The New St. Paul's
What is the new St. Paul's?
The new St. Paul’s is an exciting project to renew St. Paul’s Hospital by building a new acute care hospital and a fully integrated campus from the ground up.
In addition to the new hospital, the campus will include a range of other health care facilities such as a research centre and a medical and professional office building. These facilities will be highly connected so patients can move seamlessly from one level of care to another as their needs change.
The new hospital will also integrate with services off campus to help coordinate care for patients who would benefit from ongoing monitoring, health services or other supports delivered closer to home.
By combining critical, emergency and acute hospital-based care with community and primary care, the new St. Paul’s will enable smoother transitions for patients at home, in the community or in the hospital — wherever their needs are best met.
What is the vision of the project?
The redevelopment of St. Paul’s is much more than just a hospital rebuild. It is a once-in-a-lifetime opportunity to transform the future of health care for British Columbians.
Providence’s vision for the new St. Paul’s is to lead in the delivery of B.C.’s new model for health care by providing our patients with the highest quality, integrated, compassionate and patient- and family-centred care, where and when they need it most.
The new St. Paul’s will be a catalyst to realize the Ministry of Health’s vision for a new model of health care in B.C. that puts patients at the centre, integrates services across the continuum of care and shifts non-acute care from hospitals, bringing it closer to people in their communities.
What are the benefits?
Benefits of this integrated model of care are expected to include:
- Reduced wait times
- Better quality care
- Better health outcomes
- Better experience for patients and families
- Improved value for health-care dollars
What are the proposed features of the new St. Paul's?
All of St. Paul’s existing health programs and services will move to the Station Street site:
- Services for medically complex and frail seniors
- Surgical services
- Maternity care
- Emergency care
- Critical care
- Renal care, cardiac and respiratory services
- Mental health and substance use
- Family and community medicine
- HIV/AIDS services
Features of the new St. Paul’s include:
- Single-patient rooms to minimize infections, maximize privacy and accommodate a family member or support person
- New technologies and state-of-the-art spaces, including digital wayfinding, automated patient check-ins and online patient scheduling
- Integrated care, research and teaching
Future of Current St. Paul's
Has a decision been made yet about what will happen to the Burrard Street site?
Although Providence currently has no plans to continue providing its health-care services at the Burrard Street site, this does not preclude the opportunity for future health services to be located on the Burrard Street site. The future use of the site has not yet been determined.
What services will remain in the West End after the new St. Paul's relocates?
Vancouver Coastal Health (VCH) provides a broad range of existing health care programs and services in the West End/Downtown. VCH is working closely with Providence Health Care and the Vancouver Division of Family Practice to expand, enhance and improve access to these services over the next several years, with a particular focus on services for the frail elderly, the chronically ill and those struggling with mental health and substance use.
To facilitate this work, Providence and VCH have established a joint care transformation committee to identify services that can be moved out of the hospital and into the community where they are more convenient and accessible for patients and to plan for the integration of hospital and community care before and after St. Paul’s relocates.
Station Street Site
Where is the new site located?
The new St. Paul’s will be built on an undeveloped site at 1022 Station Street in Vancouver’s False Creek Flats, less than three kilometres away from the current site. The new site is bordered by Station Street, Prior Street, Trillium Park and National Avenue.
Isn't the new site an infill area that used to be False Creek? How will you ensure the stability and safety of the buildings?
Consistent with all lands within the False Creek Flats area, all buildings on the Station Street site are required to meet the City of Vancouver flood construction level (FCL = 4.6 m) requirements. Buildings on the site will also meet the most current seismic codes and earthquake-readiness standards in the world.
Is soil remediation required at the Station Street site?
Strict environmental safety standards and codes must be met prior to any development, which may include soil remediation. Providence and the City of Vancouver will ensure that all such requirements are addressed. An environmental and archaeological assessment is also in progress.
What is being considered in the construction of the Station Street site?
Geotechnical and structural engineers, who are working with Providence to conduct exploration and analysis, are confident that the structural solutions developed will successfully integrate resiliency considerations to the site. The design will include rigorous application of engineers’ recommendations for site preparation, foundation and slab design, and seismic design. The Station Street site and all the facilities on the campus will be designed to meet the City of Vancouver flood construction levels (FCLs).
When the hospital moves, who's going to meet the needs of people in the downtown core area if there is some kind of disaster?
The hospital facility and operations will be coordinated with the latest municipal, provincial and national emergency management response plans. A hospital and health care campus at Station Street will be better able to cope with potential serious emergencies than the existing St. Paul’s. There will be purpose-built space to stage large emergency response, triaging and crowd management activities inside and outside of the hospital and health campus facilities.
How are you ensuring that the new St. Paul's is functional, accessible and prepared in the event of a major disaster?
The new St. Paul’s, along with other local hospitals and emergency responders, will be an important part of any disaster response. Our planning team is working closely with engineers, the City of Vancouver and BC Emergency Health Services to ensure that the new campus will continue to be functional, accessible and prepared during a disaster.
- Planning: The new St. Paul’s will continue to be a part of the coordinated municipal, provincial and national emergency management response plans.
- Capacity: The new campus will have an increased ability to respond to potential major disasters with more room inside and outside of the hospital to stage an emergency response, manage a large influx of patients and triage cases.
- Design: The new hospital and other campus facilities will be designed to withstand earthquakes and tsunamis/floods, in accordance with City of Vancouver Building Code and post-disaster building requirements.
- Access: The road network around the new St. Paul’s will include alternate routes to the emergency department in the event that any given street is impassable.
What about the potential impacts for neighbouring communities?
In spring/summer of 2016, the City of Vancouver commissioned a Social Impact Assessment (SIA) to understand the concerns and aspirations of neighbouring communities related to the new St. Paul’s. The process included an online questionnaire, group workshops, small focus group sessions and one-on-one interviews with local businesses, residents and community stakeholders place who live and work near the proposed site. Providence also provided the City with the detailed input gathered through our spring 2016 community forums. This information will be used by the City to inform the City’s Policy Statement for the Station Street site, including recommendations to minimize impacts and maximize benefits for the surrounding community.
Community and Stakeholder Engagement
How has the project involved patients, care providers, community groups and the public in its planning?
- Providence is committed to engaging with patients and their families, Indigenous groups, community organizations, care providers and with our key planning partners (VCH and the City of Vancouver).
- Providence is actively engaging and seeking feedback from patients, communities, cultural groups, care providers, Indigenous peoples and groups, and other key stakeholders to help us shape the new St. Paul’s.
- Last year, we held eight community forums, conducted an online survey and met with dozens of community stakeholders on the redevelopment project. Participants in the meetings, forums and survey included direct service provider organizations, community advocates, special interest groups, front-line care providers, Indigenous individuals and organizations, business owners, elected officials and local residents, including from Vancouver’s West End/Downtown and Downtown Eastside/Strathcona/False Creek communities.
- Engaging with frontline care providers, researchers, support staff and our partner organizations, is also an important part of our planning. To date, more than 100 meetings have been held with internal stakeholders to ensure that their expertise and advice is considered in every aspect our planning from start to finish.
Have you consulted with the host First Nations and other Indigenous groups?
- Providence Health Care remains committed to cultural humility, and providing respectful and responsive health care to the patients and communities that we serve.
- Since August 2015, Providence has:
- Hosted a community feast and talking circle on the redevelopment project
- Extended invitations to the three host First Nations to meet with the project team and attend community forums on the project
- Provided information and updates on the redevelopment to representatives of the First Nations Health Authority and Vancouver Coastal Health’s First Nations Health Directors
- Held meetings on the project with Indigenous heath care/social service providers
- Working with Indigenous patients, communities and organizations to develop new and better ways to address health and access issues will continue to be a focus for us in our planning for the new St. Paul’s.
Will the new St. Paul’s incorporate First Nations culture in the campus design, program delivery or ways of treating illness?
Providence is committed to providing culturally safe, respectful and responsive health care that meets the diverse needs of those we serve. We understand the special focus required for our Aboriginal patients and our planning team is working hard to ensure that the new St. Paul’s meets their unique needs and priorities.
The new St. Paul’s will:
- Have an Aboriginal health team
- Have an Indigenous nurse practice leader
- Have a dedicated Indigenous patient navigator to assist with advocacy, translation and access to care and spiritual services
- Support access to traditional healing practices and medicine
- Include an All Nations Sacred Space
- Incorporate First Nations design elements into the hospital and elsewhere on the campus
What is involved in the City of Vancouver's Policy Statement process?
The Policy Statement process for the Station Street site includes three-phases and then consideration by City Council:
- Phase 1: During this first phase, the City of Vancouver identified aspirations and concerns to shape the initial concepts and site options.
- Phase 2: The second phase involved developing concept options. The City of Vancouver worked with the redevelopment project team to identify and evaluate site development options and policy objectives.
- Phase 3: The third phase involved reviewing and refining a preferred development concept and a draft set of policies.
- City Council: In June 2017, City of Vancouver staff, members of the redevelopment team and members of the community attended a City Council meeting to determine whether or not the completed Policy Statement would be adopted; the consideration was successful.