Plans are already in place to refurbish Derriford Hospital

The Vanguard project will see a new hospital complex built and the existing Derriford Hospital refurbished.

It will cost £300m, with the money coming from a private finance initiative (PFI).

Plymouth Hospitals Trust has just issued a notice inviting bids from potential designers.

'New choices'

Hospital managers say it is a significant step forward for the project.

Joint director of planning Andy Ibbs said: "There are still hurdles to overcome before we can be absolutely certain that Vanguard will be delivered, including financial ones.

" However, it is now much more likely."

He added: "We are aiming to deliver something that has the potential to make a real difference to local people by providing new choices, better services and faster treatment in an improved environment."