Sonnemann Toon Architects were delighted to have two students on board last week completing their work experience placement with us!
Programmed activities included site visits to see our current projects, an office social outing to see The Serpentine Pavilion and a series of tasks, designed to give students an insight into what an Architect does and what it is like to work in an office environment.
The students were asked to prepare and present their own projects which included a design proposal to refurbish an internal area of an existing building. It was great to see both had a hands-on approach and put in the effort to meet the deadlines and work as a team. The proposals showed careful consideration for the user experience and we thoroughly enjoyed the presentations at the end of the week!
Kasia and Christina were pleased to attend the opening of the new centre for homeless people at Ensleigh Gardens.
They have worked hard with St Mungo’s over the last three years to come up with a cost effective design that will make a difference: Illuminated artwork in the reception helps create a distinctive and welcoming first impression, a re-vamped area for ‘bricks and mortar’ (a residents skills workshop) with folding doors opening to the courtyard & every last pocket of storage space put to good use, including the basement vaults that are now waterproof and functional.
Read how St Mungo’s provide housing, health facilities and job training – all on one site:
Despite being busy bees ourselves everyone found time in their schedule of deadlines to check out this unique structure at Kew, designed by Wolfgang Buttress, everyone in the news were buzzing about.
We have also stopped by to check out Sackler Crossing by John Pawson and Treetop Walkway by Marks Barfield Architects.
Works to the new third floor extensions near completion at Westside, contributing to 8,600ft2 of additional net lettable floor area.
In the wake of the EU referendum result, it was heartening that this year’s European Healthcare Design conference took place with a growing spirit of collaboration and shared learning.
We particularly enjoyed the seminar on ‘SMART hospital architecture: the development of a data-driven simulation’; Chaired by Jim Chapman with an inspiring presentation from Johan van der Zwart from The Norwegian University of Science and Technology.
Sonnemann Toon’s presentation on ‘The Choreography of Care’ was displayed at the event.
8 Harley Place was featured today on Design Curial, a website for Blueprint and FX online magazines!
Sonnemann Toon Architects LLP has won Best in Healthcare Architecture 2016 – Southern UK!
The 2016 Architecture Awards recognises the exceptional work undertaken by firms in the global industry. Winning one of these awards is a real achievement for Sonnemann Toon, and as such we are happy to share the good news!
A planning application has been submitted to refurbish two Grade II listed Georgian Townhouses in Harley Street together with complete demolition, excavation & re-building of their rear mews properties. The facility will make use of the very latest in oncology treatment and be the first of its kind in the world!
Earlier this year Agnieszka, Cecilia, Gina and Jolien decided to challenge themselves by taking part in a 10k run. They signed up for the Clapham Common Race for Life and decided to raise funds for a worthwhile cause while they were at it.
After two months of intensive training (and harassing friends and family for money) they were finally ready to hit the track – or pavement as it were. In fact, on the day they were so focused and concentrated on the race ahead that they couldn’t find the starting point and subsequently missed the start of the race. Luckily they quickly made up for the lost time and all four finished the race at around the one hour mark. The weather was perfect for running and Cathryn and David came to cheer up the team at the arrival line.
As gratifying as completing the race was, even more satisfying was that together they raised over 400 pounds for Cancer Research UK.
Economic and environmental pressures have led to a huge surge in up-cycling of late; the process of getting new from old, with a little TLC and inspiration. In the property world, though, this is no emerging trend.
People have been re-imagining buildings, sites, and structures since the beginning of time. With each passing age and era comes new demands, not to mention changes in priorities, and this brings about a vast wealth of opportunities for architects.
Whether the process of breathing life back into something is more satisfying than creating that life from scratch really depends on the individual circumstances. But, even as bystanders, few would argue that watching a forgotten or undervalued address returned to something like its former glory is a marvelous experience.
A complete refurbishment and extension of a 100,000 sqft commercial building in Apsley, Hemel Hempstead has begun.
ST was invited to the launch of a new Ecophon wall panel at Bounce Ping Pong in Shoreditch on the 13th of April and proudly represented the practice by (nearly) winning the table tennis competition.
The team didn’t learn much about the new range because of their dedication to the sport but did have a great night out nevertheless!
The office visited the newly completed refurbishment of 61 New Cavendish Street. The building is Grade II* listed, consisting of the front 18th Century house with a 1950’s office extension to the rear. The house was occupied by the architect Alfred Waterhouse from 1830-1905. The project was completed in two phases within 13 months.
This month Sonnemann Toon travelled to Bicester for the official launch of their second office. An exciting time for the practice which has steadily grown over the years!
The new Outpatients and Diagnostics facility is complete providing; 78 consulting rooms, 12 treatments rooms and a state-of-the-art imaging department.
Cressida Toon talking flooring within the healthcare sector:
Paediatric Outpatients Clinic, 84 Harley Street is Highly Commended in Best Internal Environment category in Building Better Healthcare Awards 2015!
After a successful collaboration at the Shard, Sonnemann Toon Architects & Collins Construction are working together again to deliver a world class Private Patient Unit within Guy’s Hospital, New Cancer Centre.
The base build has been designed by world renowned Rogers Stirk Harbour + Partners. The fit-out scheme is over the 10th-13th floors including: 3 operating theatres, 8 ITU bedrooms, 40 single inpatient bedrooms, 5 consulting rooms and a chemotherapy department.
As part of their fundraising efforts for Macmillan Cancer Support, Sonnemann Toon joined the Collins Construction team at The Shard to take part in Challenge Cancer South’s London to Brighton bike ride. After months of training, the team did extremely well, with three of their riders completing the 60 mile course in top 20 positions!
A massive well done to all the team who, for all their hard work, raised an amazing £4,023.36 for Macmillan, bringing our overall total raised so far to £6,363.04.
Following a recent visit to Changchun by Sinophi’s Dr Hanif Kanji, Advanced Oncotherapy and Gary Toon, STA are delighted to share our client’s fantastic news:
Carillion, have been selected as the Preferred Bidders for the new Midland Metropolitan Hospital, Birmingham. This exciting new hospital with a capital cost of £297M is the long-awaited acute hospital in the Smethwick area and is due to start on site early 2016.
HKS have been appointed by Carillion as the Architectural Project Lead and have assembled a bespoke team to design the new hospital. Alongside HKS are Edward Williams Architects working as Architectural Design Lead and Sonnemann Toon Architects in their role as Architectural Clinical Lead.
The new state-of the-art hospital, which will have around 670 beds and 15 operating theatre suites, has been designed to meet the best international and national standards to make it truly patient focussed and to support the efficient delivery of high-quality clinical services. The new hospital will also have a number of innovative design features including a fully enclosed Winter Garden, car parking within the hospital building on the ground and first floors to create a secure environment for both patients and staff and full separation of clinical activities and journeys from the public and non-clinical services. In addition, the design and construction of the hospital will meet the highest standards of sustainability.
Financial close is expected around the end of 2015 with construction starting early in 2016. Completion is scheduled for mid-2018, with the hospital opening in late 2018.
Midland Metropolitan Hospital, or Midland Met for short, is a brand new, state-of-the-art acute hospital for the 530,000 people living in Sandwell and West Birmingham. It is set to open in 2018/19.
Full planning permission was granted at a Sandwell Metropolitan Borough Council planning committee meeting on Wednesday 23rd September 2015. Before the submission a public consultation on the proposed hospital designs took place, building on the previous and ongoing engagement activity carried out by Sandwell & West Birmingham Hospitals NHS Trust.
As well as reviewing the latest hospital designs below you can read the Midland Metropolitan Hospital Plan Overview put together by Carillion, the proposed development partner.
Cecilia & Federico have spoilt us with gorgeous Argentinian wine, snacks & scenery, as well as put together a quiz on Argentina, which Agata won.
Lots of exciting new projects coming our way while existing ones wrap up. Tim showed off the beauty of 8 Harley Place while Cathryn updated us on the Energy Institute, Shard & Southwark Cathedral projects.
This month for our Getting to Know You section, staff chose a photograph that represented their teenage years – this ranged from actual photographs of haircuts/fashion to TV programmes and hobbys. Next month we’ll do something architectural again!
This month’s Gold Star went to David.
Below are images of completed 8 Harley Place project.
The once tired mews property has been completely refurbished and extended to deliver a property fit for the 21st Century.
Sonnemann Toon participated in an expert workshop on Emergency Department design. The P21+ ED Repeatable Rooms focused on benefits of applying repeatable rooms in department planning and analysed relevant room typologies in detail. It was a great opportunity for clients and design professionals alike to share feedback on the recent case studies.
This month the food and drinks were organised by our very own polish mob comprised of Agata, Agnieszka and Kasia. We tasted some amazing charcuterie (wędliny) and sausage.
During their high quality quiz we learnt about monosyllabic animal names, traditional costumes and other fun polish trivia facts. The quiz was won by Andres.
Tim showed us a sample of construction photos of 8 Harley Place nearing completion, and everyone shared their favourite furniture concept in the Getting to Know You section.
The gold star was shared between Agata, David, Jolien and Julija.
Sonnemann Toon Architects have won an award in the category of Public Service Architecture for London with 11 Harley Street and another award in the Category of Office Architecture for London with 10 Midford Place !
Two of our projects have successfully been shortlisted into the Office Design category and Healthcare Design category for the SBID International Design Awards 2015!
Our Hallam Street project has been hand-picked by one of Houzz writers to be featured in an editorial ideabook on the homepage of Houzz.
The refurbishment of the UCLH Heart Hospital in Marylebone is nearing completion. This project was phased while the hospital continued being fully operational. Refurbishing the existing building and discovering a mountain of services had made for an extremely challenging project. The battle for ceiling heights was a compromise dictated by the contractor’s ability to reduced build-ups and re-route services. The end result is a bright, clean & crisp space to meet current healthcare standards.
Sonnemann Toon Architects has been named Best for Public Service Architecture 2015 in Build Magazine’s 2015 Architecture Awards!
Sonnemann Toon were happy to host two work experience students this summer. The 6th formers were taken on site visits to our current residential, healthcare & listed building projects before being asked to produce their own projects. Their brief was to compare a recently completed building with an older one, showing similarities in form & function, then put together a proposal to re-furbish an internal area from one of the buildings. The student presented their work to the office at First Friday and impressed us all. These were the highest quality student presentations we have seen since hosting work experience students over a number of years and both Alexandra & Michael should be very proud of themselves. Well done to our budding young architects!
As of this year we have decided to theme the in-house monthly updates at the First Friday to match staff’s country of origin. This month we had South African drinks & snacks – mmm, biltong!
Work Experience Students we had in this week presented their project work to the whole office, followed by Cecilia showing progress photos of the Shard and Cathryn sharing updates on the Energy Institute and the beginnings of phase 2. We also had a feature on conceptual buildings that staff presented to the group.
This month’s gold star went to Christina.
The fit-out of the outpatient’s facility is progressing well on site. A milestone moment as the two MRI’s were delivered and installed.
At The Energy Institute Phase 1 has completed, including the refurbishment of the office areas in the 1950’s extension. Phase 2 of the construction programme now began in the front 1770’s original house (the home of the Architect AlfredWaterhouse from 1830-1905). As part of the works two original fireplaces have been uncovered in the library and rear office.
Sonnemann Toon played 3 softball matches this summer: Haines Philips Architects, Weston Williamson + Partners and the Howard de Walden Estate. We are proud to report winning one of these games and narrowly losing the other two – to win against one’s client is frowned upon! We also upgraded our equipment and proudly play with a solid ash bat!
For July First Friday the office visited the construction site of the outpatient facility at The Shard on the 4th- 6th floors. This was followed by a visit to The View from the 72nd floor to see London 360 degree skyline, as well as a tasty dinner and drinks at Rocket City Restaurant.
Sonnemann Toon are very close to having 100% of new projects drawn up in Revit. We now collaborate with other architects and consultants who use this software to share the models while continuously holding regular staff training. We are constantly updating our templates & families in order to increase productivity and deliver more co-ordinated drawing packages and a higher quality design service resulting in more efficient buildings.
We were delighted to attend the inaugural European Healthcare Design congress on 22-23 June. It was an excellent opportunity to discuss international best practice and the future of health care design – all in the inspirational surroundings of Sir Denys Lasdun’s The Royal College of Physicians building. Sonnemann Toon presented a poster on our Proton Beam Therapy, MRO and EOS projects, examining how the latest medical technology can be housed in existing buildings.
Both projects Sonnemann Toon Architects submitted have been shortlisted in AJ Retrofit Awards 2015! We’ve been told this year the quality of entries was better than ever so being shortlisted is a great achievement!
Sonnemann Toon Architects are pleased to have been invited to provide a design proposal for the administrative reception at Southwark Cathedral by Collins Construction Plc. Collins have a number of construction projects in the Southwark area of London and approached Southwark Cathedral to refurbish their reception as a community contribution. Sonnemann Toon Architects & Winters Electrical will provide the design services for the works as a charitable contribution.
Theatre fit out works at Royal London Hospital completed in 12 weeks!
Cathryn spoke about progress on the Energy Institute, while Anna showed completed photographs of the Newham Seclusion Suite and explained their design requirement. David conveyed the challenges of installing Proton Beam Therapy Units in different locations. Staff were also asked to send through a photograph of the most dangerous critter in the land from which they are from. Staff got to guess what the animal was and who’s country it originates from.
This month’s gold star was shared between Christina, David & Tim.
Sonnemann Toon Architects have designed an internal fit-out of a three floor private medical facility at The Shard. The scheme includes Out-patients, Imaging, Physio and Paediatrics departments, with 78 consulting rooms and 12 treatment rooms. The project is currently on site and is due to be completed in December 2015.
Sonnemann Toon attended London Venues Summit at Hilton London Wembley. Our Office manager had a productive day full of meetings, fabulous networking luncheon, interactive discussions and workshops, concluded by a relaxing post forum drinks reception.
An extremely well organised event with great concept – ‘speed networking’ makes you talk about the important things straight away.
This month’s first Friday served as a temporary farewell to Gina G, our beloved Canadian. We themed the event with a famous Canadian drink: The Caesar. Tim spoke about the progress of 8 Harley Place and unveiled completed photos of 10 Midford Place.
Each month Sonnemann Toon awards a gold star to the person who has gone beyond their job and put in extra effort to help other staff. Staff send through nominations to the Associates, and this month’s gold star went to Christina.
Sonnemann Toon Architects & Collins Construction have been successful in a joint bid to design & build a world class outpatients centre within The Shard. The client has a vision to deliver an exemplar private medical facility in the heart of the London Bridge Quarter. The fit-out scheme is over three floors including: consulting rooms, a diagnostic, women’s health & physio department and support facilities of pharmacy, café and training room.
After over 10 years in our old home at Whitfield Street, we have moved into new premises in Quality House next to Chancery Lane, only a mile down the road in the heart of the City of London .
The new office address is:
6-9 Quality Court
Our phone number remains the same and for directions to Sonnemann Toon office please check our contact us page.
We’re really looking forward to showing you around, and exploring the area for ourselves!
We were delighted to join the opening party with our clients The Howard De Walden Estate and Isokinetic to celebrate Isokinetic’s permanent establishment in Harley Street and we wish them every success in their new home!
Isokinetic Medical Group is a specialist Sports Medicine and Orthopaedic Rehabilitation group formed in Italy, 27 years ago. As part of the FIFA Medical Centres of Excellence network, the group embraces the new international dimension of healthcare and came to London in 2012. After 2 years in a Pop-Up clinic, Isokinetic moved into 11 Harley Street on 29th September 2014. Sonnemann Toon have been instrumental in creating a functionally innovative space and one of the leading centres of its type in Europe. Michael Davison, Isokinetic’s Managing Director in London noted that, ‘Sonnemann Toon’s vision has helped realise a space which provides strong visual lines that underpin the progress of a patient during the rehabilitation process. It is a light, warm and inspiring environment.’
STA are delighted with the results of the Building Better Healthcare Awards – the practice won the Clinicians Choice Award for the European Scanning Centre project.
Category judge, Dr Roy MacGregor, said of the entry: “This is a wonderful scheme that, instead of just utilising artwork to relax patients, actually reflects the scientific and technical nature of radiology equipment and services. It is taking technology to the nth degree.”
ST are excited about winning the 2014 International Property Awards for Best Public Service Architecture in the East of England for Spire Cambridge Lea and were Highly Commended for Architecture Single Residence in London for 3 Devonshire Mews North.
For this month’s First Friday, STA fled the office to enjoy some summer sunshine and enjoy the Louis Kahn exhibit at the Design Museum (and some enormous pizzas at the Dickens Inn at St Katherine Docks!).
This week the office enjoyed a walking tour to Smiljan Radic’s Serpentine Pavilion, stopping to enjoy a few drinks and a few facades along the way.
Sonnemann Toon attended this fascinating cross-disciplinary course exploring the latest concepts and ideas in Emergency Department design.
The design workshops allowed Clinicians, Estates teams and architects a unique opportunity to brainstorm ideas on how an A&E design can facilitate clinical processes and support the delivery of care.
The new Reception and Outpatient Department to Spire Cambridge Lea Hospital is open! It was a transformation from a Hospital to a Hospitality environment, strengthening the corporate identity and bringing light and space to this popular local hospital.
The Reception was remodelled to give a sense of arrival and waiting areas reimagined to achieve a Hotel ambience. The new Cambridge inspired Outpatients Department is clinical and clean, but not cold – from waiting room seating through to cubicle curtains the theme has been maintained.
The Hospital representative said: ‘As a result we have the most incredible consulting rooms and reception, way beyond what we could have imagined. It has turned our reception from what was feeling like a quiet waiting room in to a social experience in a relaxed atmosphere for the patients. Brilliant!’
STA attended Employment Law and H&S Briefing Seminar hosted by Peninsula, covering important updates on:
– New or impending legislation on issues such as pensions, temporary workers and the Equality Act.
– Legal obligations as a business owner or manager.
– Ensuring best practice in health & safety at work.
– Common misconceptions held by employers regarding the law.
STA has partnered with Halfords to offer staff Cycle2work scheme, enabling employees to access bikes for cycling to work.
Burn calories, save CO2, it’s good for your health and the environment too!
STA has been certified to ISO-9001 since April 2008 and has recently achieved certification to both OHSAS-18001 and ISO-14001, the two new standards have been bolted onto our original Quality Management System to form our in depth Integrated Managements System.
These certifications show STA’s continued commitment to sustainability, safe working conditions, and quality management.
STA staff attended the audio webinar BIM for Small Practices: Implement & Collaborate. The webinar focused on how to make using virtual systems a reality for architect’s implementing BIM within a multidisciplinary project team.
The webinar also included helpful lessons and pitfalls of BIM while going through real time BIM case study from a small practice. We learned about design work-flow and productivity when managing documentation and business processes while collaborating in BIM.
Our Office Manager Julija attended LCCI Life event to connect with some of the leading suppliers within the Hospitality, Retail, Leisure and Travel industries.
It was a great networking event, as well as an opportunity to indulge in delicious canapés and fine wine all in a relaxed and informal setting!
Check out a virtual tour of the London Bridge Hospital Oncology
Sonnemann Toon took part in Syntec 2013 MALA Competition (‘Mala’ being Gaelic for plasticine) with our architecturally themed ‘Embodied Energy’ entry.
Gary Toon in RIBA May 2013 – Circle Reading Hospital critique.
The new entrance to The Princess Grace Hospital is now open! The ground floor has been re-shuffled to allow for a more open & welcoming reception with a light & bright waiting space – in keeping with a private hospital. The new ‘glass box’ with illuminated signage enhances the hospital’s presence on Marylebone Road while modernizing the hospital’s appearance. Staff & patients are thrilled with their new space – now if the new furniture would just arrive!
As hundreds of flights were cancelled and parts of the country gridlocked due to the heavy snowfall on the weekend of 19th January – a 30tonne magnet was lifted into the lightwell at the rear of 68 Harley Street. This is the first MROpen scanner to be installed in London – part of a unique imaging suite at the European Scanning Centre.
For any bespoke guttering, seamless or aluminium guttering you can visit bespokeguttering.co.uk.
From more than 220 entries submitted, The City of Coventry Health Centre has been chosen as winner of the Clinician’s Choice Award 2012. It was a very proud moment for the whole team & a very successful culmination of over 8 years hard work; Sonnemann Toon worked on the scheme with NHS Coventry, Coventry Care Partnerships & Galliford Try.
Dr. Roy MacGregor, clinical specialist on the judging panel, said of the scheme ‘It is a very flexible & forward-thinking design.’
Jonathan Holt and Cressida Toon will be discussing Sonnemann Toon’s approach to Quality Management at RIBA’s ‘Guerilla Tactics’. The conference session at 10am on 7th November, on the benefits of good Quality Management Systems and how to implement them.
In his technical study in October’s AJ, Felix Mara describes how the challenges of way finding, control of infection and acoustics amongst others, were met in the design for the City of Coventry Health Centre.
To read the full article:
CoCHC had a busy first day…Mark Jones of NHS Coventry confirmed that patients were turning up in droves to sign up with the GPS that have relaocted to centre. The building is now fully operational following a sucessful handover last year – on time & on budget.
The European Scanning Centre are preparing for the arrival of two state-of-the-art scanners.
Part of the ground floor has been removed to make way for a rigid base for the EOS scanner – minimal vibrations will mean extra clear scans; and a pit has been excavated to allow the 30 tonne MROpen to be ‘slotted’ into the basement through the rear light well.
Challenging design, construction and logistics to allow cutting edge scanning in the heart of Harley Street.
The expansion of the Intensive Therapy Unit & installation of the new MRI have been completed. Staff are very happy with the improved workflow on the unit and have said that the bright finishes palette really helps to make the right impression!
See our project pages for more details and photographs of the finished scheme.
Programme week 22 of 37 at Hallam Street and the light is beginning to appear at the end of the tunnel. Floor finishes are down, the stair carcass is constructed and kitchens are starting to go into the large openplan living space of our largest maisonette. The dryest November on record lends the roofing contrators a hand and we are finally watertight after a nailbiting week of tarpaulins and crossed fingers!
Sonnemann Toon Architects have submitted for tender a new Pathology Laboratories project to be created in an early 20th century concrete frame with reinforced concrete floors building, recently refurbished into offices space with external white painted rendered masonry walls and single glazed metal framed multi-paned windows. The owner’s requirements have been identify with the client for the Microbiology, Serology and Immunology transferred services and new Histopathology and Cytopathology laboratory with molecular profiling laboratory to be created on a different level.
The focus on site has shifted inside. Galliford Try’s decorators are now starting to paint the feature bands of colour that will form the base for departmental signage. 500mm high polyester powder coated alumiunium letters placed at high level on the bold painted bands, will allow patients to locate department entrances across large waiting spaces.
Sonnemann Toon Architects have been shortlisted in two categories this year: Best Interior Design and Best Acute Design for the Building Better Healthcare Awards 2011. We are looking forward to the award ceremony on 10th November.
Cressida Toon will be discussing Sonnemann Toon Architect’s work at RIBA’s ‘Guerilla Tactics’. The conference session at 10am on 10th November, will focus on the pros and cons of working in a specialism.
Teamed with AHMM, Elliot Wood, Davis Landgon & BBUK, Sonnemann Toon Architect’s are one of eight to have been shortlisted for a RIBA competition to design inpatient facilities for South West London and St George’s Mental Health NHS Trust. The first 6 months of the project will be devoted to estabilsing innovate design standards for inpatient care. The winning team will be announced later this month.
26-28 Hallam Street began on site on Monday 18th July. It is Sonnemann Toon’s first multi dwelling, all residential scheme. With a 34wk contract period it is due for completion in February 2012. See project pages for updates.
Our refurbishment of a Grade 2 listed building at 35 Weymouth Street to create an Intensive Therapy Unit for The Harley Street Clinic has been completed. See our project pages for more details and photographs of the finished scheme.
Sonnemann Toon are excited to announce the practical completion of our extensive refurbishment of a Grade 2 Listed Georgian terraced house at 102 Harley Street.
City of Coventry Health Centre has been shortlisted for both the Design & Innovation and Community Benefit categories in this year’s RICS Awards.
Our tenth year in busniess is underway! We’re all hugely proud of what we’ve acheived since 2002 and are excited and optimistic about the next ten years!
& congratulations to Jonathan Holt whose promotion to Associate was announced to the office today.
Lakeside Medical Centre in Bexley was built on a fast-track schedule of 16 months under the Bromley Bexley and Greenwich LIFT scheme. Our design had to consider the plans for local re-development of the Thamesmead Estate over the coming 15 – 20 years, and was progressed in close consultation with clinicians, the planning department, the contractor and local residents. The building is situated on an ‘island’ site and creates a new landmark for the community, addressing the need for both security and durability while delivering accessible, modern healthcare in a contemporary setting.
Sonnemann Toon Architects have submitted for tender on the 29th September, the the extension of the existing entrance, reception area and creation of new endoscopy suites of a private unit to be created on a 1980’s reinforced concrete frame with reinforced concrete floors building and clay facing bricks exterior reconfigured in 1998 and 2006. The endoscopy unit is an outpatient only with no overnight stay and no general anmhestectic of patients where some sedation of patients will occur.