Hospitals

Caroline Johnson Excerpts

Wednesday 23rd April 2025 Commons Chamber

[Dr Caroline Johnson (Sleaford and North Hykeham) (Con)]

We can all agree that we want a world-class NHS, and that includes having the very best hospitals, technology and staff. I have been delighted to see the brilliant facilities created in my area, including a new A&E in Boston, new mental health wards at Lincoln county hospital, and new operating theatres at Grantham and District hospital. These upgrades mean that patients can receive the best possible care in appropriate settings, and staff can go to work each day proud of their workplace environment. However, we must be alive to the challenges that face the NHS. We live in an ageing society where people have more complex comorbidities. We also have a growing population, so there is more demand for services. In fact, the NHS treats 25% more patients every single day than it did back in 2010. New treatments, technologies and procedures have been developed, saving and improving lives, but they come at an ever more expensive price. We also had the covid pandemic, which I noticed the Minister did not mention.

According to the King’s Fund, in 2023 prices, spending on capital in Labour’s last year in office, 2009-10, was £6.9 billion. In 2023-24, that had nearly doubled to £11.4 billion. Even before the pandemic, capital spending was nearly £1 billion higher than when Labour left government. That helped us to open 160 community diagnostic centres and more than 100 surgical hubs, and to invest more in scanners, beds and operating theatres to deliver a million more checks, scans and procedures closer to home. We were committed to delivering the new hospital programme in full.

There was more to do. The challenges were evolving, the demand for care was growing and the pressure on the NHS was ever increasing. It now falls to the Labour Government to address those problems. I want them to succeed—that is in all our constituents’ interests—but what we have seen so far does not fill me with hope. One of the Health Secretary’s first choices on entering government was to pause the new hospital programme and put its future at risk. That was despite the fact that he and the Chancellor travelled the country throughout the election period, meeting candidates and promising a new hospital in their area. Just like the Government’s promises to the farmers, the pensioners and businesses, those were hollow words.

[Dr Neil Hudson (Epping Forest) (Con)]

The Conservatives committed to restoring and renewing our hospitals. My constituents in Epping Forest depend on the Princess Alexandra hospital in Harlow, and on Whipps Cross hospital in Leytonstone. Despite Labour making clear promises about those two vital hospitals prior to the election, the Labour Government have delayed their rebuilding. It is particularly galling because Whipps Cross has planning permission, and work on the car park has already started. Does my hon. Friend agree that the Labour Government should re-evaluate their priorities and crack on with delivering the rebuilds promised at the Princess Alexandra and Whipps Cross?

[Dr Johnson]

I absolutely agree that the Labour Government should do that, but unfortunately, we have learned that their promises do not mean much at all.

[Daisy Cooper]

On promises not meaning much, the hon. Lady will be aware that the previous Conservative Government promised West Hertfordshire a new hospital. In 2023, they said it was fully funded, yet there is still not a spade in the ground. Can she explain where that money disappeared to, please?

--- Later in debate ---

[Dr Johnson]

The previous Secretary of State made it clear that the hospital was fully funded and would be built. What has changed since then is that we have a new Government who made the choice not to build it. These are choices that the new Government must own.

When the Government came to power, the Secretary of State commissioned the Darzi review, which highlighted the need for more capital investment in the NHS, but decided not to prioritise the delivery of the new hospitals. To govern is to choose, and the Secretary of State has chosen not to deliver the hospitals. We set out our commitment to delivering them on time, with the agreement of the then Chancellor. Of course, spending decisions cannot be made for a future Parliament, but the Secretary of State has chosen not to make the same commitment.

[Ben Coleman]

It may be helpful I correct a couple of “facts” that the hon. Lady has given. In his election literature, my predecessor as Member of Parliament for Chelsea and Fulham made the clear statement that he had secured the funds for the rebuilding and refurbishment of Charing Cross hospital. When I spoke to the chief executive of the hospital, he said that he had received no such reassurance from the Government, and on coming to power we found that no money had been set aside for the guaranteed refurbishment.

Moreover, this did not just apply to Charing Cross hospital. Across the country, the last Government’s claims to have found the funding were discovered not to be true when we came to power. The right hon. Member for Melton and Syston (Edward Argar), who is talking to the hon. Lady at the moment, lives in my constituency, so he is well aware of the accuracy of what I am saying. [Laughter.] I know; I will get complaints about the bins again now. Would the hon. Lady like to reflect on the accuracy of what she is saying, in the light of the facts as I have set them out?

[Dr Johnson]

I am afraid that the hon. Gentleman is not correct. The previous Government, and the previous Chancellor, made a clear commitment to providing the money, and to the hospital building project, but the current Government have not chosen to meet that commitment. These are choices that are being made. For now, patients and staff are being denied the quality facilities that they have deserved for decades. For some hospitals, construction work will not even begin until 2039. Will the Minister write to me, giving the date on which each hospital will be completed?

We can see the Labour Government’s lack of ambition. There are 40 hospitals in waves 1 to 3 of their programme—40 hospitals over 15 years—but there are 515 acute, specialist and community hospitals in England. At this pace, the replacement of the NHS estate will require a cycle of nearly 200 years. That is the equivalent of a hospital built in 1825 not being replaced until this year. That is Labour’s ambitious programme.

We can all see the pressures facing the Chancellor as her economic mismanagement hits the country. We cannot tax our way to growth. Perhaps that is yet another reason why growth forecasts have been cut yet again. How do we know that Labour will not come for those already delayed new hospitals in a year or two, and that there will not be further delays or cancellations? The Government have made it clear that the new hospitals are not their priority. Will the Minister give us that guarantee?

[Andy Slaughter]

May I return the hon. Lady to the subject of Charing Cross hospital for a moment? It used to be the main hospital in my constituency, before it became part of the constituency of my hon. Friend the Member for Chelsea and Fulham (Ben Coleman). The Conservative Government proposed to demolish it, and it took a seven-year campaign by residents to secure a reprieve. It went into the new hospitals programme, and then came out again in 2023, under the Conservatives, because hospitals with reinforced autoclaved aerated concrete were going in. That is the history.

Has the hon. Lady been living in a different world for the last decade? In that time, there has been not just underfunding, but threats to demolish and close hospitals, and then to remove them from a programme that the Conservatives invented. Only now is this hospital in a viable programme, and being given the help and support that it needs to become the world-class hospital that it has been.

[Dr Johnson]

I must confess to not being terribly au fait with the position of Charing Cross hospital in 2012, which was before I was elected. It is not a hospital in which I have worked as a doctor, but I am advised that it was my right hon. Friend the Member for Godalming and Ash (Sir Jeremy Hunt), when he was Health Secretary, who kept it open, and I am sure that local residents will be disappointed that this Labour Government have chosen not to rebuild it until 2035.

Will Labour—in an attempt to fill the black holes of their creation—return to private finance initiative contracts, to bridge the gap between the spending that they want and the fiscal situation that they have created? I saw at first hand the disastrous agreements that were reached, which led to extortionate costs and ridiculous inflexibility. Let me give just one example. I remember being very pleased to have an office of my own for the first time when, as a doctor, I was promoted. I was given a desk, a computer and a large whiteboard. When I asked, “How do I get this put up on the wall?”, I was told, “You can’t have it put up on the wall, because it would cost £800.” That was more than a decade ago. I thought, “Why is it costing £800?” and I said, “I can go and buy some ‘no nails’ from the local hardware store and put it up myself!” I was then told, “You can’t do that, because a deal was negotiated, and it would be against the contract.”

In total, there are about 700 PFI contracts with a capital value of £57 billion, and there is about £160 billion still to be paid for them and their maintenance. During covid, in 2020-21, analysis from The Guardian found that nearly half a billion pounds was being spent purely on interest charges. That is money that is not being spent on patient care, and it is a long-lasting legacy from the last time a Labour Government were in power and trying to get around their fiscal rules. These were fundamentally bad deals. Yet again, we see that when Labour negotiates, the taxpayer loses.

Despite 14 years in opposition, Labour came to office without a plan for what it actually wanted to do for the NHS. Instead, we have seen review after review and consultation after consultation, with very little action or delivery in return for what this means for patients and the taxpayer. The Labour Government hiked taxes on general practices, community pharmacies and even children’s hospices, only to give them some of that money back and expect them to be grateful for it. They cut the winter fuel payment for millions of the most vulnerable people in the country, and then sat back and watched as the number of pensioners attending A&E this winter soared. They caved in to the trade union demands with an inflation-busting pay rise in return for no modernisation or productivity reforms, and the threats to strike again are already back. They scrapped our productivity plan, which we had already fully funded and which would have unlocked billions in savings by the end of the decade.

[Mark Ferguson]

I have a question to which I know the answer. The question is “How many new hospitals were built in the last five years?” and the answer, of course, is “Zero”. Is it not the case that the 40 new hospitals promised by the last Government were not new and were not hospitals, and there certainly were not 40 of them?

[Dr Johnson]

Actually, we use the definition of “new hospitals” that Tony Blair used when he was Prime Minister.

Let us turn to where we are now. We welcome the capital funding to continue the programmes that we started in government for new surgical hubs and diagnostics, but how much of the additional capital funding allocated in the last Budget will be used to carry out repairs in hospitals that should be rebuilt? Let me repeat the question asked by the Liberal Democrat spokesperson, the hon. Member for North Shropshire (Helen Morgan). Will those delays cost more money, both because work that would otherwise be unnecessary will have to be done to keep hospitals open and because of inflation, which is rising under this Government? How much extra will the national insurance jobs tax cost the contractors building the new hospitals and undertaking maintenance and repairs? Those additional costs will be passed on to the NHS. Will that mean less repair work being undertaken, or will the Government make cuts elsewhere—and if they do, where will those cuts fall? The Chancellor has already hiked taxes on working people and businesses, and today we saw that borrowing has also increased by £30 billion a year, with debt piling up and inflation on the rise. How does the Minister intend future repairs and builds to be funded—through yet more tax rises, more borrowing, bringing back PFI, or cutting other areas of spending?

Ultimately, these are decisions for Governments. To govern is to choose. This Government must own their choices, but sadly it is the public who will have to pay for them.

[Several hon. Members rose—]