Following a private session of the NHS Shetland Health Board meeting on Tuesday 16 December, the Board has approved a revised Full Business Case (FBC) for submission to the Scottish Government. This is an important milestone that will allow works to begin in early 2026.
In the coming months, we will start installing a temporary steel mesh and strapping system to the wall elevations of the hospital that are affected by water ingress. This essential safety measure will protect patients, visitors and staff while permanent solutions are developed. While some noise and disruption will be unavoidable during these works, we will do everything possible to keep this to a minimum. We expect all departments will be able to remain in their usual locations.
While work is underway, the car park at the hospital may have some temporary restrictions, but more information will be issued in due course.
The revised FBC sets out the design approach and options appraisal for the temporary steel solution, enabling the Scottish Government to assess both the suitability of the design and the funding required. The FBC will also include a request for funding to enable NHS Shetland to develop a site development plan for the Gilbert Bain Hospital. This site plan will include options for completing the longer-term remedial works e.g., rebuilding defective sections of the external wall and also addressing some of the other infrastructure issues in the hospital.
David Wagstaff, Head of Estates and Project Director, said: “We recognise that this is a complex and evolving project, and while some elements have taken longer than originally anticipated, these delays reflect the careful planning and detailed design work required to ensure we get this right for the long term. As the project has developed, costs have risen significantly, and we do not yet have a confirmed final figure. Despite this, we are now in a strong position to move forward with the next stages, including the temporary façade works and preparation for decant accommodation in the future. Our focus remains on delivering a safe and efficient programme with minimal disruption to services, and we appreciate the continued support and patience of staff, patients and the wider community as we progress this essential work.”
To manage the programme effectively, the Board—following direction from the Scottish Government—has agreed to deliver the work in three phases: installation of the temporary steel façade, preparation for moving into bespoke modular facilities, and completion of the permanent repairs. This phased approach will take place over 2-5 years.
We will continue to communicate any updates or planned works in advance to ensure everyone remains well informed throughout the project.
Our priority is to maintain a safe, comfortable and welcoming environment for all patients, visitors and staff during this period of development, and we will work hard to minimise any disruption.
Thank you for your patience, support and understanding as this important work moves forward.