[1] The Sandwell and West Birmingham Hospitals NHS Trust was granted a compulsory purchase order to buy the land at Grove Lane, which had previously been used for industrial purposes by GKN, in January 2011.

[17] In June 2018, a consortium of banks financing the project withdrew their support, and HM Treasury cancelled the PFI contract for construction of the hospital, leaving it with a lengthy search for new investment and pushing the completion date back to at least 2022.

[26] A wrangle over proposed changes to local authority boundaries threatened to delay the contractor appointment,[27] with Balfour Beatty reportedly the sole bidder for the project.

[28] In September 2019, it was reported that Balfour Beatty was still awaiting approval to start work, possibly in December 2019, with completion scheduled for the summer of 2022.

[30] A delayed National Audit Office report into the government's handling of the Midland Metropolitan and the Royal Liverpool University Hospital was published in January 2020.

The report warned of possible further significant cost increases, and blamed Carillion for pricing the jobs too low to meet specifications.

[31] In October 2021, the NHS Trust was told that the 2022 opening date was likely to be missed as a result of materials shortages and workforce availability delaying completion.