The new medical school will be the most sustainable on the Lincoln University campus, designed to meet BREEAM ‘Excellent’ environmental standards, with the aspiration to be a carbon neutral development. In 2018, the Higher Education Funding Council England and Health Education England approved the University of Lincoln’s collaborative bid with the University of Nottingham to establish a new medical school in the city. The new medical school is a key part of a regional strategy to address chronic specialist medical staffing shortages, particularly in primary care and mental health. The 5,500m2 five-storey building comprises of an active lecture theatre, laboratories, pro-section anatomy suites, equipped with cutting-edge diagnostic tools, and a clinical skills suite with mock consultation rooms to simulate hospital wards or a GP’s surgery. Alongside the technical brief the University were keen that the building visually and physically promoted health and wellbeing. The new medical school is therefore based on biophilic design principles and is the most sustainable building on their campus. The whole design team were appointed through the Scape framework from project inception, working together to develop a design that met all the technical challenges of a medical school while being zero carbon in operation. During the feasibility stages six designs options were developed complete with servicing strategies and each one was assessed against the key brief requirements and carbon. This enabled informed decisions to be made from the outset and options for carbon saving to be fully explored. HLM provided Architecture, Interior Design, Landscape Architecture