Sectors
Sector-specialist, not generalist
Healthcare, science, pharma and data centre capital projects each fail in their own particular way. We focus on these four core sectors, so the pattern recognition is real — and apply the same disciplines to public estate and advanced manufacturing projects.
Hospitals & NHS estates
Healthcare capital projects carry public scrutiny, phased and conditional funding, and safety-critical commissioning that leaves almost no margin for governance drift. Programmes above £300m already need HM Treasury approval, and above £1bn need re-approval at Full Business Case — so slippage isn't just a delivery problem, it's a funding and reputational one.
With over £44bn of NHS capital committed across the SR25 four-year period and the New Hospital Programme covering 46 schemes at roughly £60bn in total, the sector is entering a period of sustained delivery pressure (NHS England capital guidance 2026/27–2029/30; National Audit Office, Update on the New Hospital Programme).
How we help: independent gateway reviews ahead of business case approval, ER health checks against clinical and safety requirements, and rescue support where adversarial contractor dynamics have started to erode the client team, as in one of our case studies.
Laboratories & research facilities
Science and research facilities are specialist environments where design, specialist plant and compliance requirements shift late and often — a change to a research programme can cascade into mechanical, electrical and containment requirements long after the design has supposedly been frozen.
These projects fail less often through poor construction and more often through requirements that were never properly locked down at the front end, then discovered mid-programme when they are expensive to fix.
On one government research laboratory, rebuilding design-team capability and coordinating demanding vibration, infrasound and electromagnetic-isolation requirements through delivery meant the facility achieved its required performance at handover.
How we help: Employer's Requirements health checks that catch drift between what was specified and what's being built, and programme assurance reviews that give sponsors an honest read on delivery confidence before it becomes a budget conversation.
Manufacturing & GMP facilities
Pharmaceutical manufacturing projects have to be right before a single batch is made — validation, qualification and regulatory controls aren't optional extras, they're the reason the facility exists. A weak project setup at the start of a programme compounds fast, because governance gaps that would be recoverable elsewhere become validation and compliance gaps here.
We've seen this directly: on a global pharmaceutical programme, an independent peer review at setup stage found significant gaps in governance and project controls, resolved through a robust controls framework and a proper Project Execution Plan before problems could compound further into delivery.
How we help: gateway readiness reviews at project setup, PE technical due diligence ahead of facility acquisitions, and programme assurance that gives global sponsors a structured foundation from day one.
Hyperscale & enterprise builds
Spending on new UK data centres is forecast to reach £10bn a year by 2029 — more than four times today's £1.75bn — amid AI-driven demand, and the pipeline is continuing to grow strongly through 2026 (Data Centre & Network News; Data Centre Review). That growth means compressed programmes, contractor capacity under strain, and commissioning sequences that get more complex every cycle — where a late handover has a direct, quantifiable commercial cost.
On one live programme we worked, the absence of a defined commissioning strategy put an on-time handover at risk close to completion. Taking ownership of the handover process and building a structured approach retrospectively meant the project still handed over on time.
How we help: Commissioning Readiness Assessments before handover is at risk, not after, plus programme assurance reviews built for the pace this sector moves at.
Further experience
Public estate and advanced manufacturing
Government & civic estate
Refurbishment, new build and decant within occupied, operational estates — where incomplete legacy information, changing phasing and live FM interfaces make delivery control essential. Experience includes a flagship low-carbon government office delivered on time and within budget, which achieved BREEAM Outstanding (see case studies).
Process & production facilities
Projects where long-lead equipment, utilities, process interfaces and vendor integration drive the programme, and where shutdowns and production ramp-up leave little room for late change.
A note on the wider picture
Across the UK Government Major Projects Portfolio, only 15% of projects were rated Green for delivery confidence at March 2026. 58% were Amber — significant issues requiring management attention — and 18% Red (NISTA Major Projects Annual Report 2025–26). NISTA's own view is that Amber issues, if addressed promptly, need not become cost or schedule overruns. Practitioner analysis points to the same conclusion: early, honest intervention is what corrects the course of a capital project — not intervention after the fact (PwC UK, Correcting the course of capital projects).
Working in one of these sectors?
Book a confidential project review
Tell us about the project and the sector context — we'll bring the pattern recognition that comes from having worked inside it.
