The NHS is constantly adapting to cope with changing demographics. More money has been pumped into infrastructure for the service over the past 10 years, as a result of which new hospitals and clinics have been developed, and old sites closed. Services have been combined or privatised and office space rationalised. As a consequence, there is almost unlimited advice available on every aspect of building a new facility. However, in our experience there is a shortage of advice out there on what to do with the old crumbling ruin that was once a ‘stateof-the art’ A&E department or administration block.
New-build projects are planned years in advance, involve countless meetings, and generate a forest of documents, reports, proposals, and plans. Often, however, little thought is given to how to physically move from A to B, and what happens to A once it is vacated. New-builds are exciting; being given £50 m to spend on a modern hospital with gleaming corrido
