Hillingdon Hospital Redevelopment Social Value Approach


Ellie Jenkins


The Redevelopment of Hillingdon Hospital offers the potential to deliver a lasting social, environmental and economic legacy. Through the redevelopment, the Hillingdon Hospitals NHS Foundation Trust (THHFT) will meet the local acute care needs of circa 350,000 people, including the provision of over 500 inpatient beds, A & E, outpatients and maternity care. Within the Hillingdon Redevelopment, the Trust is committed to measurably improving health and wellbeing outcomes for the people in Hillingdon, ensuring that sustainable health and social care services are built around local needs with the appropriate fit-for-purpose estate.

What we did

As the Trust prepared to submit their Outline Business Case and planning permission, Akerlof was commissioned to develop a social value strategy, charter and forecast. To help the Trust to identify core priorities, we first created a Requirements Assessment, ensuring social and economic interventions were centred on and aligned to local and national needs. We then delivered two workshops for key stakeholders to shape the strategy, developing themes, outcomes and measures, including activities that had already been planned. From these sessions, we developed the strategy, financial forecast and measurement approach. To optimise the strategy, we validated and refined our approach through continuous engagement with community partners, the wider Trust, the London ICS and the local borough council. As social value was a new concept to many, a significant part of our role was building capacity and capability within the redevelopment team and Trust. We did this through training sessions, guidance notes and clear checklists for each team.

The impact

  • An upskilled redevelopment team, with a roadmap and checklist to embed social value through design, procurement, planning, delivery, and operation
  • A comprehensive social value strategy and external cut for strategic engagement
  • Quantified social value, which supported the value for money category within the economic case
  • A one-page social value charter, with a supporting narrative for the redevelopment website

Don't just take our word for it...

Working with Akerlof to develop our approach to social value has been a great experience. Our whole redevelopment team speaks very highly of the support we have received from Akerlof, and I’d happily recommend their work to other trusts developing an approach to social value. Given the scale, phase, and pace of the redevelopment, Akerlof had a challenging task to build awareness, knowledge, and consensus around social value in a very tight timeframe. Through extensive engagement, Akerlof has ensured everyone is sighted on and bought into our approach. We are delighted with the completed work and hope to have the opportunity to work together in the future.

Neetu Sharma, Strategy, The Hillingdon Hospital Redevelopment

Jamie Hillier


With a penchant for tweed and jackets with leather arm patches, Jamie began his career as a quantity surveyor, before climbing the ladder to lead major projects for a Tier 1 contractor.

Eventually expanding his book collection beyond copies of SMM7, Jamie has interest in a broad range of subjects linked to delivering better outcomes for society and the environment.

His strategic insights on MMC and behavioural science have made their way into numerous government, industry and academic publications, including the Construction Playbook, Transforming Infrastructure Performance Roadmap to 2030, the Platform Rulebook and the RIBA DfMA Overlay.

John Handscomb


Construction is in John’s blood. Learning from his father who was a planner and project manager, John began his career by working on some iconic projects in both the public and private sector.

As a procurement expert and integrator of new ways of working, John has pioneered the integration of platform principles, DfMA processes and supply chain within over £5bn projects in the last 15 years, for some of the largest building programmes in the UK. Despite his considerable expertise, John keeps it simple, communicating complicated ideas with ease and helping to equip the industry with new knowledge and skills.

Outside of Akerlof, John enjoys his executive role with technology start-up ScanTech Digital, spending time with his family, taking trips down the football, playing a bit of golf with friends and the odd pint. 

Our name is shared with George Akerlof, a Nobel Prize-winning economist.

His seminal paper, Market for Lemons, demonstrated the devastating consequences of making decisions under the conditions of quality uncertainty and unequal information between buyers and sellers, increasing the chance of buyers ending up with a ‘lemon’.

This 50-year-old concept continues to retain parallels within the construction industry.

Through our insight and experience, we can rebalance this information asymmetry on behalf of our clients, levelling the playing field to deliver better outcomes.