London Daily

Focus on the big picture.
Thursday, Nov 05, 2026

How the UK's newest hospital was built in nine days

How London's ExCel centre was transformed into a hospital to treat coronavirus patients.

East London's ExCeL exhibition centre, which normally plays host to lifestyle shows, expos and conferences, has been converted into the temporary NHS Nightingale hospital, with space for 4,000 beds.

In nine days, the 87,328 square metres of double exhibition halls, have been fitted out with the framework for more than 80 wards, each with 42 beds. Some 500 fully-equipped beds, with oxygen and ventilators, are already in place and there is space for another 3,500.

If it did reach capacity, it would be one of the largest hospitals in the world.




How was it built?

The facility, which was officially opened on Friday, was built with the help of up to 200 soldiers a day from the Royal Anglian Regiment and Royal Gurkha Rifles, working long shifts alongside NHS staff and contractors.

Architects and engineers from BDP, the firm that helped convert the centre, were part of the planning team given the task of creating the life-saving facility.

BDP Principal James Hepburn said the scale and timeframe for the construction were unlike previous healthcare projects and architects were coming up with designs almost as building needed to get under way.

The framework for individual bed bays were made from material usually used to make exhibition stands - because it is lightweight and could be constructed quickly.

Mr Hepburn said the three main challenges were:

  • Speed of the construction and what to build it out of
  • Having a reliable electrical supply - for life-saving ventilators and equipment
  • And being able to get medical gases to each of the beds

ExCeL's existing electrical infrastructure has been modified to ensure the power supply can cope with demand - and not cut out. Temporary generators and oxygen tanks, to supply the beds, have also been installed.

Mr Hepburn said his team has drawn up an instruction manual to share with other countries taking on similar emergency projects - and people in Australia and Canada have already contacted them.



Where will the staff come from?

The ExCeL centre's suitability for the hospital site goes beyond the functional characteristics of the building.

It is served by public transport links. The nearby London City Airport can be used to bring in supplies and equipment and there is also hotel and university accommodation close by - should it be needed.

It will be led by a team of eight senior staff, drawn from local hospitals and trusts. At capacity, the hospital will need 16,000 staff to keep it running. That will include thousands of doctors, nurses and volunteers.

"The numbers are scary," chief operating officer Natalie Forrest said. "To run one ward, including all of our ancillary staff, we need 200 members of staff."

The nursing staff is being drawn from other hospitals, as well as volunteers from St John Ambulance. Airline staff from Easyjet and Virgin Atlantic have also been approached.

Cabin crews have security clearance and many of them are also first aid-trained. The NHS says they would be changing beds, helping doctors and nurses on the wards, and performing other non-clinical tasks.

Image copyright Getty Images

It will not be a conventional walk-in hospital - only patients already on ventilators will be admitted, transferred from other intensive care units across London. They will stay at the hospital until their course of ventilation is finished.

Support services such as pharmacies and therapy treatment will also be available.

And a mortuary is also included in the NHS Nightingale design. Additional mortuary space is also being found elsewhere in the city, including Wanstead Flats in the Manor Park area of Newham, local residents have been told.

Other temporary morgues are also being set up around the UK, including at an ice rink in Milton Keynes, a crematorium in Ruislip, and at Birmingham Airport, where the hangar facility will initially have space for 1,500 bodies "but will expand to hold more".




Will there be other NHS Nightingales?

Preparations are also being made to expand the NHS Nightingale-style hospitals beyond London.

Conference centres in Birmingham, Manchester, Glasgow and Harrogate and the University of West England (UWE) in Bristol have been earmarked as emergency hospital sites to help ease the pressure on the NHS - some of which could open by the end of the month, albeit with fewer beds than London's.

Belfast City Hospital's tower block is being transformed into Northern Ireland's first Nightingale hospital - it will become a 230-bed unit staffed by a team drawn from across Northern Ireland.

An extra 6,000 beds are also being set up in Wales - many in sports and leisure facilities - to take the pressure off hospitals during the coronavirus pandemic.

Among them is the Principality Stadium, in Cardiff, the national stadium of Wales, which will be used as a field hospital for up to 2,000 beds, if needed.







Newsletter

Related Articles

0:00
0:00
Close
United Kingdom and Caribbean Nations Agree to Establish Formal Diplomatic Dialogue Following Reparations Discussions
Cambridge University Appoints Senior Barrister to Lead Independent Review into Death of Academic Jason Arday
Historic Hastings Castle and Kent Dickens Chalet Added to National Heritage at Risk Register Amid Deterioration Concerns
Incoming British Ambassador to Japan Calls for Deepened Bilateral Cooperation on Artificial Intelligence and Semiconductors
Milburn Review Urges Employment Revolution to Unlock Workforce Opportunities for Young Disabled Britons
British Healthcare Worker Evacuated from Democratic Republic of Congo to United Kingdom Following Ebola Exposure
United Nations Refugee Agency Criticises Government Proposal for Thirty-Year Earned Settlement Pathways for Asylum Seekers
Parliamentary Inquiry Warns United Kingdom Remains Exposed to Chinese Critical Mineral Dependencies
Bank of England Prepares Interest Rate Decision as Inflation Pressures Prompt Expectation of Four Percent Benchmark
Department for Business and Trade Overhauls Protection Standards for Digital Animation and Moving Image Files
Intellectual Property Office Introduces Thirty-Month Grace Period for International Product Launches
Intellectual Property Office Targets Anti-Competitive Filings With New Powers to Verify Novelty Before Registration
Creative Industries Minister Ian Murray Praises Regulatory Reforms to Safeguard Small Businesses and Micro-Enterprises
Government Unveils Major Design Framework Overhaul to Protect British Creators and Boost Economy
Global Asset Management Reports Surge in British Dividend Payouts Driven by Strong Financial and Mining Sectors
HM Treasury Confirms Strongest Group of Seven Growth Figures as Fiscal Consolidation Plans Progress
Department for Energy Security and Net Zero Approves Construction of New North Sea Offshore Wind Hub
Northern Ireland Executive Finalizes Public Sector Pay Agreements Following Months of Inter-Agency Negotiations
Welsh First Minister Eluned Morgan Secures Cross-Party Support for Regional Clean Energy Infrastructure Bill
Competition and Markets Authority Launches Formal Investigation Into Dominant Artificial Intelligence Cloud Partnerships
United Kingdom Foreign Secretary David Lammy Concludes High-Level Diplomatic Mission to Washington and Ottawa
Scottish Government Announces Emergency Housing Investment Package to Address Escalating Urban Homelessness
Chancellor Rachel Reeves Finalizes Corporate Tax Adjustments Ahead of Upcoming Business Investment Summit
National Health Service England Unveils Emergency Winter Resilience Plan to Combat Projected A&E Overcrowding
Bank of England Monetary Policy Committee Votes to Hold Base Interest Rate Steady at Four Point Seven5 Per Cent
UK Gross Domestic Product Expands by Zero Point Four Per Cent in Third Quarter Driven by Resilient Services Growth
Northern Ireland Executive Agrees on Multi-Year Public Sector Pay Restructuring Framework at Stormont
Department for Transport Confirms Acceleration of Electric Vehicle Charging Infrastructure Rollout Along Strategic Motorways
Welsh Government Announces Emergency Funding Package to Support Agricultural Sector Facing Severe Weather Impacts
High Court Rules in Favor of Environmental Coalition Over Government Carbon Reduction Plan Deficiencies
Office for National Statistics Reports Stable Retail Sales Growth Supported by Strong Digital Commerce Volumes
Scottish First Minister John Swinney Secures Cross-Party Support for Renewable Energy Export Expansion
National Health Service Digital Reports Major Breakthrough in Reducing Elective Waiting Lists Across England
Chancellor Rachel Reeves Outlines Infrastructure Spending Reforms to Boost Regional Economic Growth Across Northern England
Bank of England Holds Baseline Interest Rate at Five Percent Amid Persistent Core Inflation Pressures
House of Lords Advances Representation of the People Bill to Modernize Electoral Law Ahead of General Election
Financial Markets and Private Equity Assess Tax and Corporate Realignment Following Recent Chancellor Budget Adjustments
Justice Committee Warns Legal Aid Is a Service in Managed Decline Due to Inadequate Government Funding Responses
Royal Navy Intercepts Russian Intelligence Vessel and Warships Across Intensive North Sea Operations
Business and Trade Committee Slams Government Policy on China as Fragmented and Lacking Strategic Direction
Home Secretary Shabana Mahmood Softens Immigration Plans Following Intensive Cabinet Backlash Over Settlement Timelines
Automotive Industry Data Reveals Continued Acceleration in Battery Electric Vehicle Registrations Across British Dealerships
High Court of England and Wales Rules on Landmark Legal Challenge Regarding Local Government Housing Mandates
Department for Energy Security and Net Zero Approves Expanded Offshore Wind Infrastructure Along Scottish Coastline
Competition and Markets Authority Launches Broad Investigation Into Artificial Intelligence Infrastructure and Cloud Partnerships
United Kingdom and European Union Launch High-Level Preparations for Bilateral Defense and Security Summit in Brussels
National Health Service England Unveils Emergency Workforce Reforms to Alleviate Winter Accident and Emergency Pressures
Chancellor Rachel Reeves Finalizes Autumn Budget Adjustments to Meet Fiscal Rules and Fund Public Services
Bank of England Prepares for Interest Rate Decision Amid Rising Bond Yields and Inflationary Pressures
House of Lords Begins Detailed Legislative Scrutiny of Representation of the People Bill and Cyber Security Laws
×