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N © Barts & The London


early two decades ago, one of the government’s responses to the Tomlinson Review, Making London Better, was to propose a new hospital at Whitechapel in


central London. Two years later the Department of Health approved a business case for what would become the UK’s largest-ever UK healthcare project, but a decade would pass before a start was finally made on site, as the £1 billion project was held up by reappraisals. In 1997 Labour replaced the Conservative government and


commissioned a review of the capital’s healthcare services. What had initially been a plan to create a brand new hospital at the Royal London and a cancer and cardiac centre of excellence at the nearby St Bartholomew’s, was changed in 2001. Both hospi- tals were now to be combined into a single Private Finance Initiative (PFI) concession for a trust that handles 868,000 patients a year. An invitation to negotiate came out in 2002 and in 2003 a


consortium led by the UK arm of Swedish contracting giant Skanska was confirmed as preferred bidder. Not only was Barts and the London the UK’s biggest healthcare job, the scheme was also the largest that Skanska – an international business with a turnover of nearly £11 billion – had then ever taken on. Planning applications were submitted in 2004 then approved


the following March, after which another contractor, Laing O’Rourke, finished work on an advance scheme to create a phar- macy and pathology laboratory at the Royal London. Another government review followed in 2005 before, finally, on 24 April 2006 – 13 years after the project was first proposed – the PFI concessionaire Capital Hospitals reached financial close. Capital Hospitals had originally featured Skanska, Innisfree


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