Having told BSF schools designers to try harder, CABE is prescribing an increased dose of high quality design for the NHS LIFT programme for primary health care centres. The design champion has also called for schemes falling below its ‘excellent’ benchmark for design criteria not to be approved for construction. CABE surveyed a sample of 20 out of 82 LIFT projects completed between 2002 and 2006 and concluded that only 40% of its design criteria – looking at functionality, build quality and impact – scored ‘good’ and better. Only 7% of design criteria actually met its excellent rating. The agency has also called for project delivery teams to be strengthened through more design training and the support of committed client design advisors.

‘The LIFT programme is the NHS’s biggest ever investment in improving and developing premises for primary and community frontline services, so every one of those new buildings should contribute positively to the health and well-being of the local community,’ says Mairi Johnson, CABE’s interim director of enabling. ‘Great schemes such as the Heart of Hounslow and the Plowright Surgery in Norfolk show the kind of quality we want to see routinely.’

Good design features of the buildings surveyed included a single reception point on entering a building, which can offer an early welcome and easy orientation and generous amounts of light and ventilation. Areas of design weakness found in the sample survey include prioritising maintenance over the quality of the patient environment, resulting in the use of materials that create an overly institutional atmosphere.

The briefing paper ‘Assessing design quality in LIFT primary care buildings’ can be found here.