London Daily

Focus on the big picture.
Thursday, Jul 02, 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
UK Government Confirms Rejected Asylum Seekers to Remain Amid Enforcement Challenges
UK-China Economic Talks Focus on Services Trade and High-Value Sectors
Buckingham Palace Revamp Plans Unveiled to Modernise Royal and Public Facilities
Two Dead After Light Aircraft Crash in Essex Field, Investigation Underway
Princess Diana Marked at 65 With UK Tributes Reflecting on Her Public Legacy
England Teachers Face New Pay Cap Rules for Academy School Leaders Under Education Reform
Dublin Security Alert Escalates After Stabbing and Reports of Transport Disruption
UK Government Faces Scrutiny Over £10,000 Asylum Living Cost Contribution Requirement
England Prepares World Cup Knockout Match Against Democratic Republic of Congo
Northern Rail Project Warned of HS2-Style Cost Risks by UK Parliamentary Committee
UK Tightens Asylum Rules as Most Rejected Applicants Expected to Remain in Country
UK Heat Health Alert Issued as Temperatures Expected to Exceed 30°C Across England
Halifax Brand to Disappear From UK High Streets in Lloyds Banking Group Restructuring
England Teachers Receive 6.6 Percent Pay Rise Over Two Years as Schools Warn of Budget Strain
UK Defence Spending Plan Sparks Budget Clash as Regional Infrastructure Projects Face Pressure
Inquest Continues in Northern Ireland into Death of Noah Donohoe in Belfast
UK Travel Industry Calls for Suspension of New EU Border System During Peak Holiday Season
Telegraph Media Group Acquired by German Media Firm in £575 Million Deal Completion
House of Commons Warns Northern Rail Upgrade Risks Repeating High-Speed 2 Cost Overruns
UK Transport Unions Warn of Summer Strike Action Over Pay Disputes
UK Health Secretary Calls Maternity Care Review a “Watershed Moment” for NHS Reform
Nigel Farage Faces Questions Over £270,000 Payment Linked to Gold Marketing Firm
Labour Government Faces Internal Division Over North Sea Oil and Gas Policy Direction
National Screening Committee Invites New Proposals for UK Health Screening Programmes
UK and China Hold Industrial Strategy Talks on Trade and Export Growth Opportunities
UK Defence Funding Gap Widens as £4.7 Billion Shortfall Puts Pressure on Spending Priorities
United Kingdom Faces Historic Demographic Shift as Deaths Forecast to Exceed Births in England and Wales
United Kingdom Introduces Major Motability Scheme Reforms Targeting £1 Billion in Long-Term Savings
Global Billionaire Numbers Rise 13 Percent Amid Artificial Intelligence Stock Boom
Body of Fifteen-Year-Old Boy Recovered from Manchester Reservoir
Major Rail Disruption in UK After Cows Stray Onto Intercity Tracks
UK Launches National Campaign to Reduce Water Consumption After Heatwave
Foreign Secretary David Lammy Raises Case of UK Woman Death with US Authorities
Shetland Islands Council Approves Subsea Tunnel Plans Linking Major Islands
Telegraph Media Group Takeover by German-Led Consortium Completed
Resident Doctors in England Accept Government Pay and Conditions Deal
Andy Burnham Sets Out Ten-Year Economic Vision Amid Labour Leadership Debate
Asylum Seekers in UK Face £10,000 Contribution Requirement Under New Law
UK Government Moves to Break Apple and Google App Store Dominance
New UK Steel Tariffs and Import Quotas Aim to Shield Domestic Industry
Damning Report Exposes Failures in Maternity and Neonatal Care Across England
Government Data Reveals Five Billion Pound Shortfall in UK Defence Budget
Prime Minister Keir Starmer Unveils Three Hundred Billion Pound Defence Investment Plan
UK Crime and Policing Act 2026 Comes into Force with New Justice System Reforms
UK Prime Minister Hosts NATO Secretary General Mark Rutte for Security Talks at Downing Street
UK Tightens Oversight of Emissions Trading Scheme Through New Ministerial Directions
UK Issues Statement at UN Security Council on Violence in the West Bank
UK Environment Agency Clears Illegal Waste Site in West Yorkshire After Court Action
UK Resident Sentenced for Fraudulently Claiming £30,000 in Covid Business Loans
UK Launches Taskforce to Help Young People Claim Dormant Child Trust Fund Savings
×