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Redeveloping Britain's Oldest Hospital

St Bartholomew's Hospital Redevelopment
and King George V Building

London, UK

Skanska Innisfree selected HOK to design the simultaneous redevelopment of St Bartholomew’s and The Royal London Hospitals.

HOK is leading the architecture, interior design, medical planning and landscape design for the largest hospital redevelopment implemented in the UK under the Private Finance Initiative (PFI) funding scheme.

St Bartholomew’s was founded in 1123 and is Britain’s oldest hospital. Serving a population of more than three million people, the hospital’s new nine-story King George V Building includes the Barts Heart Centre, the UK’s largest specialized cardiovascular facility.

Some existing historic buildings on the site were refurbished, conserved and integrated with new construction to create the specialized cancer and cardiac center. The new building, which incorporates the retained King George V block, features a contemporary design of stone and brick that complements the existing Georgian architecture of London’s historic Smithfield area.

Medical professionals at the new Barts Heart Centre will perform more heart surgeries, MRI scans and CT scans than any other facility in the world. State-of-the-art facilities include 10 operating suites, 10 catheterization laboratories, 250 general cardiac beds, 58 critical care beds and 40 coronary care unit beds. Clinicians estimate that more than 1,000 lives could be saved every year because of the state-of-the-art treatment and expanded patient access to a broad range of clinical trials.

The landscape design restores the main square on the site — originally designed by James Gibbs in the 1730s — as a fully accessible space for patient relaxation. Planting and paving materials enhance the surrounding Grade I and II-listed buildings and historic central fountain that provides a welcome green space in the heart of the hospital.

Part of the redevelopment has achieved an ‘Excellent’ rating in the NEAT (NHS Environmental Assessment Tool) certification, an independent green building certification method.

The redevelopment has been carried out in phases, enabling the campus to remain operational from the beginning of the project in 2006 through completion in 2016.


700,000 sq. ft. / 65,000 sq. m.


Interior Design
Landcape Architecture


European Healthcare Design Awards – NHS Healthcare Design Award