Central Middlesex Hospital
Encyclopedia
Central Middlesex hospital (CMH) is in the centre of the Park Royal
business estate, on the border of two London
boroughs, Brent
and Ealing
.
and part of the North West London Hospitals NHS Trust. This trust incorporates Northwick Park and St Mark's Hospitals
in Harrow
, Central Middlesex Hospital in Park Royal
and outreach services based close to the local communities in Wembley
, Willesden, Edgware, Stanmore
and Harlesden
.
There are 214 beds on site in general medicine, general surgery, urology including orthopaedics, ENT, ophthalmology, oral surgery, obstetrics, gynaecology, cardiology and gastroenterology. The hospital has particular experience in the care of patients with conditions aggravated by deprivation, specifically TB, diabetes and coronary heart disease, and is a leader in the research and treatment of sickle-cell disease
.
CMH has recently been rebuilt, using the proceeds of land sales and a PFI project. The old buildings were demolished, to be replaced by modern and accessible new ones, including the ACAD Centre (1999) and main building (2006). Much of the original site has been sold for complementary mixed-use redevelopment, including residential accommodation.
Keith Moon
(The Who
) and Nicky Hopkins, world famous session pianist, were born here as their families lived in the borough of Wembley
at that time. Peter Moss, a close friend of Vivian Stanshall
and his musical director for years, was also born in this hospital.
The hospital featured in the film 28 Days Later
, with the protagonist Jim waking up in a deserted ACAD Centre.
The BECaD project was developed in two phases. The first phase of the overall redevelopment of the site was completed in March 2006 with the opening of the BECaD building after a construction period of 28 months. This was followed by the demolition of the existing Victorian hospital buildings and subsequent landscaping of the southern sector of the site, completed during January 2007.
The major functional components in the new BECaD comprise an Acute and Critical Care Centre (ACCC) largely related to emergency services and an Expert Consulting Centre (ECC) which offers an innovative vision of outpatient functions and an operational base for all the clinicians involved in the acute services. The same clinical teams will work across both elements of the accommodation provided based on a new model of care developed for these key functions. The Acute & Critical Care facility is split into a Major Assessment Centre (MAC) for major or critical conditions, and an Urgent Treatment Centre (UTC) for the treatment of all minor injuries and illnesses which normally cause congestion in traditional A&E departments. A separately streamed emergency receiving facility for children has also been provided as part of this component.
BECaD delivers a non-institutional, therapeutic healthcare environment based on an innovative model of patient-focused care and the provision of flexible and adaptable accommodation. Its design incorporates a palette of natural materials, a positive wayfinding strategy utilising internal materials, colours, landscaping, artworks, and signage in a co-ordinated manner to be reassuring and welcoming.
From an urban design viewpoint, the new facility is conceived as a major catalyst in the regeneration of Park Royal. It is designed to maximise ease of access via a recognisable and welcoming main entrance atrium which faces southwards over a new elliptical civic space and bus station.
The closest London Underground
stations are at Park Royal
and Alperton
for the Piccadilly line
, and at North Acton
and Hanger Lane
for the Central line
.
London Overground
and Bakerloo line
joint-line stations are at Willesden Junction, Harlesden and Stonebridge Park.
All the above have bus services to the hospital. The best connection is probably from Harlesden station, with several bus routes passing there. Hospital visitors can choose a public transport route on the Transport for London
web site.
The NHS web site gives its own transport advice This acknowledges that transport between sites of the NHS Trust is not straightforward.
A 'FastBus' limited-stop bus service has been proposed, calling at the hospital, and promoted by Brent
, Ealing
, and the Park Royal Partnership
. Some bus lanes have been added to new roads at certain places, to facilitate this. However, as of mid-2009, Transport for London
has not yet accepted the FastBus proposal.
In 2004, the multinational Diageo
company agreed to build extra Central Line platforms at Park Royal tube station
, as part of its First Central business park, built on the site of the (now demolished) Guinness
brewery. This would improve bus services to the hospital. As of mid-2009, this had not yet happened.
In early 2008, the London Group of the Campaign for Better Transport (UK) published a plan for a North and West London Light railway
service through the Park Royal estate to the hospital, and connecting to Wembley
, Ealing Broadway, West Hampstead
and Finchley Central
. In April 2009, the Ealing
voted unanimously at a full council meeting to support in principle the light railway.
Both transport proposals would improve staff and patient connections between CMH and Northwick Park Hospital
, the other main site in the NHS Trust.
for 145 keyworker flats next to Central Middlesex Hospital.
CZWG Architects designed the complex to achieve level 4 in the government’s Code for Sustainable Homes. The scheme includes rental and shared-ownership flats and will be managed by Network’s London Strategic Housing.
Housing associations were recently criticised by the Commission for Architecture and the Built Environment (CABE), the design watchdog, for producing substandard affordable housing, but Network claimed the Brent project ‘will show that the sector does produce dynamic and well-designed properties’.
Park Royal
Park Royal is an area in northwest London, UK. It is the largest industrial and business park in London, occupying about , and is promoted commercially by the Park Royal Partnership...
business estate, on the border of two London
London
London is the capital city of :England and the :United Kingdom, the largest metropolitan area in the United Kingdom, and the largest urban zone in the European Union by most measures. Located on the River Thames, London has been a major settlement for two millennia, its history going back to its...
boroughs, Brent
London Borough of Brent
In 1801, the civil parishes that form the modern borough had a total population of 2,022. This rose slowly throughout the 19th century, as the district became built up; reaching 5,646 in the middle of the century. When the railways arrived the rate of population growth increased...
and Ealing
London Borough of Ealing
The London Borough of Ealing is a borough in west London.-Location:The London Borough of Ealing borders the London Borough of Hillingdon to the west, the London Borough of Harrow and the London Borough of Brent to the north, the London Borough of Hammersmith and Fulham to the east and the London...
.
Hospital role
CMH is a teaching hospital of Imperial College School of MedicineImperial College School of Medicine
The Imperial College School of Medicine is the medical school of Imperial College London in England, and one of the United Hospitals....
and part of the North West London Hospitals NHS Trust. This trust incorporates Northwick Park and St Mark's Hospitals
Northwick Park Hospital
Northwick Park Hospital is a large hospital in the northwest corner of the London Borough of Brent in Greater London, England.-Hospital role:...
in Harrow
Harrow, London
Harrow is an area in the London Borough of Harrow, northwest London, United Kingdom. It is a suburban area and is situated 12.2 miles northwest of Charing Cross...
, Central Middlesex Hospital in Park Royal
Park Royal
Park Royal is an area in northwest London, UK. It is the largest industrial and business park in London, occupying about , and is promoted commercially by the Park Royal Partnership...
and outreach services based close to the local communities in Wembley
Wembley
Wembley is an area of northwest London, England, and part of the London Borough of Brent. It is home to the famous Wembley Stadium and Wembley Arena...
, Willesden, Edgware, Stanmore
Stanmore
Stanmore is a suburban area of the London Borough of Harrow, in northwest London. It is situated northwest of Charing Cross. The area is home to Stanmore Hill, one of the highest points of London, high.-Toponymy:...
and Harlesden
Harlesden
Harlesden is an area in the London Borough of Brent, northwest London, UK. Its main focal point is the Jubilee Clock which commemorates Queen Victoria's Golden Jubilee....
.
There are 214 beds on site in general medicine, general surgery, urology including orthopaedics, ENT, ophthalmology, oral surgery, obstetrics, gynaecology, cardiology and gastroenterology. The hospital has particular experience in the care of patients with conditions aggravated by deprivation, specifically TB, diabetes and coronary heart disease, and is a leader in the research and treatment of sickle-cell disease
Sickle-cell disease
Sickle-cell disease , or sickle-cell anaemia or drepanocytosis, is an autosomal recessive genetic blood disorder with overdominance, characterized by red blood cells that assume an abnormal, rigid, sickle shape. Sickling decreases the cells' flexibility and results in a risk of various...
.
CMH has recently been rebuilt, using the proceeds of land sales and a PFI project. The old buildings were demolished, to be replaced by modern and accessible new ones, including the ACAD Centre (1999) and main building (2006). Much of the original site has been sold for complementary mixed-use redevelopment, including residential accommodation.
Keith Moon
Keith Moon
Keith John Moon was an English musician, best known for being the drummer of the English rock group The Who. He gained acclaim for his exuberant and innovative drumming style, and notoriety for his eccentric and often self-destructive behaviour, earning him the nickname "Moon the Loon". Moon...
(The Who
The Who
The Who are an English rock band formed in 1964 by Roger Daltrey , Pete Townshend , John Entwistle and Keith Moon . They became known for energetic live performances which often included instrument destruction...
) and Nicky Hopkins, world famous session pianist, were born here as their families lived in the borough of Wembley
Wembley
Wembley is an area of northwest London, England, and part of the London Borough of Brent. It is home to the famous Wembley Stadium and Wembley Arena...
at that time. Peter Moss, a close friend of Vivian Stanshall
Vivian Stanshall
Vivian Stanshall was an English singer-songwriter, painter, musician, author, poet and wit, best known for his work with the Bonzo Dog Doo-Dah Band, for his surreal exploration of the British upper classes in Sir Henry at Rawlinson End, and for narrating Mike Oldfield's Tubular Bells.-The great...
and his musical director for years, was also born in this hospital.
The hospital featured in the film 28 Days Later
28 Days Later
28 Days Later is an acclaimed 2002 British horror film directed by Danny Boyle. The screenplay was written by Alex Garland, and the film stars Cillian Murphy, Naomie Harris, Brendan Gleeson, Megan Burns, and Christopher Eccleston...
, with the protagonist Jim waking up in a deserted ACAD Centre.
BECaD unit
The £62.5 million Brent Emergency Care and Diagnostic Centre (BECaD) at Central Middlesex Hospital, Park Royal, London, was completed in March 2007. The scheme was designed by HLM Architects in association with Avanti Architects and constructed by Bouygues (UK) through the PFI form of procurement.The BECaD project was developed in two phases. The first phase of the overall redevelopment of the site was completed in March 2006 with the opening of the BECaD building after a construction period of 28 months. This was followed by the demolition of the existing Victorian hospital buildings and subsequent landscaping of the southern sector of the site, completed during January 2007.
The major functional components in the new BECaD comprise an Acute and Critical Care Centre (ACCC) largely related to emergency services and an Expert Consulting Centre (ECC) which offers an innovative vision of outpatient functions and an operational base for all the clinicians involved in the acute services. The same clinical teams will work across both elements of the accommodation provided based on a new model of care developed for these key functions. The Acute & Critical Care facility is split into a Major Assessment Centre (MAC) for major or critical conditions, and an Urgent Treatment Centre (UTC) for the treatment of all minor injuries and illnesses which normally cause congestion in traditional A&E departments. A separately streamed emergency receiving facility for children has also been provided as part of this component.
BECaD delivers a non-institutional, therapeutic healthcare environment based on an innovative model of patient-focused care and the provision of flexible and adaptable accommodation. Its design incorporates a palette of natural materials, a positive wayfinding strategy utilising internal materials, colours, landscaping, artworks, and signage in a co-ordinated manner to be reassuring and welcoming.
From an urban design viewpoint, the new facility is conceived as a major catalyst in the regeneration of Park Royal. It is designed to maximise ease of access via a recognisable and welcoming main entrance atrium which faces southwards over a new elliptical civic space and bus station.
Transport
Numerous bus routes call at the hospital bus station, or nearby, although most are not frequent.The closest London Underground
London Underground
The London Underground is a rapid transit system serving a large part of Greater London and some parts of Buckinghamshire, Hertfordshire and Essex in England...
stations are at Park Royal
Park Royal tube station
Park Royal is a station on the Piccadilly Line of the London Underground. It is between and and is in Travelcard Zone 3. It is situated on the south side of the east-west Western Avenue , surrounded by residential Ealing and industrial Park Royal...
and Alperton
Alperton tube station
Alperton is a London Underground station on the Uxbridge branch of the Piccadilly Line. The station is between Sudbury Town and Park Royal. It is located on Ealing Road a short distance from the junction with Bridgewater Road and is close to Alperton Bus Garage and the Paddington branch of the...
for the Piccadilly line
Piccadilly Line
The Piccadilly line is a line of the London Underground, coloured dark blue on the Tube map. It is the fifth busiest line on the Underground network judged by the number of passengers transported per year. It is mainly a deep-level line, running from the north to the west of London via Zone 1, with...
, and at North Acton
North Acton tube station
North Acton tube station is in North Acton, west London in the London Borough of Ealing. The station is on the Central line of the London Underground, between East Acton and Hanger Lane...
and Hanger Lane
Hanger Lane tube station
Hanger Lane tube station is a London Underground station. It is located on the West Ruislip branch of the Central Line, between Perivale and North Acton stations, and is in Travelcard Zone 3. The station is located in Hanger Hill....
for the Central line
Central Line
The Central line is a London Underground line, coloured red on the tube map. It is a deep-level "tube" line, running east-west across London, and, at , has the greatest total length of track of any line on the Underground. Of the 49 stations served, 20 are below ground...
.
London Overground
London Overground
London Overground is a suburban rail network in London and Hertfordshire. It has been operated by London Overground Rail Operations since 2007 as part of the National Rail network, under the franchise control and branding of Transport for London...
and Bakerloo line
Bakerloo Line
The Bakerloo line is a line of the London Underground, coloured brown on the Tube map. It runs partly on the surface and partly at deep level, from Elephant and Castle in the south-east to Harrow & Wealdstone in the north-west of London. The line serves 25 stations, of which 15 are underground...
joint-line stations are at Willesden Junction, Harlesden and Stonebridge Park.
All the above have bus services to the hospital. The best connection is probably from Harlesden station, with several bus routes passing there. Hospital visitors can choose a public transport route on the Transport for London
Transport for London
Transport for London is the local government body responsible for most aspects of the transport system in Greater London in England. Its role is to implement the transport strategy and to manage transport services across London...
web site.
The NHS web site gives its own transport advice This acknowledges that transport between sites of the NHS Trust is not straightforward.
Development
Despite the rail stations described above, public transport to the hospital has generally been felt to be poor, and road congestion, particularly at peak hours, has been an unattractive feature of the Park Royal estate.A 'FastBus' limited-stop bus service has been proposed, calling at the hospital, and promoted by Brent
London Borough of Brent
In 1801, the civil parishes that form the modern borough had a total population of 2,022. This rose slowly throughout the 19th century, as the district became built up; reaching 5,646 in the middle of the century. When the railways arrived the rate of population growth increased...
, Ealing
London Borough of Ealing
The London Borough of Ealing is a borough in west London.-Location:The London Borough of Ealing borders the London Borough of Hillingdon to the west, the London Borough of Harrow and the London Borough of Brent to the north, the London Borough of Hammersmith and Fulham to the east and the London...
, and the Park Royal Partnership
Park Royal Partnership
Park Royal Partnership is an urban regeneration partnership, promoting the economic development of Park Royal, London, Europe’s largest industrial area.-Activities:...
. Some bus lanes have been added to new roads at certain places, to facilitate this. However, as of mid-2009, Transport for London
Transport for London
Transport for London is the local government body responsible for most aspects of the transport system in Greater London in England. Its role is to implement the transport strategy and to manage transport services across London...
has not yet accepted the FastBus proposal.
In 2004, the multinational Diageo
Diageo
Diageo plc is a global alcoholic beverages company headquartered in London, United Kingdom. It is the world's largest producer of spirits and a major producer of beer and wine....
company agreed to build extra Central Line platforms at Park Royal tube station
Park Royal tube station
Park Royal is a station on the Piccadilly Line of the London Underground. It is between and and is in Travelcard Zone 3. It is situated on the south side of the east-west Western Avenue , surrounded by residential Ealing and industrial Park Royal...
, as part of its First Central business park, built on the site of the (now demolished) Guinness
Guinness
Guinness is a popular Irish dry stout that originated in the brewery of Arthur Guinness at St. James's Gate, Dublin. Guinness is directly descended from the porter style that originated in London in the early 18th century and is one of the most successful beer brands worldwide, brewed in almost...
brewery. This would improve bus services to the hospital. As of mid-2009, this had not yet happened.
In early 2008, the London Group of the Campaign for Better Transport (UK) published a plan for a North and West London Light railway
North and West London Light Railway
The North and West London Light Railway , formerly proposed-named as Brent Cross Railway, is a potential light rail service proposed by the London group of the Campaign for Better Transport, intended to serve parts of north, northwest and west London, being similar to the Docklands Light Railway...
service through the Park Royal estate to the hospital, and connecting to Wembley
Wembley
Wembley is an area of northwest London, England, and part of the London Borough of Brent. It is home to the famous Wembley Stadium and Wembley Arena...
, Ealing Broadway, West Hampstead
West Hampstead
West Hampstead is an area in northwest London, England, situated between Childs Hill to the north, Frognal and Hampstead to the north-east, Swiss Cottage to the east, and South Hampstead to the south. Until the late 19th century, the locale was a small village called West End...
and Finchley Central
Finchley Central
Finchley Central may refer to:* Finchley Central tube station* Church End, Barnet, also known as Finchley Central* A song by The New Vaudeville Band...
. In April 2009, the Ealing
London Borough of Ealing
The London Borough of Ealing is a borough in west London.-Location:The London Borough of Ealing borders the London Borough of Hillingdon to the west, the London Borough of Harrow and the London Borough of Brent to the north, the London Borough of Hammersmith and Fulham to the east and the London...
voted unanimously at a full council meeting to support in principle the light railway.
Both transport proposals would improve staff and patient connections between CMH and Northwick Park Hospital
Northwick Park Hospital
Northwick Park Hospital is a large hospital in the northwest corner of the London Borough of Brent in Greater London, England.-Hospital role:...
, the other main site in the NHS Trust.
Local housing
In July 2009, Network Housing Group won planning permission from the London Borough of BrentLondon Borough of Brent
In 1801, the civil parishes that form the modern borough had a total population of 2,022. This rose slowly throughout the 19th century, as the district became built up; reaching 5,646 in the middle of the century. When the railways arrived the rate of population growth increased...
for 145 keyworker flats next to Central Middlesex Hospital.
CZWG Architects designed the complex to achieve level 4 in the government’s Code for Sustainable Homes. The scheme includes rental and shared-ownership flats and will be managed by Network’s London Strategic Housing.
Housing associations were recently criticised by the Commission for Architecture and the Built Environment (CABE), the design watchdog, for producing substandard affordable housing, but Network claimed the Brent project ‘will show that the sector does produce dynamic and well-designed properties’.