The Greater Manchester Major Trauma Hospital, located on the Salford Royal site, began construction in February 2021 and officially opened in May 2024. The facility provides 90 in-patient beds, five new operating theatres, a dedicated helipad and the UK’s first RAPTOR hybrid major trauma theatre. Adana Construction’s scope included the groundworks, reinforced concrete frame, and external works packages. The project comprised an eight-storey, 10,000m² reinforced concrete structure, incorporating four reinforced concrete cores constructed on piled foundations. A critical project constraint was its immediate adjacency to the live Accident & Emergency department and designated Blue Light routes. These were maintained fully operational and uninterrupted throughout the works, requiring meticulous planning, logistics management, and strict health & safety control.