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Constructed in the nineteen thirties, FOCH Hospital, which has an enviable situation on one of the hillsides of the town of Suresnes, has long been the archetype of the modern hospital, ahead of its time both architecturally (single building with concrete pillars and girders) and functionally(innovative design prioritizing single occupancy rooms).

Since then, the constant changes in the hospital’s activities and admission capacity (330 beds installed at the end of the nineteen thirties, 600 beds used now), the change in medical practices and technologies and in regulations have gradually led to part of the building becoming obsolete and no longer meeting the operating conditions for a modern care establishment.
In order to remedy this situation the hospital has embarked on a vast modernization project based around two complementary major projects: extension and renovation of the current buildings. This project represents a total investment of almost 150 million euros over a period of 10 years.

Through these processes, the FOCH Hospital has decided to future-proof its future developments to guarantee its patients of tomorrow better material and psychological comfort.

The quality of admission facilities, hotel services, maternity unit, operating room, the entire technical platform and accommodation, access to the establishment and internal circulation will be renovated completely between now and 2010. The FOCH hospital will then again have the environment and comfort qualities which were its key features when it was built.

 The extension

A new extension of 25,000 m² is intended to be built in the south-east part of the current hospital.

This extension will have three infrastructure levels and 6 superstructure levels plus a technical level.

In the lower part of the new building a new entrance to the hospital from rue Merlin de Thionville will be opened on the town centre side of Suresnes.

This new building will be attached to the existing building by the current east wing, which itself connects to a set of lifts to all levels (14) double access created in the existing building enabling a direct link from all accommodation levels in the current building to the new building.

Application for building permission for this process was submitted in July 2004 and was approved in February 2005. In June 2005, the Suresnes district modified the town building Plan. This change opened possibilities for improvements, on the basis of which a modified application was produced and together with the tender dossier for companies. This variation was approved in August 2006 and consultation with the companies took place in April to June 2006.

The legal and financial framework of the process was finalized on 4 July 2005 by the signature of a construction lease and a credit lease contract with the Dexia CLF Bail Regions company.

The construction plan intends for work on the new building to begin in December 2006 and be completed in May 2009.

This building will have:

• Parking for almost 200 places
• A logistics platform 
• A new emergency service(SAU)
•  A new imaging platform
• The new operating room block 
• The multi-disciplinary intensive care and continuing care department 
• The new maternity unit (on 2 levels)

a) Medical-technical services.

 

• The medical intensive care and continuing care units will have 30 hospitalization beds(14 intensive care beds and 2 x 8-bedded continuing care units) over a usable surface area of 1396 m².
• The operating room block: this space will have a set of 14 surgical rooms with a total of 1480 m² usable space.
• The imaging platform: this space will contain principally the imaging equipment(excluding nuclear medicine) with 2 CT scan rooms, 2 MRI rooms, 3 ultrasound rooms and 3 conventional radiology rooms, with a total of 1462 m² usable space.
• The emergency platform: this space will contain principally 7 cubicles for bed patients and one 2-bedded resuscitation room, 6 cubicles for “standing” patients, a set of 5 cubicles and 8 very short stay hospitalization rooms, with a total of 1434 m² usable space.

b) The Maternity Unit

The new maternity unit will be located on two levels of the new building. It will have 2 31-bed hospitalization departments (including 6 “kangaroo” beds and 25 beds with nurseries, a 6 cot intensive care neonatology sector and 12 neonatology beds (including 6 in “kangaroo” rooms) and a delivery suite with 9 delivery rooms, two caesarean rooms, one recovery room and a neonatal intensive care. This maternity unit, which will occupy 2859 m² usable space, will support an activity of more than 3000 deliveries per year.

 

c) The logistics platform

This platform will be underground and accessible to delivery vehicles via ramps from rue Merlin de Thionville. It will have storage spaces for our medical devices and assorted materials, together with a waste platform. It will considerably facilitate the logistic services for the Hospital.
This space will occupy a usable surface area of 1698 m².

 

d) Parking

The parking created will be on three levels and will accommodate parking for approximately 200 vehicles, facilitating access to the hospital.

B/ The south wing lifts

In order to connect the existing and new buildings through the current east wing, a vertical connection shaft with 3 high capacity lifts is planned.

C/ the east wing renovation

The project plans to upgrade the east wing, particularly in order to:

• provide a link with the new building,
• install the future post-interventional surveillance suite on level C,
• install all of the logistics for the future operating room block on level D.

Renovation

This involves renovating the accommodation levels of the main building from level 1 to level 7, representing a floor surface area of 17,000 m² and partially upgrading part of the current annex buildings. This process has been ongoing since 2001 and will continue in a phased approach providing continuity of use at the hospital until 2010. Its objective is to enable the FOCH services to return to modern operating, safety and comfort conditions, in particular placing emphasis on an increase in the number of single rooms and modernizing facilities for internal circulation and transport.

The major aspects of the renovation are:

• the creation of new vertical circulation facilities,
• complete renovation of the accommodation levels in the main building with the creation of 170 1-bedded rooms and 80 2-bedded rooms in the main building,
• creation of a new investigation, gastrointestinal endoscopy and urology platform,
• creation of medical management and logistics platforms,
• securing the electrical distribution circuit,
• continuing fire safety,
• creation of emergency exit stairs.