat cancer, and enable research into new techniques and treatments.

The lower ground floor will be the most

technologically advanced part of the building

and will support the work of the upper floors by

enabling one-stop clinical practice.

This may mean that a patient spends some

time with us in the Cancer Centre, but avoids

some of the return visits that are currently

required.

Improving the patient experience: PICC

lines

Insertion of peripheral inserted central

catheter (PICC) lines – used to give

treatments, medication and feeding – are

an area where patients will see a

substantial improvement in the way that

care is delivered. Currently patients have

to go between sites to have their PICC

line inserted and checked by X-ray. In the

new Centre this will all happen under one

roof, reducing inconvenience and anxiety

for patients and making the process

quicker, easier and more efficient.

New treatments

We expect to develop and improve

diagnostic and treatment techniques on

this floor, for example high intensity

focused ultrasound for prostate cancer.

This technique changes the lives of

cancer patients by eliminating only the

cancerous tumour, without affecting

surrounding normal tissue, helping men

go on to lead fully functioning lives.

Alan Johnson’s prostate cancer was

treated as part of a clinical trial using the

HEMI - HIFU (Hemiablation-high intensity

focused ultrasound) technique.

It was quick and painless and I

have none of the side effects

associated with more traditional

radioactive and

surgical treatments.

Best of all it has rid

me of the cancerous

cells that would have

felt like a ticking time

bomb inside me. I

have a lot to be

grateful for.

alan Johnson, patient

The facilities on this floor will

allow us to continue our research

into new techniques and treatments

for cancer.

Mark emberton, cancer divisional clinical

director

WeLLbeING CeNtRe

For the first time, all the cancer support services (listed below) will have a home in a

single purpose-built area – the Wellbeing Centre. The Centre will be on the ground

floor, making it immediately visible and accessible to patients, their carers and

families. From here, we will continue to provide support to patients in other parts of

the Trust, including our inpatient wards.

Cancer support services:

Macmillan information centre

Welfare and benefits advice

Psychology and counselling

Complementary therapies

Lymphoedema care

educational and lifestyle group

classes

Self help and support groups

Information plays an important

role in helping patient and carers

understand more about their illness. It

can also help them to make decisions

about care and treatments. For

example sources of emotional support

which can help patients cope with the

impact of cancer and its treatment.

Kay eaton, consultant nurse, cancer and

supportive care

UCLH saved my life, complementary therapy

helped me live through it. Before I was

diagnosed with acute lymphoblastic leukaemia (ALL)

in January 2009, I was very sceptical about

complementary medicine. A year in hospital later, I am

its biggest fan. Reflexology and reiki were something

pleasurable to look forward to among the gruelling

treatments ALL patients endure. The therapies helped

me to relax, made me feel better and alleviated painful

physical symptoms. In a word, wonderful.

Sue Murphy, patient

OUtPatIeNt zONeS

The outpatients department on the first floor has four zones – women’s health; lung,

brain and head and neck cancers; men’s health; and a general zone for other

cancer services. Facilities in each zone will be tailored to the specific cancers,

ensuring patients have access to everything they need in a single area.

The single most common complaint about our

service is the length of time patients wait in our

outpatient clinics. This is why we have made

tackling the waiting times in outpatients one of

our key priorities for the Cancer Centre. We

recognise that some delays are inevitable - but

we can make things better by keeping patients

informed about how long they are likely to wait.

Our electronic kiosks and real time update

screens will ensure that patients are kept in the

loop at every stage so they know if there is

time to go to the café, or pop out without

missing their appointment.

Between now and 2012, we will be working to

develop excellent outpatient services ready for

the Cancer Centre.

This work involves:

Working with each doctor to make sure

that every clinic is correctly set up so

that patients can be seen at or near

their appointment time.

telling every patient how long they will

have to wait when they arrive in the

clinic.

Improving room bookings so that we

use the rooms more efficiently.

Making sure all patient information – in

casenotes and on the computer system

– is always available for every clinic

appointment.

Providing uniforms, training and

development for administrative staff

working in outpatients.

Introducing comment cards, so that

patients can give us feedback and we

can learn how to improve services.

Piloting electronic patient check-in in

advance of the Cancer Centre.

CHeMOtHeRaPy

The Cancer Centre will provide a greatly improved environment for our patients

receiving chemotherapy, a contrast to the current facilities at the Rosenheim Wing.

The second floor has been specifically

designed with the needs of

chemotherapy patients in

mind.

The chemotherapy floor

provides very flexible space

to support treatments where

patients often spend

several hours with us.

Key features will include:

treatment chairs in

bays and rooms

around the perimeter

of the atrium where

patients’ privacy is

guaranteed

Use of the central atrium, a stunning

open space which will allow patients to

move around or relax in a less clinical

environment while receiving their

treatment

access to It and entertainment

Catering

For longer treatments, many of which may

have to be repeated over several days, it is

important not to isolate our patients from their

environment. This floor offers the best aspect

and provides space for patients to move

around, whilst recognising that the nature of

their care may mean that they cannot use other

amenities in the building during their treatment.

Chemotherapy and

ambulatory care

Open plan treatment

spaces

beds and chairs

Single rooms

Interview room

aseptic suite for the

safe production of

chemotherapy

A more spacious and relaxed

atmosphere is required as the

current situation is counter

productive to good health.

a patient’s view of the current facility, the

Rosenheim Wing

aMbULatORy CaRe

The number of ambulatory care patients is set to double from up to 10 per night to

up to 20 per night when we move into the Cancer Centre giving freedom and

flexibility to more patients than ever before.

What is ambulatory care?

Rather than staying overnight in a hospital

bed, patients who are assessed as

clinically fit to do so, stay at home or in a

local hotel and come to hospital for

treatment each day.

The ambulatory care model was first

developed at UCLH in December 2004 and

is set to become the norm for patients

receiving particular types of chemotherapy

medication.

What patients say about ambulatory

care:

Our aim is to build on these positive

experiences and ensure that the time our

patients spend with us is as pleasant as it can

be. The chemotherapy floor – where

ambulatory patients will spend time receiving

treatment – allows greater freedom and choice

for patients. Rather than being assigned to a

chair or bed for the whole of the treatment

schedule, patients may surf the net or socialise

in the open atrium space, watch television or

rest in a quiet area.

Ambulatory care is a great example of how we

can improve the patient experience and

improve efficiency. The service is cost

effective: for certain treatments, it is cheaper

for patients to stay in a hotel than a hospital

bed. It also means that inpatient beds can be

used for the very sick patients who need them

most.

...you don’t actually see yourself

as being unwell, whereas being

in hospital you think a lot more.

…when he came to visit me in the

hotel, for him it didn’t seem

like mummy was so ill.

Ambulatory care gives you a great

sense of autonomy - in

hospital you do not have that.

In ambulatory care you hold on to

your identity … when in hospital

you slump into patient mode – you

almost let your whole metabolism

drop to get into the hospital

routine.

yOUNG PeRSONS’ CaNCeR

The young persons’ floor has been designed as an integrated daycare and

outpatient facility. The Teenage Cancer Trust (TCT) has worked with us to develop a

really exciting series of spaces that support care in confidential bespoke booths but

also offer communal areas for socialising, reflection and creativity.

The contrast between how care is provided

now and how it will be provided in the Cancer

Centre will be greatest in the treatment of

young people with cancer. Working with the

TCT, we expect this unit to set the ‘gold

standard’ of care for young people in London

and the south of England.

This combination of new facilities at the

Cancer Centre supported by the Teenage

Cancer Trust and CLIC Sargent Paul’s House

will together offer young people with cancer

the best possible environment for their

treatment and support, unprecedented within

the NHS.

Many of the treatment pathways currently

being delivered in an inpatient setting will be

transitioned to an ambulatory care model,

delivered away from the hospital ward. Paul's

House will allow many of our patients to stay

free of charge in a safe residential setting

along with their family, even while they are

receiving daily treatment in the UCLH Cancer

Centre. This will go a long way to help keep

life as normal as possible during treatment

and help relieve some of the emotional and

financial strain inherent to cancer care.

The young persons’ floor in the

Cancer Centre creates a unique

opportunity to provide care truly

centred around the young person, and

together with the Teenage

Cancer Trust and CLIC

Sargent Paul's House we

will offer a genuine home-

from-home experience for

our patients and their

families.

alison Finch, senior nurse, children and young

people’s cancer services

HaeMatOLOGy

More than 10,000 outpatient appointments and 7,000 daycare treatments take place

at the Trust’s haematology unit each year. The Cancer Centre will provide the first

purpose-built facilities to support our work on leukaemia, myeloma, bone marrow

transplant, and other aspects of clinical haematology.

The current facilities (in the Rosenheim Wing)

were not constructed for modern practice and

whilst we offer an excellent clinical service, the

new environment will be a huge step forward

for haematological care at UCLH.

The Trust already provides a service to

patients from across north London. The new

department will be significantly bigger allowing

us to continue to support patients’ complex

care needs. We currently provide outreach

care at other units and plan to continue and

expand upon this service.

Multi-disciplinary team Centre

The fourth floor will also be home to the Multi-

Disciplinary Team Centre providing a hub for

a wider network of care. The Centre will

include a conference room with video-link

facilities and seminar rooms.

Although our teams already undertake video

conferences with hospitals across north

central London and the south of England, the

new facilities will enable this to become the

norm, allowing professionals to share

knowledge and expertise and work together

across hospital sites to ensure the best

possible care for our patients.

The facilities will also allow us to strengthen

our links with international departments and

experts.

HeaLING GaRdeN

The healing garden on the fifth floor of the Centre will provide a peaceful and

tranquil space. This space is for patients, their carers and staff and is a place where

people can relax, reflect and enjoy the unique environment, away from the clinical

activities that are taking place in the rest of the building.

The garden will be

one of many focal

areas for art within

the Cancer Centre.

We are fundraising to

ensure we have art

throughout the

building, to enhance the built environment and

maximise its positive effect on patients, visitors

and staff.

Recent evidence shows that art in healthcare

environments has many positive effects on

patients, including:

Reduction of stress

Reduction of depression and anxiety

Reduced blood pressure

Reduced pain intensity

Reduced need for medication

Improved mental health

Each detail of our patients’ care and

experience is important to us. Through new

design ideas or through new partnerships we

want this facility to set the new standard for

NHS care of cancer.

The arts programme at UCLH is

vibrant, diverse and engages fully

with all stakeholders. The numerical

data demonstrates that there are high

levels of engagement with the

programme. Stakeholders report that

they find the programme a source

of interest, enjoyment and

relaxation.

Independent evaluation conducted by the

University of Lancashire, 2008

OUR PaRtNeRS

This is a highly ambitious development – we want to put the UCLH cancer centre on

the map as one of Europe’s leading centres for the treatment of cancer. Our

partners are a vital source of support in working with us to achieve this ambition.

UCLH CHaRItabLe FOUNdatION

Help us to build a better future for cancer patients

One in three people are affected by cancer.

Every day lives are changed forever by this

disease, which indiscriminately alters the

futures of people everywhere.

Inspired by America’s cancer day-care centres

which focus on an individualised and holistic

approach to treatment of cancer patients,

UCLH is building one of the top cancer centres

in Europe to make the highest standard of

cancer care available to all our patients.

This cancer centre which will open in 2012, will

be a state-of-the-art building, with each floor

designed around the needs of patients with

different cancers, including dedicated facilities

for teenage cancers, women’s health and

men’s cancers.

The cancer centre will be linked with the UCL

Cancer Institute which is situated directly

opposite the site, encouraging un-chartered

opportunity for close collaboration between

these two prestigious institutions. Together

they will form a centre of excellence for cancer.

Changing the shape of cancer patients’ futures

comes at a price – the cancer centre is costing

£100 million to design, build and equip. The

NHS trust has asked UCLH Charitable

Foundation to raise £30 million towards the

costs for the cancer centre.

There are many ways in which you can support

this project. From biking from London to Paris

or running a half marathon, organising your

own fundraising event or simply making a

donation, you can make a lasting difference to

the future of cancer patients.

For more information about events, to discuss

your fundraising idea, or to make a debit or

credit card donation, please contact the UCLH

Charitable Foundation Office on 0207 380

9558. If you wish to make a donation online

please go to www.cancercentreuclh.org, or if

you wish to send in a donation please make

your cheque payable to ‘UCLH Charitable

Foundation’ and send it to UCLH Charitable

Foundation, 3rd Floor East, 250 Euston Road,

London, NW1 2PG.

20122010

Thank you for your support.

teeNaGe CaNCeR tRUSt

Teenage Cancer Trust knows what young people need to fight cancer

We know how damaging it is to take a young

person away from their everyday life, their

friends, their environment, their family and put

them in a cancer ward with small children or

older people.

Young people have a much better chance in

their fight against cancer if they are treated by

teenage cancer experts, with other young

people, in an environment tailored to their

needs. So we’re working every day to make

that happen by building specialist teenage

cancer units in NHS hospitals.

Within the new Cancer Centre, Teenage

Cancer Trust is developing a specialist out-

patients unit for young people. This new unit

will complement the existing Teenage Cancer

Trust in-patient unit at UCLH that has been

supporting young people with cancer since

2005. The new out-patient unit will be an

exceptional facility, featuring the very best in

interior design and technology. It will include:

eight out-patient treatment pods

Nurse’s station

two private

treatment rooms

a large social

area featuring a

family area, cafe,

education zone,

dJ booth and

gaming space

Quiet rooms

did you know?

Every day in the UK, six young people are

told they have cancer

Young people can get some of the most

rare and aggressive forms of cancer. Their

rapidly growing bodies work against them,

enabling the cancer to grow faster. The

emotional upheaval of adolescence can

make a cancer diagnosis even harder to

cope with.

Teenage Cancer Trust units combine an

expert team and the best possible therapy

with the best possible environment for

teenagers and young adults. And by

focusing on quality of life, they can change

a teenager’s outlook and give them the

fight and attitude they need to beat cancer.

To date Teenage Cancer Trust has

developed 16 units across the UK. Sixteen

more are in development and by the end

of 2010, 22 will be operational, supporting

patients and families. Teenage Cancer

Trust aims to build enough units so that

every young person with cancer has

access to support and care they provide.

For further information visit

www.teenagecancertrust.org

or call 020 7612 0370

SKaNSKa

Skanska UK is a

construction

services business

with operations in

building, civil

engineering,

utilities and

infrastructure

services, piling

and ground

engineering, design, mechanical and electrical,

hard and soft FM, PFI/PPP, ceilings and

decorative plasterwork, steel decking and

Communities, which delivers ModernaHus,

Skanska’s low energy MMC residential

solution.

Our business model is to integrate our core

disciplines to deliver project solutions across

our chosen market areas. By integrating all

disciplines and working together with our

clients, our partners and our supply chain, we

make a real difference to the way construction

is delivered.

Backed by the financial strength of our parent,

Skanska AB, we focus totally on our customers

in the UK, understanding their needs. We

combine this with a “can-do” mindset to get it

right first time. By continually improving the

service we offer and delivering on safety,

environment, quality and performance – our

clients see us as the first choice of partner.

Our ability to demonstrate real responsibility to

the people, organisations and environments in

which we work attracts the next generation of

talent who want to make a real difference.

We employ around

5000 staff and

undertake over £1.5

billion of work each

year. All operating

units have

certification to the

management systems

ISO 14001, ISO 9001

and OHSAS 18001

and work strictly in

accordance with the

Skanska Code of

Conduct.

Skanska UK is part of Skanska, Skanska is

one of the world’s leading project development

and construction groups with expertise in

construction, development of commercial and

residential projects and public-private

partnerships. The Group currently has 55,000

employees in selected home markets in

Europe, in the US and Latin America.

Headquartered in Stockholm, Sweden and

listed on the Stockholm Stock Exchange,

Skanska's sales in 2009 totalled £11.4 billion.

HCa

One Centre, One Purpose…

World Class Cancer Care

Leading private healthcare group HCA

International joined forces with UCLH NHS

Foundation Trust in 2006 forming Harley Street

at UCH. Our state-of-the-art private

outpatient’s facilities which will be on the 5th

floor of the new Cancer Centre will support the

extensive inpatient facilities already available

on the 15th floor of UCH.

the new facilities will include:

access to world leading Consultants

extensive Haematology and

Oncology day Care facilities

dedicated young Person’s day

Care Centre

Comprehensive outpatient

facilities