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INDUSTRY HEALTH. TECH
Manchester University NHS Foundation Trust creates smart estate with digital twin
anchester University NHS
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Foundation Trust( MFT) has gone live with a digital twin of six hospitals as part of its strategy to create a smart estate. Designed to provide a single source of estates data to support new workflows and better decision-making, the 3D model is a major milestone in MFT’ s Digital Transformation to improve operational efficiency and patient safety.
Replacing disparate systems and paper-based processes, the digital twin visualises floors, rooms and spaces with associated data and is already being used to understand space optimisation and support the management of RAAC and asbestos. Future plans include adding indoor navigation, patient contact tracing and real-time asset tracking.
Created using Esri UK’ s GIS( Geographic Information System) platform, which includes indoor mapping, spatial analysis, navigation and asset tracking, the digital twin went live in October 2025. BIS Consult, MFT’ s strategic data partner, led the development of the underlying data strategy and the integration of the multiple information sources required. Spanning 274,000 square metres of internal floor space, the 3D model includes Manchester Royal Infirmary, Royal Manchester Children’ s Hospital, Manchester Royal Eye Hospital and Saint Mary’ s Hospital on the Oxford Road campus, plus Altrincham Hospital and Withington Community Hospital.
David Bailey, Head of Digital Estates at MFT, who led the project, said:“ Integrating all of our existing data into one 3D model has created the foundation for building a digital twin and is driving new opportunities for efficiency gains. Moving from analogue to digital achieves a better understanding of our buildings and assets which helps improve their management and maintenance, as well as improving patient safety.”
The digital twin is being used in a trial to better understand the use of space, by quickly showing where room usage is not being optimised. Full roll-out will provide all staff with a real-time view of occupancy levels and space requests, while clinicians will be able to examine existing facilities more easily and plan new services.
New applications for RAAC and asbestos management involve performing digital surveys on mobile devices, which feed directly into the 3D model and visualise the different risk levels. By providing more accurate and timely data, the new system is driving more effective maintenance regimes to improve safety. Digitising asbestos management has cut the time needed to prepare information by up to 10 days per month at one hospital site alone.
The next phase will map the remaining four hospitals in MFT’ s estate and digitise building condition surveys to help tackle the maintenance backlog. This will involve mobile data capture feeding into the digital twin, providing a clearer picture of requirements and helping to prioritise resources. Replacing a manual spreadsheet approach, data and reports will be shared more easily among project teams. Energy usage data will also be added to the digital twin to help analyse and reduce energy costs.
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