Trusted by acute and mental health NHS Trusts nationally to deliver refurbishments, fire protection, decarbonisation and building compliance, with minimal disruption.
We Understand the Challenges Facing NHS Estates
Axis works alongside NHS Trusts across the UK to deliver high-quality refurbishments, compliance works and essential upgrades. Our role is simple: to help keep healthcare facilities safe, functional and efficient, environments that support exceptional care every day.
Our specialist teams work around your staff, patients and visitors to ensure your facilities never miss a beat.
We understand the pressures NHS estates face. From ageing buildings and strict compliance requirements to the challenge of maintaining services around-the-clock, continuity matters. With a £15.9 billion maintenance backlog — including £3.5 billion classed as high risk — we know the scale of the challenge. That’s why every project we deliver is planned around your operations, minimising disruption for staff, patients and visitors while maintaining safety and efficiency at every stage.
Seamless Delivery in Live Healthcare Environments
Delivering projects in live clinical environments demands sensitivity, flexibility and precision. Our experienced teams work seamlessly to maintain safe, calm settings while essential works are carried out.
We collaborate closely with NHS staff, infection control teams and estates departments, carefully scheduling activity around patient needs and daily operations. Every member of our workforce is fully DBS-checked and trained in safeguarding and customer care, ensuring the highest professional and ethical standards.
From minor refurbishments to complex multisite upgrades, we deliver every project with reliability, respect and responsiveness.
Healthcare Services
+ Anti-ligature installations
+ Clinical sanitary-ware
+ Conversions
+ DDA-compliant adaptations
+ Energy-efficient solutions
+ Active & passive fire protection works
+ Landscaping
+ M&E (Mechanical & Electrical)
+ Plumbing
+ Refurbishment of theatre areas
+ Refurbishment works
+ Remodelling of care units
+ Roofworks
+ Strip outs
+ Water management systems
Specialist Healthcare Installations
+ Access Adaptations: DA-compliant bathrooms and kitchens with access upgrades (grab rails, ramps, door widening) for patients with mobility difficulties.
+ M&E Installations: fire safety systems, security doors with access control, and thermostatic mixer valves (TMVs) that blend hot and cold water to prevent scalding vulnerable occupants.
+ Safety Features: non-slip vinyl sheet flooring, rubber skirting boards, PVCu wall cladding, and anti-ligature devices that prevent selfharm or suicide attempts in mental health and psychiatric wards.
Trusted Expertise. Proven Capability.
Axis is approved on various NHS procurement provider frameworks and has deep technical understanding of healthcare estates. Our teams work in accordance with Health Technical Memoranda (HTM) and all relevant NHS standards.
With full DBS checks and a commitment to safety, we deliver quality with confidence. Our fire protection services keep building users safe, backed by our third-party accreditation for passive fire safety such as FIRAS and BM TRADA.
Whether refurbishing a ward, upgrading fire safety systems or improving energy performance, our goal is the same, to deliver work of lasting quality, safely and without disruption.
+ 40+ years of healthcare property expertise
+ Experienced in Acute and Mental Health Trusts
+ HTM-compliant and FIRAS-accredited
+ Fully DBS-checked and trained teams
+ Reliable delivery through NHS frameworks
+ Accredited by CHAS, SafeContractor, NICEIC, Gas Safe, PAS2030
Delivering Through Approved NHS Frameworks
Procurement in the NHS must be transparent, compliant and efficient, which is why we deliver through several frameworks tailored to the NHS. These frameworks simplify engagement, giving Trusts confidence in our capability, value and governance.
Each framework supports a different part of the NHS estate, from energy efficiency and fire safety to planned refurbishment and maintenance. Our ability to operate across multiple frameworks ensures flexibility in how we deliver projects.
NHS Shared Business
+ Estates & Facilities (Hard FM): Supporting ongoing maintenance and refurbishment of NHS buildings.
+ Decarbonisation of Estates: Helping Trusts reduce carbon emissions and improve energy efficiency.
+ Building Safety & Fire Compliance: Ensuring safe, compliant facilities across NHS estates.
NHS NOE CPC
+ Specialist Estates Engineering & Maintenance Services (Hard FM): Providing technical, responsive solutions for complex healthcare environments.
Passive Fire Works Programme
UNIVERSITY HOSPITALS OF LIVERPOOL GROUP
Our Passive Fire Works programme at both Aintree and Broadgreen hospitals includes fire door replacement and remedials as well as penetration sealing.
We carefully sequenced our work, and worked out of hours, to ensure safety for patients, staff and visitors and minimise disruption. Communication is key in a live hospital environment so our teams liaised closely with the Trust and the estates teams, staff representatives and the managers, ensuring our works did not impact on the services delivery of the of the hospital.
Duration: 10 Weeks (Rolling Contract)
Contract Value: £1m PA
Project Size: 4 Hospitals
+ Delivered full fire safety compliance with minimal service disruption.
+ Completed works safely through precise sequencing and out-of-hours delivery.
+ Maintained seamless coordination with Trust and estates teams.
Fire Door Upgrades & Replacements
MIDLANDS PARTNERSHIP NHS FOUNDATION TRUST
Work was completed during normal working hours to reduce costs to the NHS Trust whilst minimising disruption to services.
Through rigorous planning and adherence to high standards, we executed the work efficiently while maintaining the building’s fire safety and meeting stringent requirements. Additional safeguarding measures were implemented while operating within this inpatient Mental Health Services and Old Age Psychiatry facility.
Duration: 6 Months
Contract Value: £418,000
Project Size: 400+ Fire Doors
+ Enhanced fire safety across mental health and elderly care facilities.
+ Achieved significant cost savings for client by working within standard hours.
+ Completed all works safely while maintaining uninterrupted patient care.
Multi-site M&E Upgrades & Refurbishment
HARROGATE & DISTRICT NHS FOUNDATION TRUST
The works spanned Grove Park, The Lascelles Centre, Cedar Ward, and The Arch, encompassing electrical and mechanical upgrades, passive fire safety improvements, full internal and external refurbishments, DDAcompliant facilities, and general conversion works. We provided the Trust with a streamlined, coordinated approach, minimising disruption to live environments and ensuring fully compliant, modernised facilities across each site.
We completed a full ground floor rewire and partial first floor rewire, installed 121 new LED light fittings with associated M&E works, and delivered passive fire safety upgrades including 42 new fire door sets and compartmentation. The team also carried out DDA bathroom conversions, refurbished staff toilet facilities, and completed internal and external improvements, providing a safe, modern and compliant facility.
Contract Value: £1.4m
Project Size: 4 Sites
+ Modernised multiple live sites through coordinated M&E and refurbishment works.
+ Delivered fully compliant, energy-efficient, and accessible facilities.
+ Enhanced fire safety with new door sets and compartmentation upgrades.
+ Improved functionality and comfort with refreshed internal and external environments.
+ Ensured safe, seamless delivery with minimal disruption to staff and patient services.
Robbie Mckinnon Decarbonisation and Energy Performance Contracting Manager
07740 202 790
Robbie.Mckinnon@axiseurope.com
Nigel Chapman Partnership Manager
07977 266 867 nigel.chapman@axisclc.com
Joseph Hayes Partnership Director
Joseph.Hayes@axiseurope.com
Richard Hughes Strategic Partnership Director
07928 501 106
richard.hughes@axisclc.com
Hayley Ratcliffe Partnership Manager
07977 266 854 hayley.ratcliffe@axisclc.com