File(s) under permanent embargo

Reason: This item is currently closed access.

Resilience of 'Nightingale' hospital wards in a changing climate

journal contribution
posted on 05.06.2013, 12:45 by Kevin LomasKevin Lomas, Renganathan Giridharan, C. Alan Short, A.J. Fair
The National Health Service (NHS) Estate in England comprises more than 30 Mm2 with 18.83 Mm2 of acute hospital accommodation on 330 sites. There is concern about the resilience of these buildings in a changing climate, informed by the experience of recent heatwaves. However, the widespread installation of air conditioning would disrupt the achievement of ambitious energy reduction targets. The research project ‘Design and Delivery of Robust Hospital Environments in a Changing Climate’ is attempting to estimate the resilience of the NHS Estate on the basis of current and projected performance, using an adaptive comfort model. This paper presents results relating to a 1920s traditionally built block with open ‘Nightingale’ wards, a representative type. The paper demonstrates the relative resilience of the type, and illustrates a series of light-touch measures that may increase resilience while saving energy. Practical application: The results presented in this paper will be of value to NHS Trusts: Estates staff charged with operating buildings as well as Boards and others involved in decision-making. It will also find an audience with policymakers in central government and the Department of Health, as well as those who own, operate or are tasked with working on non-domestic buildings with heavy traditional construction.



  • Architecture, Building and Civil Engineering


LOMAS, K.J. ... et al, 2012. Resilience of 'Nightingale' hospital wards in a changing climate. Building Services Engineering Research & Technology, 33(1), pp. 81-103.


Sage © The Chartered Institution of Building Services Engineers


NA (Not Applicable or Unknown)

Publication date



This article is closed access. The article was published in the journal, Building Services Engineering Research and Technology [Sage © The Chartered Institution of Building Services Engineers]. It is available at:







Usage metrics