Healthcare

Hospitals and healthcare facilities — familiar bones, unforgiving specialist standards.

The civils and the frame of a hospital are nothing you have not seen before: the same enabling works, the same foundations, the same concrete or steel frame, the same envelope and services first fix as any large building. Those shared methods are linked below — the ground and the structure do not know they are building a hospital.

The specialism is everything clinical-adjacent. Half of healthcare work happens in or beside a live hospital, where a cloud of dust is a clinical incident and every shutdown is negotiated with the people keeping patients alive. Then the clinical systems themselves: medical gas pipelines brazed, purged and certified like process pipework; radiation shielding and imaging suites where the lead lining and the concrete density are the point of the room; and a commissioning regime that is validated and witnessed, not just switched on.

The four guides in this sector cover that specialist layer — live-site containment, medical gases, shielding and imaging, and validated commissioning. Everything upstream of it is the shared method, linked through to its canonical guide.

What does Healthcare cover?

• Acute hospitals & specialist centres
• Outpatient & primary care
• Live-hospital refurbishments
• Imaging & treatment suites

Process guides in Healthcare

• Working In & Around Live Hospitals — Building inside a hospital that never closes — infection control, sealed containment, negative-pressure working and decant logistics that keep patients safe while the work goes on around them.
• Medical Gas Pipeline Systems (MGPS) — Degreased copper pipelines carrying oxygen, medical air and vacuum to every bedside — brazed under inert-gas purge, tested to destruction-level scrutiny, and governed by HTM 02-01 from first fitting to witnessed blowdown.
• Radiation Shielding & Imaging Suites — Lead-lined walls for X-ray and CT, Faraday cages and quench pipes for MRI, and two-metre concrete bunkers for linear accelerators — the invisible engineering that keeps radiation in and interference out.
• Healthcare Commissioning & Validation — Proving a hospital works before the patients arrive — HTM/HBN compliance testing, theatre and isolation-room ventilation validation, witnessed medical gas tests, derogations and the documentation mountain that hands a building to clinical teams.

Shared methods used in Healthcare

• Site Access & Enabling Works
• Setting Out & Survey Control
• Earthworks & Excavation
• Dewatering & Groundwater Control
• Shallow Foundations
• Piling & Deep Foundations
• Basement & Substructure
• Concrete Frame Construction
• Steel Frame Construction
• Roofing
• Façade & Cladding
• Windows, Doors & Glazing
• MEP First Fix
• MEP Second Fix & Commissioning
• Testing, Handover & Snagging

Part of the Buildings group.