Major Healthcare Decarbonisation Programme

INSIGHTS  |  

Integrated Project Leadership Through Construction, Commissioning & Operational Transition

Sector: Healthcare / Net Zero & Decarbonisation
Client: Undisclosed
Location: Undisclosed
Contract Value: Undisclosed
Asteria International Services: Project Management | Commercial Management | Construction Management | Engineering Management | Project Controls & Risk Management

Project Overview

Asteria International was engaged under a professional services agreement to provide senior project management and integrated project leadership for a major healthcare decarbonisation and energy infrastructure programme within a live operational environment.

The appointment extended across programme, commercial and contractual management, procurement, construction management, project controls and risk, engineering interfaces, health and safety, commissioning and operational transition.

The programme involved the transformation of significant elements of the existing energy infrastructure, including the transition from legacy steam-based heating and domestic hot-water services to new lower-carbon infrastructure.

The multidisciplinary programme incorporated a large-scale open-loop ground source heat pump system incorporating abstraction and recharge wells, replacement of existing steam boiler infrastructure with new LTHW boiler plant and associated LTHW distribution network, thermal storage, CHP heat recovery, Solar PV, major electrical infrastructure, controls and system integration, including G99 requirements and associated DNO interfaces.

The challenge was not simply the delivery of individual technologies. Successful delivery required programme, commercial management, procurement, construction, health and safety, logistics, technical interfaces, commissioning and operational requirements to be managed as one integrated project.

The Challenge

Delivering major infrastructure change within a live healthcare environment creates a particularly demanding delivery challenge.

Existing heating, domestic hot-water and supporting infrastructure had to remain operational while new systems were constructed, commissioned, proven and progressively brought into service.

For significant periods, legacy steam infrastructure and new LTHW systems therefore needed to operate alongside one another.

This created complex dependencies between construction sequencing, commissioning, shutdowns, changeovers, temporary arrangements, controls, existing services and operational requirements.

Domestic hot-water changeovers required particular attention to water hygiene and the control of Legionella risk throughout commissioning and transition.

At the same time, multiple contractors, specialist suppliers and technical disciplines were operating across the programme. Delays or decisions within one workstream could have consequences for programme milestones, commercial performance, health and safety, other contractors and continuity of services.

The project therefore required experienced leadership capable of maintaining visibility across the complete delivery environment and managing competing programme, commercial, construction, safety, technical and operational priorities.

Asteria International’s Appointment

Asteria International provided integrated project leadership throughout the delivery programme.

Through the Project Manager appointment, Asteria International provided day-to-day leadership across the client interface, programme, commercial management, procurement, construction, contractor management, health and safety, technical governance interfaces, commissioning and project close-out.

The role included:

  1. Overall project leadership and delivery management
  2. Client interface and stakeholder management
  3. Programme management, forecasting and recovery
  4. Monthly client reporting and project governance
  5. Commercial and contractual management
  6. Procurement and contractor award management
  7. Contractor and specialist supplier management
  8. Early Warning Notice and change management
  9. Project risk and opportunity management
  10. Health and safety leadership and management
  11. Construction management and site delivery leadership
  12. Construction sequencing and programme management
  13. Site logistics and contractor access management
  14. Shutdown and changeover planning and management
  15. Project deliverables management
  16. Engineering management and technical governance interfaces
  17. Commissioning planning and management
  18. Practical Completion, handover and project close-out management

The role required continuous management across these functions rather than allowing individual disciplines or work packages to operate independently.

Programme & Project Controls

Programme management extended beyond maintaining a construction schedule.

Asteria International managed dependencies across procurement, contractor mobilisation, technical deliverables, construction readiness, access, shutdowns, commissioning and completion.

Emerging constraints were assessed against their potential effect on the wider programme, allowing mitigation and recovery actions to be managed across contractors, suppliers and the wider project team.

Programme decisions also had to recognise their relationship with commercial performance, operational requirements, risk and available construction opportunities.

This integrated approach allowed project priorities to be continually reviewed against the overall delivery strategy rather than the requirements of individual work packages.

Commercial & Contractual Management

Commercial performance formed an integral part of the overall project-delivery function.

Asteria International managed commercial and contractual interfaces alongside programme and construction requirements, recognising that procurement decisions, contractor performance, change, programme impacts and project risk were interconnected.

The role included procurement and contractor award management, management of emerging change and the use of Early Warning Notices where developing issues required formal recognition and action.

Commercial considerations were incorporated into project decision-making throughout delivery, supporting informed decisions while protecting the overall commercial position of the programme.

This integration of commercial, programme and construction management enabled the consequences of developing issues to be considered across the project rather than within individual workstreams.

Construction Management, Logistics & Operational Continuity

One of the defining challenges was undertaking major construction and infrastructure change while the healthcare facility remained operational.

Construction areas, contractor access, deliveries, shutdowns, temporary arrangements and commissioning activities had to be managed around operational requirements.

Asteria International provided construction management and site delivery leadership while maintaining alignment between construction priorities, programme commitments and stakeholder requirements.

Particular attention was required where new infrastructure interfaced with existing operational services.

Shutdowns and system changeovers were planned and managed between the relevant contractors, technical specialists, commissioning teams and healthcare stakeholders before implementation.

The objective throughout was to enable major infrastructure transformation while maintaining continuity of critical heating, domestic hot water and associated services.

Managing the Transition from Steam to LTHW

A central element of the decarbonisation programme was the transition away from legacy steam infrastructure for the provision of heating and domestic hot water.

This could not be achieved through a single shutdown and changeover.

Existing and new systems needed to operate in parallel during key stages of the programme, allowing new infrastructure to be constructed, commissioned, tested and proven before existing services could be progressively removed from operation.

Asteria International managed the programme and construction interfaces associated with this transition, including commissioning requirements, shutdown planning, stakeholder requirements and the sequence through which new systems were introduced.

Domestic hot-water transition required additional controls around water hygiene, system temperatures, commissioning and operational readiness to minimise Legionella and other water-hygiene risks.

The transition therefore represented not simply an engineering change, but a significant construction, programme and operational challenge requiring detailed planning across multiple disciplines.

Engineering Management & Technical Governance

The programme required extensive management across multiple engineering disciplines and specialist technical organisations.

Detailed engineering and technical governance remained with the appropriate specialist engineers and technical teams.

Asteria International’s responsibility was to manage the engineering and technical interfaces within the wider project, ensuring that deliverables, programme requirements, priorities and decisions remained aligned with procurement, construction and commissioning.

Technical development was considered within the context of the complete project rather than as an isolated engineering activity.

This maintained a clear distinction between specialist engineering responsibility and Asteria International’s engineering-management role while ensuring that technical activities remained aligned with the requirements of the overall programme.

Integrating Low-Carbon Energy Infrastructure

The programme brought together several different energy technologies and infrastructure systems within an existing operational estate.

The open-loop ground source heat pump system required integration of abstraction and recharge infrastructure with the wider heating network and associated electrical and control systems.

New LTHW boiler plant and distribution infrastructure needed to operate alongside thermal storage and CHP heat recovery while the transition away from legacy steam systems progressed.

Solar PV introduced a further generation interface, alongside associated electrical infrastructure, controls and DNO requirements.

Each technology carried its own engineering, procurement, construction and commissioning requirements, but successful delivery depended upon the systems operating as elements of a coordinated energy strategy.

Asteria International maintained oversight across these interfaces, aligning technical activities with programme, construction, commercial and operational requirements.

Electrical Infrastructure, G99 & DNO Interfaces

The programme incorporated major electrical infrastructure associated with the new energy systems and on-site generation.

Electrical works needed to remain aligned with mechanical plant availability, controls, construction sequencing and commissioning requirements.

The generation infrastructure also required management of G99 compliance, associated DNO interfaces and generation-control requirements.

These activities introduced dependencies beyond the immediate construction environment and therefore needed to be integrated into the wider project programme.

Asteria International managed these interfaces alongside the broader construction and commissioning strategy, maintaining visibility of their potential effect on system readiness and operational transition.

Project Controls & Risk Management

Project controls provided visibility across the interconnected programme, commercial, construction and technical workstreams.

Progress, procurement, contractor mobilisation, engineering deliverables, construction activities, commissioning readiness and completion requirements all contributed to the overall project position.

Asteria International maintained oversight of these dependencies, enabling emerging constraints and risks to be assessed against their potential consequences for the wider programme.

Risk and opportunity management remained integrated with day-to-day project decision-making, supporting mitigation, recovery and prioritisation as delivery progressed.

This approach allowed project controls to support active management rather than functioning solely as a retrospective reporting mechanism.

Health & Safety Leadership

Health and safety remained a core measure of project performance.

The combination of a live healthcare environment, multiple contractors, significant construction activity, new energy infrastructure and interfaces with operational systems required active management throughout delivery.

Asteria International provided senior project and construction leadership across these interfaces, working across the delivery teams to ensure that health and safety requirements remained integral to programme planning and project decision-making.

Programme and commercial pressures were managed alongside, rather than ahead of, the requirement for safe and controlled delivery.

Commissioning & System Integration

Commissioning represented a major phase of the programme because individual systems formed part of a much wider operational environment.

New heat generation, distribution, renewable energy, electrical infrastructure and controls had to interface successfully with both new and existing systems before the transition from legacy infrastructure could be completed.

The programme also required management of G99 compliance, DNO interfaces and associated generation-control requirements as part of the wider electrical and commissioning strategy.

Asteria International managed commissioning priorities, contractor interfaces, programme dependencies, stakeholder requirements and completion activities as systems progressed towards operational acceptance.

Particular attention was given to system interfaces and the sequencing of commissioning and changeover activities to support a controlled transition into operation.

Outstanding works, defects, testing, documentation and handover requirements were subsequently managed through the wider completion and close-out programme.

Practical Completion, Handover & Close-Out

Completion required coordinated management across construction, commissioning, documentation, defects, operational readiness and stakeholder acceptance.

Asteria International managed progression towards Practical Completion while maintaining visibility of outstanding activities and their implications for operation and final project close-out.

Handover requirements were coordinated between contractors, specialist suppliers, commissioning teams and operational stakeholders to support the transition of the completed infrastructure into service.

Residual works, defects, testing and documentation continued to be controlled through the post-completion process, maintaining continuity of project leadership through the final stages of delivery.

Project Outcome

The programme progressed through major construction, commissioning and Practical Completion while maintaining the operational requirements of the healthcare facility.

Through its appointment, Asteria International provided integrated leadership across Project Management, Commercial Management, Construction Management, Engineering Management and Project Controls & Risk Management, together with procurement, health and safety, commissioning and stakeholder interfaces.

The programme demonstrates Asteria International’s capability to lead complex multidisciplinary decarbonisation programmes where multiple technologies, contractors and specialist disciplines must be integrated within an operationally constrained environment.

More importantly, it demonstrates an approach in which programme, commercial performance, risk, construction, people, contractors, technical governance, commissioning and operational requirements are considered collectively rather than as separate project functions.

Integrated Healthcare Decarbonisation Delivery

Complex healthcare decarbonisation requires considerably more than the installation of low-carbon technologies.

Engineering decisions influence procurement. Procurement affects programme and commercial exposure. Construction sequencing affects operational continuity. Electrical and controls interfaces influence commissioning, while commissioning determines whether individual technologies ultimately function as an integrated energy system.

Asteria International’s role brought these different elements together within a coordinated delivery structure.

The programme provides a clear example of Asteria International’s integrated approach to complex capital-project delivery, combining technical understanding with commercial, construction, programme and project-controls capability throughout the project lifecycle.

Complex Projects. Controlled Delivery.

Asteria International provides experienced project and programme leadership for complex capital projects across demanding operational environments.

Our integrated approach brings together Project Management, Commercial Management, Construction Management, Engineering Management and Project Controls & Risk Management, providing experienced leadership from procurement and mobilisation through construction, commissioning, handover and close-out.

Project Insight. Practical Experience. Better Decisions.

Discuss Your Project ?

Every complex project presents different challenges. Speak with Asteria International to discuss how our project delivery experience, technical expertise and integrated approach can support your organisation, project or programme.



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