OUR FACILITIES
In partnership with the NHS, Fulcrum have delivered more than 40 healthcare centres in the heart of communities throughout the UK – examples of some of our key facilities are below:
OUR TEAM
The Fulcrum senior management team has considerable experience of developing high-quality new healthcare buildings in partnership with the NHS, with key members of the team bringing expertise ranging from NHS senior management to quantity surveying and accountancy. To find out more about each of our key managers click on the images below:

SARAH BEAUMONT-SMITH
UK Strategy Director - FIGSARAH BEAUMONT-SMITH
I joined Fulcrum Infrastructure Group in 2009, working my way up to become CEO in 2019 before taking on a wider role as FIG UK Strategy Director in 2025. I am passionate about the role the private sector can play in delivering vital new social infrastructure, so I am leading Fulcrum’s work with Government and industry in discussing the huge opportunities to use public-private-partnership models to drive much-needed investment in the health sector.

AFFAN NASIR
Chief Financial Officer,Fulcrum Infrastructure Group
AFFAN NASIR
I joined Fulcrum in 2019 as the Chief Financial Officer responsible for financial oversight of Fulcrum’s portfolio of 35 managed NHS LIFT assets, as well as 7 indirectly held NHS LIFT assets. I enjoy working at Fulcrum as we strive on a daily basis to create a difference for the local communities who use our healthcare facilities. We are investing continuously to make our buildings better, to create social value and to impact the end user experience at our facilities.

SHAUN ANDERS
Chief Executive Officer,Kudos Services
SHAUN ANDERS
Kudos delivers high-quality facilities management to Fulcrum’s primary healthcare estate – as CEO it is my responsibility to ensure we maintain buildings so that they can provide the best possible health services to local communities. The favourite part of my role is looking to the future, ensuring that we stay flexible and innovative in how we adapt to future changes, while also anticipating challenges and quickly resolving them to avoid any disruption to service. We have a great bunch of people here at Fulcrum who all want the same thing.

IAN BUTTERWORTH
Head of Strategy and Projects,Fulcrum Infrastructure Group
IAN BUTTERWORTH
I joined Fulcrum in 2019 to help drive increased utilisation of our facilities, as well as working with NHS trusts and commissioners to deliver major ‘variations’ to our buildings to help deliver even more health services to local communities. I am passionate about our role in providing modern health facilities right in the heart of the community. It is hugely satisfying to see the changes we make in our buildings having a positive impact on local patients, giving them access to vital new health services.

AMY LAWRENCE
General Manager,Renova Developments
AMY LAWRENCE
I have overall responsibility of the Fulcrum-owned Renova LIFTCo, and in my role I oversee Renova’s 17 high-quality healthcare facilities throughout the North West which deliver vital Primary Care services to local communities. It is great to be part of an evolving, innovative organisation that is committed to investing in its people and providing quality and flexible Primary Care Facilities. It is hugely rewarding to see how instrumental our buildings are in supporting local communities with much-needed health services, whilst also adapting to meet the changing needs of the NHS.

ANDY ROWLANDS
General Manager,Fulcrum Infrastructure Group
ANDY ROWLANDS
I joined Fulcrum in 2020 and have overall responsibility for the three Fulcrum-owned LIFT companies across South and West London which deliver vital Primary Care services to local communities through 18 high-quality healthcare facilities. I am passionate about our buildings and my primary focus is always to promote and support the continuous improvement, value and quality of services that they deliver to our local communities.
OUR LIFT COMPANIES
Fulcrum’s facilities are delivered through the NHS LIFT (Local Improvement Finance Trust) initiative which brings together the NHS, the Department of Health and a private sector partner. Fulcrum is the private sector partner in four NHS LIFT Companies:
Building Better Health – Lambeth, Southwark Lewisham Ltd
South West London Health Partnerships Ltd (Merton, Sutton, Wandsworth, Richmond, Kingston & Croydon)
West London Health Partnership Ltd (Ealing, Hounslow, Hammersmith & Fulham)
Renova Developments Ltd (Knowsley, Halton, St Helens and Warrington)
Fulcrum is also a shareholder in the private sector consortia that are partners in Oxford Infracare LIFT Ltd and Bristol Infracare LIFT Ltd.