The excavation comprised the monitoring of the excavation of eight trenches for services and foundations. In September 2021, Cotswold Archaeology carried out an archaeological excavation at Gloucester Royal Hospital, Gloucester, in relation to groundworks associated with the extensions to the existing Emergency Department (ED). No features or deposits of archaeological interest were observed, and no artefactual material was recovered. Widespread truncation of the natural substrate was recorded in all areas of the site.