Define the right problem
Before you spend millions solving the wrong one.
For NHS Trusts, ICBs, and regeneration leaders making health infrastructure decisions that can’t afford to be wrong.
When we’re brought in.
We step in when ambition has stalled, or when something simply doesn't feel right.
A programme is stuck, or doesn't know how to begin
Stakeholders have lost a shared direction
Investment confidence is weakening
Governance is becoming overly complicated
You want community health, but the strategy just looks like more NHS buildings
A regeneration scheme needs health properly embedded
Everyone agrees something needs to change. Nobody agrees on what.
These aren't delivery problems. They're clarity problems.
Left unresolved, they inevitably become delivery problems.
What we do.
We're a front-end health infrastructure clarity practice.
We work in that space before certainty - where patterns are forming, but the wrong assumptions can still be challenged.
We don’t design, build, or manage assets. We make sure the people who do are working from the right brief.
We solve the problems that exist before architects, project managers and contractors can solve theirs.
Our two core specialisms:
Building infrastructure confidence
STRATEGIC 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.
Typical work: Strategic options appraisals, vision development, stakeholder alignment, delivery roadmaps, narrative development for SOC/OBC/FBC, early-stage risk identification.
For: NHS Trusts, ICBs, local authorities, architects, developers
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, we connect fragmented systems.
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.
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.
Independent - No links to NHS property companies, system organisations, or developers. Our only interest is your local outcome
Senior - You work directly with our founders from start to finish
Frictionless — Our Clarity Diagnostic delivers rapid clarity without months of delay
Commercial- We understand what gets approved, funded and delivered - not just what looks good on paper
Experienced - We've led NHS transformation, regeneration programmes, major infrastructure strategies and public-sector investment cases
Our role is simple: Create infrastructure confidence before delivery begins.
‘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 department of awkward infrastructure questions. We fund it ourselves. We publish everything.
The hardest part isn't the build. It's knowing what to build.
Most of our clients start with our Clarity Diagnostic.
All of our work starts with a conversation.