Hospital 2.0 Alliance appoints ten contractors

Hospital 2.0 Alliance appoints ten contractors

Ten contractors have joined the NHS Hospital 2.0 Alliance framework. The £37bn programme will allocate hospital schemes from £500m to about £1.5bn, using standardised designs and industrialised delivery, with Wave 1 projects scheduled to start on site between 2027 and 2030.


  • Ten alliance partners have been appointed for the Hospital 2.0 delivery model.
  • Projects are expected to range from £500m to around £1.5bn per scheme.
  • The alliance approach is tied to standardised designs and industrialised delivery through 2040.

Ten construction partners have been appointed to the Hospital 2.0 Alliance (H2A), the delivery vehicle for England’s New Hospital Programme pipeline through to 2040. The alliance partners are Bovis, Dragados, Integrated Health Projects (a Sir Robert McAlpine and VINCI joint venture), John Graham, Kier, Laing O’Rourke, Morgan Sindall, Sacyr, Skanska, and Willmott Dixon.

The programme is framed as a £37bn initiative covering 40 hospital schemes across England up to 2040, with individual projects expected to sit in a band from £500m to around £1.5bn. Under the alliance model, partners take responsibility for design, construction, and handover on allocated schemes, with a “collaborative allocation” process set to determine the lead contractor and delivery team for each project.

Wave 1 covers 11 major new hospitals, with partners positioning their mobilisation around a multi-year pipeline rather than one-off procurements. Construction starts for new hospital schemes are scheduled between 2027 and 2030, with subsequent waves intended to follow as the programme develops.

Hospital 2.0 is built around standardised, programmatic design and a push for industrialised delivery, intended to increase consistency across project outputs and improve delivery predictability. Several partners have also linked the model to digitised delivery requirements, with hospitals described as “digitally enabled” as part of the standard.

The appointment sits alongside ongoing estates pressures in the NHS portfolio, including sites where reinforced autoclaved aerated concrete has been identified and replacement is treated as urgent. The alliance structure is intended to create stable market capacity for a programme that runs beyond a single parliamentary cycle, while also tightening the interface between trusts, programme delivery, and the wider supply chain.

Further detail on the programme’s implementation is expected to come through project-level allocations and scheme pipelines, as the alliance moves from partner selection into design, enabling works, and construction planning ahead of the 2027–2030 start window.



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