Inspired by Nature, Informed by Experience: The Design of the Kingfisher

Synopsis

Avon and Wiltshire Mental Health Partnership NHS Trust is developing The Kingfisher: a pioneering combined community and inpatient service tailored for people with learning disabilities and/or autism (LDA) who require acute inpatient treatment for mental health conditions.

This presentation will explore both the architectural design of the building and the development of the associated clinical model.

Providing effective support for people with LDA experiencing acute mental distress remains a significant challenge. Historically, general adult acute admission wards and psychiatric intensive care units have provided care despite not being designed to meet LDA-specific needs—often resulting in poor experiences and iatrogenic harm. While recent initiatives have aimed to offer community-based alternatives, many admissions are still prolonged and occur far from home.

The design of The Kingfisher has been led by a clinical reference group, including experts by lived experience, ensuring that the unit reflects the needs and values of those it serves.

Key Design Features Include:
• Energy Efficiency – BREEAM rated ‘Excellent’ and Carbon Net Zero
• Enhanced Bedrooms – Each with lounge, study, and dining space
• Private Gardens – Individual outdoor space for every bedroom
• Inclusive Facilities – Bariatric, accessible, and single-sex provision
• Activity Spaces – Dedicated areas for arts, crafts, domestic tasks, and exercise
• Biophilic Design – Natural artwork and living plants visible throughout
• Trauma-Informed Design
• Autism-Friendly Environments

The final building will feature art installations created by the charity Hospital Rooms, whose artists have collaborated with experts by lived experience to produce a unique and therapeutic visual environment.

The presentation will include:
• Architectural plans and visual materials
• Reference to relevant standards and evidence base
• First-hand accounts from project leaders and experts by experience

We will conclude with time for audience questions and discussion.