Beyond scoring: advancing a new approach to the design evaluation of NHS buildings

Abstract

The engagement of project stakeholders in the design evaluation of\nNational Health Service (NHS) buildings is critiqued to evaluate the current\neffectiveness of NHS policy which prescribes the use of quantitative, positivist survey\ninstruments to capture stakeholder views. An alternative conceptual framework for\ndesign evaluation is presented that privileges the practice of design evaluation as the\nsocial interaction of project stakeholders. Empirical evidence from two longitudinal\ncase studies of newly-constructed mental health facilities illustrate the success of this\ninnovative approach in improving patient healthcare outcomes and reducing operating\ncosts. It elucidates and enhances both the praxis and practices stimulated by current\napproaches to design evaluation. It raises important implications for the future\ndevelopment of UK Government policy to substantively improve the design quality of\nNHS healthcare buildings and, in turn, improve patient healthcare outcomes.

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