New Surgery: Downham, London

The site was previously a narrow entrance to a school which was demolished to make way for a new housing estate. The developers were reluctant to build houses on this part due to anticipated difficulties with foundations due to the large trees present, which required the use of piled foundations.

The shape of the site defined a simple layout featuring reception/waiting at the front and a single corridor through to a fire exit onto the back. The reception has good visibility of all circulation areas.

Accommodation at the site was maximised by using attic trusses for the roof construction which provided space for a conference room, health visitors office and two admin rooms.