BECaD, Central Middlesex Hospital


Avanti Architects were involved in the evolution of the BECaD project from inception through to the delivery of the new facility.

As Trust advisors, Avanti undertook the development and testing of a new model of care, intended as a prototype and a pilot project for future small urban hospitals.

The design solution, as implemented by Avanti and HLM under PFI procurement, takes this approach a step further, shaping the building around the clinical processes which integrate it with its precursor and neighbour, ACAD.

BECaD includes several innovations: a new emergency centre model, an expert consulting centre rather than a traditional outpatients department, and a ‘hot floor’ contiguous with ED, comprising acute beds and CCU/ITU/HDU.

Together, ACAD and BECaD contribute to the regeneration of Park Royal, maximising the opportunity for the creation of urban open spaces, public art and civic presence.


Building PFI project of the year: shortlisted 2007;
Building Better Healthcare Award 2006
Hospital Design: runner-up (2nd)


BECaD, Campus Planning, Central Middlesex Hospital, Complete, Estate Planning, Health & Life Sciences, Hospitals, London – UK, Masterplanning, New Build, PPP, UK, Work,

Acute hospital pioneering an innovative model of care

‘The natural light and spacious clinical areas give the staff a sense of control and patients a sense of well being. The clinical areas are quick and easy to reach, which is so much better for doctors.’
Dr Vincent Mac, Clinical Director of Emergency Services

Location London, UK

Area 36,500m²

Status Complete

Photographer Nick Kane, Tom de gay