The 20+ year history of Ryhurst has solely focused on delivering integrated solutions for NHS Trusts. Ryhurst has only ever worked with the NHS as either an estates advisor, an estates partner or as an estates investor through PFI and LIFT.

Our approach is always to develop and offer our NHS clients an end-to-end solution. This encompasses design and development, finance (equity investment and secured debt), assembling and managing contractors and providers, project management and managing the on-going asset and its operation.

Ryhurst has delivered 24 new build NHS projects through 13 PFI schemes, two LIFT vehicles and more recently through two Strategic Estate Partnerships (SEP), totalling over £215m of capital projects delivered  across the UK for 15 NHS Trusts. Some of the major capital projects include:

SchemeProject OverviewTotal Capital Value
Ancora House, Cheshire and Wirral Partnership NHS Foundation TrustA 26 bed Child and Adolescent Mental Health Service (CAMHS) facility plus four beds for specialist services in Chester£14.4m
Avon & Wiltshire Mental Health Partnership PFI ProjectFourteen mental health facilities on seven different sites around Bristol, South Gloucestershire and North Somerset£64m
Lymington Hospital PFI projectFunding, design, construction and maintenance of a new two and three storey community hospital in Lymington£30m
Medway LIFTTwo Medical Centres and a Healthy Living Centre providing GP practices, nursing practices, administration, and minor operation procedures.£15m
Redbridge and Waltham Forest LIFTThree community health facilities providing GP practices, community nursing, dentistry and specialist child development services.£23m
St Margaret’s Hospital PFI scheme44 bed replacement diagnostic / treatment and inpatient facility£13.5m
The Harbour, Lancashire Care NHS Foundation TrustA 154 bed mental health inpatient facility for adults in Liverpool£56m

Avon and Wiltshire Mental Health Partnership NHS Trust (AWP), one of the largest specialist mental health care providers in the UK, had two primary objectives.

The first, to make major improvements in the delivery of its services from new purpose built accommodation, providing the highest quality service standards from within a rich and fulfilling environment for services users, carers and staff. The development and location of the new accommodation enabled the Trust to close a number of substandard asylum type existing facilities and considerably reduce its backlog maintenance.

Secondly, the creation of an expanded forensic service helped meet national targets for changes to high secure hospitals and allow the relocation of service users based many miles from home to services within the community served.

The philosophy of the Trust was to empower service users and staff in designing the services and accommodation. This meant there was extensive involvement of all stakeholders over many years and throughout the duration of the project, from the detailed interior design of buildings to the decision making structures of the Project Board that oversaw the whole scheme.

The key features of this PFI scheme were:

  • Multi-site
  • Total service modernisation
  • Mix of new build and refurbishment
  • Cashflow forecasting and market testing of funding (enabled reduced senior loan and interest payments)

Our PFI schemes were completed in 2006, they delivered a range of facilities including:

Fromeside Clinic, an 80 bed medium secure unit within the grounds of Blackberry Hill Hospital

Elizabeth Casson House, a Grade 2 listed building on the Blackberry Hill Hospital site, adapted and extended to provide a 10 bed psychiatric intensive care unit for women.

Wickham Unit, an existing building on the Blackberry Hill Hospital site, which was reconfigured and expanded to provide a 29 bed low secure service across three distinct wards.

Longfox Unit, a new build 25 bed elderly mentally infirm unit within the grounds of Weston General Hospital.

Callington Road, Bristol, comprises a total of seven separate new and refurbished buildings offering a range of rehabilitation, adult and older adult inpatient units together with extensive therapy and administration facilities on a single 12.5 acre Greenfield site.

Asset values and funding of £73m was needed to deliver the multi-site project. Ryhurst explored a number of innovative solutions with lenders to ensure deliverability, security and value for money for the Trust.

We considered all areas and ideas then tested these in order to make the right choice of funding and funder for each specific stage of the project.

The challenge was the phased completion of the sites and the use of efficiencies of the project cashflows received from the first phases to fund the remaining phases.

With careful phased planning and cashflow forecasting, working with the funders, contractors and the Trust, Ryhurst was able to reduce the amount of senior debt needed and its associated interest costs.

Working with service users, representative groups and families, Ryhurst ensured flexibility of design to create multi-functional spaces to cope with changing user expectations, new treatments and medical advances. The facilities are structured in small units to provide a range of clinical environments appropriate to diagnosis and individual needs. The proposed plan formats were driven by functional relationships and adjacencies for each ward, making best use of the available site whilst driving value engineering.

The Rydon Group via its specialist hard FM provider, Rydon Maintenance Ltd, continues to provide property maintenance services for the hospital.