In June 2012, FCBStudios was commissioned to create a masterplan for St Mary’s Hospital Campus at Paddington for Imperial College Healthcare NHS Trust. The redevelopment of the site seeks to maintain the existing high clinical standards but take the opportunity to provide a modern hospital estate with built-in flexibility for future generations. 

Today, St Mary’s Hospital is the major acute hospital for North West London as well as a maternity centre with consultant and midwife-led services. The hospital provides care across a wide range of specialities and runs one of four major trauma centres in London in addition to its 24/7 A&E department. The hospital has a proud history of excellent care and innovation.

The Hospital sits in the Paddington Opportunity Area, centred on Paddington Station and the Grand Union Canal Basin. Over the past 150 years, the hospital has been developed in a piecemeal fashion on two sites divided by a major road at street level and a London Underground Tunnel. It now comprises 21 buildings, some of which are Grade II listed and some unlisted buildings of merit. The pedestrian experience across the campus is poor, as is the current connection to Paddington Station. 

The new masterplan aims to address the current issues experienced by the hospital and create a framework for the Trust to develop a modern and adaptable estate. Vacating the historic estate will create a more compact and ordered hospital campus, helping the Trust to operate more efficiently. An overall reduction in the number of buildings will improve the way-finding and ease servicing across the site and create a better staff and patient experience. The redundant historic estate will allow for future mixed-use development on the remainder of the site and help to subsidise the capital cost for the hospital redevelopment.

The first phase of the masterplan is the New Outpatients Building which was granted planning permission in October 2017. This will bring together all outpatient facilities from across the Trust and clearly mark the entrance to the hospital campus from the east.