<h3>The opportunity </h3>
ELCH has expanded to serve over a million children across its region. However, its existing facilities couldn’t keep up with rising demand. Guy’s and St Thomas’ NHS Foundation Trust (GSTT) developed plans to increase capacity and introduce new models of care at multiple sites. For ELCH, this meant:<ul><li>Major reconfigurations of its Sky and Arctic wards</li><li>A new children’s ambulatory unit called Snow Fox</li><li>Snow Leopard, a long-term ventilation unit with neuro-rehabilitation and sleep study services </li></ul><h3>Our approach </h3>
Lexica managed the project from start to finish, overseeing design, procurement, and construction. We led the design team and managed ME Construction, the primary contractor. We also performed feasibility studies to assess options for development, working within the limited space at St Thomas’ Hospital, where ELCH is located. 
Our work aligned with GSTT’s masterplans for both St Thomas’ and London Bridge campuses, ensuring that ELCH’s expansion was a key part of their long-term strategy. 
Snow Leopard
The Snow Leopard ward provides 11 specialised bed spaces for children needing transitional care before returning home. Within seven months of construction starting, Snow Leopard welcomed its first patient. During the second phase of construction, we used a temporary, infection-control compliant tunnel to ensure access to the unit while maintaining safety.
Snow Fox
Midway through Snow Leopard’s construction, ELCH asked Lexica to deliver Snow Fox, a new ambulatory unit for non-emergency care, such as minor surgeries, tests, and scans. Snow Fox includes 19 treatment areas. Construction took place on a live campus, next to a sensitive sleep study centre, and was completed within just eight months. Careful planning and close collaboration with the clinical staff kept disruption to a minimum.<ul><li>Snow Leopard ward: 11 beds for transitional patient care</li><li>Snow Fox unit: 19 treatment areas for planned care</li><li>Construction times: Snow Leopard (7 months), Snow Fox (8 months)</li></ul>
 <h3>Our impact </h3>
We helped manage costs and reduce risks by assigning both ward refurbishment projects to one main contractor. By using separate NEC Option A contracts, we maintained financial control and effective engagement with all stakeholders. After construction, Lexica supported operational setup by coordinating equipment procurement and helping staff with training.
We also collaborated with Art In Sight to create welcoming and uplifting treatment spaces. Together, we integrated artwork in treatment areas and waiting rooms, creating a more positive experience for patients and visitors.

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Lexica’s long-standing partnership with Evelina London Children’s Hospital dates back to the hospital’s construction in 2005.

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