Expansion: The current entrance to King Edward VII Memorial Hospital in Paget. *Photo supplied
Expansion: The current entrance to King Edward VII Memorial Hospital in Paget. *Photo supplied

The future of Bermuda construction may look like the new hospital, or at least the construction site.

Everyone travelling up and down Point Finger Road in the past few months cannot have failed to notice the new building going up next to the Continuing Care Unit.

Three very important things have helped to make this happen:

• Private Public Partnership

This is Bermuda’s first official Public Private Partnership ‘PPP/P3’ project where a contract made between the public sector and a private party provides a public project.

The private sector consortium assumes substantial financial, technical and operational risk in the project.

In this case Paget Health Services designs, builds and maintains the new building for an operating period of 30 years.

The hospital itself will continue to provide all clinical and housekeeping services.

This is typical of PPP projects around the world where a public building is financed and constructed by a private developer, and the public body has an annual service payment obligation over the operating period.

These payments will be adjusted if the building is not operating in accordance with the performance specifications.

It is fortuitous that at this time of economic uncertainty, the Bermuda Hospitals Board (BHB) has moved the hospital project forward at a time when investment in public sector work is seen as a critical path for maintaining economic activity.

• Sustainability

Very large projects such as the new King Edward VII Memorial Hospital (KEMH) have stated goals for sustainability.

The new hospital building is set up to be a sustainable project from the outset. Many of the construction materials are recycled or reused.

For example, all of the shuttering, formwork and supports for the reinforced concrete frame are all reusable.

When a portion of concrete is cured the formwork is removed, then taken away and cleaned, and reused at another stage of the building.

The long-term Facilities Management programme, an integral part of Paget Health Services’ responsibility over the 30-year term, promotes early planning for economical maintenance and sustainability issues.

Life cycle costs have been assessed as an integral part of the design process.

Over the past few years, awareness of sustainability has increased globally and Bermuda as well.

The LEED rating system (Leadership in Energy and Environmental Design) — a US-based rating system — is becoming more accepted as the foremost process for certifying sustainable buildings.

However, in Europe there are other systems such as BREEAM and Green Globe to choose.

LEED provides guidelines under the following headings:

Sustainable Sites

Water Efficiency

Energy and Atmosphere

Materials and Resources

Indoor Environmental


Innovation in Design.

The new hospital building will be LEED-certified when completed.

• Site Management

What makes this construction site so different from others in Bermuda?

Quite simply it requires a more sophisticated management strategy than is normally seen on our local construction sites, given that there is a single point private sector responsibility for unforeseen issues in the design, construction, costs and schedule.

As the Architect of Record for the project, OBMI is part of the Paget Health Services team along with a diverse group of local and offshore engineers, designers, contractors and artisans.

When the completed building is delivered to the Bermuda Hospitals Board in March 2014 the hospital may be the first of many more PPP/P3 projects in Bermuda.

• David O’Beirne RIBA ARIAS MIBA is the director of OBM International Bermuda. For more information contact 278-3550 or go to http://www.obmi.com