Building Your Future Hospitals

Building Your Future Hospitals

We have a once-in-a-lifetime opportunity to build a brand new Specialist Emergency Care Hospital (SECH) in Sutton, and also redevelop our existing hospitals on the Epsom and St Helier sites.

The Building Your Future Hospitals programme represents the biggest investment in healthcare in the region for a generation.

It will transform Epsom and St Helier hospitals and ensure that local people can access the care they need – from urgent care to outpatient appointments, and much more – in facilities that are fit for purpose. In addition, a brand new hospital facility will be built on the old Sutton Hospital site (directly next to the Royal Marsden Hospital and the Institute of Cancer Research).

This is an incredible development and will mean that Epsom, St Helier and the Specialist Emergency Care Hospital will be here to care for you and your families for generations to come.

Take a look at how the SECH is going to look:

Sketch 1 Sketch 2

Sketch 3 Sketch 5

The story so far

Work to secure this once-in-a-lifetime funding for the future of our hospitals has been going on for years – including our extensive engagement programme Epsom and St Helier 2020 - 2030 and the Improving Healthcare Together public consultation (opens in a new window), which involved tens of thousands of people. All of this background information, and prior consultation materials, are online and remain publicly available on Epsom and St Helier 2020 - 2030 and (opens in a new window).


Epsom and St Helier undertook a comprehensive review of services, resulting in the publication of our long-term estates strategy.


We launched a comprehensive engagement programme (known as Epsom and St Helier 2020-2030) and began work on our Outline Business Case.

January – April 2020

Improving Healthcare Together held a comprehensive consultation with the community, stakeholders and our staff on proposals to improve patient care for generations to come, with some changes to hospital services in the area.

July 2020

In July 2020, a joint decision by NHS Surrey Downs and NHS South West London Clinical Commissioning Group approved the proposed new Specialist Emergency Care Hospital (SECH) on the Sutton Hospital site.

November 2020

Decision ratified by the Secretary of State for Health and Social Care.

Our plans

We have been given the go ahead to build a brand new Specialist Emergency Care Hospital at Sutton and redevelop Epsom and St Helier hospitals.

The new Specialist Emergency Care Hospital is where our sickest patients will be cared for. This may be because they have a life-threatening illness or injury, or it could be because they are having complex surgery. It also includes births in hospital, so we have consultants available 24/7 to help if needed.

The Specialist Emergency Care Hospital brings together six major services. This means clinical expertise, experience and resource will be in one place 24/7.

The six services are:

  • Major emergency department for the most serious accidents and illnesses
  • Acute medicine for patients with the most urgent medical need
  • Emergency surgery for conditions like appendicitis
  • Critical care for intensive monitoring, usually in an intensive care unit
  • Paediatric care with specialist children’s doctors and inpatient beds
  • Births, with the midwife-led unit and consultant-led unit for more complicated births.

However, the majority of our patients – 85% of the people who need care with us – will still be seen and treated at Epsom and St Helier hospitals, this will include: 

  • 24 hour urgent treatment centres (UTCs) for people with urgent minor injuries and illnesses
  • Outpatient services
  • Day case surgery under general anaesthetic (St Helier)
  • Day case surgery requiring local regional anaesthesia (Epsom)
  • Endoscopy
  • Low risk antenatal and postnatal appointments
  • Paediatric outpatients and community paediatrics
  • Renal outpatients
  • Haemodialysis (St Helier)
  • Radiology, including  CT, X-ray, MRI, ultrasound and fluoroscopy
  • Therapies
  • And more.

Our plans for Epsom and St Helier hospitals

The future of Epsom and St Helier as district hospitals is bright, and both sites will remain as busy health care services at the heart of their local communities. Once the Specialist Emergency Care Hospital opens and the six core services have moved to Sutton, the reconfiguration of Epsom and St Helier will get underway.

Over the next five years, our capital improvement programme will maintain both Epsom and St Helier and make improvements where possible. We know that we cannot stand still, and as both hospitals will remain as busy district hospitals, investing in improving facilities and equipment makes perfect sense.

Epsom Hospital

In the meantime, a number of improvements are already planned at Epsom, including:

Prior to 2025:

  • Complete refurbishment of Wells Wing (our main ward block)
  • Refurbishment and extension of Langley Wing (currently underway)
  • SWLEOC - 6th theatre for more planned surgery (completed)
  • Multi-storey car park

After the Specialist Emergency Care Hospital opens:

  • New main entrance
  • Co-location of diagnostics with outpatients
  • Changes to ward layout.

St Helier Hospital

Prior to 2025

  • Build new pathology centre
  • Create a new building for the onsite nursery

Post 2025

  • New main entrance
  • New multi-storey car park
  • Major changes to A-D block
  • Capacity preserved for further day surgery expansion in future.

Urgent and emergency care

Both Epsom and St Helier hospitals will have urgent treatment centres (UTCs) which will be open 24 hours a day, 7 days a week, for assessment and treatment of minor illnesses and injuries requiring urgent treatment.  Patients who are seriously ill or injured will be seen at the Emergency Department at the new Specialist Emergency Care Hospital in Sutton. There will also be a 24 hour UTC at the SECH.

More information and next steps

You can find more information about our plans for the Specialist Emergency Care Hospital, including designs and our vision for the site on our dedicated planning website There will be a further opportunity to have your say on our plans later this year. In the meantime, please look out for further information on this page of our website and on our Facebook and Twitter pages.

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