The original building designed by brp in 2003 was a Landmark Scheme on the outskirts of the picturesque town of Winchcombe, set in the Area of Outstanding Natural Beauty (AONB) with the Cotswold Escarpment as the backdrop. The design brief was for either a totally true and honest interpretation of the Cotswold vernacular or a contemporary interpretation and use of the traditional material palette.

With planning permission due to be formalised shortly, construction of the extensions and internal reconfigurations to the Winchcombe Medical Centre is due to start on site in the early spring.