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Strategic Healthcare Estate Planning

Supporting NHS transformation through estate strategies aligned with changing models of care.

Joined-up Healthcare Property Expertise

Strategic, planning, development, valuation, agency, lease advisory, project management and building consultancy services under one roof.

Delivering better value, for better healthcare outcomes

Optimising assets, reducing costs and unlocking opportunities to support better patient outcomes.

Experts in NHS and healthcare property

Following the publication of the UK’s 10-year Health Plan and with a continued drive to cut NHS waiting times, the country’s healthcare estate has never been under such pressure to modernise.

NHS Trusts, Integrated Care Boards (ICBs), NHS Property Services, GP partnerships, private healthcare providers and local authorities are being asked to deliver more flexible, sustainable and efficient healthcare including neighbourhood health facilities, that support changing models of care, often within tight funding, regulatory and delivery constraints.

For more than 20 years, Vail Williams has worked alongside NHS organisations, healthcare providers and developers to deliver strategic property advice that supports estate transformation, service redesign and long-term investment decisions.

Talk to our healthcare property experts

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Our people, your partners

Our team of over 20 multidisciplinary healthcare property consultants combines an in-depth understanding of NHS governance, funding and estate strategy with practical advice that helps organisations make confident property decisions.

Whether you are planning a new healthcare facility, reviewing your estate strategy, optimising existing assets or disposing of surplus property, we can help you maximise value while supporting better patient outcomes.

From major hospital redevelopment programmes to community diagnostic centres, primary care facilities and neighbourhood health hubs, we provide strategic healthcare estates consultancy that helps clients deliver modern, resilient healthcare environments.

We also recognise that value within the NHS extends beyond financial return. Success may be measured through improved patient access, faster project delivery, greater operational efficiency, enhanced flexibility or progress towards NHS Net Zero ambitions. Our advice reflects these wider priorities.

 

“Vail Williams’ strategic healthcare planning expertise has delivered on our aspirations to provide holistic healthcare services which will make a huge difference to communities, residents, patients and staff in and around Bracknell, enabling us to provide the right care, at the right time, and in the right place.”

Jane Batty, Wave 2 Capital Estates Programme Director, Thames Valley Integrated Care Board.

Supporting your healthcare estate priorities

Healthcare property requires more than technical property expertise. It demands an understanding of how NHS organisations operate, how estates support clinical delivery and how to navigate complex governance and funding arrangements.

We work collaboratively with estates teams, finance directors, clinicians and delivery partners to ensure property decisions support wider organisational and patient care objectives, making the most of the opportunities available to you.

Our property advisers understand the challenges facing NHS organisations, including:

  • Delivering more care closer to home
  • Supporting Integrated Care System objectives
  • Estate rationalisation and optimisation
  • Modernising ageing healthcare infrastructure
  • Delivering projects within constrained budgets
  • Improving utilisation of existing assets
  • Decarbonising healthcare estates in line with NHS Net Zero targets
  • Unlocking value from surplus land and property

Our healthcare property services

Our advice helps healthcare organisations to align estate strategies with clinical transformation, improve utilisation of existing healthcare assets, unlock value from surplus property, accelerate the delivery of new healthcare facilities, reduce estate costs while maintaining service resilience and support long-term investment decisions, whilst delivering sustainable, future-ready healthcare estates.

Strategic healthcare estates consultancy

We help NHS and other healthcare organisations to plan for the future through:

  • NHS estate strategies at Trust and system level
  • Estate optimisation and utilisation reviews
  • Estate rationalisation and “stay versus go” analysis
  • Service reconfiguration support
  • Community healthcare estate planning
  • Property strategies aligned with Integrated Care System objectives

 

Agency: Acquisition, valuation and disposal

We provide specialist advice to maximise value from healthcare assets.
Services include:

  • Strategic site search for new hospital developments
  • Freehold and leasehold acquisition and disposal
  • Strategic disposal of surplus NHS property
  • Healthcare property marketing
  • RICS Red Book valuations
  • Valuations of NHS, healthcare facilities, GP surgeries for financial reporting and estate rationalisation
  • Independent Expert valuation advice
  • Dispute resolution
Planning and development consultancy

We support the delivery of modern healthcare infrastructure through:
Strategic planning advice.

  • Healthcare and NHS planning applications for hospital redevelopment, community health hubs and primary care centres.
  • Local Plan promotion.
  • Healthcare property development feasibility and financial viability assessments.
  • Sustainability-led planning.
  • Property advice in support of NHS Net Zero objectives.

 

Building consultancy and project management

Our property professionals help healthcare organisations maintain and improve their estates with:

  • Technical due diligence.
  • Pre-acquisition surveys.
  • Condition surveys.
  • Building pathology.
  • Dilapidations advice.
  • Project management.
  • Contract administration.
  • Planned preventative maintenance strategies.
  • Energy performance and sustainability reviews.
Lease advisory

We help NHS organisations and healthcare providers / property developers to achieve best value from their property interests through:

  • Lease advisory for NHS Property Services.
  • Rent reviews.
  • Lease renewals.
  • Lease re-gears.
  • Break clause advice.
  • Estate reconfiguration through lease restructuring.
  • Strategic lease negotiations.

“We tasked Vail Williams with sourcing and securing suitable, accessible, flexible and cost-effective premises to service our new patient transport contract across a swathe of the central south region. The hard yards put in by the team have enabled us to deliver improvements to the patient transport system for NHS BOB and NHS Frimley and offer the best possible service for patients.”

Darren Henderson, Head of Procurement and Contracts, EMED Group.

Healthcare Estate Frequently Asked Questions

Do you work with NHS Trusts and Integrated Care Boards?

Yes, we are experienced in advising acute, community and mental health NHS Trusts, Integrated Care Boards, GP partnerships, Primary Care Networks, NHS Property Services and local authorities.

Do you provide planning advice for healthcare developments?

We are very experienced in this area, yes. Our planning consultants advise on planning permission for hospitals, primary care facilities, community health hubs, healthcare redevelopment projects and wider estate development or regeneration.

Do you provide healthcare property valuations?

Absolutely. We undertake RICS Red Book valuations for financial reporting, acquisitions, disposals, estate rationalisation and strategic decision-making for a range of clients, from individual GP practices to large-scale NHS Foundation Trusts too.

Can you advise on surplus NHS land and property?

This is something that we have a great deal of expertise in, yes. We help NHS and other healthcare organisations to identify surplus assets, develop disposal strategies and maximise value while supporting wider estate objectives. This can involve everything from selling assets, to redeveloping them and letting them as an ongoing investment, as well as taking on asset management of portfolios.

Healthcare property insights

Market Insight
23rd September 2025
Unlocking property potential from the NHS 10-year plan

The NHS 10-Year Plan presents a bold vision for the future of healthcare delivery- one rooted in localised, integrated services delivered closer to the communities they serve.

Read Article
Resources
29th July 2025
How the NHS 10-year plan will transform healthcare property

Earlier this month, the government unveiled its long-awaited 10-Year Plan for the NHS—a bold vision to futureproof the health service and fundamentally reshape how and where care is delivered.

Read Article
News
22nd July 2025
National Healthcare specialists move into Winchester city centre

A 4,000 sq ft office suite at Staple House, Winchester, becomes the home of brain and mind experts Re:cognition Health.

Read Article
News
8th December 2021
NHS Shared Business Services take lease at White Rose Park in significant Leeds deal

We have advised NHS Shared Business Services (NHS SBS) on the acquisition of new office premises in significant office deal in Leeds.

Read Article
News
23rd November 2021
Rapid response delivers base for medical transport giant

E-Zec Medical Transport Services had only 8 weeks to find a new base across Shropshire and Mid-Wales for their latest NHS contract.

Read Article
Market Insight
19th October 2021
Are GP surgeries facing the perfect property storm?

Increasing demand for GP services, declining GP numbers, ageing surgeries and funding challenges, are coming together to create the perfect property storm for NHS GP surgeries in England, according to our property experts.

Read Article
Market Insight
6th January 2021
Government launches consultation on new Permitted Development Rights
Read Article
News
19th October 2020
NHV Group lands Aberdeen helicopter hangar
Read Article
Market Insight
3rd August 2020
Latest planning changes do not mean ‘automatic permission’ for new home and hospitals
Read Article
News
14th July 2020
Winnersh Triangle welcomes medical manufacturer Hollister in lockdown deal
Read Article
News
20th January 2020
Chichester Chiropractic Health Centre celebrates relocation to Vinnetrow Business Park
Read Article
News
28th January 2019
Vail Williams advises on multi-million pound redevelopment of Heatherwood Hospital
Read Article

Talk to our healthcare property experts

If you are planning NHS estate transformation, developing new healthcare infrastructure or looking to make better use of your existing estate, our healthcare property team is here to help.

Contact Vail Williams today to discuss how we can support your objectives.
Sarah Isherwood

Partner

LondonOxford

+44 (0)20 3589 0050

+44 (0)7554 005585

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Gary Jeffries

Partner and LLP Member

SouthamptonPortsmouthBournemouth

+44 (0)23 9220 3200

+44 (0)7976 397698

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James Lacey

Regional Managing Partner and LLP Member

London

+44 (0)20 3589 0050

+44 (0)7909 966836

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Guy Parkes

Partner and LLP Member

Agency

ReadingHeathrowOxford

+44 (0)118 909 7400

+44 (0)7788 188874

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Andy Scarr

Associate

Bournemouth

+44 (0)7780 749705

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Carl Walker

Consultant

SouthamptonPortsmouth

+44 (0)23 9220 3200

+44(0)7973 379578

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David Ramsay

Partner and LLP Member - Head of Planning

SouthamptonPortsmouthBournemouth

+44 (0)23 8082 0900

+44 (0)7741 328997

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Joseph Walker

Partner and LLP Member - Head of Lease Advisory

Southampton

+44 (0)23 8082 0900

+44 (0)7766 100736

LinkedIn

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