Case Study
Case Study
Yarram, Australia
The Yarram and District Health Service (YDHS) Integrated Healthcare Centre is a small-scale healthcare
project that forms part of a greater medical precinct. The new building responded to a need for the
consolidation of allied health functions for the small town of 2000. It was hoped that the new centre
would provide an environment that the public can attend as they would a public gallery, encouraging
residents to enjoy a healthy lifestyle and get on top of issues before they develop into chronic health
problems – including a range of health services such as mental health, counselling, and proactive well-
being. The YDHS Integrated Healthcare Centre is a symbol for the advancement of healthcare across
regional Victoria, demonstrating a new approach to public healthcare with a meaningful civic purpose.
Formally, the objective of the new purpose-built facility was to house a wide range of improved health
services for the community of Yarram, under one roof. These facilities cross over allied and acute sectors
of healthcare including patient arrival areas, treatment bays, pathology rooms, consult rooms, interview
rooms, utility rooms, nurse, and office spaces with shared networks to the existing local hospital.
Programmatically, this ensures that the design has consistency with the previously existing building.
Consequently, in doing so, the project aspires to improve collaboration, staff satisfaction and aims to
attract good quality staff and specialists to drive better community health outcomes. Programmatically,
designing a space that can facilitate the co-location of specialist services leads to many benefits for both
the community and working health professionals. The Veranda is a key interstitial space that gestures to
the federation architecture of the existing hospital, whilst increasing site legibility by creating new
entrances to both existing hospital services and the new Centre. The function of the Veranda has also
become increasingly important during COVID-19, providing both open-air waiting areas to facilitate
social distancing and providing a connection to nature, contributing to a sense of healing, and speaking
to the project’s adaptability.
This project is a community resource that consolidates facilities relating to health needs and speaking to
the breadth of scope that a contemporary regional medical centre can entail. Increasing awareness of
mental health, wellness, as well as integrating early preventative medicines, with room for growth in the
new facility. MCR intended to design a project that emphasised and empathised with the surrounding
natural context, connecting the building through access to light, natural materials, and open spaces. This
lends itself well to supporting YDHS in providing cross-discipline collaboration, problem-solving and the
ability to provide care for patients across a range of services.
Newman, Australia
The PAMS Healthcare Hub Newman is the first primary healthcare facility of any type to be constructed
in Newman. The project required a best practice regional primary health care facility to be the physical
embodiment of the client ethos, placing wellness at the center of the community. Community-focused,
connected to country, incorporating culture, and providing high standard care. It incorporates a primary
health clinic, PAMS head office, and four chair hemodialysis. The clinic includes general practice, child /
maternal health, dental, treatment, and allied health facilities for visiting clinicians from Perth. A key aim
was to minimize the large cost and negative mental health impacts of Martu and Niaboli people leaving
the country and family for treatment in Perth. The primary cause of these issues is discrimination and
the loss and destruction of culture and community. This is compounded often by poor infrastructure
unable to provide adequate services, limiting presentations and revenue. The building is predominantly
rammed earth, the original building material, abundant, free and sustainable. The earth used for the
project came completely from the site, reducing the embodied energy of the building which would have
otherwise been clad in manufactured materials transported from Perth 1400km away or concrete.
However, its value to the project is much more profound than this. Rammed earth creates a human and
intuitive connection to its place. The material is country. It reflects the different light and absorbs the
rain just like a country. This project is an important component of the strategic plan to expand and
reinforce PAMS. It places the community at the center of health delivery whilst providing additional
clinical space focused on the acute health issues of the community. The strategic plan is focused on
community and inclusion with the aim of increasing presentation rates to improve preventative health.
Ultimately increased presentation rates are a key metric of success for the project. Expanded services
and the ability to be treated without traveling to Perth are key. The architectural outcome is also
imperative. It is required to enable a state-of-the-art facility that is connected to people, country, and
culture. In this way, it will support high levels of care whilst being imbued with humanity and embraced
by the community. A place for the community to be proud of and welcome in. A place that puts wellness
at the center of the community.