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St. Marks Hospital

location: Northwick Park, London

year: 1994

client: Sir Robert and Lady Sainsbury

design: Richard Horden Associates

St Mark’s is a world-leading clinic for intestinal disorders. It needed a new ward for the treatment of private patients. Careful design and programming enabled an eighteen-bed ward to be built on the roof of the existing nine-storey Northwick Park hospital building in only 14 months, while it remained in use throughout. Prefabricated bathroom elements and complex patient care units with large composite elements of structure and cladding, were used, and a new independent high-speed lift tower was added. The design takes the analogy of an aeroplane and seeks to make the patient feel totally cared for from ‘check-in’ onwards – for example making sure that views from patients’ beds are optimised. Horden Cherry Lee Architects revisited the project in 2002 to rearrange ancillary administration spaces and to upgrade the environmental performance and control of the wing.