Acute Care Short-term treatment for a severe injury, illness, urgent medical condition, or during recovery from surgery.
Critical Care Specialized treatment for people with life-threatenting injuries or illnesses.
Primary Care First point of contact care in the health care system usually a clinic or family doctor.
Community Care Services that help people to receive care at home instead of a hospital or long-term care facility.
Academic Health Sciences Centre A partnership between one or more universities and health care providers focussing on research, clinical services, education and training.
Integrated Care A global trend in health care aimed at reducing fragmentation of services and enabling better more coordinated and continuous care.

the new St. Pauls

FAQ

The New St. Paul's Hospital

What is the new St. Paul's Hospital and health campus?

The new St. Paul’s Hospital and health campus will transform the future of health care for British Columbians.   It’s a once in a lifetime opportunity to build an innovative new hospital and health campus from the ground up – designed to better serve British Columbians for the next 125 years.

Using pioneering design and next- generation technology, the new St. Paul’s Hospital will focus on treatment through teamwork with patients and their families, whether that means a virtual visit from the comfort of your home or a trip to the hospital. The new health campus will provide a seamless level of care – from primary and community to emergency – when and where you need it most.

It will continue to operate several world-renowned research programs and services British Columbians expect, and St. Paul’s will remain a teaching hospital, training thousands of medical, nursing and health care students. Integration of care, teaching and research, with emphasis on new knowledge rapidly translated into patient care solutions, will continue to be the focus of its research centres and specialized programs.

What is the vision of the project?

The new St. Paul’s Hospital and health campus is a once-in-a-lifetime opportunity to transform the future of health care for British Columbians.

The vision for the new St. Paul’s and health campus is to lead in the delivery of B.C.’s new model for health care by providing our patients with the highest quality, integrated, innovative and patient-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 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.

The vision for the new St. Paul’s and health campus is to lead in the delivery of B.C.’s new model for health care by providing our patients with the highest quality, integrated, innovative and patient-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 Hospital and health campus?

The new St. Paul’s and health campus will continue its 125-year tradition of helping the most vulnerable people in our communities: those with HIV/AIDS, those suffering from mental health, substance use and other complex urban health issues, the elderly and people with chronic illness, and critically ill British Columbians with heart, lung and kidney conditions.

It will have 548 modern, private inpatient rooms; which includes a net new 115 beds. The site will be home of several leading provincial programs and referral centres, including for heart and lung care, renal, eating disorders, and specialty surgeries and transplants.

It will offer a diverse and long list of general and specialized care, including: chronic disease management services; emergency and critical care; mental health and addictions’ beds and programs; ambulatory services and outpatient clinics; end-of-life care; Indigenous health; maternity; colorectal and gastrointestinal services; and community care and community outreach programs.

Designing the new hospital and health campus around improved patient experience and provider wellness our patients and providers will benefit from spaces that not only flow but are well laid out and incorporate healing design.

Elements that will improve experiences and optimize wellness include:

  • Access to natural light & views
  • Single patient rooms with space for family and support persons to stay overnight. Minimize infections and maximize privacy
  • Seniors-friendly campus layout
  • New technologies and state-of-the-art spaces, including digital way-finding to allow easy navigation around the campus, automated patient check-ins and online patient scheduling
  • Outdoor and other spaces for wellness & rejuvenation
  • Sacred spaces (All Nations Sacred Space, meditation spaces, chapel)
  • Public art. Incorporating Indigenous perspectives into campus design.

I would like more information regarding the Sobering and Detox services at the new St. Paul’s Hospital?

Sobering and detox services are community services and will continue to be provided by the community.  Currently, we do provide emergency services as well as our Rapid Addictions Centre.  That will continue on the new site.  Vancouver Coastal Health will continue to provide sobering and detox services in the community.

Elevator doors. In the past the width was not taken into consideration to fit medical beds with attached medical equipment. Will the new St. Paul’s Hospital be better?

We will have elevators with proper-sized doors throughout the hospital, large enough to fit a bariatric bed with multiple pumps, for example.  PCL has done people/supply traffic-flow studies to ensure we will have the appropriate number, size, and speed of elevators so people and supplies can move safely and quickly around the hospital. The hospital will have separate elevators dedicated for the public, for patient transfers/services, for freight, for facilities management and for parkade access.

Wondering if there will be events to benefit from patients with lived experience insights to improve/ optimize facilities?

We’ve been on this journey for at least five years and we’ve had a lot of input from patients and families thus far and will continue to partner with patients and families to complete the design of the hospital.  If you’re interested in learning more about becoming a patient and family partner, please contact thenewstpauls@providencehealth.bc.ca for more information.

Where will the private offices for physicians and surgeons and all the amenities that are provided around the current site be located?

A Business Plan is being finalized now for a Clinical Support and Research Centre (CSRC) on the health campus.  This building will be adjacent to the new hospital and will house research centres, offices for medical staff, corporate staff, industry and academic partners, and a daycare.

The CSRC is not part of the scope of PCL’s current contract.  Right now, PCL is only building the hospital. In 2022, PHC will select the developer to design and build the CSRC

At what point does the interior design planning begin? The fly through was nice to see but the interiors are a bit bland.

Now that PCL Construction has been selected to design and build the new St. Paul’s Hospital (financial close was completed in late February 2021), we can start working together to complete the design of the hospital, including interior design planning.  Currently, we are at about 15% of design completed, which means we know which departments are on which floors, where the main entrance will be and where the elevators are located.  In the next 24 months or so, we will complete the design including the interior, while construction is underway.

Will all the current specialities at St. Paul’s Hospital be ported over or will there be some changes amongst VGH and St. Paul’s Hospital?

The short answer is, yes.  All the services and specialities currently at St. Paul’s Hospital will be moving to the new hospital.  It will continue to operate several world-renowned research programs and services British Columbians expect, and St. Paul’s will remain a teaching hospital, training thousands of medical, nursing and health care students. Integration of care, teaching and research, with emphasis on new knowledge rapidly translated into patient care solutions, will continue to be the focus of its research centres and specialized programs.  One of the key principles of the new hospital is flexibility, so as the patients’ needs change, we will change to serve them.

Is LEED part of the design of the building?

The new St. Paul’s Hospital will be LEED Gold certified.  Leadership in Energy and Environmental Design (LEED) is a holistic worldwide standard to create buildings that address climate change, are more resource-efficient, healthy and resilient.  Here’s a link to a Resiliency and Sustainability Fact Sheet with more details.

What management re: water table rising as the site was part of False Creek re: climate change?

We’re building the new St. Paul’s Hospital and health campus to be sustainable and resilient. Built to withstand rising temperatures, extreme weather, earthquakes, and flooding to function as a post disaster health care and triage facility.

The facility will be built to withstand the estimated global sea level rise and storm surges predicted by the year 2100.  Critical mechanical, electrical and communications equipment will also be built above the five-metre flood construction level (FCL).

Here’s a link to a Resiliency and Sustainability Fact Sheet with more details.

Is there a landscaping plan for the three blue future developments around the Keltic development parcel?

There are no landscaping plans for any future developments on the health campus site.

Will there be any landscaping done at the north west corner of the property so that it is not vacant until future phases are built?

The northwest corner of Station Street is a different property that belongs to the developer, Keltic.  Please direct any questions regarding that parcel to www.kelticdevelopment.com.

Future of Current St. Paul's Hospital

Has a decision been made yet about what will happen to the Burrard Street site?

Providence Health Care has completed the sale of its property at the site of 1081 Burrard Street, the location of St. Paul’s Hospital, to Concord Pacific through a rigorous sale process to generate nearly $1 billion in total.

All of the proceeds from the sale will be invested back into health care and the new St. Paul’s Hospital at the Jim Pattison Medical Centre, significantly reducing the cost to taxpayers. This investment represents the largest non-governmental contribution to a capital health care project in BC, and likely, Canada. Learn more.

What services will remain in the West End after the new St. Paul's relocates?

Vancouver Coastal Health and Providence Health Care are working collaboratively with people in the West End/Downtown so they continue to have access to health care services. This will be done through existing services, while expanding, enhancing and improving access to primary, home and community services.

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. Recent additions to the West End primary care network include the opening of a new Urgent Care Centre at 1290 Hornby Street and the expansion of the Three Bridges Community Health Centre at 1128 Hornby Street.

Station Street Site

Where is the new site located?

The new St. Paul’s will be built on an undeveloped site (offers a degree of planning freedom rarely seen) at 1002 Station Street in Vancouver’s False Creek Flats. It’s bordered by Station Street, Prior Street, Trillium Park and National Avenue.

The Station Street site is the ideal location for the new integrated   health campus because it is:

  • One of the largest undeveloped sites in Vancouver (18.4-acre site, roughly the size of 15 football fields), with enough space to accommodate the new buildings on the health campus still have room for future expansion as health care needs evolve
  • A relatively short distance from the current St. Paul’s location on Burrard Street (about three kilometres away)
  • Centrally located and highly accessible by major roads, public transit (SkyTrain and bus routes), bike routes and intercity bus and train
  • Close to an area with increasing patient needs Planning process

The new St. Paul’s Hospital and health campus sits at the gateway to False Creek Flats, an area the city has specifically designated as a hub for health care, R&D, technology and education.

The City of Vancouver expects the number of jobs in the area will grow from 8,000 to 30,000 over the next 30 years. With that will come housing, arts and culture, and green spaces…the very definition of a transformation.

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 requirements.

The main floor will be located above the mandated datum level and all critical functions are placed at this level or higher. Tanked or waterproof foundations will be utilized for levels below the FCL, for example, parking. Typically, the logistics, parking and energy plant associated with an acute care hospital would be located underground. However, to ensure operation of the hospital in the case of flood, many elements required for core hospital function will be located above-grade based on best practices and lessons learned from the impacts of recent disasters such as Hurricane Sandy (New York, 2012) on local hospitals functioning post flood.

The required site preparation includes:

  • Remediation/excavation of contaminated soil, soil stabilization and dewatering, both off site (under new roads) and on-site;
  • Regrading to meet Flood Construction Level as determined by the City of Vancouver (i.e. raising the site grate by one metre);
  • Relocation of existing storm services, and “hardening” of off-site services adjacent to the site;
  • Construction of new roads (Malkin Avenue, Gore Street, National Avenue and Jackson Street).

Buildings on the site will also meet the most current seismic codes and earthquake-readiness standards in the world. Geotechnical and structural engineers 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. Some considerations for the site include:

  • The core hospital will be located on the portion of the site that has the best geotechnical conditions to mitigate the impact of a seismic event. The current structural design takes advantage of the existing sloping, hard-soil conditions, using stepped underground parking to found the hospital on a solid base. The seismic demand at this site is similar to many others within Vancouver, as the buildings will be founded on glacial till.
  • As part of the indicative design process the structural engineers are exploring state-of-the-art seismic systems which go beyond building code requirements and achieve resiliency and post-earthquake functionality for critical hospital operations after a major seismic event. Included in this exploration is base isolation, which is a method that has been successfully applied to limit the downtime in restoring functionality following an earthquake. The goal is to protect building contents and components, as well as limit injuries to occupants from falling debris.

The planned road network will also provide for alternate routes to the emergency department, ensuring access in the event that any given street is impassable.

Learn more by reading our Disaster Preparedness Fact Sheet.

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 part of the planning process.

The soils are known to consist of bedrock and till overlain by silt/clay and various organics and dredged fill. Piled foundations extending to till/bedrock as well as tanked raft foundations bearing on till/bedrock are typical soil remediation techniques for sites of this profile. Structural engineers working with Providence are confident they can develop structural solutions that will successfully meet the challenges associated with this site.

The proposed structural design is highly efficient and makes use of the existing sloping, hard soil conditions, using stepped underground parking to found the hospital on a solid base.

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 Hospital and health campus is functional, accessible and prepared in the event of a major disaster?

The new St. Paul’s Hospital and health campus, 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 Hospital and health campus 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 Hospital and health campus 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. In November 2018 the City of Vancouver held a Public Open House as part of the City-led rezoning process for the Station Street site. Open House visitors provided written suggestions, concerns and questions – feedback that the City utilized to approve the rezoning of the site in the fall of 2019.

Why are there so many building in the project? It looks like a modern version of the present site.

The current site of St. Paul’s Hospital on Burrard Street is approximately 6.6 acres.  The new health campus on Station Street is 18.4 acres.  On that site will be the new St. Paul’s Hospital, the Clinical Support and Research Centre as well as potential future developments that may include an Indigenous Wellness Centre, a hotel, or the opportunity to develop workforce housing.

The entire campus was rezoned at the same time during an extensive process with the City of Vancouver, however, the entire campus will not be built out at once. 

If expansion is required where will the additional structures be built?

There is room on the health care campus for possible expansion for the hospital, in the southeast corner of the hospital site.  There is also a possible expansion space for the CSRC, is in the north west corner.

Station Street Site

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, local Nations of this territory and Indigenous community partners, 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, local Nations of this territory and Indigenous community partners and groups, and other key stakeholders to help us shape the new St. Paul’s.
  • In 2016, 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, local Nations of this territory and Indigenous community partners, 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 400 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.

Construction

Pertaining to procurement opportunities during construction and completion, what is the process and where will tenders be published?

The non-construction related procurement work going forward for the new St. Paul’s Hospital project will only be medical equipment and technology.  Providence Health Care will be using BC Bid for any tenders.

For design and construction opportunities, PCL has committed to a price to complete the project with the province.  To ensure they complete the project at a fixed price, they’ve already committed to several local subcontractors and suppliers.  But many of PCL’s sub trades and suppliers will be tendering bids.  For more information, contact PCL Construction.

Will the parking area near Station and Terminal St. be paved to mitigate dust during construction?

The parking area will not be paved, but it will be constructed with well-maintained gravel to mitigate mud and dust.  To prevent any dust that does occur, the parking will be sprayed down whenever it dries out.

Will night shifts be worked and will back up alarms be used on trucks at night and early morning?

All work is being planned during allowable City bylaw regulations. The City of Vancouver website states that Construction on private property must be carried out between 7:30am and 8pm on any weekday that is not a holiday, and between 10am to 8pm on any Saturday that is not a holiday. Construction is not permitted on Sundays.  Safety policies and legislation require back up alarms be used on certain types of vehicles. It is worth noting that PCL is setting up their site logistics with as much one-way flow traffic management as possible to help mitigate backup requirements.

Is there a plan for street parking for current businesses nearby?

PCL plans to have onsite parking capabilities for some of their workers and they are also looking at securing some other parking lots in the area.  Workers will be strongly discouraged from parking on any nearby streets and will be encouraged to use SkyTrain, bus, cycle or walk.  Street parking won’t be affected for customers visiting local businesses.

Where will all the labourers park during construction?

We have a large site, so a portion of workers will park onsite.  But PCL will also be looking at parking lots around the area and will be retaining some of those lots as well.  PCL will discourage any street parking by our workers and instead encourage them to park onsite or use public transit, cycle, or walk.

How many cubic metres of excavated material will be transported off site?

It’s estimated there will be approximately 370,000 cubic metres of excavated material removed from the site.  That’s equal to about 150 Olympic-sized swimming pools. That material will be going to a variety of different sites, likely in the Fraser Valley, but these are still being finalized.

Will there be any pilings?

There will be no pile driving on site.  PCL is using a technique called secant piles, which drills down to remove material and replaces it with concrete on the way up.  Secants are popular because they’re not as noisy and cause less vibration.

A Secant Piled Wall is a retaining wall constructed for ground retention prior to excavation. The wall is formed by constructing alternating piles where the secondary piles partially cut into either side of the primary piles to form a continuous impervious perimeter shoring structure for the excavation.

How will the design of the hospital take into consideration the downgrading of Prior Street into a collector street in regard to noise and traffic reduction?

The City of Vancouver has a plan to calm Prior Street and PCL is working with the City to come up with acceptable truck routes that take this into consideration during construction.  When the hospital is open, there are several routes onto the campus that are better alternatives than Prior Street, including an extension of Gore Avenue to access the main hospital.

What is the plan for the streets adjoining the hospital, in particular National, Station and Gore?

National Avenue will be widened with a bike lane on either side and connect to a new road at the east side of the campus, which the City of Vancouver has named Nora Hendrix Way.  Nora Hendrix Way will be a public north/ south road with bike lanes between Trillium Park and the hospital and will be the main entrance for ambulances and the Emergency Department.  Nora Hendrix Way will connect to another new road (currently called Road A) that will be an extension of Dunlevy south of Prior Street.  Station Street will remain unchanged.  Gore Avenue will be extended south of Prior Street and become the main road for most motorists driving onto the new health campus.  All of the intersections along Prior Street will have full traffic signals.

It appears the new Road A cuts off the corner of the existing warehouse. Can you comment?

As you can see from the screen grab, Road A is the new dividing line between the new St. Paul’s Hospital and Health Campus and a different property, owned by developer, Strand.  That developer is currently in the process of applying for a redevelopment permit.  If that is granted, a part of the Strand property will become Road A as part of a land swap between the City of Vancouver, Providence Health Care and the developer, Strand.

Road A

It looks like you will be expanding Prior Street at Dunlevy to access the Emergency Department. How is the city planning on traffic slowing and volume management along Prior Street if the road is being expanded?

PHC is upgrading Prior Street from the base of the viaduct east to Malkin.  The road will be widened to allow for bike lanes, a grass boulevard and new sidewalks.  The design of all upgraded roads is being directed by the City of Vancouver.

Prior St

Will there be road closures on Prior during any phases on construction?

PCL will follow all the city guidelines and bylaws following road closures.

Where will emergency vehicles be entering/ exiting from? Will they be shutting off sirens within close proximity of the hospital?

Currently, St. Paul’s Hospital has about 26,000 ambulance visits a year, but it’s difficult to predict in the future because our models of care will be different. We will draw from other examples from hospitals in BC and we have been working closely with BC Emergency Health Service as well as the City of Vancouver to minimize the noise around the new St. Paul’s Hospital, but also ensure patient safety is protected.

Possible routes into the emergency department may include the viaducts (for now) for ambulances entering from downtown, onto the new Road A, which also ties in with Malkin Avenue. Ambulances coming in from the south would enter on National Avenue and up the new Nora Hendrix Way. Ambulances coming from the East may take First Avenue and then down to Station Street.

Will helicopters be flying over Strathcona to land at the new hospital?

There is no helipad at the new St. Paul’s Hospital. However, the roof’s structure on the hospital’s east tower is being built strong enough to accommodate a helipad. It makes sense to add this added strength when we build the hospital initially. It gives us the flexibility of adding a heliport in the future, but with less disruption and noise for patients and staff.

Can you speak to the noise and dust management during construction being that construction is next to residential areas?

All work is being planned during allowable City bylaw regulations. The City of Vancouver website states that Construction on private property must be carried out between 7:30am and 8pm on any weekday that is not a holiday, and between 10am to 8pm on any Saturday that is not a holiday. Construction is not permitted on Sundays.

For dust, PCL will use trucking mud mats, which will prevent dust from spreading in the air and to keep any dirt onsite and off the public roads. Gravel will also be placed in areas to prevent mud, and the gravel will be sprayed with water when required, to prevent dust. PCL will also stage, clean and queue trucks on site, not on public roads.