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Case study - Commercial fit-out

Medical office fit-out.
Harley Street, London.

Harley Street, London W1G
Project type
Medical office refurbishment
Scope
Strip-out, rewire, flooring, joinery and decoration
Location
Harley Street, London W1
Client
Private medical practice
The project

Complete refurbishment of a
Harley Street medical office

Novus Construction was appointed to carry out the complete strip-out and refurbishment of a private medical practice office on Harley Street. The building is a Grade II listed Georgian terrace, occupied by multiple medical practices on different floors throughout the works.

The brief required the full scope to be delivered within the constraints of a listed building: original floorboards could not be removed and had to be levelled and retained beneath the new herringbone oak floor. The electrical installation, lighting design and finishes all had to meet the requirements of a clinical consulting room while sitting in harmony with the Georgian architecture - original cornicing, panelled walls, sash windows and period chimneypiece intact throughout.

Works were carried out while other occupants and patients continued to use the building, requiring strict management of noise, dust and access at all times.

W1G
Harley Street, London
II
Grade II listed building
2
LED lighting zones plus pendant
Live
Occupied building throughout
Completed consulting room - herringbone oak flooring, split-zone LED lighting with cornice perimeter strip and pendant lantern - Harley Street W1G
Herringbone oak flooring over retained Georgian floorboards - Harley Street London W1G medical office fit-out
Pendant lighting and bespoke walnut joinery - Harley Street London W1G medical office refurbishment

The completed consulting room - herringbone oak flooring over retained and levelled original Georgian floorboards, split-zone LED lighting running the full cornice perimeter, bespoke walnut joinery with integrated LED shelving, and the original Georgian chimneypiece and cornicing preserved throughout.

Flooring within a
listed building
The original Georgian floorboards could not be removed - a listed building consent condition. Instead, they were levelled using a latex compound to eliminate movement, then overlaid with herringbone oak in the consulting area and LVT in the clinical treatment zone. A continuous finish sitting directly on original fabric that is over 200 years old.
Split-zone
LED lighting
Two independent lighting zones - an LED perimeter strip running the full cornice at ceiling level providing ambient uplighting that highlights the Georgian plasterwork, and a separately switched downlight circuit for clinical task lighting. A statement pendant lantern provides the centrepiece. All three are independently controlled, allowing the room to shift from clinical to consultative as needed.
Occupied building
management
The building remained fully occupied throughout - with multiple medical practices operating and patients attending appointments daily. All works were scheduled to minimise noise during clinical hours. Dust management, clean access routes and careful sequencing ensured no other practice was disrupted at any point during the refurbishment.
The detail

Georgian cornicing.
Clinical finish.

What makes this project distinctive is the discipline required to make two fundamentally different things work together: the original Georgian architecture - intricate plaster cornicing, panelled door architraves, the original period chimneypiece - and the requirements of a modern clinical consulting room. Nothing was simplified or hidden. The cornicing was cleaned and preserved. The sash windows were retained. The wash station, storage joinery and treatment facilities were designed to sit within the room rather than against it.

The bespoke joinery - walnut-finished storage units, mirrored shelving with integrated LED strips, and the wash station with marble-effect surround - was designed to complement the warm tones of the herringbone floor while contrasting cleanly with the white painted walls and original plasterwork.

Full redecoration throughout - all surfaces, woodwork and cornicing - was completed to a standard consistent with the Harley Street setting. The LED strip lighting integrated into the joinery provides independent task lighting for the treatment area, separately zoned from the main room circuits.

Context

Working in a
listed building

Harley Street sits within the Howard de Walden Estate - a conservation area of Georgian townhouses, most of which are listed. Working within a listed building imposes constraints at every stage: materials, methods of fixing, what can be removed and what must be retained. For this project that meant retaining the original floorboards, preserving all plasterwork, cornicing and joinery, and ensuring that no structural fabric was altered without consent.

Every decision - from how the floor was prepared, to how cables were routed, to how the joinery was fixed - was made with the building's listed status in mind. The result is a consulting room that meets the requirements of a working medical practice without leaving any trace of conflict with the building it sits within.

Scope of works

What the project involved

Strip-out and electrical
Complete strip-out of existing fit-out
Levelling of original Georgian floorboards - retained in situ
Full electrical rewire by accredited electricians
New consumer unit and distribution board
Electrical testing and certification as required
Lighting
LED cornice perimeter strip - ambient zone one
Recessed LED downlights - clinical zone two
Pendant lantern - central feature
Integrated LED strips within joinery
Independent zone switching throughout
Flooring and finishes
Herringbone oak flooring - consulting area
LVT - clinical treatment area
Full redecoration - walls, woodwork and cornicing
All period plasterwork cleaned and preserved
Joinery and fit-out
Bespoke walnut storage and shelving units
Integrated LED mirrored shelf unit
Wash station - marble surround, walnut cabinet
Over-counter storage cabinet with brass hardware
Full noise and dust management throughout
The result

The result was a refurbished Harley Street medical office with upgraded services, new lighting, herringbone flooring, joinery, wash station, decoration and a clean handover. The room was brought up to a professional standard for medical practice use while retaining the character of the listed Georgian setting.

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