- About Linde
- BOC in the UK and Ireland
BOC Case Studies
- PLASTINUM™ GIM the success story
- BOC delivers wastewater treatment cost-savings
- Fuelling the future: BOC powers hydrogen transport
- Cold nitrogen gas: making fast work of underground fires
- Liquid nitrogen from BOC: vital to the bees’ needs
- IBL Cold Stores: finding the right alternative to R22
- Fuel cells: today’s technology for tomorrow’s cars
- Hymera: delivering power efficiently for smaller loads
- Overcoming structural distortions in welding
- BOC creates UK cryogenic storage facility
- BOC Customer Service: commitment to excellence
- The Harley Street Clinic: total solution to customer needs
- Carboflex®: Advanced Heat Treatment Solutions
- CIRRUS® VEC: Ensuring the highest emission control standards
- LINDOFLAMM®: reducing the risk of hydrogen cracking by pre-heating
- LINDOFLAMM®: removing of distortion in post welded steel
- Flame cutting: increasing productivity through efficient process
- How to Find Us
- Requirements of a Supplier to BOC
- BOC and Corporate Responsibility
- Safety, Health, Environment and Quality
- BOC Insurance
- BOC History
- Our Products and Services
- Tax Strategy
- Gender Pay Gap Report
- Company Profile
- The Linde Spirit
- Group Procurement
- Linde Worldwide
- Corporate History
The Harley Street Clinic is one of the seven Central London premier hospitals of HCA International. HCA owns and operates some 200 hospitals in the UK and USA.
BOC Healthcare has supplied medical gases to the group’s UK operations for a number of years; firstly cylinders, then a Pressure Swing Absorption (PSA) system and more recently liquid systems. The company was recently invited to review and assess the medical gas provision to ensure compliance with new European laws & codes of practice (HTM 02-01). The survey identified a number of enhancements that could further improve the reliability of these systems.
The hospital’s location presented a number of challenges due to limited storage space and restricted access for contactors. Internally, space was at a premium, so installing new and more extensive systems required innovative thinking to overcome the constraints. Equally, in an extremely busy medical facility, any refurbishment work would have to be carried out with minimum disruption to healthcare delivery.
The work would also have to meet the requirements of the local planning authorities, English Heritage and the needs of the local community.
The BOC solution
The hospital’s Estates/Project Manager, Vic Hensher, wanted to ensure that the medical gas services were the best in the capital. In co-operation with BOC Healthcare Engineering Services, a plan was devised to replace all the oxygen, nitrous oxide, medical and surgical air, vacuum and anaesthetic gas scavenging systems. New valves and alarms were fitted and remote telemetry has been planned in.
The innovative nature of the solution - as well as the physical constraints posed by the historic architecture of the building and its situation in a highly built-up urban environment – meant that an ‘off the shelf’ approach would not work. The project specification gave BOC responsibility for supplying gas to each patient at their bedside or in the theatre. However, the lack of space – internally and externally – required strategies that were literally ‘thinking outside the box’.
The first phase of the overall upgrade project was to erect a structure on the roof to accommodate eight 200-litre storage vessels for liquid oxygen. Given the hospital is in the centre of London and delivery/storage space is limited, the construction of the store was an engineering and logistical challenge. Some 50 metres of cryogenic piping link the storage cylinders to a filling point at ground level where the scheduled BOC Cryospeed deliveries are made.
After the oxygen storage systems had been successfully installed and commissioned, the old PSA plant was dismantled and removed from the vaulted basement. This created extra space for the medical gas manifolds, compressed air and vacuum plant. Once again these had to be tailor-made to fit the available space. These systems provide primary, secondary and in some cases, tertiary supplies of oxygen, nitrous oxide, medical and surgical air and vacuum.
In addition, the upgrade programme included the installation of new pipework and control systems and will also include remote telemetry with email and SMS functions. As part of the project, BOC Healthcare delivered training on safe use of, and dangers associated with, medical gases.
All the work was carried out in compliance with Health Technical Memorandum 02-01 as required by the Healthcare Commission.
The business benefits
The development of a Gas Facilities Management solution has relieved the customer of the risks and responsibility associated with the supply of medical gases: BOC has now absorbed this within its own service to the hospital. Indeed, the installation at The Harley Street Clinic offers a model for complex hospital installations. It shows what can be achieved by close collaboration between the hospital and the facilities provider in developing a novel solution.
The work was carried out with no disruption to the smooth running of the Clinic and the project was completed on time and within budget. This was a major achievement given the physical constraints on space and access.
Gas Facilities Management gives a total solution to the hospital’s medical gas requirement. It frees the hospital from specialist gas handling and delivery issues to focus more time and resources on their area of expertise – specialised patient care.
"This was a pioneering installation. BOC had to install equipment into the limited available space and this has led to a unique, bespoke solution. They have had to take into account the wishes of neighbours and the requirements of Westminster City Council. They have done a terrific job."
"This represents a real innovation in the way in which medical gases are delivered to patients. For hospitals without the expertise or initial capital to design and install the systems themselves, Gas Facilities Management can provide the answer to their needs."
"The work was completed without any disruption to the everyday running of the Clinic – indeed most people were unaware it was taking place. The project has been very well managed and a complete success. All parties must take credit for this."
BOC Healthcare has developed a Gas Facilities Management solution for The Harley Street Clinic in London which:
- Provides delivery, management and maintenance of all medical gases to the Clinic which takes into account physical constraints inherent in traditional Harley Street buildings.
- Provides an innovative solution which delivers the gases direct to the patient’s bedside as well as all high dependency areas.
- Upgrades all the existing medical gas systems to the very latest standards.