The hospitals we are delivering in Ghana, Côte d’Ivoire, Zimbabwe, Kenya, Zambia, and Gambia, are being built in response to the demand for quality, accessible healthcare in sub-Saharan Africa. A World Health Organization report, published in 2007, estimated that between 550,000 and 650,000 extra beds were needed across sub-Saharan Africa to meet the expected ‘healthcare

Ageing of hospital estate assets is a growing concern for many European countries, and indeed in any country in which care has been largely provided in buildings that are at least 30 years’ old. Against this backdrop, with physical constraints, a lack of decanting facilities, shortage of funding, and socio-political choices, refurbishment of existing buildings