Our impact

Fulcrum, UK


The UK Government launched the Local Improvement Finance Trust (LIFT)programme in 2000 for establishing partnerships between public and private sector organisations, for regenerating and maintaining the building fabric of primary care and community health services.
Under the LIFT model, new facilities are built from new or refurbished buildings that are then managed and maintained under the ownership of a LIFT company, which then leases the buildings back to NHS (National Health Service) service providers over a fixed term (usually 25 years).
Meridiam is a major investor in the health estates sector in the UK, through its 100% ownership of Fulcrum Infrastructure Group (FIG).
FIG is the private sector partner in four LIFT companies. Each covers a distinct geographic area in Merseyside (Liverpool) and London. FIG is also a shareholder in two other LIFT companies in Oxford and Bristol. The portfolio includes 42 primary and community healthcare facilities. All facilities are operational, estimated to be serving around five million patients per year, staffed by nearly 3,900 NHS employees.


In Operation


ESG/SDG Key Facts

All 42 LIFT schemes have achieved either a BREEAM “very good” or “excellent” rating.
The LIFT companies have developed and sponsored innovative media campaigns (typically in partnership with sports clubs) to support the NHS.

Thousands of children in the Lambeth community participated in naming a local park regenerated by the project – now named “Peregrine Park”.

> Learn more about the project:

Hertfordshire Student Housing: BREEAM Outstanding

Uliving@Hertfordshire: service improvement




Patients per year


Facilities staffed with 3,900 NHS employees

Helping support

the wider NHS strategy of delivering more services in the community
This site is registered on wpml.org as a development site. Switch to a production site key to remove this banner.