London Daily

Focus on the big picture.
Saturday, May 31, 2025

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
Satirical Sketch Sparks Political Spouse Feud in South Korea
Indonesia Quarry Collapse Leaves Multiple Dead and Missing
South Korean Election Video Pulled Amid Misogyny Outcry
Asian Economies Shift Away from US Dollar Amid Trade Tensions
Netflix Investigates Allegations of On-Set Mistreatment in K-Drama Production
US Defence Chief Reaffirms Strong Ties with Singapore Amid Regional Tensions
Vietnam Faces Strategic Dilemma Over China's Mekong River Projects
Malaysia's First AI Preacher Sparks Debate on Islamic Principles
White House Press Secretary Criticizes Harvard Funding, Advocates for Vocational Training
France to Implement Nationwide Smoking Ban in Outdoor Spaces Frequented by Children
Meta and Anduril Collaborate on AI-Driven Military Augmented Reality Systems
Russia's Fossil Fuel Revenues Approach €900 Billion Since Ukraine Invasion
U.S. Justice Department Reduces American Bar Association's Role in Judicial Nominations
U.S. Department of Energy Unveils 'Doudna' Supercomputer to Advance AI Research
U.S. SEC Dismisses Lawsuit Against Binance Amid Regulatory Shift
Alcohol Industry Faces Increased Scrutiny Amid Health Concerns
Italy Faces Population Decline Amid Youth Emigration
U.S. Goods Imports Plunge Nearly 20% Amid Tariff Disruptions
OpenAI Faces Competition from Cheaper AI Rivals
Foreign Tax Provision in U.S. Budget Bill Alarms Investors
Trump Accuses China of Violating Trade Agreement
Gerry Adams Wins Libel Case Against BBC
Russia Accuses Serbia of Supplying Arms to Ukraine
EU Central Bank Pushes to Replace US Dollar with Euro as World’s Main Currency
Chinese Woman Dies After Being Forced to Visit Bank Despite Critical Illness
President Trump Grants Full Pardons to Reality TV Stars Todd and Julie Chrisley
Texas Enacts App Store Accountability Act Mandating Age Verification
U.S. Health Secretary Ends Select COVID-19 Vaccine Recommendations
Vatican Calls for Sustainable Tourism in 2025 Message
Trump Warns Putin Is 'Playing with Fire' Amid Escalating Ukraine Conflict
India and Pakistan Engage Trump-Linked Lobbyists to Influence U.S. Policy
U.S. Halts New Student Visa Interviews Amid Enhanced Security Measures
Trump Administration Cancels $100 Million in Federal Contracts with Harvard
SpaceX Starship Test Flight Ends in Failure, Mars Mission Timeline Uncertain
King Charles Affirms Canadian Sovereignty Amid U.S. Statehood Pressure
Trump Threatens 25% Tariff on iPhones Amid Dispute with Apple CEO
Putin's Helicopter Reportedly Targeted by Ukrainian Drones
Liverpool Car Ramming Incident Leaves Multiple Injured
Australia Faces Immigration Debate Following Labor Party Victory
Iranian Revolutionary Guard Founder Warns Against Trusting Regime in Nuclear Talks
Macron Dismisses Viral Video of Wife's Gesture as Playful Banter
Cleveland Clinic Study Questions Effectiveness of Recent Flu Vaccine
Netanyahu Accuses Starmer of Siding with Hamas
Junior Doctors Threaten Strike Over 4% Pay Offer
Labour MPs Urge Chancellor to Tax Wealthy Over Cutting Welfare
Publication of UK Child Poverty Strategy Delayed Until Autumn
France Detains UK Fishing Vessel Amid Post-Brexit Tensions
Calls Grow to Resume Syrian Asylum Claims in UK
Nigel Farage Pledges to Reinstate Winter Fuel Payments
Boris and Carrie Johnson Welcome Daughter Poppy
×