London Daily

Focus on the big picture.
Thursday, Apr 09, 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
Meghan Markle’s Planned Australia Appearance Sparks Fresh Speculation
Starmer Warns Sustained Effort Needed to Ensure US–Iran Ceasefire Holds
UK to Partner with Shipping Industry to Rebuild Confidence in Strait of Hormuz, Cooper Says
UK Interest Rate Expectations Ease Following US–Iran Ceasefire Agreement
Starmer Signals Major Effort Needed to Fully Reopen Strait of Hormuz During Gulf Visit
UK Fuel Prices Face Ongoing Volatility Amid Global Pressures and Domestic Factors
Kanye West’s Planned Italy Festival Appearance Draws Debate After UK Entry Ban
Smuggling Routes Shift Toward Belgium as Migrant Crossings to UK Evolve
Ceasefire Offers Potential Relief for UK Fuel and Food Prices Amid Ongoing Uncertainty
Iran Conflict Raises Questions Over UK’s Global Influence and Military Preparedness
Senator McConnell Visits Kentucky to Highlight Federal Investment in Local Projects
Kanye West Barred from Entering UK as Legal Grounds Come into Focus
UK Denies Visa to Kanye West After Sponsors Withdraw from Wireless Festival
Trump-Era Forest Service Restructuring Leads to Closure of UK Lab Focused on Kentucky Woodland Health
Foreign Students in the UK Describe Harsh Living Conditions and Financial Pressures
Reform UK Proposes Visa Restrictions on Nations Pursuing Reparations Claims
Public Reaction Divides Over UK Decision to Bar Kanye West
Calls Grow for UK to Review US Base Access Following Concerns Over Escalating Rhetoric
UK Indicates It Will Not Permit Use of Its Bases for Potential US Strikes on Iran’s Energy Infrastructure
UK Prime Minister Defends Decision to Bar Kanye West, Questions Festival Booking
UK Accelerates Efforts to Harmonise Medical Technology Rules with United States
Wireless Festival Cancelled After Kanye West Denied Entry to the United Kingdom
Australia’s most decorated living soldier was arrested at Sydney Airport and charged with five counts of war-crime murder for the killing of unarmed Afghan civilians
The CIA’s Secret Technology That Can Find You by Your Heartbeat Successfully Locates Downed Airman
Operation Europe: Trump Deploys Vance to Hungary to Save the EU
King Charles Faces Criticism From Some UK Christians Over Absence of Easter Message
Former UK Defence Secretary Raises Concerns Over Ability to Counter Iran Missile Threat
UK Signals Non-Involvement in Iran Conflict as Trump Reasserts Firm Deterrence Stance
US and UK Strengthen Medical Device Cooperation Following Tariff Removal
Trump Backs Steve Hilton for California Governor, Highlighting Reform Agenda
UK Seeks Closer Ties With Anthropic as AI Policy Divergence Emerges Across Atlantic
Experts Warn of Evolving Extremism After Teens Arrested in UK Ambulance Arson Case
UK Convenes Talks to Safeguard Shipping Through Strait of Hormuz After Conflict Escalation
Trump Highlights Strong Leadership in Critique of UK Stance on Iran
UK Authorities Review Kanye West’s Entry Status Following Festival Backlash
UK Considers Deploying Aircraft Carrier for US Independence Day Celebrations Amid Renewed Transatlantic Focus
United Kingdom Moves to Attract AI Firm Anthropic Amid Tensions with US Defense Officials
RAF Intercepts Iranian Drones in Middle East to Defend Allied Security Interests
Labour Signals Shift on Foie Gras and Fur Restrictions to Advance EU Trade Talks
Seven Arrested Near RAF Base as UK Authorities Respond to Protest Activity
Economic Pressures Mount as Analysts Warn UK Growth Is Being Constrained by Policy Burdens
UK Green Party’s Push for Church-State Separation Sparks Debate Over National Identity
Strategic Island Emerges as Growing Challenge for United States and United Kingdom Defense Planning
Pepsi Pulls Sponsorship from UK Festival Following Backlash Linked to Kanye West
Signs Emerge of Declining Enthusiasm for Social Media in the United Kingdom
Security Alert Raised Ahead of Meghan Markle’s Planned Visit to Australia
UK Food Halls Defy Hospitality Slowdown, Emerging as Bright Spot in Challenging Market
UK Sets Firm Conditions for Military Action, Insisting on Legal Mandate and Clear Strategy
UK Medicines Regulator Launches Probe into Peptide Clinics Over Health Claims
New North Sea Drilling Unlikely to Significantly Cut UK Gas Imports, Analysis Finds
×