Dead on arrival? | Features

Touchdown: Americans corner the UK’s healthcare design market
Company/formation	Completed PFI projects	Current PFI projects	Resources
Anshen Dyer In 1990 Cheltenham architect Roger Dyer foresaw a healthcare boom in the UK and set up a joint venture with Anshen & Allen, a 200-strong American practice specialising in healthcare, laboratories and academic buildings.	£170m Norfolk & Norwich hospital completed last year by Laing.	Bids worth £1100m with Laing and Sir Robert McAlpine, including the £150m Leeds Cancer Centre with Bovis Lend Lease.	80 staff in London, with support expertise in the USA.
Llewelyn-Davies Established in London in 1962, the practice has made a name for itself adapting American concepts of flexible and patient-focused hospital design.	One of the first completed PFI hospital, the £64m Cumberland Hospital, for Amec.	£250m University College teaching hospital in London for Amec & Balfour Beatty. Bids with Kier, Alfred McAlpine and others.	110 staff in London.
RTKL UK The giant American architectural corporation set up its London office in 1990 and became involved in healthcare five years later at the invitation of Bovis Lend Lease.	£100m Calderdale District General Hospital and £112m Worcester Royal Infirmary, both for Bovis Lend Lease.	Bids worth £205m with Carillion, Morrison Construction, Bovis Lend Lease, Impregilo and Laing.	85 staff in London office, backed up by 250 healthcare architects in the USA.
Keppie Design Scotland’s only major-league architect with hospital expertise, which goes back to Glasgow’s Royal Infirmary of 1926.	Newly completed £180m Edinburgh Royal Infirmary for Balfour Beatty and Morrison Construction.	£75m Blackburn Hospital with preferred bidder Balfour Beatty, plus £264m worth of bids for Shepherd and others.	130 staff in Glasgow, HKR Keppie joint venture in Northern Ireland.
HOK International Another American giant, HOK set up its London office in 1987 and branched into healthcare in the mid 1990s.		Bids worth £750m including the St Bartholomew’s & Royal London Hospital with Skanska.	250 staff in London office, able to draw on HOK resources worldwide.
Ryder HKS Last September RIBA president Paul Hyett’s commercial practice Ryder joined up with HKS, America’s largest healthcare architect.		Bids worth £800m with Amec, Bovis Lend Lease, Robertson Group and Laing.	Joint venture draws on Ryder’s 80 staff in London and Newcastle and HKS’s 600 staff in Dallas, Texas.
Nightingale Associates Established in 1989, Nightingale Associates was bought out last May by public-sector service group Tribal.	£140m Darent Valley Hospital, Dartford, the first PFI hospital, for Carillion, and £80m King’s College London for Skanska.	£310m Coventry New Hospitals for Skanska, with other bids worth £560m for Skanska, Bouygues, Sir Robert McAlpine.	100 staff, drawing financial backing from Tribal and healthcare planning expertise from Secta within the group.
Percy Thomas Partnership Heavyweight UK practice specialising in hospital design since the 1960s.	£60m (non-PFI) Belfast Royal Infirmary; four PFI buildings worth £98m in total.	£125m Dudley Hospital under construction by Sir Robert McAlpine; bids worth £220m.	210 staff in London, Cardiff, Bristol, Birmingham and Edinburgh.
HLM Design HLM Design and US firm HLM, both with healthcare expertise, came across each others’ websites three years ago. The British firm was bought by its American namesake in March.	Hospitals in East Kilbride and Dryburn for Kier and Mowlem, worth £115m.	Bids worth £624m with Balfour Beatty, Bouygues, Kier, Interserve and Alfred McAlpine.	170 staff in London, Sheffield, Glasgow and Belfast, drawing on another 350 staff in the USA.