The design brief of this project was to replace the hospital’s existing Victorian wards with new fit-for-purpose facilities and create a cohesive healthcare campus to support patient care. The new Hope Building provides leading specialist medical facilities within a landmark building of major civic importance for the City of Salford. The Consortium team explored the concepts of the Public Sector Comparator (PSC) but decided that a more radical approach was necessary if the full potential of the site was to be exploited. The resulting solution included a larger new building than the PSC had anticipated but this meant that overall there was a reduction to the build programme, disruption to clinical services and the amount of decanting necessary. Furthermore, the location selected for the new facility drew the building from the centre of the site to face the street, acting as a way-finding marker, to guide people more easily onto and through the campus.