We would like to place strictly necessary cookies and performance cookies on your computer to improve our website service.
To find out more about how we use cookies and how you can change your cookies settings, please read our  cookies statement.                
Otherwise, we'll assume you are OK to continue.   Please close this message

Primary & Acute Care

Our team of specialist lawyers advise investors, developers and lenders in relation to the development of new and the refurbishment of existing primary and acute healthcare facilities.

Our multi-disciplinary team has extensive experience acting for clients investing in and developing new healthcare facilities and advising lenders in relation to finance provided for such projects across both primary and acute healthcare sectors. We advise our clients on all aspects of the projects including:

  • formal bid advice including specialist procurement and regulatory advice
  • negotiating and settling the form of project agreements, development agreements, leases and sale contracts
  • negotiating and settling the form of all construction contracts, consultant appointments and warranties
  • negotiating on behalf of clients or lenders the suite of finance documentation
  • negotiating and settling complex joint venture agreements, shareholder agreements and other forms of partnership agreements including strategic partnership agreements between public and private sector investors
  • advising clients on the content and form of facility maintenance agreements
  • portfolio management and assistance.

The team has a market leading reputation in relation to the development of primary healthcare facilities particularly those developed under the Local Improvement Finance Trust (LIFT) framework but also advises clients in relation to operational projects in the acute healthcare sector. The team is particularly noted for its work in healthcare PFI, PPP and 3PD as well as in LIFT.

Although the team predominately advises private sector investors and lenders, increasingly they provide advice to public sector clients including government owned companies and NHS Foundation Trusts.

The team has been nominated in the legal advisor of the year category at the HealthInvestor Awards for the last four years.


Foundation Trust

Acted for a large NHS Foundation Trust in relation to the redevelopment of part of one of its hospital sites, such advice covering complicated procurement, JV and development matters.

Community Hospital

Acted for the developer and project company in relation to the development of a new multi-million pound award winning community hospital in North London, which at the time of financial close was the largest development to be procured through the LIFT framework.

Primary Healthcare Centre

Acted for a client on the development of a new £25 million primary healthcare centre in South London converting an old general hospital into a modern 21st century primary care facility. The centre has been developed as part of a combined development strategy to deliver primary care services and long term residential care for the elderly from the same site.

Estate Management Contract

Advised two existing clients as part of a joint venture with the NHS in relation to the management of primary healthcare estate in the North West of England. This project was the first of its kind in England and is being used a pathfinder project for a more developed programme of estate management contracts. The project involved a joint venture between two private sector investors and two Department of Health owned primary healthcare estate holding companies.

Acute Hospital Portfolio Management

Advise a long standing investment fund and its appointed operational management company on several of its PFI acute hospital facilities across London. We have advised on variations, refinancings and soft services market testing exercises.