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 Meanwhile, almost half of NHS surgeons are operating just once a week due to bed shortages and outdated facilities.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 Meanwhile, almost half of NHS surgeons are operating just once a week due to bed shortages and outdated facilities.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.

The Breaking Point: So Many Patients, Too Few GPs, and Not Enough Space…

As of April 2025, general practice in England is facing unprecedented pressure. With 63.77 million patients registered and only 28,249 full-time equivalent (FTE) fully qualified GPs, each GP is now responsible for an average of 2,257 patients. This ratio is not just a number – it’s a reflection of the growing strain on a system that is struggling to meet demand.

Mind the Gap: Rethinking Resilience in NHS Estates

As healthcare professionals, suppliers, and—most importantly—patients, we witness the daily strain on the NHS. Alarmingly, four out of six key NHS performance indicators are declining, jeopardising patient safety and risk management, despite the dedicated efforts of the workforce who continue to provide care with limited resources.