In 1993 St Luke's Hospital occupied all seven floors of a rambling and much adapted building in Fitzroy Square.

The practice was commissioned to assist the hospital to reorganise in response to modern pressures, a project to be financed in part by the conversion of the upper floors into luxury apartments.

Complex servicing and the demands of Building Regulations had to be woven into an irregular existing structure. Space for construction was limited and the work was, by the nature of the Square and its Conservation Area status, extremely sensitive.

The refurbished hospital was dedicated by the Archbishop of Canterbury in January 1995 and opened by Her Majesty the Queen in March of the same year.