We plan to fully redevelop the St Mary’s site, as well as rebuild or refurbish significant parts of the Charing Cross and Hammersmith sites. The Western Eye would be incorporated into the most appropriate of these developments.

We plan to fully redevelop the St Mary’s site, as well as rebuild or refurbish significant parts of the Charing Cross and Hammersmith sites. The Western Eye would be incorporated into the most appropriate of these developments.

There is much work to do during 2020 and into 2021 and beyond to determine and agree detailed capacity requirements and service configuration. Our longer term response to Covid-19 is also influencing on how we best organise our services. We are planning on the basis of our current service configuration and proposals for service changes that emerge will be raised at the earliest opportunity through our ongoing involvement programme.

We are clear, however, that we will need at least the same number of inpatient beds at all three of our main sites and probably more. We are also committed to full accident and emergency (A&E) departments at both St Mary’s and Charing Cross hospitals. And we are assuming we will include integrated care hubs in partnership with other health and care providers at St Mary’s and Charing Cross and that we will continue to expand our digital offer and ‘outreach’ into community facilities, again working in partnership with others.

What will happen at our sites

Developing services and partnerships

Why do we need major redevelopment?

Our hospitals are some of the busiest in London, providing care for around 1.3 million people a year, from our local communities as well as from the rest of the UK and beyond. We provide one of London’s four major trauma centres in London, eight hyper acute stroke units and eight heart attack centres. And the need for acute and specialist care is changing and growing. Our patients also live in the some of the poorest boroughs with some of the worst health inequalities.

However, many of our buildings are very old – it costs us around £20-25m every year for just essential maintenance. Even with our buildings that are in a better state of repair, they were not designed to meet current – or future – healthcare needs. This makes for poor patient and staff experience and means they are less efficient to run. Our staff have responded brilliantly to Covid-19, but our facilities have made it much harder.

There have been several attempts at major redevelopment over the past 30 years and, though we have been able to make some improvements, we have not been able to secure the investment or commitment for a longer term, planned approach that will make our facilities fit for the future. We have drawn on the lessons learned from these previous redevelopment programmes to give ourselves the best chance of succeeding this time, when it matters most. Find out more about the Paddington health campus scheme (1998-2005) and Shaping a healthier future programme (2011 – 2019) by following the links.

Thinking differently

We ran a series of online workshops in early 2020 with staff, lay partners, GPs and other stakeholders to draw on innovation in building design and hospital planning from around the world. We wanted to prompt ourselves to think differently about what hospitals can do and how they can work – for the benefit of staff, patients and local communities.

Here are links to the presentations used at each of the sessions:

Week 1 - Innovation research (PDF, 267KB)

Week 2 - Future proofing (PDF, 222KB)

Week 3 - Single bed rooms (PDF, 178KB)

Week 4 - Wayfinding (PDF, 237KB)

Week 5 - Circulation flow adjacencies (PDF, 256KB)

Week 6 - Vertical transportation (PDF, 175KB)

Week 7 - Ways of working (PDF, 280KB)

Week 8 - Logistics, robots, drones (PDF, 176KB)

Week 9 - Clever decant (PDF, 217KB)

Week 10 - Digital (PDF, 207KB)

Week 12 - Food services (PDF, 195KB)

Week 12 - Sustainability  (PDF, 175KB)

For more information about the redevelopment project, please take a look at the following pages: