Acute Care Wing

A New Vision

History of the Acute Care Wing

The Acute Care Wing was developed using a form of Public Private Partnership (PPP) called design, build, finance and maintain (DBFM) – a first for Bermuda. Bermuda Hospitals Board (BHB) provided detailed and specific spatial and functional requirements for rooms, departments and buildings to bid teams that were invited
to submit proposals.

BHB assembled a team of advisors who helped us create those specifications in line with leading practice standards. After months of extensive investigation, evaluation and
consultation, BHB signed a project agreement with Paget Health Services to design, build, finance and maintain a new building on the King Edward VII Memorial Hospital site.
Paget Health Services (PHS) is a consortium of local and international firms with knowledge and experience appropriate for this project.


PHS paid for the construction of the new hospital building and BHB paid nothing until it was completed this year. This means BHB had time to plan in advance for payments to PHS. Earlier this year, BHB made a lump sum payment. After that, rather like a mortgage, BHB will make annual repayments to PHS for the duration of the concession (30 years).


• The annual repayments cover the capital cost of the project, including design, construction, construction management and financing the construction, as well as building and lifecycle maintenance.
• BHB retains ownership of the land and new building.
• The new building must be maintained in accordance with BHB’s specifications for 30 years. Repayments are subject to deductions by BHB if the new building is not performing to BHB’s
predetermined specifications and standards. This transfer of performance risk is one of the key benefits of a Public Private Partnership (PPP).

Have you ever wondered about the design of the Acute Care Wing?

Architects were inspired by our local landscape.  Colin Campbell of OBMI talked about the design alongside BHB CEO Venetta Symonds and Assistant Project Manager Nicole Caines, in a lunchtime talks in June. If you missed the talks you can catch up here...

Emergency Room staff get high praise from patients



Patients have given high ratings to clinical staff in the Emergency Department (ED) at King Edward VII Memorial Hospital. Results of the Patient Satisfaction Survey in January show 89 percent saying their attending nurse always treated them with courtesy and respect. Eighty-four percent said their nurse always listened to them and 87 percent said their nurse was always clear in explaining things to them.


Patients said ED physicians were excellent in communicating with them. Ninety-four percent saying their doctor always treated them with courtesy and respect, 96 percent saying their doctor always listened carefully to them and 94.9 percent saying the doctor always explained things in a way they understood.

While patients felt that nurses and doctors were clear in communicating their conditions, they were less satisfied with the time they had to wait to be seen. About three quarters of the patients – 75.3 percent, described the wait time in the treatment cubicle before they were seen by a doctor as very good. Close to 80 percent – 79.2 percent – said the hospital was very good, at keeping them well informed of delays.

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Bermuda Hospitals Charitable Foundation
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