The developers are aware how the world has moved on. Since this project was first mooted, Paddington Basin has been transformed from a derelict, urban mess to an almost fashionable location for company HQs, including M&S and B&Q. So the remaining sites will be worth vastly more as offices than they ever would as a hospital. It may be brutal but it is the way of the commercial world, and if government bodies want to mix it with the private sector, they need to get more focused and fast-moving.