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Hard FM · 5 min read

Planning a ward refurbishment in a live hospital

Refurbishing a ward while the hospital keeps running is one of the most demanding briefs in construction. The difference between a smooth project and a difficult one is almost always decided before work starts.

Start with the clinical reality

Patients and staff remain on site, so the first questions are clinical, not constructional. Which areas must stay operational? What are the infection prevention and control requirements? When are the quiet periods, the ward rounds, the visiting hours?

A proper site survey captures all of this alongside the physical condition of the space. The answers shape access routes, segregation, working hours and the sequence of the works.

Phase the works

Breaking the project into phases lets the hospital decant one area while another is refurbished. Each phase gets its own scope, programme and handover, so progress is visible and disruption is contained.

Dust, noise and vibration controls are agreed with estates and IPC teams before each phase begins, and working areas are physically segregated from live clinical space.

Handover is a process, not a date

Completion checks, snagging and documentation are agreed at the start, not improvised at the end. A final clean can be scoped as part of handover so the space is ready for the provider's own checks.

Clinical release of the space always remains with the provider. The contractor's job is to hand over a space that makes that decision easy.

Talk to us about your estate

KOJO FM delivers construction, fit-out and refurbishment alongside specialist cleaning and IPC support, nationwide.

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Site assessment and written specification, with ATP and reporting options.

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