Project RED

Manchester Royal Infirmary’s innovative transformation project

State-of-the-art facilities, built with the future in mind.

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Project RED Project summary

Client company name

Manchester University NHS Foundation Trust (MFT)

Services provided

Project Management



Services provided

Consult, Construct


Sectors, Healthcare, Education


UK North

Project timeline

Start Date
Completion date
Key partners
Manchester University NHS Foundation Trust (MFT), Integrated Health Projects (IHP), Day Architectural, Hoare Lea Partners, Alan Johnston Partnership (AJP), Arcadis

Project story

World-class service deserves world-class facilities. And in the fast-moving field of medicine, the opportunity to expand, develop and enhance is a must. The rejuvenation of the Manchester Royal Infirmary Emergency Department will provide just that - state-of-the-art facilities, built with the future in mind.

This exciting renovation project will boost the facilities of the Manchester Royal Infirmary Hospital (MRI) Emergency Department, increasing capacity, providing a more efficient layout, and meeting the evolving requirements of 21st century healthcare.

The project’s expanded and improved Emergency Department will include 10 resuscitation bays, 27 major cubicles and involve the creation of six new operating theatres, supporting the hospital’s expanding role as a regional centre for emergency, major trauma, vascular, head and neck cancer, liver, transplant and other specialist surgery.

This two-phase development is expected to take three years to complete, and keeping the Emergency Department and theatres fully operational throughout the works is essential. While this adds an additional layer of complexity to an already challenging project, temporary access routes and separation from live construction works will allow for the facility to continue to provide its much-needed services, with little to no impact on those in the area.

With a wealth of experience in delivering contracts and frameworks in the healthcare sector, Mace is well-placed to add cost and programme benefits to the project, supporting the Trust through direct delivery, using the Department for Health Construction Framework.

Alongside the MFT and its key partners, we’re committed to leaving a lasting legacy for not only staff, patients and visitors but the wider community too.

8 bay dedicated recovery areas
6 new theatre suites
5174m² total gross internal floor area


Working in a live environment

A key challenge for the team is delivering the works whilst ensuring the existing Emergency Department can continue to function and provide a high-quality service to patients in Manchester. Mace has worked with the Trust and IHP to ensure there is a defined construction phase plan in place, to help safely separate live construction works.

Leaving a legacy for the community

We are strengthening our relationship with Manchester, building a lasting partnership with our clients, suppliers, users, and the wider community, while working hard to deliver a world-class development for the city, on time and on budget. 

Managing complex contracts and stakeholder relations

Mace, through their longstanding secondment with MFT, is acting as the NEC3 Project Manager for the new build scheme and together with 14 enabling works projects to enable the main construction works to commence. Mace has provided sessions to educate and coach the Trust on potential adoptions on the NEC Contracts and its benefits in proactively managing capital expenditure projects.

Meeting the Trust's net zero ambitions

The M&E services within the scheme are futureproofed with consideration to the NHS ambitions of achieving net zero carbon, with the project incorporating plate heat exchangers, which are adaptable to future connection to Medium Temperature Hot Water district heating network.

Bringing the hospital into the 21st century

The project will expand the 1970s Emergency Department and construct a state-of-the-art theatre complex to support the hospital’s developing role as a regional centre for specialist surgery.