This close out report summarizes the completion of the Copham Hospital project. It describes how all work was formally accepted by consultants and authorities, though some remedial works remain. Time performance was 35 days behind schedule due to client change orders and weather, while costs increased by £760,000 primarily because of change orders and contractor prolongation costs. Quality issues were minor with 18 non-conformance reports addressed. Lessons learned include obtaining all stakeholder requirements upfront to avoid changes, allowing more design time, and protecting floors during commissioning.