Healthcare Construction Executive Search

Tower crane over a hospital frame

Live environments, phased delivery, framework discipline.

Healthcare construction executive search is the work of placing senior commercial and operational leaders into the organisations delivering the UK's healthcare and education infrastructure, from the New Hospital Programme through to university campus developments and school building frameworks. It is retained, research led and handled personally, from brief to placement.

What this sector asks of its leaders

Three things separate healthcare and education delivery from private commercial work, and all three show up in the brief before they show up on site.

Complex stakeholder management. A trust, a university or a local authority is not a single client with a single view. The leader has to hold a position across a client body that has several of them, and keep the programme moving while that position is being agreed.

Framework compliance. One of the particular demands of public sector delivery, and the commercial discipline it takes is specific rather than general. Someone who has run packages inside a framework knows where the flexibility sits and where it does not.

Phased construction within live environments. Building around an estate that stays in use is a different job from building on a clear site, and the leadership it takes is different too.

Decor Arrow The New Hospital Programme Decor Arrow

A leader who has only ever delivered on private schemes may be excellent and still have met none of the three.

Establishing which of them a person has actually done, rather than which they can describe, is the point of the assessment.

The roles I recruit here

Commercial Director

The commercial position across a healthcare or education framework, where the client body has several views.

Project Director

A hospital, campus or school scheme end to end, usually inside a live estate.

Frameworks Director

The framework relationship itself: pipeline, compliance and performance across its schemes.

Operations Director

Delivery across a portfolio of public sector schemes, phased around estates that stay in use.

Programme Director

A multi-scheme programme for one client body, holding the position while it is agreed.

Managing Director

A healthcare or public sector business unit with its own P&L and framework commitments.

Pre-Construction Director

Framework bids, estimating and design management for public sector clients.

Managing Quantity Surveyor

The senior commercial lead on a hospital or campus scheme, running the QS team and the final account.

The wider senior roles

Beyond the grid I also recruit Head of Commercial and Chief Operating Officer, along with group board appointments, which run under board appointments.

How the search runs

The brief comes first: the real requirement, the target organisations, and the profile that will succeed in your business. Then the mapping, which is a complete picture of who holds the equivalent role across that universe, with named individuals, current remit, reporting line and likely motivation. Every approach is made personally and confidentially. The shortlist is four to six, each with a written appraisal covering capability, motivation and risk, and it names the reservations as well as the strengths.

I am a qualified Quantity Surveyor who worked as a Commercial Manager at Sir Robert McAlpine before moving into search, so the brief gets interrogated by someone who has run the packages and sat in the commercial meetings. Senior people take the call for the same reason.

How the search runs here

The process is the same one I run for every senior appointment, set out stage by stage on the method page, linked below.

01

What is healthcare construction executive search?

It is a retained, research-led process for appointing senior leaders into the organisations delivering healthcare and education infrastructure. Rather than advertising a vacancy, I map the market, identify everyone holding an equivalent role, and approach them directly and confidentially. It is used where the appointment is business critical and the right person is almost never actively looking.

02

Which roles do you recruit in healthcare construction?

Commercial Director, Project Director, Frameworks Director, Operations Director and Programme Director are the typical appointments, along with the senior commercial and operational leadership that sits beneath them.

03

What makes healthcare programmes different to recruit for?

Public sector delivery carries its own demands: complex stakeholder management, framework compliance, and phased construction within live environments. A leader who has only worked on private commercial schemes has not had to manage any of the three, which is what the assessment has to establish rather than assume.

04

How long does a healthcare director search take?

A typical retained search runs six to eight weeks from briefing to offer acceptance, then notice period on top. Mapping and approach take the first three weeks, first-stage interviews around week four, with shortlist and final stages following.

Start a conversation

If you are building the leadership team for a hospital, a campus or a framework, I would welcome the chance to talk. No hard sell, no obligation.

Client
Testimonials

I have had the pleasure of working with Scott over a number of years. I have to say it's been a breath of fresh air. If Scott makes an appointment, he sticks to it; if he says he will call you at a certain time, he does. I find Scott is a mixture of old-school values and his finger firmly on the pulse of modern recruitment technology. It has been my pleasure working with him, and long may it continue.

Mike Thomson
Executive Leader - Building Resilient Businesses

Working with Scott whilst searching for a new role was a very good experience. Scott helped me understand the opportunity and helped align my strengths to it, providing me with further confidence when interviewing for the position. Scott was happy to take the time to keep me updated with the process and its progress and I always felt he really wanted the opportunity to be the right one for me. Highly recommended.

Jerry Coll
Head of Building Services - Russell WBHO

Scott is as sound as they come, straight talking and no nonsense. Was pro-active in getting me my current role and I would happily recommend him to anyone looking for their next opportunity

Neil Coker
Project Director

I've worked with Scott both as a client and candidate; both experiences were a pleasure. Too many in the recruitment field are reactionary and transactional; Scott is neither. He is the consummate professional - proactive, with an attention to detail and a determination to do the best job he can for his client and the potential candidate(s). This makes any recommendation a very straightforward process.

Keith Gourlay
Commercial Director

I’ve known Scott for over 20 years. He is a top-class recruiter with an in-depth knowledge of the market, employers and candidates. Easy to talk with, practical and realistic, I’m happy to provide a recommendation for him and his services.

Paul Taccagni
Managing Director

It was great working with Scott, given his very professional approach and good knowledge of the Construction industry. Scott understood my professional expectations and career aspirations, which led me to an accurate employment opportunity. What probably works in Scott's favour is his previous experience in the Construction Industry, which enables him to relate to clients better and gives him a leading edge over other headhunters. I would highly recommend Scott Lechley to anyone seeking career advice or a change of contracts.

Shweta Thakur
Project Director