About 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 brand new acute care hospital with a fully integrated campus of primary and community health care services.
In addition to the new hospital, the campus will include a range of other health care facilities such as ambulatory clinics, a mental health centre and research and teaching spaces. 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 do you mean by patient-centred care?
The new St. Paul’s is putting patients at the centre of good health-care design. By rethinking how British Columbians access care and prioritizing the patient experience we are designing facilities, services and amenities that work together to better support people at all stages of health.
Integrated Care — By integrating acute and non-acute services the new St. Paul’s will connect patients to the care they need, where and when they need it most — at home, in the community or in the hospital.
Supportive Design — Building features designed to support a smoother patient journey and positive experience include:
- Co-location of related services to streamline patient access to care and support efficient hospital operations
- Environmental design that contributes to a relaxing and restorative environment for patients and staff (e.g., access to natural light and green spaces)
- Private rooms to improve the patient experience (e.g., privacy and comfort) and support best practices in infection control and security
- Simplified wayfinding that makes it easier to navigate through the hospital and campus
- Dedicated spaces for patients, families, care providers and staff to gather or share information
- Clinical spaces to support researchers and teaching programs
- Places that support wellness and rejuvenation such as cafés, shops and green spaces
- Sacred places to reflect, celebrate, mourn, pray and hold ceremonies
What are the proposed features of the new St. Paul's?
Specific programs, services and features of the new St. Paul’s are still being finalized through our planning. However, potential features being contemplated include:
In the hospital
- Provincial and highly specialized programs such as heart, lung, kidney, HIV/AIDS and other specialized and complex surgical services
- Emergency and critical care
- Single-patient rooms to minimize infections and maximize privacy
- New technologies and state-of-the-art spaces
Elsewhere on the campus
- 24/7 primary care services
- Chronic disease management services
- Mental health and problematic substance-use care
- Seniors services
- Ambulatory services and clinics
- End-of-life care
- Community outreach programs
Why not rebuild at the current site?
In 2012, we explored rebuilding part of St. Paul’s at its current Burrard Street location. Planning revealed that a rebuild would:
- Be unable to meet best-practice standards for infection control, patient safety and privacy
- Allow no opportunity for expansion to meet future health care needs
- Be very disruptive to patient care for an extended period of time (about 10 years)
- Not provide the best value for health care dollars (cost about $850 million)
The Ministry of Health and Providence agreed that a rebuild on the existing site was neither a good investment for taxpayers nor a good solution to meet current and future health care needs.
Why was the Station Street site chosen as the new location?
The Station Street site is an ideal, strategic location for the new St. Paul’s because it is:
- One of the largest remaining underdeveloped sites in Vancouver with a total area of 18.4 acres
- Only three kilometres from the current St. Paul’s Hospital site on Burrard Street
- Centrally located in Vancouver’s False Creek Flats to serve patients in communities throughout Metro Vancouver and across B.C.
- Highly accessible with excellent proximity to major arterial roads (ambulance, cars and taxis), public transit (SkyTrain and bus service), pedestrian pathways, bike routes and Pacific Central Station, which connects to many intercity and cross-border train and bus routes
- Close to areas with increasing health care needs including the Downtown Eastside
How long will it take to complete the new St. Paul's?
A formal timeline for construction will be determined as part of the business plan process. See the estimated project timeline.
What will the new St. Paul's cost to build?
The preliminary estimate to complete the project is approximately $1.2 billion. The final cost will be determined as part of the business plan process. The amount Providence will contribute will be determined as part of the business plan process, which will be completed by the end of 2016. Estimates are currently $700 million.
How will Providence generate the funds it will contribute?
Providence owns a number of properties in Vancouver, including the Station Street site, the current St. Paul’s Hospital site at Burrard Street, the St. Vincent’s site at 33rd Avenue and Heather Street and others. We will contribute funds to help build the new St. Paul’s by leveraging (generating revenue from) this land as well as through contributions from partnerships and philanthropic initiatives via the St. Paul’s Foundation.
Will this be a public-private partnership (P3) project?
The business plan process will determine what funding and building options are recommended for this project.
Is the planning for the Burrard Street site part of the project?
Planning for the Burrard Street site is out of scope for the St. Paul’s Redevelopment Project and will be addressed through a separate process.
Is planning for West End health care services after St. Paul's relocates part of the project?
Providence is working in close partnership with Vancouver Coastal Health to review health care services in the West End/Downtown and to explore potential future services to ensure residents continue to receive the primary and community care services they need.
We have provided VCH with the detailed feedback gathered in our community consultation to help inform their health services planning process for the West End and we will continue to work with them as this planning unfolds. A key emphasis of VCH’s planning will be on expanding and enhancing primary, home and community services to help reduce demand for hospital and residential care services.
What will your planning include?
Planning for the new St. Paul’s is underway and will take many years. Our planning is taking into account:
- The latest data on current and future health care needs
- Global best practices and technological innovations in patient care delivery
- Global best practices in infrastructure planning and redevelopment
- Innovative models of care designed in partnership with Vancouver Coastal Health, the B.C. Ministry of Health and other health and academic partners
- The ideas, interests and concerns expressed by patients, communities, care providers and other important stakeholders through our comprehensive community engagement
- A Policy Statement created by the City of Vancouver to guide the future development of the Station Street site, including land use, transportation, density, building types and heights and associated public benefits
What is the planning process?
View our timeline on the planning process.
Future of Current St. Paul's
What will happen to the Burrard Street site?
The future use of the site has not yet been determined. Providence currently has no plans to continue providing its health-care services at the Burrard Street site.
What services will remain in the West End after the new St. Paul's relocates?
Vancouver Coastal Health 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 Campus
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.
What size is the new site?
The 18.4 acre (7.4 hectare) site is roughly the size of 15 Canadian football fields. About 13 acres are expected to be available for development of the health-care campus after road allowances and other site restrictions are taken into account. This will allow a campus about twice the size of the current site.
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.
How will residents in the West End access care at the new St. Paul’s?
The new St. Paul’s will be located about three kilometres from the current site on Burrard Street. We recognize that this will mean changes to how some residents access services. To help meet these needs, Providence is partnering with BC Emergency Health Services (aka BC Ambulance), the City of Vancouver and TransLink to ensure that residents from all areas of Vancouver have easy, safe and efficient access to the new St. Paul’s.
What are your primary design considerations for the new campus?
The new St. Paul’s Hospital and health campus will be designed to:
- Respond to its site context and integrate well into the fabric of the surrounding area
- Maximize operational flow to ensure care is as efficient and timely as possible
- Support a positive patient experience and a healing environment with natural light, green spaces, privacy and intuitive wayfinding
- Meet the most current and resilient environmental building standards
What main facilities will be on the campus?
Building blocks of the new campus will include:
1. An acute care hospital that will:
- Provide essential care to patients that require active treatment for injuries and illnesses that may require diagnostic evaluation, complex surgical procedures or overnight stays
- Include diagnostics and imaging, operating rooms, an emergency department, inpatient beds, labs and a pharmacy
- Have a main entrance and an emergency department entrance for the critically ill arriving by ambulance or private vehicle. Separate pick-up and drop-off zones will reduce congestion and increase efficient movement of critical patients.
2. An ambulatory care/outpatient clinic: Specialized ambulatory care and outpatient clinics will be located next to each other to allow easier access to additional, specialized services if needed. Clinics will share a common lobby with access from the patient drop-off area.
3. A mental health facility: A dedicated building next to the emergency department will house urban health, mental health, addiction and other programs offering inpatient and outpatient services. Separate entries will allow patients to transition directly from the emergency department or enter directly from the street for clinic appointments.
4. Research, teaching and learning centres: Research and teaching will be embedded within all clinical departments in the hospital. There will also be a separate dedicated research and teaching building with support labs.
5. Mixed-use facilities: A variety of other facilities and amenities are being contemplated on the campus to meet the broader needs of patients and visitors, and to generate revenue that will support the ongoing operation of the new St. Paul’s. These may include medical offices, retail or other commercial spaces, community gathering spaces, commercial research and development, bio-technology facilities and a hotel.
What is being considered in the construction of the Station Street site?
- Flood Mitigation — All facilities on the Station Street site will be designed to meet City of Vancouver flood construction levels (FCLs). To ensure the hospital continues to operate if there is a major flood, essential areas may be located at or above ground level rather than below ground, including parking, power supply and logistical services.
- Earthquake Mitigation — Like many sites in Metro Vancouver, ground improvements will be required to ensure structures are safe during and after an earthquake. The following techniques are being considered:
- Soil densification through vibro replacement (stone column), deep soil mixing (coffer dam) and others
- Foundation strategies similar to those used for highrises in False Creek and Coal Harbour, such as deep basements with a raft bearing on the underlying ground
- Environmental Considerations — There are strict environmental safety standards and codes that must be met prior to any development. This project will ensure that all such standards are addressed, including any requirements for soil remediation.
- Archaeological Assessment — An archaeology assessment is underway as part of the planning process.
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 new St. Paul’s will continue to be part of the national, provincial and municipal emergency management response plans. As part of the coordinated municipal disaster planning process, Providence will be working in partnership with the City of Vancouver, BC Emergency Health Services and other local hospitals to ensure that downtown residents continue to have reliable access to emergency services in the event of a large-scale disaster.
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. The hospital will also have a helipad to allow access and egress by air.
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.
How will you share information about the feedback you gather?
Input from Providence’s engagement has been captured, summarized and reported back to participants and posted on the new St. Paul’s project website.
To view reports from the City of Vancouver’s engagement on land use planning and the social impact assessment, please visit the City of Vancouver website.
Community and Stakeholder Engagement
How is Providence engaging?
Providence is actively engaging with patients, communities, cultural groups, care providers and other key stakeholders to help us shape the new St. Paul’s.
The feedback we gather is being considered at every stage of the planning process from program delivery to building design. It is also being shared with our planning partners including the Vancouver Coastal Health, the City of Vancouver and BC Emergency Health Services to help inform their related planning on community health care, land-use and emergency services.
Engaging with front-line care providers, researchers, support staff and our partner organizations, including Mount Saint Joseph and Holy Family hospitals, 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.
To view Providence-led community forum meeting notes and reports and learn how you can help shape the new St. Paul’s, visit our website.
How is the City of Vancouver engaging?
The City of Vancouver, in partnership with Providence, is leading a separate but parallel public engagement process related to land use planning for the development of the Station Street site.
The City-led process is being rolled out in three phases and includes open houses, one-on-one stakeholder meetings and online questionnaires to gather feedback on guiding principles for development, community impacts and Providence’s preliminary design concepts for the site.
The information gathered will be used to develop a Policy Statement that will guide the future development of the Station Street site, including land use, density, transportation, sustainability, building types and heights, public amenities, phases of development and integration with the adjacent neighborhoods.
For more information about the city led land use planning process, social impact assessment and community engagement on the new St. Paul’s please visit the City of Vancouver website.
How can I get involved?
Your input is important to us. Although the community forums and surveys for the first phase of our planning have now concluded, we invite you to get in touch with us at any time with your feedback and questions on the new St. Paul’s. There will continue to be opportunities to help shape the new St. Paul’s as we proceed with our planning. Find out how to get involved.
Are you engaging with First Nations?
Providence is actively engaging with First Nations patients, families, community members, government organizations and care providers to help us shape the new St. Paul’s. The feedback we gather is being considered at every stage of our planning from program delivery to campus design. Working in partnership with First Nations to develop new and better ways to address health and access issues will continue to be a focus for us as we proceed.
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 a dedicated Aboriginal Patient Navigator to assist patients with advocacy, translation and access to care and spiritual services
- Support access to traditional healing practices and traditional medicine
- Include an All Nations Sacred Space
- Incorporate First Nations design elements into the hospital and elsewhere on the campus