What does a Clerk of Works do on an M&E project in the NHS?
In NHS healthcare construction and refurbishment projects, the role of a Clerk of Works remains as vital as ever, even if it’s less commonly seen in job titles today.
Historically, a Clerk of Works served as the client’s on-site representative: an experienced, impartial professional who sat between the design team, project managers, and Estates or Facilities teams. Their purpose? To ensure mechanical and electrical (M&E) works were delivered to specification, to standard, and with long-term operational performance in mind.
Not just box-tickers, they were guardians of quality assurance, HTM compliance, and value for money, protecting NHS Trusts from costly defects and future maintenance issues.
Why the role still matters today
Although fewer NHS Trusts now employ dedicated Clerks of Works in-house, the need for independent site oversight has never been greater. Healthcare M&E systems are becoming more integrated, projects more complex, and the expectations for energy efficiency, infection control, and compliance with healthcare building standards more demanding.
That’s where B&R Consulting comes in.
We act as your modern-day Clerk of Works providing detailed, impartial M&E inspections, technical reviews, and on-site quality monitoring throughout the project lifecycle.
Experienced oversight across NHS environments
From HTM-compliant plant upgrades and cleanroom installations, to ward refurbishments and operating theatre projects, our team understands the practical realities of delivering building services in critical, clinical environments.
“NHS projects demand more than just technical compliance; they need practical, future-ready solutions that work for estates teams and clinical users alike. That’s where having independent, experienced eyes on site makes a real difference,” says Rob Urmson, Director at B&R Consulting.
Whether we’re brought in at the design stage or mid-way through delivery, we help ensure that what’s built on site aligns with the original M&E design intent and with the Trust’s operational needs.
What you gain from an independent Clerk of Works service
Supporting Estates, Capital, and Project Teams
B&R Consulting works alongside NHS Capital Projects, Estates, and Facilities Management teams to deliver safe, compliant, and efficient healthcare environments.
If you’re managing an M&E-led project, from a small plant room upgrade to a major refurbishment and need an extra layer of expert oversight, we’re here to help.
Simply call us on 01257 262683 of use the contact form below
