This new integrated health centre is the first NHS building to achieve a BREEAM Outstanding both at design stage and on completion. It's the fourth Primary Care development designed by P+HS in conjunction with South of Tyne NHS. The scheme collocates NHS services with Local Authority Social Services and Health and Leisure facilities. This £25m development is intentionally located next to an existing leisure centre operated by Sunderland City Council reinforcing the link between healthy lifestyle choices and wellness. New health facilities include a minor injuries walk-in centre, planned care and diagnostics suite, minor surgery treatment centre and a 24 bed rehabilitation unit all to serve the neighbouring population avoiding the need for lengthy journeys to Sunderland Royal Infirmary. Sports and leisure facilities provided are a MUGA facility, skateboard park together with an existing outdoor bowls green and refurbished sports hall and indoor bowls hall. In addition there is a wellness studio/gym linked to fully equipped physiotherapy facilities. The double height main entrance provides cafe and catering facilities with, community accommodation and an education centre equipped with health education reference material and interactive health information for visitors. All common circulation areas look out over extensively landscaped parkland designed specifically to facilitate complementary therapeutic activities. Throughout the design of this exemplary project P+HS worked closely with CABE to ensure a high quality solution and also with Breathing Buildings natural ventilation engineers seeking to achieve a highly sustainable solution, targeting a low carbon BREEAM Outstanding building.