Built
Marcus Peel
A once-hidden Georgian hospital interior has been carefully conserved, climate-adapted and reopened as a public place of heritage, wellbeing and civic life in the heart of London.
The conservation of Barts North Wing has restored and re-opened one of London’s most significant eighteenth-century interiors, returning the Great Hall and Hogarth Stair to sustained public life.
Designed by James Gibbs and completed in 1732, the Grade I listed North Wing forms the ceremonial centrepiece of St Bartholomew’s Hospital, Britain’s oldest working hospital. Its significance lies not only in its architecture, but in the remarkable convergence of art, healthcare, philanthropy and civic life. The Great Hall and Hogarth Stair are spaces of the highest significance, containing Jean-Baptiste St Michele’s plaster ceiling, William Hogarth’s monumental paintings The Good Samaritan and The Pool of Bethesda, historic benefactor boards, the Charter Window and the principal chandelier gifted by surgeon John Freke.
After decades of underinvestment, the building was affected by water ingress, failing rainwater goods, deteriorating stonework and cumulative internal interventions. The project addressed these issues through a conservation-led programme of external repair, specialist decorative conservation and careful re-presentation. The approach prioritised repair over replacement, minimum intervention and retention of historic fabric, supported by detailed investigation, environmental monitoring and specialist craft.
The project has conserved eighteenth-century fabric while improving resilience, access and long-term use. More than 160 sash windows were repaired and retained, deteriorated post-war copper gutters were replaced with historically appropriate lead rainwater goods, and new sumps, additional outlets and improved falls strengthen the building’s capacity to respond to heavier rainfall.
Now re-opened, Barts North Wing supports public visits, tours, cultural events, education, performances, venue hire and a health and wellbeing programme for hospital staff, patients and visitors. The programme also supported volunteer training, apprenticeships and early-career conservation experience, helping build skills and public stewardship around the restored building. It demonstrates how rigorous conservation can secure nationally significant heritage while giving it renewed civic purpose for London.
“The scheme is an exemplar of conservation best practice, married with modern accessibility, reimagining a space that delivers an improved, inclusive cultural offer for visitors.” - City of London Corporation
Project information
Status
Built
Borough
City of London
Estimated completion
October 2025
Location
8 Smithfield St, London EC1A 9LA, UK
Team Credits
Client
Barts Heritage
Lead Consultant and Conservation Architect
Purcell
Project Manager
Glevum Consulting
Quantity Surveyor (RICS Chartered Surveyors)
Huntley Cartwright
Structural Engineer
Arup
Engineering Consultant
The Morton Partnership
Building Services Engineer
QODA
Access Consultant
Jane Earnscliffe
AV and Acoustic Consultant
Sandy Brown
Lighting Consultant
Sutton Vane Associates
Funding Consultant
Magdalen Fisher
Activity and Engagement Consultants
Chloe Bird and Jane Frederick
Interpretation Design
Dot.com
Principal Contractor
Coniston
Paintings Conservation
Paine & Stewart
Decorative Conservation
Hall Conservation
Stained Glass Conservation
Holywell Glass
Building Diagnostics
Hutton + Rostron
Listed by
Last updated on
17/08/2026
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