Royal Berkshire NHS Foundation Trust

Royal Berkshire NHS Foundation Trust is responsible for one of the oldest and most complex hospital estates in England. With a wide range of buildings—some over a century old—the Trust faced mounting challenges around capacity, compliance, and condition. To meet the expectations of a modern healthcare system, the Trust needed a clear plan to rationalise its estate, optimise its assets, and support future clinical delivery within an ageing and heavily constrained site.

G&T provided Facilities & Asset Management Advisory services, working in partnership with the Trust to assess estate performance and develop a long-term strategy for improvement. We led a structured review of the estate, aligning asset management goals with clinical priorities and sustainability targets. By providing clear, data-driven insight and strategic direction, we helped the Trust to identify opportunities for consolidation, redevelopment and investment across its portfolio.

The Trust is now equipped with a robust, evidence-based strategy to transform its estate over time, ensuring it is fit for the future. G&T’s advisory role was instrumental in shaping a vision that balances operational needs with long-term value, giving the Trust a strong platform to engage with stakeholders and secure funding. The outcome is a clear pathway towards a more efficient, modern and patient-centred hospital campus that supports the delivery of outstanding care.