Rey Juan Carlos Hospital
Rafael de La-Hoz Arquitectos propose to transform the citizen into a client, for a new type of hospital which, in addition to assisting the proven effectiveness of the healthcare system, he can feel at all times to be the centre of all care and all attention. The concept is based on demographic, socio-economic structures and formulas for effective care, management and organisation. This proposed new Hospital model therefore uses three basic elements – efficiency, light and silence – combining the best of hospital architecture and the best of residential architecture. This architecture therefore corresponds to the complex requirements of the program as well as economic necessities.
The new Hospital Rey Juan Carlos in Móstoles is a centre integrated in the public health network, designed to offer care which is universal, nearby and effective to around 180,000 citizens in Móstoles and its outskirts. The hospital, involving a capital outlay of 232.2 million Euros, is endowed with a total surface area of 94,705 m2 which provides: 570 hospitalization and intensive beds, 12 operating theatres, 54 outpatients’ units, 33 exploration rooms, 7 RPTU (Radiological Protection Technical Units), 84 emergency stations, 17 dialysis stations, 20 medical day hospital stations, 20 surgical day hospital stations and 17 radiology stations, inter alia. With this new infrastructure, Móstoles will be the first city in the region, besides the Madrid capital, to have two public hospitals.
Rafael de La-Hoz Arquitectos have been chosen to give shape to the new Móstoles Hospital. “Our latest hospitals, as health systems, provide effective care to the citizen, but they do so in an architectonic space which is unnecessarily dramatic and sometimes depressing”, explains Rafael de La-Hoz. This is why the architects have designed a new hospital model which manages to provide the best in hospital architecture and the best in residential architecture through 3 basic elements: effectiveness, light and silence.
The Hospital Rey Juan Carlos consists of a large prismatic base with strict structural modulation, in which care units, outpatients, diagnosis and treatment, are included and structured into three modules – internal, shared and external uses -, and which supports two glass ovoid towers housing the hospitalisation units. Two oval crowns drawn with pleasant curves which move away in sensory terms from the depressive residential forms of the rationalist “pill block” and are inspired by the best of recent residential architecture: the removal of corridors and hence of noise, concentric circulation, light and silence around a common atrium. From the very outset it has been sought to separate this patient space from the functional activity areas, raising them on a vegetation covering which takes on its full meaning in the shape of a garden which can be observed from the rooms.
As regards the circulatory structure of the hospital, the architects set out to distinguish the internal and external circulations, thereby minimising the length of the routes. In the two prisms of the ends there are clearly internal uses on one and external on the other. The central prism has shared uses in which the internal and external circulations are necessary, but always not interfering with each other. Having separate internal and external circulations keeps journeys to a minimum and makes communications simpler.
Essentially, particular consideration has been paid to offering professionals the chance to treat, and citizens to be treated, in an atmosphere in which natural light and silence prove therapeutic, creating spaces which lend dignity to their passage through the hospital, both for the patients themselves as well as for their relations.
Rafael de La-Hoz Arquitectos:
Our recent hospitals, as health systems, effectively serve the citizens, but it takes place in a dramatic architectural space unnecessarily and sometimes depressive. Its proven effectiveness is the cause of their repeatability, so that over a quarter of a century that all are the same, or so perceived.
We propose to transform the citizen into a customer, for a new type of hospital, which in addition to assist with the proven effectiveness of our healthcare system, can feel at all times the center of all care, giving them all attention. This new hospital model is configured in three basic elements: efficiency, light and silence. The best about hospital architecture and the best in residential architecture. Conceptually, the new hospital is arranged on base that gives structure to the health care units, outpatient diagnosis and treatment. Structured in three modules or parallel buildings that reflect the best hospital main structures: flexibility, expansion, functional clarity and horizontal circulations. On this structure are arranged two units of hospitalization, two oval crown with gentle curves drawn give a different view from the depressive sensory residential forms of the rationalist “block bar”, and draw on the best of recent residential architecture: the elimination of corridors and in consequence the elimination of annoying noise, concentric circulation, light and silence around a common atrium.
Two functional concepts space: base and crown, which are linked to form a new architecture, a model that offers to the professionals the opportunity to treat and to the citizens to be treated in an environment where the natural light and the silence resulting therapeutics.
The overall concept is based on the architectural proposal for a hospital of this nature; it should allow adaptation to the requirements of the program needs, and expected financial requirements. It has also sought to respond to the complex functional program with contemporary and attractive architecture. It has had particular regard to the human scale, solar protection and above all to distinct the patients spaces through the hospital. The build is the result of a different point of view against to the simples and common spaces in hospital architecture. Our purpose is also give therapeutics spaces, provide and architecture that serves to he rest and recovery of the patient. “To use the architecture as a medical treatment”.
The design is structured on a large base, which encompasses various medical areas of the hospital, holding two volumes of glass where the ward is developed. This approach develops to a complex system of articulated spaces within three prisms that make up the base, geared to each other as if it were a machine, a “healing machine”. In addition to the functional treatment of the base, a symbolic treatment was essential to remark the towers. The space of the patients is planned only thinking in the needs and in the best way to them to feel better with harmony and light. From the first moment, it was determinate to have different spaces between the area of the patients and the other functional areas of the hospital, allowing in this area the relation between the green roof garden and the views from each room.
Achieving a perfect functional relationship between the areas, providing maximum flexibility to the scheme between the exterior and interior spaces. Differentiate between internal and external circulation, distinguish the accesses and the specificity of vertical communication cores, allowing clarifying the scheme. The position of the two towers, responds to the functional need to have an immediate access to the operating rooms, delivery rooms, emergency and diagnostic. The functionality of the building lays in the way of life the patients and their relatives have during the time they have to be inside.
The strategy of the implementation is the organization between all the elements that are involved in the project. The three prisms of the basement organize the circulation in an exemplary manner. In the two prisms of the edges are arranged for one to be used externally and the other internally, the block in the middle shares uses when internal and external circulations are necessary, but always without interference. Systematize the building by structural modulation with the subsequent pre-industrialization process linked with a technological innovation in the materials and systems used; give a unique result with the last technology making the difference with the traditional hospital buildings.
One of our main points in the building is the sustainability; considering the conditions of solar orientation, topography, built environment and the greenery nearby, without forgetting the urban conditions of application. Incorporate in the system green materials and renewable energy technology, with the objective to save resources and optimize operating costs, providing trough the green roof the natural light and ventilation to the inside of the building.
Project name: Rey Juan Carlos Hospital
Location: Calle Gladiolo, 28933 Móstoles, Madrid, Spain
Coordinates: 40.339013, -3.870846
Ground Surface: 90.000 sqm
Built Area overground: 69.782sqm
Built Area underground: 24.923,20 sqm
Built Total Area: 94.705,49 sqm
Project Year: 2009-2012
Cost: $126 million
Completion Year: March 2012
Client / Owner / Developer: Madrilenian Public Health Service. Department of Health, Autonomous Community of Madrid
Architects: Rafael de La-Hoz Arquitectos – Paseo de la Castellana 82 2º 28046 Madrid Spain
Design Architects: Hugo Berenguer, Francisco Arévalo, Miguel MAIZA, Jacobo Ordás, Carolina Fernández, Encarna Sánchez, Gonzálo Robles, Javier Gómez
Interior designer: Rafael de La-Hoz
Basic Project: Miguel MAIZA, Jacobo Ordás, Gonzálo Robles, Javier Gómez
Execution project: Miguel MAIZA, Sigfried Burguer, Hugo Berenguer, Jacobo Ordás, Gonzálo Robles, Javier Gómez, Peter Germann, Laura Díaz, Fernando de la Fuente, Saúl Castellanos, Javier Gómez, Carmen Salinas
Coordinators of work: Miguel MAIZA, Jacobo Ordás
Graphic Design: Luis Múñoz, Daniel Roris
Models: Victor Coronel, Fernando Mont
General contractor: O.H.L. (Obrascón Huarte Laín), S.A.
Text Description: © Courtesy of Rafael de La-Hoz Arquitectos
Images: © Rafael de La-Hoz Arquitectos, Duccio Malagamba
Materials & Suplier:
Tile: Porcelanosa, Discesur
Glass: Cricursa, Control Glass
Cladding: Permasteelisa, Cricursa, FERGA, Doval Building
Flooring: Armstrong DLW Ibérica, Tarkett