As part of the Department of Health evaluation process for the Development of Radiation Oncology Services in the Eastern Region of Ireland, Prospectus worked with two Major Academic Teaching hospitals to develop their business cases for the location of a radiation therapy facility on their grounds. Working with clinicians and management, this involved designing and structuring the business cases, ensuring the differentiators for the hospitals were highlighted, facilitating and project managing the drafting of the cases, and finally, locating the key arguments in the context of wider reforms and strategic health service agendas.