Historic Transformation Complete at the Middlesex Hospital Annexe

We are delighted to announce the successful completion of a landmark construction project at the Middlesex Hospital Annexe in Fitzrovia – a site rich in heritage and historical significance. Delivered on behalf of University College Hospitals Charity (UCLHC), this complex, multi-phase scheme reflects the breadth of our capabilities and our commitment to sensitive, high-quality construction.

The Annexe, originally built between 1775 and 1778 as a workhouse for the parish of St Paul, Covent Garden, has seen many iterations: becoming the Strand Union Workhouse in 1836, the Central London Sick Asylum in 1873, and the Cleveland Street Infirmary in 1913. Acquired by the Middlesex Hospital in 1924, it was used as its Outpatients Department from 1926 until the hospital’s closure in 2006. The Grade II listed Workhouse building – inspiration for Charles Dickens’ Oliver Twist – stands as a poignant reminder of the site’s unique place in social history. Florence Nightingale also worked here during the 1854 cholera outbreak.

Our works, now fully completed, were delivered in three carefully managed phases:

  • Phase 1: Complex demolition works were undertaken with the highest levels of care to protect surrounding listed structures. Following this, the Museum of London Archaeology (MOLA) conducted an extensive archaeological investigation.

  • Phase 2: Focused on vital restoration and preservation works to make the retained structures wind and watertight. This included roofing works, brickwork repairs, repointing, window refurbishments, and damp proofing.

  • Phase 3: The final phase saw the full conversion of the historic buildings into high-quality residential apartments, breathing new life into the site while preserving its character for future generations.

We are proud to have played a key role in the regeneration of this historic landmark, ensuring its legacy continues in a meaningful and sustainable way. This project stands as a testament to our team’s expertise in managing complex heritage schemes in challenging urban environments.