Client: Tilbury Douglas

Project overview

Nottingham Elective Orthopaedic Services (NEOS) is a specialist clinical unit based at City Hospital. This award-winning state-of-the-art theatre opened following a £12.5 million investment.

It undertakes the highest volume of orthopaedic surgery in the region, performing over 1,800 joint replacements annually, including hip, knee, shoulder and ankle replacements. Its Shoulder and Elbow Unit is one of the largest upper limb units in the country.

The five operating theatres contain laminar flow technology and have the most up-to-date specifications to enhance patient safety and experience.

This major investment increased NEOS's capacity to deliver orthopaedic surgery to patients throughout the East Midlands and beyond and will contribute to supporting shorter waiting lists, enhanced surgical safety, and an excellent patient experience.

The orthopaedic surgery block has also won a BREEAM award for environmental sustainability.

  • Live environment
  • 5 operating theatres
  • BREEAM award
  • £12.5 million investment

BWB's role

Demolition and construction

BWB provided structural and civil engineering services for the development, including demolishing the existing structures that had to make way for the new, state-of-the-art facilities. We also provided services to design the joining of existing buildings to the new facility.

Innovative engineering solutions

Throughout the project, we had to adapt and produce design alternatives due to several in-use underground trackways for services across the site. These trackways provide staff with the ability to quickly transport materials, and resources across the whole of the hospital site. It is an integral part of the hospital, which had to be taken into consideration throughout the project.

This caused several challenges for the design work, as several structural columns could not be relocated as they were lined up with new walls. Our solution involved designing new steelwork to bridge the trackways and ensuring the foundations did not impact the existing structure. This solution allowed the underground trackway to stay in use and cause minimal disruption to staff use throughout the project.

Geo-environmental reports

We provided geo-environmental reports with ground investigations, surveys, and topographical surveys of the areas and surrounding buildings.

BREEAM award

We are proud to have acted as structural engineers on this critical scheme, with the project winning a BREEAM award for environmental sustainability. The new development has increased Nottingham University Hospital's capacity to deliver orthopaedic surgery and will continue to support shorter waiting times, enhanced safety, and excellent patient experiences.