ABSTRACT
From the 1990s onwards, there has been a very substantial invest-
ment in buildings in the UK health care sector. While these
buildings are a result of Central Government policies, the design
and management of each project is in the hands of a local client
project team, most of whose members have little experience of
briefing for, or procuring health buildings and have demanding
jobs within the health service. Their task is not helped by frequent
policy changed from the Government, introducing new and differ-
ent initiatives, nor by the continuing uncertainly of how the health
service will be delivered in the future.
