This presents an additional challenge.. Marks says it’s particularly problematic due to the siloed nature of the ecosystem.

Describing the process of layout design for the hospital, Wood notes that the more Bryden Wood understood about the hospital and its patients, the more they were able to ‘codify their operations, their adjacencies and their spaces…’ He discusses the fact that Bryden Wood were able to benefit from a considerable amount of consultation and direct input from the professionals who were actually going to be using the facility.All of that knowledge was then enshrined into a three dimensional design tool, he says, which became like a ‘vocabulary of spaces…’.

Wood also describes how such a level of understanding about the function of the building, led logically to the next step of applying a level of systemization to its construction, in order to underpin it and make construction more efficient.‘We understood...the scale and the spans that the structure would require’ he says.This enabled the development of a system which is ‘a hybrid, precast concrete and steel system specifically for Circle,’ one which follows the ‘grain’ and ‘functional requirements,’ of all the spaces to be contained within the building.

‘This made the delivery of the building faster,’ says Wood.‘It made the quality of the building higher and the accuracy of the building higher, and it made this efficiency repeatable on future projects with relative ease.’ Notably, he says, the process also enabled ‘an understanding of the potential scale and efficiency of the building much earlier than normally possible.’.

Maswiken recognises that the building’s sense of spaciousness comes from the fact that the hospital benefits from such a ‘well thought out design.’ ‘We’re very lucky with our building and the set up,’ he says.

‘You don’t feel claustrophobic at all.’.report, published in 2020.

Transforming Performance and Productivity in the Construction Industry., from the Maufacturing Technology Centre in 2019. the UK Government's.

The Construction Playbook: Government guidance on sourcing and contracting public works projects and programmes., in 2020. the IPA's.