Kier to build Edinburgh eye hospital: design and delivery notes for project teams
Reviewed by Joe Ashwell

First reported on The Construction Index
30 Second Briefing
NHS Lothian has appointed Kier as main contractor to build a new Princess Alexandra Eye Pavilion on the Little France BioQuarter campus in Edinburgh, adjacent to the Royal Infirmary, Royal Hospital for Children and Young People, Simpson Centre for Reproductive Health and Edinburgh University clinical research facilities. The project replaces the existing PAEP building, which no longer adequately supports high volumes of surgical, inpatient and outpatient ophthalmic care. Kier will draw on experience from the NHS Golden Jubilee Eye Hospital in Glasgow and Sunderland Eye Infirmary to deliver a specialised, state-of-the-art clinical environment.
Technical Brief
- Co-location within the Little France BioQuarter implies tight interface management with existing acute and research facilities.
- Ophthalmic use will drive stringent vibration, lighting and air-quality criteria for theatres and diagnostic suites.
- Existing PAEP’s throughput of “thousands” of inpatients and outpatients annually implies high internal circulation and lift capacity design.
- Reference to “state-of-the-art” care suggests heavy integration of imaging, laser suites and cleanroom-standard HVAC zones.
- Campus adjacency to multiple hospitals will require carefully phased tie-ins to shared utilities and emergency access routes.
- For similar specialist hospitals, early mock-ups of theatres and consulting rooms typically de-risk clinical workflow and fit-out clashes.
Our Take
Kier’s win in Edinburgh follows its recent £120m Darlington government hub start and its place on the £15.4bn CF25 framework, signalling that public-sector clients are consolidating major civic and health projects with contractors that already have central government and education framework exposure.
With Kier also lined up for the Craigmillar and Peffermill tower retrofit in Edinburgh, NHS Lothian’s new eye hospital adds to a growing cluster of Kier-led work in the city, which can reduce mobilisation and supply-chain risk but also concentrates delivery risk in one contractor across multiple critical assets.
Locating the new facility on the Little France BioQuarter campus alongside Edinburgh University clinical research facilities and major hospitals positions NHS Lothian to integrate specialist eye care with translational research, which typically makes future refurbishments and expansions more complex but more fundable through research-linked capital streams.
Prepared by collating external sources, AI-assisted tools, and Geomechanics.io’s proprietary mining database, then reviewed for technical accuracy & edited by our geotechnical team.
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