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Alnaggar, A M M M (2022) Digital transformation in asset management organisations: towards a data driven approach for life cycle asset management, Unpublished PhD Thesis, , University College London (University of London).

Antonopoulou, S (1987) The building industry in Greece: its role in the post-war Greek economy, Unpublished PhD Thesis, , University College London (University of London).

Baik, A H (2017) Heritage Building Information Modelling (HBIM) as a model of UNESCO's World Heritage Nomination File, Unpublished PhD Thesis, , University College London (University of London).

Baltazar dos Santos, A P (2009) Cyberarchitecture: the virtualisation of architecture beyond representation towards interactivity, Unpublished PhD Thesis, , University College London (University of London).

Beech, N (2012) Constructing everyday life: an architectural history of the South Bank in production, 1948-1951, Unpublished PhD Thesis, , University College London (University of London).

Behar, C B (2016) A socio-technical perspective of ventilation practices in UK social housing with whole house ventilation systems: design, everyday life and change, Unpublished PhD Thesis, , University College London (University of London).

Bouwer, K A (2016) Building disappointment: the limits and potential of tort liability for energy efficiency problems in domestic buildings, Unpublished PhD Thesis, , University College London (University of London).

Boyes, G (2021) Towards BIM/GIS interoperability: a theoretical framework and practical generation of spaces to support infrastructure Asset Management, Unpublished PhD Thesis, , University College London (University of London).

Burman, E (2016) Assessing the operational performance of educational buildings against design expectations: a case study approach, Unpublished PhD Thesis, , University College London (University of London).

Fang, Z (2022) Machine learning integrated portfolio-based strategic building asset management, Unpublished PhD Thesis, , University College London (University of London).

Few, J F M (2021) Ventilation in occupied homes: measurement, performance and sociotechnical perspectives, Unpublished PhD Thesis, , University College London (University of London).

Hesse, A D (1991) The management of risks in the procurement of very large construction projects (Britain and New Commonwealth): Comparative change in procurement methods for very large construction projects, Unpublished PhD Thesis, , University College London (University of London).

Howard, R W (2021) Of incentive, bias, and behaviour: an empirical economic investigation into project delivery constructs influencing the adoption of building information modelling, Unpublished PhD Thesis, , University College London (University of London).

Husain, T (2023) Foreign investment and infrastructure financing: railways during the first age of globalisation, Unpublished PhD Thesis, , University College London (University of London).

Kadir Pakir, A H (2003) Integration: A study in the context of low cost housing projects in Malaysia with special reference to the state of penang, Unpublished PhD Thesis, , University College London (University of London).

Kurul, E (2003) Re-using listed buildings through conversion: A process mapping approach, Unpublished PhD Thesis, , University College London (University of London).

Murray, A (2018) Returns on public capital investment: Procurement, whole life cost and value in English schools and hospitals, from 1997-2012, Unpublished PhD Thesis, , University College London (University of London).

Naghshbandi, S N (2022) Technology capabilities for safe and resilient coordination of automated earthwork systems: a decentralized multi-agent system approach, Unpublished PhD Thesis, , University College London (University of London).

Pocobelli, D P (2021) Heritage building information model (BIM) for scientific data, Unpublished PhD Thesis, , University College London (University of London).

Presland, A J (2023) Picturing construction, constructing identities: the photographic archive of John Laing & Son Ltd, Unpublished PhD Thesis, , University College London (University of London).

Sanei, H (2016) Discipline breakdown structure: Bridging project management and systems engineering to form an integrated management system in multidisciplinary rail projects, Unpublished PhD Thesis, , University College London (University of London).

Sassano, G (2022) Optimism bias and cost overruns: experimenting on the internal and external views in resources and time estimation, Unpublished PhD Thesis, , University College London (University of London).

Song, Y (2022) Resilience bonds and the financing of resilient infrastructure, Unpublished PhD Thesis, , University College London (University of London).

Sugiyantoro (2021) Homebuyers' strategies for progressive residential infrastructure improvement in Bandung, Indonesia, Unpublished PhD Thesis, , University College London (University of London).

Symons, A W (2021) Integrated design, design management and the delivery of major hospitals, Unpublished PhD Thesis, , University College London (University of London).

  • Type: Thesis
  • Keywords: coordination; failure; equipment; hospital; standards; briefing; design management; integration; policy; private finance initiative; project delivery; regulation; client; case studies; case study
  • ISBN/ISSN:
  • URL: https://discovery.ucl.ac.uk/id/eprint/10121086/
  • Abstract:
    There is a failure to fully achieve client expectations and to deliver integrated hospital building solutions that function to all spatial and equipment requirements. Often this is because the construction of hospitals is based on designs established several years before the start on site. A retrospective abductive, auto-ethnographic case study approach has been taken in the examination of four major hospital projects over a period of 30 years. The level of design integration and effect of design management and coordination issues relating to stakeholder engagement, roles and responsibilities, static and dynamic briefing and the integration of major medical equipment has been explored at a project level, then contextualised within a wider delivery model to understand the impacts of these on integrated delivery and systems integration. Five temporal periods were observed, four of them relating to the retrospective case studies these were: (1) prescriptive integration - where traditional procurement with Design, Bid, Build delivery was combined with standards and guidance; (2) dysfunctional integration - where the adoption of Private Finance Initiative (PFI) with Design and Build delivery transferred traditional roles and reduced standardisation; (3 and 4) adaptive integration 1 and 2 - which saw both a gradual deregulation of standards; and, an understanding for standards, and (5) the fifth temporal disintegration period - where guidance from the wider delivery model ceased to be updated due to top down policy reorganisation and lack of centralised control and includes a current case study. Throughout these temporal periods, it was found that the national delivery models have had a significant influence on hospital project delivery and particularly systems of systems integration. A new model based on layering principles that shows the impact of wider delivery models on systems integration is proposed to improve the provision of 'state of the art' facilities at project completion.

Udomdech, P (2021) Project-based innovation learning mechanisms in the built environment, Unpublished PhD Thesis, , University College London (University of London).

Vinci, F (2022) Project-based networks in the delivery of infrastructure projects and programmes, Unpublished PhD Thesis, , University College London (University of London).

Wang, Y (2022) Monitoring, modelling and analysis of occupants' operation of windows, use of air purifiers and smart air quality control in low-energy residential buildings, Unpublished PhD Thesis, , University College London (University of London).