In 2010 Ansell and Bailey designed the UK’s first hybrid theatre – a Vascular Theatre at the Royal Free Hospital, and in 2015 we added to our portfolio, completing a new hybrid theatre at the Royal Brompton. It is a large state of the art 80m2 operating theatre with the C-Arm imaging capability of a Cath Lab. This enables a patient to have a greater number procedures in the same session, and being less invasive, less time is spent in recovery and multiple hospital visits are avoided. As part of the works new staff facilities were designed to a high standard in order to assist with staff recruitment and retention. Positive and proactive relationships between the client, design team and contractor were critical to ensuring successful delivery of the challenging project. The end users were delighted with the final product.