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2021 Year in Review: Our project and program highlights

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Over the past 12 months we’ve made significant progress on a broad range of projects, including completion of some of our biggest redevelopments.

Some are city shaping, some are system changing, but all will have a significant impact on the ability of our healthcare system to respond to future pandemics

Performance at a glance in 2021

The Victorian Health Building Authority delivers infrastructure projects and programs for the health, mental health and aged care portfolios.

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COVID-19 response 2020-21

The Authority played a critical role in the state’s response to the COVID-19 pandemic.

Northern hospital

View of the new tower that was delivered as part of the Northern Hospital expansion

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The former Peter MacCallum Cancer Centre in East Melbourne was recommissioned to include 84 beds over eight floors to offer surge response by providing care for some lower-acuity patients.

A total of 45 new hospital beds were made available at Bendigo Hospital. The new hospital also has built-in capacity for 20 additional intensive care beds if they are required in emergency situations.

Learn more about Bendigo Hospital.

The former Geelong Private Hospital was brought back to life – with the disused building upgraded and refurbished to provide a new acute respiratory assessment clinic with 50 new beds and consulting rooms.

Level 2 of Baxter House was refurbished and opened as a respiratory clinic during the pandemic.

A further 300 intensive care unit beds were commissioned at the Alfred Hospital, Austin Hospital and Monash Medical Centre in Clayton – as part of a boost to establish an extra 4,000 ICU beds across Victoria.

The expansion of Northern Hospital in Epping was accelerated by four months in 2021. The seven-storey expansion has added 96 new inpatient beds, three operating theatres, 18-bed intensive care unit, 10-bed cardiac care unit and includes a 28-bed inpatient unit with pandemic functionality. The development will allow an additional 10,000 patients to be treated every year.

Learn more about the Northern Hospital expansion.

Health portfolio

Project highlights across our Health portfolio.

 

Sunshine Hospital emergency department

Sunshine Hospital emergency department

Following an extensive evaluation process, and after achieving financial close in early 2021, construction began in March 2021 on the $1.5 billion New Footscray Hospital Project.

The new hospital is the largest health infrastructure project in Victoria’s history. Situated in one of the state’s fastest growing regions, the new hospital will treat approximately 15,000 additional patients and enable around 20,000 additional people to be seen by the emergency department each year.

During the pandemic the communications team launched a virtual engagement room, where community members are invited to explore interviews with the builders and experience a 3D tour of the design. With kids’ activities and in multiple languages, the virtual engagement room has ensured community members can stay connected with the project.

Learn more about the new Footscray Hospital.

To inform the design of the redevelopment, the Authority consulted with the local community, including people with lived experience of mental health illness, Aboriginal health representatives, staff and volunteers at Frankston Hospital.

The consultation process sought and considered feedback on a range of topics including the prioritisation of healthcare services, the use of public spaces and amenities, cultural safety and the vision and aspirations of the community. The feedback, which included more than 580 contributions, was captured in an engagement report and provided to the respondents shortlisted to deliver the redevelopment. Through understanding the views and aspirations of the local community, the successful consortium will have the best opportunity to design and build a hospital for Frankston and the Mornington Peninsula that reflects the community it serves.

The project successfully completed its market testing process in 2020 with three bidding consortia announced to participate in a Public Private Partnership procurement process.

Learn more about the Frankston Hospital redevelopment.

In early 2021, the Authority established a community consultative committee for the $541.6 million Ballarat Base Hospital development. Chaired by former Premier and Ballarat local the Hon. Steve Bracks, alongside local members Juliana Addison and Michaela Settle, the committee provides a forum for the local community and representatives from Ballarat Health Services, local council and other key community groups to contribute to the final designs of the redevelopment, including wayfinding, family and outdoor spaces.

The project scope was increased to renew the central energy plant for the hospital and provide additional ancillary space including a new pharmacy. Planning and design development is now well underway with architects and consultants appointed.

Once completed, the redevelopment will deliver a new emergency department, a women and children’s hub, state-of-the-art theatre suite and an extra 100 inpatient and short stay beds. A new and expanded critical care floor will bring together operating theatres, procedure rooms, an expanded intensive care unit, endoscopy suites and consulting rooms – delivering capacity for an additional 4,000 surgeries every year.

Learn more about the Ballarat Base Hospital redevelopment.

Work on the $123 million early parenting centres expansion and upgrade project continues to progress with most site locations announced in 2021 and design development close to completion.

The project will upgrade and expand facilities at existing centres in Footscray and Noble Park. It will also build and establish four new centres in the growing areas of Frankston, Casey, Wyndham and Whittlesea. Three new centres will be built in the regional areas of Ballarat, Bendigo and Geelong. Once complete, the project will more than triple the number of early parenting centres in Victoria.

Learn more about early parenting centres expansion and upgrade.

The $675 million investment to build ten community hospitals close to major growth areas progressed with community engagement, design development and land acquisition well underway.

The program will support new developments in Mernda, Eltham area, Point Cook and the inner-south of Melbourne region.

Learn more about the Community Hospitals Program.

The first stage of the $76.3 million Monash Medical Centre emergency department expansion opened in March 2021, delivering a new emergency department and triage entrance, a dedicated children’s emergency area, resus bay and new technology.

The next stage of the expansion is due for completion by January 2022 and will refurbish and upgrade the existing emergency department and deliver a separate 24-hour short-stay unit providing mental health and drug and alcohol urgent care and support.

Learn more about the Monash Medical Centre emergency department expansion.

The Victorian Government invested $34.9 million in the Sunshine Hospital emergency department redevelopment. Completed in early 2021, the project has expanded and refurbished the hospital’s emergency department, adding 65 new spaces – more than doubling current capacity.

It also features an expanded children’s section. This kids-only area is specially designed to provide approximately 19,700 kids a year a calmer, more compassionate environment to receive emergency care

Learn more about the Sunshine Hospital emergency department redevelopment.

Work on the $564 million Victorian Heart Hospital has not missed a beat throughout the year with the main structural works now complete and works on the façade and internal fit-out well underway.

Located on the Monash University Clayton campus, Australia’s first standalone specialist cardiac hospital will integrate clinical cardiology services, research, and education to create a centre of excellence. Patients with heart disease will have access to world-class cardiac care and research all under one roof.

Learn more about the Victorian Heart Hospital.

Designs for the $217 million expansion project were released in early 2021 and construction on the multi-million-dollar project is now underway.

Scheduled for completion in late 2023, the expansion will deliver a new emergency department resuscitation bay, three operating suites, six intensive care unit beds, 44 inpatient beds and a medical imaging and pathology unit.

Learn more about the Latrobe Regional Hospital expansion – Stage 3A.

Construction on the $115 million Wonthaggi Hospital expansion project got underway in early 2021 and is on track to be completed in 2023.

The project will deliver three operating theatres plus a procedure room, a new emergency department with 18 additional treatment spaces, and a 32-bed inpatient ward. Once complete, hospital staff will have the capacity to treat 26,000 extra emergency patients every year.

Learn more about the Wonthaggi Hospital expansion.

Mental Health portfolio

Project highlights across our Mental Health portfolio.

 

Artist's impression of  North West Metropolitan Youth Prevention and Recovery Care

Artist's impression of North West Metropolitan Youth Prevention and Recovery Care

The $492 million investment to deliver new acute public mental health beds across four Victorian health services is underway with designs released and construction started at all sites.

As a key recommendation of the Royal Commission into Victoria’s Mental Health System, people with a variety of views and perspectives were engaged to inform the facility and service designs for the expansion project. This includes people with lived experience of mental illness, such as consumers, families and carers, as well as medical, nursing and allied health professionals and other staff.

Learn more about the Mental health beds expansion program.

Planning for a $349.6 million upgrade of Thomas Embling Hospital is underway. The upgrade will deliver an additional 82 secure mental health beds and help transform Victoria’s forensic mental health system.

The expansion will include a new dedicated 34-bed women’s precinct, a 48-bed medium security men’s facility, as well as clinical administration facilities - fulfilling a key recommendation of the Royal Commission into Victoria’s Mental Health System.

Learn more about the Thomas Embling Hospital expansion.

In early 2021 a site was selected, and designs released for the $8.4 million Women’s Prevention and Recovery Care centre in Melbourne’s west. In mid-2021, construction on the 12-bed centre got underway.

The centre will support women requiring treatment and care for mental ill health and will be the first in Victoria to offer accommodation for accompanying dependents.

Learn more about the Women’s Prevention and Recovery Care Centre.

Construction of the new $11.9 million Youth Prevention and Recovery Care centre in Parkville is on track to be completed by the end of 2021.

Designed to increase access to safe, flexible and responsive short and medium-term mental health services, the new centre will help fill the transitional gap between community and hospital-based care.

With recovery-focused treatment and around-the clock clinical care, the new state-of-the-art facility will provide support for 200 young people aged 16-25, each year.

Learn more about the North West Youth Prevention and Recovery Care Centre

A new 12-bed state-wide Child and Family Centre is underway with designs finalised to provide specialised mental health care and wellbeing services to children aged up to 11 years alongside their families.

Staffed 24 hours a day, seven days a week, the centre will offer early intervention treatment and care in a safe, residential setting. Up to three families will be able to stay onsite while they receive flexible, family centred therapy and support from highly trained child and family mental health clinicians.

Learn more about the Statewide Child and Family Centre.

Ageing portfolio

Project highlights across our Aged Care portfolio.

 

St George's Hospital

St George's Hospital aged care facility (Berengarra)

In early 2021 a new $55.57 million aged care facility was completed and commenced operation.

Named 'Berengarra', the 90-bed facility is on the St George’s Hospital site and includes two separate three-storey houses with private rooms and garden outlooks.

The project is part of the largest ever revamp of Victoria’s public sector residential aged care facilities, delivering best-practice care, and integrated health and wellbeing services in a home-like environment.

Learn more about Berengarra.

The four-storey Wantirna Aged Care facility reached structural completion in July 2021. The $81.58 million facility, which is on track to be completed in 2022, will provide 120 older Victorians with a safe, modern, and comfortable place to call home.

Learn more about the Wantirna Aged Care facility.

A new $3.2 million dementia friendly unit at Creswick Nursing Home was completed and commenced operation. Funded via the Regional Health Infrastructure Fund (RHIF), the upgrade included a new 12-bed unit purpose-built to provide best practice dementia care.

The project also delivered improvements to the existing residential aged care facility, including a consolidation of common areas and upgrades to heating and cooling systems as well as upgraded mechanical, hydraulic, electrical and fire services in the complex.

Learn more about the Creswick Nursing Home dementia-friendly unit.

Infrastructure grants

The Authority delivered over $1.2 billion across 33 grant programs to improve the safety and quality of services, enhance capacity and efficiency, support contemporary models of care and improve patient and staff amenity.

 

Exterior of the Healthy Community Access Hub in Kyneton

Grant funding includes the $200 million Metropolitan Health Infrastructure Fund which funded 40 projects including, $10.98 million to expand and reconfigure Sunshine Hospital’s pharmacy and $5.7 million for facility improvements enabling better care of our Elders at the Aboriginal Community Elders Services.

It also includes the $120 million Regional Health Infrastructure Fund (RHIF). The RHIF funded 107 projects including more than $4.5 million to upgrade operating theatres at Central Rural Health Daylesford so more locals can get the surgeries they need, closer to home.

Public sector aged care services also shared $10 million in funding from the Rural Residential Aged Care Facilities Renewal Program. The program funded 22 projects including $2.118 million for a new kitchen, a large family and resident community lounge and dining area, disability access improvements and nurse call upgrades at Rupanyup Nursing Home.

Best practice design guidelines

Learn about our new design guidelines.

 

View of a single bed room inside a residential aged cage facility

Developed in partnership with the Department of Health's Aged care branch, the new guidelines set out requirements for facilities to enable person-centred evidence-based practice.

These guidelines were developed to inform implementation of the ‘Modernisation of metropolitan Melbourne public sector residential aged care strategy’ to improve the quality and safety of our public sector residential aged care facilities.

Learn about the Public Sector Residential Aged Care Facilities Design Guidelines.

The Authority launched its Universal Design Policy in June 2021. The design policy is a first for any government authority in Australia. It recognises that human ability is enabled, supported and encouraged by universally designed environments that provide everyone with the opportunity to participate unassisted or with minimal support.

The policy also includes a Universal Design Charter, part of a Victorian Government strategy to increase awareness and knowledge about universal design in the community. It will apply to all projects delivered by the Authority, ensuring that we continue to deliver innovative and equitable social infrastructure for all Victorians.

Learn more about the Universal Design Policy.

Sustainability performance

Discover key outcomes from our sustainability performance report.

 

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The Environmental Sustainability Strategy 2018-23 set out a five-year commitment to improve the Victorian health system’s environmental performance and to ensure it is resilient to climate change.

Now at the half-way point, in 2021 we released our Sustainability performance report. The report also includes, for the first time, data on Victoria’s National Australian Built Environment Rating Scheme (NABERS) hospital ratings.

Key results to date:

  • carbon emissions from energy use are down 49,007 tonnes (6.2 per cent)
  • we have made significant progress installing solar on public hospitals
  • environmental sustainability innovation grant program funded 12 projects across 10 health services
  • NABERS hospital ratings completed at 140 public hospitals, resulting in 560 certified energy ratings and 561 certified water ratings.

In 2022 work will continue to complete the actions identified in the strategy including:

  • $40 million solar and LED program for public hospitals
  • $5 million emissions reduction program
  • energy performance contracting in our major hospitals.

Asset management policies and frameworks

We have developed key policies and frameworks to apply best-practice asset management for the Victorian health asset portfolio during 2020-21.

 

Internal engineering services unit at the Victorian Comprehensive Cancer Centre, Parkville.

In early 2021 we launched the Asset Information Management System (AIMS) which includes over 180 million datapoints for over 130 health services across Victoria.

The system covers engineering assets, buildings, land and medical equipment and is designed to provide visibility over our asset portfolio, perform strategic asset management planning, and uplift health services asset information management capabilities through continuous collaboration with the Authority.

The Victorian health asset management communities of practice continued local chapter events through virtual platforms. These bring together the functions of corporate, service delivery, finance, capital and facilities management to support health asset management practitioners to collaborate and share knowledge to improve asset management capability.

Ten regional and nine metropolitan local chapter events were held, with the development of technical advice for critical assets and asset key performance indicators.

 

The department publishes HTA’s (Health Technical Advice) to assist health services, consultants and contractors to effectively manage risk and performance of public health facilities.

HTA’s published include:

The department conducted asset condition assessments for 90 sites and reviewed 47 maintenance plans and over 80 asset management plans.

Documents

2021 Year in Review (PDF)

2021 Year in Review (Word)

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Read the complete 2021 Year in Review report.

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VHBA In Brief: Industry news December 2021

Submitted by Tara Johnson on
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Welcome to VHBA In Brief 

This second edition includes a Q&A from our CEO, tips for staying on top of procurement opportunities, highlights from the past year and a survey where you can share your thoughts on what you’d like to hear more about in 2022.

Thanks to all our suppliers and partners for your hard-work and dedication over the past 12 months.

We wish you a happy and safe holiday.

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'We look forward to collaborating with our community, colleagues and partners on exciting projects and programs of work in coming months.'

Rob Fiske CEO VHBA

Rob Fiske, VHBA CEO shares his highlights from the past year and focus for 2022.

Q: What are your 2021 highlights?

Our industry partners and colleagues have been instrumental in supporting the department and the whole of Government response to the COVID-19 pandemic.

Despite the challenges over the past two years, we have successfully accelerated a number of key projects to increase capacity within the health care system and provided technical and engineering advice for health services to manage their infrastructure response to COVID-19.

Read more

Year in Review: Highlights

This year saw the completion of some of our biggest projects, including the $162.7 million expansion of Northern Hospital in Epping, emergency department expansions at both Monash Medical Centre and Sunshine Hospital and a new Youth Prevention and Recovery Care centre in Parkville.

Some are city shaping, some are system changing, but all our projects will have a significant impact on the ability of our healthcare system to respond to future service demand.

Read more

A row of cubicles in an emergency department, with blue walls and blue curtains

Interior of the refurbished Monash Medical Centre emergency department

Universal design: Putting people first

We’re committed to designing buildings that are accessible to everyone – regardless of age, disability, gender or cultural background. We interviewed Michael Walker, Principal Advisor, Universal Design about designing buildings that put people first.

Read more

Michael Walker on universal design

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We want to hear from you

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To help our partners and suppliers navigate new procurement opportunities, we’re looking at ways we can provide further resources and support.

We’d love to hear your thoughts on what information you would find helpful by completing a short, anonymous survey.

Take survey

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VHBA In Brief: Community news December 2021

Submitted by Tara Johnson on
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Welcome to the second edition of VHBA In Brief

In this edition, we are celebrating the end of 2021 and the more than 120 projects we are delivering to support the health and wellbeing of Victorians. We also explore universal design, designing for dementia and designing facilities that support Victorians who are experiencing mental ill health.

It’s been a challenging year, but now it’s time to enjoy the festive season with loved ones. We wish you a safe and happy holiday season!

You can subscribe to our mailing list to keep up to date on our announcements, project updates.

The year in review

Over the past 12 months we’ve made great progress on a broad range of health infrastructure projects, including completion of some of our biggest redevelopments.

We take a look at some of the highlights from our health, mental health and aged care portfolios in 2021.

 

Read more

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Universal design: Putting people first

Universal design means designing something so that it’s accessible to as many people as possible – regardless of age, disability, gender or cultural background. In health infrastructure, universal design means building hospitals, mental health facilities and aged care homes that everyone can use.

In recognition of Human Rights Day, we spoke to Michael Walker, Principal Advisor on Universal Design at VHBA, about designing buildings that put people first.

 

Read more

Health highlights

Learn more about the health infrastructure projects we are delivering.

Virtual engagement room opens for the new Footscray Hospital

We’re excited to launch a virtual engagement room for the new Footscray Hospital! Community members are invited to ‘meet the builder’ and learn more about the design and construction of the $1.5 billion new hospital – the largest ever health infrastructure investment in the state.

Visitors to the virtual room can explore interviews with the builders and experience a 3D tour of the final designs, from their comfort of their home.

A virtual environment in which a man watches a video onscreen

New Footscray Hospital virtual engagement room

Located on the corner of Geelong and Ballarat Roads, the new Footscray Hospital will support the increasing demand from Melbourne’s booming western suburbs, ensuring families can get the care they need close to home.

Building a bigger and better Footscray Hospital will cut wait times and reduce pressure on nearby hospitals. With an increase of nearly 200 beds, the new hospital will treat approximately 15,000 additional patients and enable around 20,000 additional people to be seen by the emergency department each year.

Wonthaggi Hospital structural works complete

It’s been a busy year on the Bass Coast, with structural works now complete on the $115 million expansion of Wonthaggi Hospital. The project is on track to be completed in the first half of 2023.
 

Find out more

Designs released and construction underway for Bendigo Hospital Rehabilitation Centre

We’ve released designs and completed early works on the Bendigo Hospital Day Rehabilitation Centre project, bringing the $59.5 million project one step closer. On track to be completed in mid-2023, the project will construct a new hydrotherapy pool and consolidate rehabilitation services into one convenient location.
 

See the designs

Artist's impression of the new hydrotherapy pool at Bendigo Hospital Day Rehabilitation Centre

Artist's impression of Bendigo Hospital Day Rehabilitation Centre

Mental health highlights

Learn more about how we are responding to recommendations from the Royal Commission into Victoria's Mental Health System.

Our mental health facilities explained

Each year, one in five Victorians will experience mental ill health or psychological distress. Sometimes these challenges to mental health are eased with time and some level of support. At other times, people need more specialised treatment and support.

We took a look at some of the different mental health facilities we’re delivering, and how they’ll support Victorians experiencing mental ill health or psychological distress on their recovery journey.
 

Read the article

Artist's impression of a courtyard area with lawns, flowers and people doing yoga

Artist's impression of park at Royal Melbourne Hospital mental health facility

Locations announced for new youth prevention and recovery care centres

Locations for five new Youth Prevention and Recovery Care (YPARC) centres across Victoria have been announced. The $141 million project will build five new 10-bed facilities located in Greater Geelong, Greater Ballarat, Greater Shepparton, Heidelberg and Traralgon. 

YPARC centres provide residential short and medium-term treatment and support for young people aged between 16-25, who are living with, or diagnosed with, mental ill health.
 

Learn more

A young man sitting on a window seat

Example of a Youth Prevention and Recovery Care centre

Ageing highlights

Learn about how we are supporting Victorians aged in place and with dignity and respect.

Designing for dementia

How can we design for people with dementia? Dementia-friendly design involves creating environments that are welcoming and meaningful. It uses a flexible approach that maximises people’s freedom and involvement through supportive, familiar and safe surroundings.

Read the article

The exterior of Creswick Nursing Home showing dark buildings against a yellow field in the foreground

Dementia-friendly design at Creswick Nursing Home

Main structural works complete on Wantirna’s new residential aged care facility

We reached a significant construction milestone on the $81.58 million Wantirna residential aged care facility, with the main structural works now complete. The four-storey residential aged care facility will be home to 120 residents, each enjoying the dignity and independence of their own private bedroom, complete with ensuites.

Read more

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Ballarat Base Hospital redevelopment family spaces survey results

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Community feedback on indoor and outdoor spaces

Main entry and foyer

When asked to consider what features and services you would like to see and have available when arriving at the Ballarat Base Hospital, this is what we heard.

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You would also like to see:

  • reception staff
  • user-friendly entrance doors
  • comfortable seating.

Waiting areas and family lounges

When spending time in a waiting area or family lounge, you ranked the following features and services in order of importance.

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You would also like to see:

  • comfortable seating
  • a culturally safe space for indigenous community members and their families
  • calming music
  • estimated waiting times.

Outdoor spaces

When asked what features in an outdoor space were most important to you, we heard these responses.

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You would also like to see:

  • shaded areas
  • shelter
  • a kitchen garden.

Survey timeline

  • Step 1
    Survey on family spaces opened 27 SEPT 2021
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    Survey on family spaces opened
    27 SEPT 2021
  • Step 1
    Survey on family spaces closed 25 OCT 2021
    Step 1
    Survey on family spaces closed
    25 OCT 2021
  • Step 3
    Snapshot of results published DEC 2021
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    Snapshot of results published
    DEC 2021
  • Step 5
    Community consultation report published EARLY 2022
    Step 5
    Community consultation report published
    EARLY 2022
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In October 2021, we asked for your ideas and priorities to help shape the key family spaces in the redeveloped hospital - from waiting rooms to gardens. 

We received 473 responses that have now been shared with the project architect.

Here is what you had to say.

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Universal design: Putting people first

Submitted by Tara Johnson on
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A young boy enters an emergency department with his mother.

The boy has autism and the busy department is overwhelming. Fluorescent lighting flickers overhead, creating a constant hum. Loud announcements ring out over the speakers. There are overwhelming signs everywhere full of information aimed at adults. The surfaces are all steel and plastic, and everything has a ‘medical’ smell. The young boy is overloaded with sensory information, making his first trip to the emergency department anxiety-inducing.

But imagine how different this boy’s experience might be if the emergency department was built with his needs in mind? Enter universal design.

Michael Walker is the Principal Advisor for Universal Design at the Victorian Health Building Authority (VHBA). As he explains, 'People are diverse and everyone has the same rights to access and participation in society. And all people, regardless of ability, should have equal opportunity to take part in society. Diversity comprises acceptance and respect.'

'It means understanding and acknowledging that everyone is unique, and this is beneficial for the development of humanity.'

Michael Walker, Principal Advisor Universal Design

What is universal design?

Universal design is about inclusivity. As Michael points out, it’s also a human right. It means designing something so that it’s accessible to as many people as possible. Whether that’s a building, product or service, an environment or a program, universal design thinks about the people who will be using something and puts their needs first.

'Universal design builds on a concept of accessible design, but going further than meeting just minimum legislative standards by accommodating not just some people, but all the people to the greatest extent possible, all the time,' Michael explains.

'In a nutshell, universal design is about the diverse nature of our community and how we should plan for it.'

Michael Walker, Principal Advisor Universal Design

Michael Walker on universal design

Text on screen: Universal design: putting people first. An interview with Michael Walker, Principal Advisor, Universal Design, VHBA

IMAGES: A man talking in a headset.

Michael Walker: In a nutshell, universal design is principle-based and it talks about the diverse nature of our community and how we should plan for it. Universal design builds on a concept of accessible design, but going further than meeting just minimum legislative standards by accommodating not just some people, but all the people to the greatest extent possible, all the time.

Text on screen: Who are we helping when we use universal design?

Michael Walker: If you want to quote statistics, 20% of the population has a disability. But there's a lot of other people that are not part of that 20%. Now that could be someone who suffers from anxiety, for instance, going to hospitals or someone that's got a mental health issue. The other area that we're transferring a lot of these sort of concepts is into aged care and dementia, and things like that. And that's talking about human rights, and that's what it's all about.

Text on screen: Universal design as a human right

Michael Walker: I guess the passion comes from obviously myself being a person with a disability and also the Convention on the Rights of Persons with Disabilities. Which [was published] back in 2006. It sits with the Human Rights Charter. People are diverse and everyone has the same rights to access and participation in society. And all people, regardless of ability, should have equal opportunity to take part in society. Diversity comprises acceptance and respect. It means understanding and acknowledging that everyone is unique, and this is beneficial for the development of humanity.

Text on screen: Our Universal Design Policy and Charter

Michael Walker: VHBA [Victorian Health and Building Authority] has gone ahead and created a policy and a charter based on universal design. It's primarily based on a human rights approach. The Policy and Charter is a signposting to get innovation, but it's also to create inclusive spaces and I always use the term that we should not be leaving anyone behind when we design. Equality and equity are two different things. Equality: everyone has a t-shirt. Equity: the t-shirt fits. Look at it not as ‘a policy we need to adhere to’ but as something that will make their lives better but it will also make their work meaningful and we can obtain the outcomes we actually talk about at a higher level. We need to have a better sense of co-creation. And if we get a better sense of co-creation, all these people that use these spaces have got a hand on the steering wheel of design.

A sliding transition screen then displays the Victorian Government logo and Victorian Health Building Authority logo and web address vhba.vic.gov.au

End of transcript

Who are we designing for?

When we use universal design, we’re designing for everyone. In health infrastructure, universal design means building hospitals, mental health facilities and aged care homes that everyone can use. It considers whether someone is young or old. Whether they have different physical, cognitive or sensory needs. It considers gender, sexuality and religion. And it considers the cultural backgrounds of users, such as Aboriginal and Torres Strait Islanders, and what would make them feel safe.

The concept of universal design emerged in the nineties and was included in the Convention on the Rights of Persons with Disabilities in 2006. But it goes beyond making facilities merely accessible to, say, someone in a wheelchair. Universal design acknowledges that good design is good for everyone. A door that opens automatically is helpful to someone who uses a wheelchair. But it’s also helpful to a parent pushing a pram, or someone who has broken their leg and is temporarily using crutches.

As Michael Walker explains, when we create environments that everyone can use, it has benefits right across the community.

'It's not about disability. It's about the broad, diverse nature that we are and that's how we should plan.'

Michael Walker, Principal Advisor Universal Design

When a building follows universal design principles, it is accessible, flexible and welcoming to as many people as possible. Here we consider how our built environments might impact people with different physical, sensory, cognitive and other needs.

A 'people first' approach to design

Designing for a child with autism

Visiting hospitals can often be overwhelming, for everyone. Visiting a hospital as a small child – and a child with autism, for example – can add a whole new layer of sensory overload to the mix.

Children with autism have different sensory needs, because they process information taken in through the senses differently. They may be over-sensitive to certain sensations, such as sounds, smells, tastes sights and textures. And they may also be under-sensitive to certain sensations.

If we imagine the constant noise of machines beeping and announcements being made, the fluorescent lighting and strong smells from medical solutions and cleaning products, it’s no surprise that an emergency department would not feel like a safe place.

So how can we design emergency departments that are calmer and less distressing?

By making them a welcoming place for all children – whether neurotypical or neurodiverse. This might involve using natural light as much as possible and avoiding fluorescents. Sounds can be minimised by, for example, locating air conditioning units where they won’t contribute to ambient noise. We can choose calming, muted tones when thinking about colour and design. Even small considerations like providing private spaces to wait in can go a long way. The result? An environment that is less clinical, less overwhelming, and where every child can feel safe.

'What we're trying to do is to amplify a voice for those people with invisible disabilities to be part of the design going forward.'

Michael Walker, Principal Advisor Universal Design

The recently completed Sunshine’s Hospital’s emergency department redevelopment is a good example. The redevelopment includes a dedicated kid’s-only area. Designed with all children in mind, the purpose-built space provides a calmer, more compassionate environment to receive emergency care in. Children are treated in kids-only treatment spaces decorated with mountain scenes, and painful or invasive procedures are undertaken in private rooms where children feel like they’re in a safe space.

Interior wall art at Sunshine Hospital’s new children’s emergency department

Interior wall art at Sunshine Hospital’s new children’s emergency department (credit: Michael Gazzola)

Designing for an older person with dementia

For people with dementia, their physical and social environments become difficult to navigate with changes in cognitive capability. Imagine forgetting where the toilet is because your memory is impaired. Or becoming anxious and confused because there is too much noise. People living with dementia can live with a sense of loss, causing anxiety and insecurity. They need an environment of comfort, and to feel a sense of belonging.

So how can universal design help us make environments that are dementia-friendly?

Creating a home-like environment is key. A home-like environment allows people to go about daily life with choice, independence, familiarity and comfort.

The dementia-friendly unit at Creswick Nursing Home was designed with these elements in mind. The interiors include familiar domestic features to create a comforting space that feels like home. The entry to each room has a deep threshold, helping to create the feeling of a front door, and residents can personalise their space so they feel at home.

Rooms are clustered around a central courtyard that can be sealed off from the rest of the facility, allowing residents to circulate freely and safely. The social spaces look out onto this central courtyard. As well as providing points of conversation, this creates the sense of almost looking out into a backyard. Dining and lounge areas have been broken up into smaller spaces. This means residents are able to cluster into smaller friendship groups, socialise with family or simply sit on their own.

A living room at Creswick Nursing Home, with a wooden table and chairs, shelves with pictures on the wall and soft lighting

A communal living room within the Creswick Nursing Home dementia-friendly unit

Designing for young people experiencing mental ill health

For someone experiencing mental ill health, the last place they’d want to be treated in is an environment that feels clinical. One way that universal design can help is through the idea of co-creation.

The award-winning Orygen and OYH Poplar Road precinct redevelopment is a clinical and research centre for young people with serious mental illness. The design involved input from more than 140 young people to ensure young voices were heard. They contributed ideas on furniture, the design of consulting rooms, and even on the design of the bathrooms. The result was a space that feels inclusive and safe.

The building was designed to reflect the natural beauty of the surrounding landscape. Natural, laminated timbers and curved, irregular shapes were used throughout. The consulting rooms have access to outside decks so young people have space to debrief, settle and reflect. Young people can access clinical services in a comfortable and safe environment, designed to meet their needs.

A man with curled mustachios in a blue suit and blue shirt

'We need to have a better sense of co-creation. If we get this, all the people that use these spaces have got a hand on the steering wheel of design.'

Michael Walker, Principal Advisor Universal Design
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Last updated: 19 August 2025