Winners confirmed for £37bn Hospital 2.0 Alliance Framework

By Alexa Hornbeck | Published: 2-Mar-2026

NHS England has finally announced the 10 contractors who will form the delivery alliance for major hospital schemes under the New Hospital Programme

The NHS today confirmed the successful bidders for the long-anticipated Hospital 2.0 Alliance framework, marking a key milestone in the delivery of the government’s £37bn New Hospital Programme (NHP). 

The appointed contractors will form the backbone of the alliance model that will design, build and hand over major hospital projects across England over the coming decade and beyond.

Following the conclusion of the competitive dialogue and standstill periods, NHS procurement officials have awarded framework places to the following firms:

  • Bovis Construction (Europe) 

  • Dragados Sociedad Anonima

  • Integrated Health Projects (Vinci Buildling & Sir Robert McAlpine)

  • John Graham Construction 

  • Kier Construction 

  • Laing O’Rourke Delivery 

  • Morgan Sindall Construction and Infrastructure 

  • Sacyr UK 

  • Skanska Construction UK 

  • Willmott Dixon Construction 

The 10 contractors were selected from a 16-strong shortlist that had been progressing through the final evaluation stages this year. 

The Hospital 2.0 Alliance framework is a strategic, multi-supplier agreement set to run for up to 12 years, under which trusts can appoint so-called alliance partners to deliver major new hospital builds and refurbishment schemes under the £37bn New Hospital Programme. 

Industry analysts say the grouping of successful players reflects a balance between established UK main contractors and global firms with healthcare and complex infrastructure experience. 

The framework is designed to accelerate delivery timescales, embed sustainability objectives, and standardise delivery models across the programme. 

“This is a defining moment for the New Hospital Programme and for healthcare construction in England. The Hospital 2.0 Alliance is about more than building hospitals – it is about transforming how we deliver them,” said Natalie Forrest, Chief Programme Officer at the New Hospital Programme. 

NHS England has indicated that the framework is structured to provide participating contractors with a pipeline of projects over the life of the programme. They also stressed that the alliance approach is intended to foster early contractor involvement, collaborative working and value-for-money outcomes for the health service. 

The framework award also paves the way for the first wave of hospital schemes, including both new builds and major redevelopment projects, to move into detailed delivery planning, with several set to start on site later this decade.

“By backing a standardised approach to hospital building, we are giving the construction sector the certainty it needs to invest in skills, capacity and innovation. This is about partnering with industry to deliver better hospitals faster, while driving productivity and value for the NHS and adding to the economic growth of the entire country," said Karin Smyth, Minister of Health.

 

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