The buildings are never the whole story.
Front-end strategic clarity where NHS, health and place infrastructure meet.
Most of the people involved are already talking. Just not early enough, or in the same room.
We get NHS programmes clear before design begins, and get NHS needs into the places being planned, before the expensive decisions are made.
When we’re brought in
The problem isn't always what needs building. It's what hasn't been resolved yet. We step in when important decisions are needed, expectations don't align or opportunities are being missed.
When the strategy, brief or project isn’t clear - For NHS Trusts, ICBs, neighbourhood partnerships, programme teams, architects and delivery partners
A major programme has stalled, and no one can say why.
You’ve had the same meeting four times without a decision
The brief keeps shifting, early-stage costs are climbing, and you can see the redesign coming.
You're carrying the risk of someone else’s uncertainty
You need independent strategic support to navigate competing priorities and complexity.
When health, place and the NHS aren’t connected - For councils, regeneration teams, developers and NHS partners
Health is in your regeneration vision, but NHS needs aren’t in your plans.
You can't get the NHS to articulate what a site or development actually needs
Your placemaking vision is great, but it’s disconnected from local NHS strategy, services and prevention.
You have land, but no clear route to health-led development.
None of these are delivery problems. They’re clarity and connection problems.
That’s where Loxie comes in.
What we do
We understand the estate. We see beyond it.
Loxie is an independent strategic partner who focus on front-end clarity at the at the intersection of NHS infrastructure, health and place. We translate NHS needs and health ambitions into practical decisions about buildings, spaces and the wider places they serve.
Healthier places need more than healthcare buildings, and more than healthy placemaking aspirations. Places need the right services, spaces, connections and relationships working together.
We don't design, build or manage assets.
But we do help different organisations understand what each needs from the other, and we connect the NHS with the world around it, through infrastructure. (Simple, eh?)
We solve the problems that exist before architects, project managers and contractors can solve theirs.
Our work falls into two connected areas:
Building delivery confidence
STRATEGIC INFRASTRUCTURE CLARITY & DELIVERY READINESS
For infrastructure programmes that are stuck, contested or losing momentum.
We help leaders align stakeholders, test assumptions, develop narratives and create a clear route to delivery. We usually join projects before design begins, giving project teams the strategic clarity that makes good design possible.
Typical work: Strategic options appraisals, masterplan briefs, visioning, stakeholder alignment, delivery roadmaps, narrative development and Green Book alignment for SOC/OBC/FBC, early-stage risk identification.
For: NHS Trusts, ICBs, local authorities, architects and development partners working on complex infrastructure programmes.
EXAMPLE PROJECT
NHS Masterplan
Taking a 100+ acre health-led masterplan through visioning, governance, and stakeholder complexity into outline planning.
Moving beyond the NHS estate
NEIGHBOURHOOD INFRASTRUCTURE & HEALTH-LED REGENERATION
For organisations aligning health, development and place - turning health strategy into connected, deliverable infrastructure.
Because health outcomes are shaped by systems, not buildings.
Typical work: Place-based infrastructure frameworks, health-led regeneration, partnership alignment, cross-sector governance, neighbourhood infrastructure strategies, NHC brief development and RIBA 0-1.
For: ICBs, place leads, local authorities, housing associations, purpose-led developers, PCNs
EXAMPLE PROJECT
Newcastle Health Innovation Neighbourhood
identifying how health could create long-term value across housing, learning, leisure and public realm, not simply healthcare facilities.
They invested time to deeply understand our aspirations and challenges, creating a strategy that was both innovative and grounded in practical insights.
— EXECUTIVE DIRECTOR, NHS Trust
Why Loxie.
We see the whole system.
Translate between worlds.
Make it real.
Create infrastructure confidence before delivery begins.
Independent - We aren't tied to a design solution, delivery model or commercial interest. We have no interest in defending an answer that already exists - we can say what others cannot.
Senior and focused - You work directly with our founders from day one. When a programme is stuck or a difficult decision needs to be made, our focused Clarity Diagnostic gets to the heart of what’s really going on in days, not months.
Creative pragmatism - We think laterally and challenge convention, but anchor every idea in what can actually get approved, funded and built.
Experienced - We've worked across NHS transformation, regeneration programmes, major infrastructure strategies and public-sector investment cases.
‘I am never the most technically qualified person in the room. But I’m often the most useful - because I am the one looking at the bigger picture.’
Emma Ingham, Co-founder
And the bit that isn’t for sale?
Some infrastructure questions are too important to leave inside commercial briefs.
Unbuilt is our ideas platform — an internal lab space for asking the awkward infrastructure questions.
We fund it ourselves.
We publish everything.
The hardest part isn't the build. It's knowing what to focus on first.
Most of our clients start with a question: Something isn't working. Can you help us understand why?
If you're responsible for an NHS infrastructure scheme, a regeneration programme or a place where health and NHS needs aren't yet connected, let's work out what needs to happen next.