Blog: Pioneering the ‘Third Way’ for NHS Estates

A clinician in full PPE and blue scrubs in a dark operating theatre - there is a large, circular surgical light in the background

Recent reports from the Royal College of Surgeons and national media paint a compelling picture: waiting lists now exceed 7.3 million patients, with over 170,000 waiting more than a year for treatment. The 2025 UK Surgical Workforce Census highlights burnout, limited theatre access, and rising attrition among trainees. Meanwhile, almost half of NHS surgeons are operating just once a week due to bed shortages and outdated facilities.

Blog: Reframing NHS Surgical Challenges as Opportunities for Evolution

A clinician in full PPE and blue scrubs in a dark operating theatre - there is a large, circular surgical light in the background

Recent reports from the Royal College of Surgeons and national media paint a compelling picture: waiting lists now exceed 7.3 million patients, with over 170,000 waiting more than a year for treatment. The 2025 UK Surgical Workforce Census highlights burnout, limited theatre access, and rising attrition among trainees. Meanwhile, almost half of NHS surgeons are operating just once a week due to bed shortages and outdated facilities.

Blog: Flipping the Script on Value in the NHS

Clinician in blue scrubs in an operating theatre, adjusting a pendant light

The NHS was founded on a radical promise: that healthcare should be free at the point of need, funded collectively, and delivered with compassion. That promise still holds. But to protect it, we must evolve how we think about value—especially when it comes to the estate.

A Guide to Improving GP Premises: A New Collaborative Report

Practice managers and general practice leadership across the country face daily challenges with buildings that are not fit for purpose. Inappropriate and inaccessible accommodation for service provision poses serious challenges to care delivery, affecting both patient and staff experiences. Additionally, the increasing demand for services, evolving healthcare needs, and regulatory requirements add to the complexity of managing primary care estates.

‘Spaces are powerful’ – Creating spaces for greater staff and patient experiences

Although there is no one-size-fits-all approach to improving the wellbeing of your workforce, the evidence base on the most effective initiatives and approaches is constantly evolving. This can provide a useful basis for reviewing the approach and making decisions as we know how important it is to retain our valued NHS workforce.

‘Working environments and break out spaces are key,’ says Raffaela Goodby, Chief People Officer at Birmingham Women’s and Children’s Hospital.

Reimagining Estates Funding: In Partnership with NHS Confederation

Capital is a scarce resource in the NHS, yet high in demand. Existing estates are deteriorating, creating a potentially unsafe and uninviting environment for patients and staff.

But with limits on funding and an ever-changing landscape for providing care, how will the NHS meet current demands, accommodate changing needs and continue to reduce backlogs in care, all while providing outstanding patient care? Darwin Group recently partnered with the NHS Confederation to deliver a webinar on these issues.