The Local Authority Councillors enthusiastically commended the design as “an incredible scheme which we fully support”. We worked closely with the Planning Department and the Primary Care Trust to ensure the building would be fully integrated into the masterplan for the City. The concept for a building with varying sized footprints at each level, oscillating from floor to floor was well received by all parties as it provided the adaptability required by the client whilst visually reducing the mass of the building and giving it a more human scale. At the outset of the design process the clinical brief was not fully formed. The adoption of a modular room type and the structural solution for lean yet robust post tensioned floor slabs provided planning flexibility for individual departments to extend and contract through the design process, as the brief was refined. The approach is visibly manifest in the dynamic final form of the building.