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London estates transformation

The challenge

We need to ensure that our estate – the buildings we use for health and care across London – is ‘fit for purpose’ now and into the future.

London has some of the world’s most advanced health and care facilities, but at the same time, many of our health and care buildings are in need of repair, or are no longer fit for purpose. The NHS is one of the largest owners of land and buildings in London. Our hospitals occupy around 1,000 acres of land – that’s three times the size of Hyde Park. Unused sites still drain much-needed NHS money in maintenance costs.

Working in partnership

Enabled by the London Health and Care Devolution act, we are working with the London Estates Board, London Estates Delivery Unit and health and care partners to address our estates challenge at a local level.

NHS trusts will be encouraged to make better use of NHS buildings and land, and reinvest back into London’s health and care system, e.g. to build better GP surgeries, community services and hospitals. By releasing land, Londoners will be able to build the homes and schools that they need.

Who we are

The London Estates Board was formed in December 2016. It is supported by the London Estates Delivery Unit, which brings together the collective technical and professional expertise of constituent organisations across London. Health London Partnership is responsible for the delivery unit.

The work of the London Estates Board was referenced in the Government’s response to the Naylor Review.

Our progress

Covid Impact on London’s Primary and Community Care Estate July 2020

Estates Utilisation Roadmap: A guide to optimising London’s health and care estates March 2020

See the latest estates transformation update report.

Find London estates resources.

Any questions? See our London estates FAQs.

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