1 Design for operational efficiency – linking building and service design in healthcare environments Patricia Tzortzopoulos Ricardo Codinhoto Mike Kagioglou Lauri Koskela * Corresponding author: Patricia Tzortzopoulos Research Institute for the Built and Human Environment (BuHu), University of Salford, Maxwell Building, 412, M54WT, Salford, UK, email: E: p.tzortzopoulos@salford.ac.uk T: 0161 295 4284 F: 0161 295 4587