Demolition and new construction in Munich The major upheaval for the clinics
LMU-Klinikum: New building, reconstruction and demolition in Großhadern. The plans for the inner city clinics and the problems of the municipal hospitals.
Munich – The hospital landscape in Munich will change radically over the next ten years. Construction costs are running into the billions. And when the city centre clinics move to Großhadern for the most part, the city centre will also change its face. The city clinics will also undergo major and complicated changes (see next page).
With the new building plans for Großhadern and the city centre, a large, long-lasting move is set in motion. And so the plans of the Free State for its university clinics are connected:
Big rags: The monumental large clinic with more than 1250 beds has to be modernised and instead of the almost kilometre-long pathways of today it has to be structured more practically. Just how? A new feasibility study is currently available, which has investigated three variants (AZ reported). One possibility is excluded: To rebuild the hospital while it is still in operation over decades. This leaves the following alternatives: a partial new building including the renovation of the remaining buildings. Or demolition and new construction. This could be done in modular construction: Station by station can thus be moved step by step. And the individual modules can each be renovated or renewed on their own. Medical director Karl-Walter Jauch estimates the costs at 500 million euros.
Hauner’s Children’s Hospital: The house near Goetheplatz moves to the campus in Großhadern in 2021. The centre for obstetrics, paediatrics and youth medicine is newly built there: 254 fully inpatient beds and a day clinic with 30 beds are planned on almost 22,000 square metres. 14000 inpatient cases, 3300 day clinics and 40000 outpatient cases can be treated there every year. The clinic will be supplemented by child and youth psychiatry, which will remain in the city centre. The planning runs until 2015, when it is planned to build from 2016 to 2020 and move in in 2021. The location is close to the underground station. Costs: 160 million euros. In addition there will be 25 million euros for furniture and equipment. Of this, 125 million will be paid by the Free State, 25 million euros are to come in in the form of donations, and ten million will be provided by the University Hospital.
Children’s palliative centre: It complements the Hauner Children’s Hospital and is to be opened on the campus in Großhadern in 2015. “This will close a supply gap at the Großhadern campus that is important not only at the site itself but also throughout Bavaria and Germany,” says Prof. Burkhard Göke. Costs: around seven million euros.
New operations centre: It is already under construction and is scheduled to open in 2014. It will have 32 operating theatres and an outpatient operating centre with four rooms. It will have over 70 intensive care beds and a new central sterilisation facility. Cost: 135 million euros.
Center for Stroke and Dementia Research: The new building north of the new operating center is already under construction and is scheduled to open next year. It will be a day clinic without beds (cost: 57.5 million euros).
Maistraße Maternity Hospital: According to the press office of the university clinics, the popular building will remain in operation as long as the new buildings in Großhadern are not completed. So at least until 2020 – rather longer. What is to become of the building has not yet been decided.
The future of the university clinics in the city centre and around Nußbaumstrasse depends on Großhadern. A new “portal clinic” is being built in the city centre. It will have 200 beds – today there are 500 beds in the hospital quarter. In addition, psychiatry, child and youth psychiatry, an eye clinic, a dermatological clinic and a dental clinic will remain on site. Everything else goes to Großhadern.
Portalklinik: A new hospital is being built at the corner of Ziemsenstrasse andußbaumstrasse for around 85 million euros. It will be built on the site of the current car park and the old bed house (which will be demolished). Construction is scheduled to start in 2015. The opening is expected for 2019. This portal clinic with 200 beds is intended to ensure patient-oriented care with the classic specialist areas. There are: Internal medicine, surgery and outpatient obstetrics. What happens to the areas that become vacant? The university will be able to present its teaching and research there. The city council fears that the Free State will sell the site as expensively as possible in order to be able to pay for the new buildings. Negative experiences have already been made with the “Alte Chemie” on Karlstraße in Maxvorstadt. Today there are luxury apartments there.
The Klinikum rechts der Isar (the Technical University of Munich) is also building: “Work is also underway there on how the entire site can be further developed, according to the press office. This must first be coordinated with the hospital’s supervisory board. An operation centre with eight operating theatres is currently being built on Ismaninger Strasse, where the vascular centre with polyclinic, general ward and intensive care unit will also be located. Completion: 2016. The new building for translational cancer research (TranslaTUM) is being prepared at the corner of Trogerstrasse and Einsteinstrasse. Completion: 2016.
The municipal hospitals in Munich are also a major construction site.
At present, the construction and refurbishment costs for the five buildings of the municipal hospital in Schwabing, Bogenhausen, Harlaching, Neuperlach and on Thalkirchner Strasse are estimated at around 1.5 billion euros. The press office yesterday refused information about the current conditions.
A total of 266 million euros was budgeted for the construction of part of the new Harlaching Clinic. In addition, there is an enormous backlog of refurbishment work. These are all sums that the financially troubled clinic does not have at the moment.
The most controversial question is how to proceed with the houses in Schwabing and Bogenhausen. Experts believe that it would be most sensible to build a new hospital and merge the two into one. But the city has not yet found a suitable site.
Schwabing is so old and impractical that it is no longer possible to modernize the house with reasonable effort. Bogenhausen is 30 years old: a little for a building, but technically outdated as a clinic. Experts say: A new building is more economical than a modernization.
The topic is causing such a great deal of unrest among the workforce that it will probably not be decided before the city council elections in March 2014.