Public consultation for planning of St. Mary’s hospital new design
The urgency for a new hospital is growing as the scale and impact of our estates challenges increases. The St Mary’s Hospital estate is one of the oldest in the NHS, with parts dating back to 1845. As a Trust, we have the largest amount of ‘backlog maintenance’ in the NHS. In the last four years alone, the cost of our backlog maintenance has increased by 22.5 per cent – or £157 million, far outstripping the £104 million we have been able to spend on addressing it over that period.
St Mary’s ambition is to build a new, taller hospital on a smaller footprint, located on the east of the current site. This will allow for them to:
- organise services, research and staff facilities in a much better way
- keep our existing facilities running while we build the new hospital
- reshape the whole site with an overarching masterplan
Have your say
St Mary’s hospital have launched the first phase of public consultation to help shape their overarching site masterplan. Your feedback will be used to establish the early principles to inform detailed designs. It will help ensure the development creates a wider benefit for our local community, patients, visitors and staff, as well as improvements in health and healthcare.
They would like to understand what matters most to you:
- How do you use the area now?
- What are the opportunities to be explored?
- What issues might cause concern?
- What would you like to see on the site?
Complete the survey here.
For more detailed information on St. Mary’s development see this website.
As part of this consultation, St Mary's hospital is sharing information and inviting feedback through a series of local pop-up events:
- Saturday 28 February, 10am – 2pm, The Bays Building, S Wharf Rd, London, W2 1NY
- Tuesday 3 March, 11am – 3pm, Church Street Market, Church St, London, NW8 8DT
- Wednesday 4 March, 11am – 3pm, Ground floor, QEQM Building, South Wharf Road, St Mary’s Hospital, W2 1NY
St. Mary’s vision
We are proposing to build a new, 800 bed hospital to meet growing and changing needs. It will continue to house London’s busiest major trauma centre, offering a wide range of emergency, acute and intensive care, as well as maternity and neonatal services.
The new hospital will need to:
- have a flexible, future-proofed layout, supporting new treatments and ways of working
- put the needs and experiences of patients, visitors and staff at the heart of its design
- have integrated research and engagement spaces to support innovation and learning
- include a rooftop helipad, bringing St Mary’s into line with all other major trauma centres
- respect the area’s history while creating a striking new building
- be environmentally friendly and support the NHS’s goal to reach net zero carbon emissions
In addition, an expanded life sciences cluster will help to deliver:
- new jobs and investment
- training, skills and opportunities for local people
- faster development of new treatments and technologies
The plan going forward
St Mary’s Hospital has a long and proud history of serving its local community as well as patients from across the UK and overseas. But it has developed piecemeal over many decades, making the current site unwelcoming and difficult to get around.
St Mary’s hospital wants the masterplan to:
- connect the site to the wider neighbourhood
- make sure it’s easy to get around and access services
- improve links to nearby streets and create better public spaces
- use historic buildings to their full potential
- help ease traffic pressure and congestion in the surrounding area
St. Mary’s hospital would like to consider the existing site context and constraints, including the canal and station interface, Praed Street activity, historic Clarence Building architecture and existing navigation constraints.
St Mary’s want it to be more than just a hospital and feel it should be part of a welcoming, well-connected and healthy neighbourhood.
Find out more and complete the online survey
Next steps
This initial masterplan consultation will close on 20 March 2026.
There will be many further opportunities for patients, staff, residents and stakeholders to be involved in shaping both the wider masterplan and the design of the new hospital as plans progress.
St Mary’s are aiming to complete the design work and submit a planning application – for the new hospital and the wider masterplan – by Spring 2027.
Meanwhile, with their partners in the wider St Mary’s Redevelopment Funding Taskforce, they are continuing to explore additional financing sources and models to allow us to begin the main building works for a new St Mary’s as soon as we have planning permission. This would deliver a new hospital by 2035, compared with the Government’s New Hospital Programme timetable which currently delays delivery until 2043 at the earliest.
Complete the survey here.
For more detailed information on St. Mary’s development see this website.
