NHS Healthcare Refurbishment in Live Hospital Environments

The introduction of the NHS Reset Programme has strengthened the governance and assurance required for construction and refurbishment works within operational healthcare environments.

Many NHS Trusts now require refurbishment projects to be delivered by a Reset Approved Contractor — particularly where works impact clinical areas or patient pathways.

TB Fit Out is an NHS Reset Approved Contractor, giving Trusts confidence that refurbishment works will be delivered in accordance with NHS expectations for:

• Risk management

• Infection prevention and control

• Clinical safety assurance

• Contractor competence

Learn more about our approach on our NHS Reset Approved Contractor sector page.

For a deeper understanding of how Reset applies in practice, we also recommend reading our insight:

The NHS Reset System: Creating Safer Healthcare Environments

While healthcare environments require specialist controls, TB Fit Out brings the same quality and professionalism expected of leading office refurbishment and fit out contractors, including:

• High-quality finishes

• Efficient programme delivery

• Clear cost control

• End-to-end design and build capability

Our experience spans:

• NHS hospital refurbishment

• Clinical area fit out

• Healthcare office refurbishment

• Back-of-house and support spaces

This blend of healthcare expertise and commercial fit out capability allows us to deliver environments that are safe, functional and fit for purpose.

Common intent-driven searches from NHS professionals include:

• “NHS estates refurbishment support”

• “Healthcare refurbishment contractor South East”

• “Reset approved design and build contractor”

TB Fit Out supports NHS Trusts at every stage, from early feasibility through to live delivery, providing reassurance that refurbishment works will meet NHS expectations and operational needs.

Do NHS refurbishment projects in live hospitals require a Reset Approved Contractor?

Many NHS refurbishment projects carried out within live hospital environments now require delivery by a Reset Approved Contractor, particularly where works impact clinical areas, patient pathways or infection control. The NHS Reset Programme provides additional governance and assurance to ensure construction and refurbishment works are delivered safely within operational healthcare settings. Engaging a Reset Approved Contractor early helps NHS Trusts manage risk, demonstrate compliance and protect patient safety throughout refurbishment works.

How are infection control and IPC risks managed during live NHS healthcare refurbishment?

Infection prevention and control (IPC) is a critical consideration during live NHS healthcare refurbishment. Effective management includes robust physical and air segregation, controlled access routes, dust and noise management, and close coordination with NHS infection control and estates teams. As an experienced healthcare refurbishment and fit out contractor, TB Fit Out aligns refurbishment delivery with NHS Reset principles and Trust-specific IPC requirements to ensure clinical environments remain safe and operational throughout the project.

What experience should an NHS healthcare refurbishment contractor have?

An NHS healthcare refurbishment contractor should have proven experience delivering projects within occupied hospital and clinical environments, a clear understanding of NHS governance and IPC requirements, and the capability to operate as a design and build contractor where appropriate. Experience across healthcare refurbishment, fit out and office refurbishment within NHS estates is essential, along with demonstrable compliance with the NHS Reset Programme. This ensures refurbishment works are delivered safely, efficiently and in line with NHS expectations.