Cumberland Infirmary- Endoscopy Facility- Carlisle

The new £15m endoscopy unit ha been being built in the grounds of the Cumberland infirmary and opened late Spring of 2025.

The Cumberland Infirmary had only one endoscopy room  of a suitable size and two smaller rooms that did not meet national accreditation standards.

The new build includes five clinical rooms that all meet modern standards as well as an outpatients area. The expansion of the service also means patients currently travelling to Newcastle for a procedure can now be seen more locally in Carlisle.

Project- Endoscopy Facility

Client- Ergea

Contract- Design and Build

Value- £8.1M

 

Project Overview

Cumberland Infirmary in Carlisle faced critical pressure to expand its endoscopy services. The existing unit, built in the late 1990s, was significantly undersized at 397m² and no longer met Health Building Note (HBN) standards. With only three procedure rooms—two of which were non-compliant—the facility lacked adequate space for recovery, paediatric care, staff welfare, and training, and was unable to support JAG accreditation or meet the NHS’s six-week diagnostic standard.

Demand for endoscopy procedures had been rising steadily, with further strain following the COVID-19 pandemic. In response, Actiform delivered a new off-site manufactured five-room endoscopy unit, providing the space and functionality required to meet current and future clinical needs. The new facility supports the introduction of advanced procedures, aligns with NHS long-term planning, and significantly improves patient access across North Cumbria.

Innovation

Green roof and Staff Terrace areas

Stand out building – showcasing MMC’s capacity to provide architecturally, aesthetic structures. There has been no compromise of the Architects original design based on traditional construction methods

Energy efficient HVAC utilizing solar panels, heat recovery and exceptional thermal efficiency

Extensive use of timber structural members embodies carbon and contributes to the building’s low carbon impact

Environmental

 

The project has achieved BREEAM (Building Research Establishment Environmental Assessment Method) accreditation, which demonstrates its commitment to sustainability and environmental performance. This certification ensures that the building meets rigorous standards for energy efficiency, water conservation, materials sourcing, and overall environmental impact, making it a leader in sustainable construction practices.

 

Social Value

 

The new endoscopy unit addresses the rising demand for diagnostic procedures, particularly in response to growing waiting times and pressure on existing services. By expanding local healthcare facilities, it enhances both the accessibility and quality of care for patients, especially in North Cumbria, where healthcare services are already under significant strain.

The facility also aims to reduce the need for patients to travel long distances, such as to Newcastle, for procedures, providing more localised care in Carlisle. This is particularly crucial for those in rural or geographically isolated areas, improving their access to essential medical treatments.

The new endoscopy unit will adhere to modern healthcare standards, addressing key issues such as room size, patient privacy, and the provision of adequate training facilities. It aligns with the NHS Long-Term Plan and ensures the unit meets JAG accreditation standards, ultimately enhancing both service quality and patient care.

The expansion will accommodate a broader range of patients, including children, and address gender-specific needs, as well as the segregation of patients in the recovery area. The project will also improve pre-assessment facilities and administrative support, further enhancing the overall patient experience.

The project was also recognised for its commitment to high standards of safety, environmental responsibility, and community engagement, earning the Considerate Contractor Award with an impressive score of 42 out of 45.

Working closely with estates and clinical leads, Actiform supported the design development for the transformation of our clinical emergency care services for the Princess Alexandra Hospital in Harlow. This involved a complete design and build modular construction to complement the creation of a state-of-the-art emergency care service.

Actiform helped us to embrace the opportunities presented by a new modular build clinical space with appropriate technology to create and support a new model of service that responds to changing clinical needs, meets the trust’s corporate objectives, and complies with sector building performance targets that we will need to meet.

The Actiform team mapped out the route to move away from the traditional siloed traditional structures, facilitating the opportunity to adopt a more flexible and adaptable approach to support services that will be complimented by technology, and support our digital clinical strategy development.

The Actiform project team worked ‘hand in hand’ with their design team to create a future focused build that rethinks the way a NHS trust delivers modular construction within a conventional ageing and varied built environment, and that is integrated into the core operation of the hospital. The completed build environment was an integral part of the overall strategy for the new emergency care services.

Pasqualino Risi, Associate director of Estates and Facilities, Princess Alexandra Hospital NHS Trust

The whole team at Actiform provide an outstanding level of customer service. Their knowledge of modular building and taking our design thoughts and turning these working collaboratively into completed projects makes working with the team very enjoyable.

Actiform have a very good network of dependable third-party trades which complement the experience and push the art of the possible in terms of innovation.

Not really sure what you could do better as when we raise issues they are dealt with in a timely manner, and you have good processes to ensure we never experience the same issue twice.

Steve Wilcock, Chief Operating Officer, TAC Healthcare

The service we received from Actiform in acquiring additional modular office space was exceptional. From the initial flexibility around design to meet our needs, through to achieving delivery and install on time was first class. Nothing was too much trouble and the communication throughout the process was excellent, whilst providing a value for money solution.

Steve Preston, Operations Manager, Leeds Federated Housing Association

Having used Actiform to supply a large compound set up on a Smart Motorway project, the service received was second to none. From the initial enquiry to the final installation, all aspects of the project went to plan. The cabin design and layout was revised on numerous occasions and no request or alteration seemed to be too much trouble. All communication, planning and installation was very collaborative and all key dates and deadlines were actually completed ahead of programme.

Corin Feltham in particular offered his wealth of knowledge and experience throughout the process along with introducing some excellent ideas to save both time and money. All in all a good experience working with Actiform and I wouldn’t hesitate to use them again on other schemes.

Dave Wright, Site Agent, Kier Highways

Back in the autumn of 2015 we had a requirement to procure offices and welfare facilities of 3,000m2 plus over 3 floors for our Tideway-East project in Bermondsey, London.

We went out to tender and Actiform provided a construction package that we eventually purchased. Right from the start – sales , tender, design, manufacture, installation and aftercare support, Actiform have been very professional, proactive and suggested cost saving solutions without compromising our facilities. Their site installation team had all the correct RAMS and certification to carry out our installation in a planned and well organised time scale.

From the beginning both parties, CVB JV and Actiform, have worked openly and honestly together and we have an excellent working relationship. I cannot praise Actiform enough and would certainly recommend them to any prospective client.

Gordon Alexander, CVB JV