Abstract
What is it really like to develop and use a large integrated computer aided design system to design an extensive complex building? Much has been written on the subject of CAD applied to building design. But does the reality bear any resemblance to the theory? What are the effects of time and scale on the process? Are the claims for CAD justified and are the benefits the ones which were expected? The new District General Hospital at Milton Keynes in the U.K. is probably the first major building in the world to be designed using such a system. Now under construction on site it has been a fertile and rewarding experience. In comparison with what was originally expected, the outcome has in many cases been quite exciting, in a few cases disappointing, but in a number of instances the outcome has been very surprisingly different from the original aspiration. Overall the result marks a very substantial step forward in the process of designing complex buildings.
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