Majority of 40 new hospitals promised by Tories in 2019 unlikely to be completed by subsequent normal election

Eighty % of the 40 new hospitals promised by the Conservatives in 2019 both do not need a completion date or are unlikely to be completed by the subsequent normal election, based on a Sky Information investigation. 

The brand new hospitals’ pledge, a key plank of Boris Johnson‘s 2019 election manifesto, promised 40 new hospitals by the tip of this decade. However a Sky Information investigation, carried out over the course of the yr, has revealed a programme below acute strain.

Seven of the 40 hospitals nonetheless do not need a completion date, with one other 25 not anticipated to be completed till a minimum of 2024, the yr of the subsequent normal election, Freedom of Info requests submitted by Sky Information revealed.

The dearth of progress has drawn criticism from Labour, with shadow well being secretary Wes Streeting voicing issues that the brand new Conservative prime minister would possibly quietly ditch this key pledge once they take over from Mr Johnson in September.

“There isn’t any signal of those 40 new hospitals. The one place they appear to exist is in Boris Johnson’s creativeness,” Mr Streeting informed Sky Information.

“It is placing that neither Rishi Sunak nor Liz Truss are speaking about 40 new hospitals both as a result of they know that they can not be delivered, will not be delivered.”

The federal government insists they are going to be. In an announcement, Well being Secretary Steve Barclay mentioned that they may ship by 2030, and so they have been “working tirelessly with NHS companions on their constructing plans”.

Extra on Boris Johnson

“The hospitals will present sufferers and workers with model new, state-of-the-art services, making certain folks get the fitting care when and the place they want it. It will assist us beat the COVID backlog,” he added.

However, over the previous six months alone, deadlines for a few of the hospitals have slipped. When Sky Information began its investigation final December, the Epsom and St Helier College Hospitals Belief mentioned its new London hospital was set for completion in 2024-2026.

The brand new hospital is not as a consequence of be prepared “till 2027 on the earliest”.

One other, the Royal Cornwall Hospital Youngsters’s hospital, was initially anticipated to finish between 2024 and 2026. That has now shifted to between 2026 and 2028.

Others are nonetheless awaiting approval of what’s often known as their “Define Enterprise Case” – they’ve submitted plans, however haven’t but had them confirmed. Remaining plans, programmes and funding are solely settled as soon as a full enterprise case has been reviewed and agreed.

Ready for a begin date

All the ground work for a major new clinical building in Leeds is done but there is no start date
Picture: All the bottom work for a serious new medical constructing in Leeds is completed however there isn’t any begin date

Julian Hartley, chief government of Leeds Instructing Hospitals, informed Sky Information in an unique interview that the Leeds NHS Belief is anticipating a serious new medical constructing at its website, however remains to be ready for closing plans to be signed off and for constructing work to start.

“We do not have an precise begin date but as a result of we’re ready for the inexperienced mild from authorities for the enterprise case on the general growth,” he mentioned.

“We’re very eager to maneuver, and we have executed lots of work to arrange and do all the enabling works forward of time in order that we’re ready to maneuver as rapidly as attainable.”

The Princess Alexandra Hospital NHS Belief in Harlow, Essex, is because of obtain an entire new hospital. Nevertheless it too is ready for approval.

The Conservative MP for Harlow, Robert Halfon, mentioned: “The prime minister got here to Harlow in October 2019 to announce the brand new hospital. It has been confirmed on the ground of the Home of Commons by ministers and the PM on quite a few events over the previous yr.

“I’m completely assured that Harlow may have a brand new hospital. I anticipate a closing announcement by the tip of the yr, if not earlier than. Sadly the two-year pandemic has interrupted progress of the hospital constructing programme.”

Within the PM’s personal constituency of Uxbridge, the promised new hospital will not be anticipated to finish till 2028. Hillingdon Hospitals NHS Basis Belief has not but submitted its enterprise case and no building has begun.

Materials prices, Ukraine and labour shortages

Of the 40 new hospitals Sky Information contacted, one has been completed and constructing work has began at seven. Building has not but begun on the different 32.

The 2019 Conservative manifesto talked of getting “begun work on constructing 40 new hospitals throughout the nation”. In October 2019, on the Conservative Get together convention, Mr Johnson promised to construct “40 new hospitals”. However virtually three years on – only a few have begun that course of.

The Royal Institute of Chartered Surveyors cites present market circumstances that are slowing building efforts throughout the trade.

In an announcement reflecting on Sky Information’ findings and their newest market sentiment survey, the institute mentioned: “Building workloads are excessive in the intervening time within the UK [but] they’re being impeded by materials prices, labour shortages, lack of expert tradespeople, and macro results, such because the battle in Ukraine.

“Materials prices have on common risen by round 25% over the previous 12 months and are projected to proceed rising, and labour prices are additionally seen as prone to rise reflecting close to report emptiness charges throughout the trade.”

“A few of our respondents additionally cite public sector initiatives focusing much less on sustainability as value turns into an important issue.”

Is £3.7bn sufficient?

There are additionally questions over the funding of the programme. The federal government initially dedicated £3.7bn for the 40 new hospitals programme.

However that funding solely helps exercise till 2025, and no additional funding has but been confirmed by the Treasury, regardless of the vast majority of hospitals telling Sky Information they both won’t full till after 2025 or haven’t been allotted funding.

The Division for Well being and Social Care’s “Main Tasks Portfolio” from March 2021 states the division is “nonetheless in dialogue with the Treasury about complete life prices, because the programme doesn’t but have a confirmed funding envelope past 2025”.

Well being organisations estimate the price of 40 complete new hospital buildings would the truth is nicely exceed the dedicated £3.7bn.

Elaine Kelly, from healthcare charity The Well being Basis, mentioned: “NHS Suppliers estimates the price of constructing a mid-sized hospital to be round £500m, so the price of constructing 40 utterly new mid-sized hospitals could be within the area of £20bn – not the £3.7bn put aside for the Hospital Constructing Programme.

“Delivering on the programme would value significantly greater than the funds dedicated thus far.

“With 80% of initiatives but to get below approach, more cash could be required after the funding already introduced runs out in 2025.”

When Sky Information put this to the Treasury, it mentioned: “The federal government units departmental budgets by way of spending critiques. Spending Evaluate 2021 set departmental budgets as much as 2024-25. All departmental budgets for years past 2024-25 can be topic to the subsequent spending assessment.”

The Nationwide Audit Workplace can be now set to assessment the programme’s “worth for cash”. It informed Sky Information: “We’ve plans in place to begin a price for cash assessment of the Division of Well being and Social Care’s New Hospitals Programme later this yr and to report our findings throughout 2023.”

Not fully new hospitals

Sky Information requested every NHS belief what they’re anticipating to be constructed. Lower than a 3rd of the 40 hospitals got here again to say they’re anticipating an entire new hospital constructing to be constructed, as most would possibly assume with the definition of “new hospital”.

The bulk both aren’t but clear precisely which class of recent constructing they fall into, or are solely anticipating new wings to current hospitals, a serious new medical constructing on an current website, or main refurbishments.

Responding to our findings, Rory Deighton, senior acute lead on the NHS Confederation, the umbrella physique for organisations that fee and supply NHS providers, mentioned: “This exhibits what leaders throughout the NHS know – 40 new hospitals won’t be constructed by the subsequent election.

“The 2 candidates to be the subsequent prime minister must degree actually with the general public about what is required for the NHS relatively than counting on repeating myths and political rhetoric.”

NHS Suppliers, the physique for NHS acute, ambulance, group and psychological well being providers, level to the necessity for the federal government to ship.

Saffron Cordery, NHS Suppliers’ interim chief government, mentioned: “Delays are pushing up prices and denting workers morale. Belief leaders are pissed off that lots of the advantages for sufferers and communities which they’ve deliberate for are dealing with expensive delays.”


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