Hospitals

Daisy Cooper Excerpts

Wednesday 23rd April 2025 Commons Chamber

[Helen Morgan]

I will make some progress.

One of the main reasons those problems have not been rectified is successive delays from successive Governments. Shropshire is, again, a prime example. This is not related to the new hospital programme, but none the less, £312 million was granted for the hospital transformation programme in Shropshire back in 2018. Seven years later, while the country has been through five Prime Ministers and eight different Health Secretaries, Shropshire is still waiting for that transformation to take place. Opposition from both the Labour and Conservative councils that serve the area, along with the ridiculously lengthy process that capital expenditure has to go through to be signed off, means that desperately needed improvements have been horribly delayed as construction costs rise. As a result, the original plans have been scaled back and their value diminished.

[Daisy Cooper (St Albans) (LD)]

My hon. Friend mentions the inordinate delays that occur with regard to applications for capital funds. I have watched with horror as my local hospital trust in West Hertfordshire has had to submit business case after business case while watching the costs rack up. Does she agree that one way to spend the allocated money more efficiently would be by devolving those budgets to local hospital trusts, rather than having a centralised programme that drives up the costs?

[Helen Morgan]

I could not agree more. That is exactly the situation we saw in Shropshire. Once again, the people who will suffer are the patients.

Last year, less than £900 million of the £13.8 billion required to eradicate the repair backlog for hospitals was invested—just 6.5%. It does not take an accountant to work out that at that rate, it will take 15 years to clear the current backlog, let alone the further deterioration of the crumbling buildings. Investment in eradicating the repair backlog fell sharply from £1.4 billion in 2021 to £895 million in 2023-24—a fall of 37%. I am afraid that, just like their approach to fixing social care, the Government’s continued lack of imagination and ambition is leaving our NHS less productive and less stable, which risks leaving millions languishing on NHS waiting lists.

--- Later in debate ---

[Stephen Kinnock]

My hon. Friend is a doughty champion for her constituents, and she is absolutely right. The point she makes raises the even bigger issue of trust in politics and the trust that her constituents have in this place. That trust was fundamentally undermined by the disingenuous nature of what went on with the previous hospital programme. The British people are grown up enough for us to be able to level with them, be straight with them and say, “This plan is credible and affordable. It’s based on facts, not fantasy.”

[Daisy Cooper]

On the point of trust, the Conservatives completely blew trust with the constituents of West Hertfordshire. They promised a new hospital—they even said in 2023 that it would be fully funded, and it clearly was not. At the most recent general election, the Labour party promised that Watford general hospital would be a priority. Will the Minister make a new promise to keep that trust by coming to visit that hospital this year?

[Stephen Kinnock]

I am sure the hon. Lady will appreciate the fact that we have now come forward with a programme built not on sand or smoke and mirrors, but on reality, and the hospital she mentioned will be a part of that. She is very welcome to write to me with any further representations.

The situation I have described is the dog’s breakfast that we inherited from the Conservatives. This is genuinely not a partisan point, because when the previous Government did the right thing—for example, on the Tobacco and Vapes Bill—we were more than happy to support them, but where they failed, fibbed, and fobbed off Members of this House, we will not pretend that they were acting in good faith. It now falls to us to level with the British people about why their hospitals will not be fixed on time.

Our constituents are understandably furious, because our national health service is quite literally crumbling. As Lord Darzi found in his investigation, over the past 14 years our NHS has been starved of capital, with a staggering £37 billion under-investment over the course of the 2010s. I know that we will hear today from hon. Members about many examples of hospital roofs failing or falling, leaky pipes that freeze over in the winter and buckets for catching rainwater in corridors, and I know that capital spending is needed now more than ever.

Although we are deeply shocked by the neglect and incompetence of the Conservatives, it has not prevented us from rolling up our sleeves and clearing up the mess that they left behind. That is why we immediately commissioned a review, which had two core objectives. The first was to put the programme on a firm footing with sustainable funding, so that all the projects can be delivered to a realistic and affordable timetable. The second was to give patients a realistic, deliverable timetable based on facts rather than fantasy.

--- Later in debate ---

[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?