Insights
At Prime we pride ourselves on having both our eyes on the future and our spades in the ground. Committed to building a better future, one that rejects the change paralysis of the past and cultivates collaborative progress – we hope that this dedicated space for knowledge sharing can help us in creating the future we all want to see together.

Beyond the budget cycle: Why a masterplan is key to breaking free from short-term estate planning
Confronted with an ageing population and escalating maintenance backlog, the challenge facing trust leaders is clear: NHS estates must evolve to meet 21st-century healthcare needs. Yet, estate infrastructure progress is continually stifled by current funding structures and shortfalls, which have left trusts in a frustrating cycle of short-term, reactive decision-making. This article offers a clear pathway forward. Discover how a strategic estates masterplan provides an anchoring framework for bolder leadership, enabling trusts to break free from existing constraints and unlock the full potential of their estates.
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Future-proof or fast fix? Facing up to the sustainability dilemma of new healthcare infrastructure
As the NHS repair bill soars to almost £14bn, 1 NHS trust leaders find themselves in a challenging predicament: building healthcare services fit for the 21st Century whilst meeting NHS net zero targets against significant funding constraints. In the face of these challenges, are quick fixes really delivering long-term sustainability or the best outcomes for the patients of today and tomorrow? In this article, we challenge existing thinking about the repair and development of healthcare infrastructure and consider how to overcome time and budget constraints to deliver better outcomes for people and the planet.
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Our first podcast series, Space for Change in Health and Care, is a monthly podcast series bringing together thought leaders from across property, health, care, and community, to discuss the most pressing issues facing the future of our physical environment and its relationship to the health and wellbeing of society.

Featured content

Beyond the budget cycle: Why a masterplan is key to breaking free from short-term estate planning
Confronted with an ageing population and escalating maintenance backlog, the challenge facing trust leaders is clear: NHS estates must evolve to meet 21st-century healthcare needs. Yet, estate infrastructure progress is continually stifled by current funding structures and shortfalls, which have left trusts in a frustrating cycle of short-term, reactive decision-making. This article offers a clear pathway forward. Discover how a strategic estates masterplan provides an anchoring framework for bolder leadership, enabling trusts to break free from existing constraints and unlock the full potential of their estates.
Read more

Future-proof or fast fix? Facing up to the sustainability dilemma of new healthcare infrastructure
As the NHS repair bill soars to almost £14bn, 1 NHS trust leaders find themselves in a challenging predicament: building healthcare services fit for the 21st Century whilst meeting NHS net zero targets against significant funding constraints. In the face of these challenges, are quick fixes really delivering long-term sustainability or the best outcomes for the patients of today and tomorrow? In this article, we challenge existing thinking about the repair and development of healthcare infrastructure and consider how to overcome time and budget constraints to deliver better outcomes for people and the planet.
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Strengthening the NHS, not selling it out
Smart partnerships with institutional investors make the effective transformation of NHS infrastructure possible without compromising the core values at the heart of our healthcare system.
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Deliver or Delay? The escalating cost of inaction on NHS trusts and GP estates
Why NHS trusts and Integrated Care Systems (ICSs) must embrace alternative solutions and a bold approach to avoid the spiralling costs of delay and build facilities fit for 21st-century healthcare.
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The strategic importance of car parks in healthcare development
As demand for hospital services rises, every square metre of hospital estate becomes an increasingly precious resource, leaving trusts facing complex estate challenges. But what if the key to unlocking estates lay within the most unremarkable part of hospital infrastructure? In this article, we explore the strategic importance of car parks and transportation in shaping the future of hospital estates.
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Accommodating a brighter future
The recruitment and retention of health and care professionals is one of the most acute and urgent challenges facing the NHS today. Amid a worsening understaffing crisis, it is estimated that the total price of inaction would cost the NHS a staggering £21.7bn.
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