Here is a list of questions about the project. If you would like to find out more or have a question not listed below, please contact us.
Contents
Background
1: What is the Health, Education and Technology Project Salisbury? (HEAT Project Salisbury)?
Salisbury NHS Foundation Trust (SFT) and partners are forming detailed plans about how to create a sustainable, integrated and environmentally sensitive, net zero carbon development at Salisbury District Hospital.Â
HEAT Project Salisbury is designed to explore the potential for the Salisbury District Hospital site, working with education, research and technology to create a truly 21st century sustainable healthcare centre. This is a hospital-led project that plans to combine new education, training and research capacity, while also providing new hospital facilities, embracing the best of modern technology to create a leading healthcare facility.Â
2: What is being proposed?
We want to position Salisbury’s hospital at the forefront of delivering integrated healthcare, creating a modern centre to serve the local community’s changing needs. It is intended that the hospital will grow its reputation as a centre of excellence locally, regionally and nationally, with new facilities for health and wellbeing, education and skills, and technology at its heart.Â
The redevelopment will adopt a phased approach to the project. We are proposing to develop a number of our key services, while providing space to extend specialist units as well as creating training, research and development facilities.Â
We also want to create education opportunities that will increase the range of academic and vocational courses locally available. Importantly, we will develop amenities and services that will support and benefit the city of Salisbury and the wider community. These aspects would be set within new and publicly accessible green spaces: they could include commercial life science focused development, a new sustainable approach to energy, staff and key worker accommodation and health and wellbeing services.Â
The Project Team for HEAT Project Salisbury is led by Salisbury NHS Foundation Trust (SFT), working in close partnership with The Salutem Partnership, who are the appointed Development Managers for the schemeÂ
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HEAT Project Salisbury has been allocated by draft Policy 35 of the Wiltshire Council’s Draft Local Plan. The Local Plan was agreed by Wiltshire Council and was formally submitted to the Secretary of State in December 2024. The project will now undergo an Examination in Public (EiP) conducted by an appointed planning inspector. Â
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Additionally, a new ward has already been built at the hospital. Named ‘Imber Ward’, this £14 million facility was completed in 2024 and will help Salisbury NHS Foundation Trust to increase the number of elective procedures and therefore reduce waiting times for patients. The ward was funded through the national Elective Recovery Fund, and while not directly part of the HEAT Project, it aligns with the overarching master plan and allows for a staged replacement of buildings.Â
3: What are the different phases of the project?
Given the complexity of the project, and the fact that the hospital must remain operational throughout development, we will be adopting a phased approach.Â
Phase 1 will focus on the new elective care centre (to replace the existing day surgery unit), We will provide further detail on each of the phases as plans evolve.Â
4: Why is the redevelopment needed?
Salisbury District Hospital is, like many other hospitals, facing a challenging future and must plan for increased pressures on resources, greater efficiency and improved service delivery, with the age of some of the facilities adding to the challenge. A number of the buildings which are still in use date from 1944. Â
The hospital is in need of urgent reconfiguration and regeneration to meet the challenges of 21st century healthcare. Â
One of the most pressing concerns is the day surgery unit. This currently treats 10,000 patients each year, but is beyond its economic asset life and no longer complies with the required health building standards – it is at high risk of imminent failure.Â
There are also associated demands for more care for older patients, backlogs in waiting lists, specialist and technical developments.  Aged infrastructure is also having a significant environmental toll, given the age and inefficiency of the buildings.Â
The hospital has evolved over time, becoming one of Salisbury’s largest employers, and a pivotal part of the local economy. However, to ensure its long-term sustainability and viability, it has to reconfigure to make the best of its specialist services and work with other providers in the community to ensure it can deliver an optimum service to the city and surrounding region.Â
To meet these requirements, we need to be a thriving, successful hospital, able to create independent revenues and with the facilities and resources to attract and retain talented people. It would also help support the local and wider community, bringing more employment opportunities and improving infrastructure. Â
The hospital site is intensively developed – in order to maintain critical clinical care during construction, new development needs to occur beyond the existing built estate.Â
As part of the plans, we are also incorporating education and technology uses that will directly support and enhance healthcare delivery. These elements are essential to creating a comprehensive health ecosystem where medical training, research and innovation can thrive alongside clinical care. Â
5: What changes are planned for the health services at the hospital?
The project will reconfigure the site, to provide new and improved environmentally sustainable facilities in an improved, designed landscape setting, to include:Â
- a new elective care centre (to replace the existing day surgery unit)Â
- maternity and neonatal intensive care suiteÂ
- cancer unitÂ
- accommodation for people with dementiaÂ
- research and developmentÂ
- net zero carbon initiativesÂ
- keyworker accommodationÂ
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Phase one of the project will prioritise the elective care centre, which will replace the existing, rapidly deteriorating day surgery building.Â
The elective care centre would be a dedicated building for the delivery of planned day case surgery, ensuring the separation of elective care from the pressures of emergency care.Â
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The vision is to create a campus style environment for visitors, patients, students and staff, that encourages social interaction and has usable green spaces accessible to staff and visitors alike, that are biologically diverse. At present, only 3% of the site comprises recreational open space. This project will substantially increase the quality of green spaces and the type of open space that can be used by staff, patients and visitors – improving the health and wellbeing of users.Â
6: What is the rationale behind each different new building?
Our priorities are clear. The project will reconfigure the outdated and congested site, to provide new and improved environmentally sustainable facilities in a designed landscape setting, to include:Â
- a new elective care centre (to replace the existing day surgery unit)Â
- replacement parking where car parks are developed Â
- keyworker accommodationÂ
- maternity and neonatal intensive care suite,Â
- cancer unitÂ
- research and developmentÂ
- supporting employment spaceÂ
- site-wide use of renewable and sustainable energy solutionsÂ
This will all be provided in sustainable, flexible and shared buildings.Â
7: How far has the project developed?
The project was launched to the public in March 2019. Since the launch the development team have been undertaking feasibility studies and consultations with hospital staff, the community, other providers and local businesses to help refine proposals. The hospital finalised its business case for phase 1 of the project in early 2022.Â
In May 2022, a request for pre-application advice was submitted to Wiltshire Council, allowing initial engagement with the Local Planning Authority and statutory consultees to further inform the design making process. Â
By November 2023, the planned hospital development was included as a specific policy allocation in Wiltshire Council’s Draft Local Plan, which was subsequently agreed by Wiltshire Council and formally submitted to the Secretary of State in December 2024. The project will now undergo an Examination in Public (EiP); this is likely to commence later in 2025 and will be conducted by an appointed planning inspector. Â
Pre-application advice for the initial element of phase 1 is expected to be submitted in mid 2025, followed by a full planning application at the end of the year. Â
Meanwhile, progress has already been visible on the hospital site with the construction of Imber Ward and extensive improvements to the Trust’s sustainability approaches. The ward was funded through the national Elective Recovery Fund, and while not directly part of the HEAT Project, it aligns with the overarching master plan and allows for a staged replacement of buildings.Â
To find out more about timescales, please click here.Â
8: Who will it benefit?
Ensuring the future development of the hospital benefits our entire community. In fact, as a leading hospital it plays a vital role in delivering healthcare locally and for a wider population. This project is about integrating educational, economic, social, infrastructure and environmental benefits, as well as health.Â
Incorporating education and training into the core of the hospital and at Wiltshire College, will also enhance adult education provision in Salisbury, helping to drive forward the local economy. Salisbury needs economic regeneration and by more fully leveraging the hospital’s specialisms, this scheme could be pivotal. In addition, as one of Salisbury’s largest employers, we are committed to ensuring a sustainable future, allowing the hospital to take advantage of technological advances – leading to better care. To do this, we need to be able to attract and retain the best talent across health and potentially other linked sectors.Â
This is only possible if we can secure improved, more effective facilities, which will offer opportunities for independent revenue, by developing new resources and creating committed partnerships.Â
9: Who has been involved in developing the proposals?
We have been speaking to key stakeholders across education, health and allied sectors as well as the public. In addition, we have been talking to local landowners and organisations such as Natural England and English Heritage.Â
Ongoing engagement has also been taking place with Salisbury City Council and Wiltshire Council to understand their views of the potential for the site and reach the next stage of the development.Â
This positive engagement has shaped a master plan, underpinned by the understanding of the need for the proposed new facilities. This collaborative approach has been instrumental in securing the project’s inclusion as a draft allocation in Wiltshire Council’s emerging Local Plan, which was formally submitted to the Secretary of State in December 2024 and is now progressing through the planning process.Â
10: Who is the project team?
The Project Team for HEAT Project Salisbury is led by Salisbury NHS Foundation Trust (SFT), working in close partnership with Salutem, who are the appointed Development Managers for the scheme www.thesalutempartnership.co.uk Â
11. Will this mean disruption for visitors to the hospital?
It is, and will always remain, a key consideration to minimise any impact on the existing hospital operations during construction. The scheme will be carefully planned and phased by the experienced team to help achieve this.Â
Employment and Jobs
12: Will it provide local jobs?
Yes. Both during the construction phase and once each area is operational. We will be able to substantially increase employment opportunities and encourage new and existing enterprises to base themselves in this area. We are committed to local employment and services.Â
Education
13: What education and training is currently provided at the hospital?
The Salisbury Foundation Trust (SFT) currently delivers training to staff members at all levels within the organisation in a large range of areas; for example, clinical skills, simulation leadership and management, coaching and mentoring.Â
It also provides support to students on placement, junior doctor training, and supports a range of apprenticeships. SFT has partnerships with a large number of universities, colleges and training providers. Local connections include Bournemouth, Winchester, Southampton and Portsmouth.Â
The amount of floorspace available for education activities is limited. Investing in education and training is essential and will enable the hospital to deliver a much better and improved service and help us deliver the right level of care using the best technology.Â
14: Why does SFT want to expand their training facilities?
SFT urgently needs to expand its current facilities to meet current demand.Â
This would include office space, a library, one-to-one coaching space, training rooms, a lecture theatre, a ward area and a simulation suite.Â
The education element is a key focus of the HEAT project, with the overall aim of helping the hospital thrive and establish itself as a centre of excellence for medical teaching and training alongside its core clinical services. This enhanced focus will develop the resources to recruit and retain talented people in the area, and drive forward the local economy.Â
Currently, there are few educational pathways for young people to lead them to Salisbury and fewer reasons to keep them here. By working with higher and further education providers, there could be much greater provision, which would benefit everyone in the city and surrounding region.Â
15: Who will be able to use the education facilities?
The new university level education facilities will be a specialist site for education and skills. We are currently speaking with potential partners to develop further apprenticeship, undergraduate, postgraduate and Continuing Professional Development (CPD) programmes.Â
We are also working with local further education provider Wiltshire College and are exploring opportunities for innovative curriculum design and delivery through shared staffing and facilities.Â
A range of education providers will deliver training to staff members in a large range of areas; for example, clinical skills, simulation leadership and management, coaching and mentoring. The prospective range of undergraduate tuition is being assessed with potential education provider partners.Â
16: What other education and training opportunities will be available?
There is also scope for SFT to act as a knowledge hub, offering education and skills facilities and resources to partners.Â
We are exploring options, looking at how we could develop the site into a specialist site for education and skills. We are keen to work with the education sector and establish a collaborative approach to working with other key partners to gauge interest. We want to create a plan for how the site might work in terms of education and training, including the facilities for research and development.Â
We are now exploring engagement from the wider education sector to join us in the next stage of the HEAT Project Salisbury and create an education centre that is functional and useable by multiple education providers.Â
17: How will the proposed education and skills facilities enhance the region’s strengths in science, technology, and research?
In addition to education and training opportunities, the proposed new facilities will play a vital role in strengthening the area by enhancing its reputation as a centre for science and technology. This proposed new facilities will complement the existing capabilities at Porton Down, reinforcing the region’s position as a hub for innovation and research of national importance. Â
By creating a space that fosters knowledge sharing, skills development, and research collaboration, we aim to drive economic growth and attract investment, ultimately benefiting the wider community and future workforce.
Health Services at the hospital
18: What are the plans for the maternity department?
The maternity services and neonatal unit are located in buildings originally built for the Second World War. The required space is not available and the buildings are no longer fit for purpose, meaning care cannot be delivered in the way patients can rightly expect today.Â
The development of maternity facilities have been upgraded a number of times, however they require a new building. The Trust will look to secure national funding to achieve that. Â
19: Will the hospital have capacity to see more patients? Will waiting lists be reduced?
The Trust’s case for replacing its day surgery unit (DSU) with an elective care centre (ECC) is based on the need to treat more patients, improve the experience for patients having daycase surgery and to reduce waiting times. Â
The Trust has secured £5.4m of national funding to develop a design for the ECC and to produce a business case which clearly sets out the rationale for a substantial investment to deliver those outcomes.Â
Travel and Transport
20: Will it increase road traffic and congestion?
The roads surrounding the hospital can become congested, particularly at peak periods. Any proposed development will need to take this into account and improve the situation. Encouragement of, and provision for, further walking, cycling or use of public transport will make the development more sustainable, and is vital to protecting our environment and improving air quality.Â
There is an existing, regular bus shuttle for travel to and from the Park and Ride at Britford to the hospital. We will examine how we can encourage better take up of this service by making it more user and environmentally friendly.Â
A green travel plan will also be developed as part of the planning process. A series of trials are underway, and we are looking at re-balancing transport and active travel, such as introducing improved cycle and electric bike routes and minimising car journeys through the introduction of car sharing for staff.Â
In addition, the £5.8 million upgrades to Salisbury Railway Station, including sustainable travel facilities such as the bus interchange and new cycle hubs, will improve overall connectivity to the hospital site and promote more sustainable modes of transport.Â
21: What is the green travel plan and how does it plan to reduce the environmental impact of car journeys to the site?
Our aim is to reduce reliance on single occupancy car journeys and promote active travel.Â
The trials currently taking place across the site aim to establish what works best to encourage the use of carbon-neutral transport. In addition to a significant expansion of the car sharing programme, trials include the introduction of an ANPR system to better control parking, a new secure electric bike hub with charging facilities, and better and safer walking and cycling routes with improved links to the city centre and station.Â
The ongoing £5.8 million transformation of Salisbury Railway Station, which includes enhanced cycle hubs and sustainable travel options like a bus interchange, will further integrate the station into the green travel plan. Â
These improvements will make the station a more accessible and sustainable transport hub, benefiting both hospital staff and visitors and supporting our goal of reducing car journeys and promoting environmentally friendly travel options.Â
22: Will there be enough car parking spaces for everyone who needs to access the hospital?
Plans for the hospital have been designed to ensure that the redeveloped site will have the same number of parking spaces as it currently has.
23: Will the new car park improve access for people with accessibility issues and allow for an increase in disabled car parking spaces?
The parking will be designed and overseen by specialist transport advisors to ensure that it is in line with best practice and guidance.Â
24: How will bus services to the hospital be impacted?
We are discussing this with the transport company to try to improve the existing provision.Â
25: Will the site have improved facilities for those cycling to the site for work?
There are quite a few hospital staff who cycle to work, and SFT will continue to encourage this by providing improved amenities. This will include additional showers and lockers for staff and secure storage for bikes.Â
Environment and heritage
26: What impact will it have on the local landscape?
As part of the initial feasibility study, an assessment of the character and quality of the landscape has been undertaken.Â
The development is being guided by a landscape-led strategy designed to minimise its visual impact on the surrounding area. This approach has influenced the location, scale and massing of individual buildings, ensuring they are carefully positioned to reduce visibility from key viewpoints. A new landscape strategy focused on enhancing the setting of the development will be a fundamental part of the design ensuring that it blends with the surrounding landscape.Â
Phase one will be entirely located within the land around the existing hospital and has been carefully designed to ensure that any changes to views from the city and surrounding countryside are limited.Â
In addition, the new landscape will be designed to better integrate with the buildings, giving the hospital a new sense of place.Â
While the existing hospital is principally sited on rising ground with some buildings visible from the city and public viewpoints, much of the land surrounding the hospital slopes gently away from the main built areas in a series of ridges and valleys. Any future phasing of the development will also be restricted in height and massing to ensure that important views are preserved.Â
In addition, landscape proposals will be developed in conjunction with nature conservation organisations, to ensure increased public access and increase the city’s green space provision. Â
27: What impact will it have on the local environment?
The hospital is sited in an area where some of the surrounding land is afforded environmental protection through planning policy. These include an archaeological site to the north, a National Landscape (formerly known as an Area of Outstanding Natural Beauty) to the south and views of Salisbury Cathedral amongst others. We take our commitment to preserving and enhancing the natural and historic environment extremely seriously.Â
We will continue to work closely with organisations such as Natural England, Historic England and the Environment Agency to ensure there are mitigation measures in place, both during construction and operation. As part of the process of seeking planning permission for the HEAT Project master plan, full account of both the man-made and natural environment will be taken into consideration, supported by appropriate surveys and studies which will look at all aspects of the development and how to enhance and protect the environment.Â
28: What impact will it have on local wildlife?
We are committed to ensuring sensitive and sustainable development. We will work in partnership with organisations such as Wiltshire Wildlife Trust to share survey information gathered to schedule and record the species and habitats on our site, creating, mitigating, restoring or preserving habitats and importantly, provide greater public access. Ecological surveys are ongoing as part of this. Improving biodiversity on the hospital estate is a key project aim.Â
Biodiversity will be at the heart of the new landscape plan and we are committed to achieving a minimum 10% Biodiversity Net Gain (BNG) in line with policy requirements. Incorporating sustainable building technology green energy, will ensure the development will respect the setting and landscape.Â
29: What impact will it have on ancient monument and heritage?
None, as the development will primarily take place on the existing hospital site, there will be no impact on ancient monuments or heritage. Â
30: What is being done to help towards being a net zero site?
The NHS aspires to be net zero by 2040.  The ambition for the redevelopment of the hospital is to create a site that not only has buildings that are zero carbon, but to create a site that is fully zero carbon in its operations. There are a number of trials and initiatives that are being considered to enable this and we hope to share details of these soon.
Design and the planning process
31: In what ways will the development align with the Local Plan?
The Local Plan has been an important consideration in shaping our development proposals.Â
32: If planning consent is agreed, when will the new development be ready?
It is anticipated that a detailed planning application for the initial development of phase one of the project will be submitted in late 2025. If this is approved, work could begin once funding is agreed. For further information on timescales, please click here.Â
Additionally, development of the replacement Elective Care Centre is taking place in tandem, with enabling works beginning at the end of 2025 and construction starting on site in April 2026. While distinct from the wider HEAT project, the Elective Care Centre is a core component, led by Salisbury Hospital, with Salutem leading on the other project elements.Â
33: Will the local community have an opportunity to have their say? Are you planning any further consultations?
Yes, absolutely. We will be seeking the views from residents, the local community, business and the wider public at each of our exhibitions. These views will be used to shape our plans, as they develop. We have already taken the feedback received at our events and have incorporated this into our plans.Â
Please keep an eye on our events page for details of our next webinar event or public exhibitions.Â
We always welcome feedback on our plans. Please contact us to get in touchÂ
34: Past plans have not come to fruition – why should these be taken seriously?
The hospital is not a modern building, and the community’s requirements have evolved over time. Like all hospitals, we have to prioritise the use of capital funds available to the Salisbury NHS Foundation Trust each year.Â
This has meant that in the past we have had to adopt an incremental approach towards refurbishment. However, to ensure long-term sustainability and viability (many of the current buildings are incapable of being upgraded to achieve net zero), the hospital now has to take action and embark upon major reconfiguration. This is based on a real need – we can no longer just do refurbishment on a piecemeal basis.Â
We want to position Salisbury District Hospital at the forefront of integrated healthcare, working with others to create a modern centre which serves the community’s changing needs. The opportunity to secure funding over a longer period will provide the Trust and its partners with the means to achieve this outcome.Â
Significant progress has already been made, with the hospital development included in Wiltshire Council’s draft Local Plan and an outline application for Phase 1 expected in late 2025. Additionally, the construction of Imber Ward demonstrates the ongoing commitment to delivering the hospital’s long-term visionÂ
Timeline and costs
35: What is the timescale for development?
We will announce plans for the next stage of public consultation on our website and will integrate the views expressed into the evolving design well before submitting a planning application. This will provide further details of phase one of the planning application. Â
36: How do you propose to continue to provide the facilities while the rebuilding is going on?
Patient safety and service continuity remain our top priorities throughout the redevelopment. To minimise operational impact, the initial phase of construction will take place on the existing surface car park– this is to allow the existing healthcare buildings to continue to function, while new buildings are developed.Â
The hospital is highly experienced in managing complex projects while keeping essential services running smoothly and we have robust plans in place to ensure minimal disruption to patients and staff.Â
We are exploring options to address the temporary loss of these car parking spaces and expect to be able to provide all, if not most, of these spaces again as the project progresses.Â
Funding
37: How will it be funded?
At this stage the funding options for the development are still being considered. It cannot be determined until the proposals are more advanced.
During construction
38: What about site access? How much will the traffic increase during construction and once the facility is operational?
There will be construction traffic which will be managed by a construction management plan to be agreed with Wiltshire Council. The ongoing work that the hospital is undertaking to reduce single occupancy car journeys will mitigate operational traffic. Â
39: Will it be noisy during construction?
Noise mitigation measures during construction will also be agreed with the local authority. The hospital is particularly mindful of the need to minimise noise and disruption to patients.
Last updated 30/06/2025
