Hospitals

Helen Morgan Excerpts

Wednesday 23rd April 2025 Commons Chamber

[Helen Morgan (North Shropshire) (LD)]

I beg to move,

That this House regrets the appalling state of repair of NHS hospitals across the country; notes that the NHS maintenance backlog rose to £13.8 billion in 2023-24; further notes the sustained pattern of cannibalising NHS capital budgets to keep day-to-day services running; condemns the previous Government’s record of starved repair budgets and exploding maintenance backlogs, which made sewage leaks, cracked walls, crumbling ceilings and sinking floors commonplace; further condemns the previous Government for launching the New Hospital Programme with no realistic plan to fund or deliver it; further regrets that almost half of the selected hospitals are now not set to begin construction until after 2030; calls on the Government to reverse the delay to the New Hospital Programme and create a crumbling hospitals taskforce to bring construction dates forward; and further calls on the Government to end the vicious cycle of false economies and rising repair backlogs by putting hospitals across the country on a path towards sustainable funding.

The appalling state of our hospital buildings is a national scandal. Everybody in this country should be in control of their own lives and health, which means everybody getting the care they need when and where they need it, but that can never be realised while so many patients are treating in grossly inadequate settings. From Shropshire to Cornwall, Cambridgeshire, Watford and Devon, patients are losing their dignity because of decisions taken by the Conservatives, and the Labour Government’s failure to rectify them.

The Conservatives’ record is one of starved repair budgets, serious leaks, crumbling ceilings and bucket-strewn wards. It is an outrage that millions of people are waiting for treatment, yet overcrowded hospitals have had to close operating theatres because they are no longer fit for use. Patients and hospital staff deserve the dignity of safe, modern and clean environments, but instead the previous Government shamefully chose to raid the repair budget to plug the gap in day-to-day costs, as our hospitals fell apart, and the new Government, who were elected on what increasingly looks like false hope, are pursuing a false economy in delaying the desperately needed new hospital programme.

As with so much of their agenda, the Government promised so much but are delivering so little and betraying those who put their faith in the Labour party. Farmers who were fed up with the Tories taking them for granted have been hit with a tax grab on their families’ futures. Employers, who were promised growth and no new taxes, have been whacked with a national insurance increase. Patients, who were promised new hospitals, have had them taken away.

[Andy Slaughter (Hammersmith and Chiswick) (Lab)]

I was with the hon. Lady almost up until that point. I congratulate her on opening the debate. It is absolutely true that the new hospital programme did not deliver new hospitals and was unfunded under the Tories. However, it is being funded now under Labour. Money is being invested in my local hospitals, in the Imperial College Healthcare NHS trust, and it is preparing for major rebuilds. Will she perhaps give the new Government a little credit for what they have done, and correctly identify the shambles that we were left with?

[Helen Morgan]

The hon. Member will be aware that there were not 40 new hospitals—they were not all hospitals and there were not 40 of them. The issue here is that the start dates for work on many hospitals that need urgent rebuilding have been pushed back into the 2030s, long beyond the life of this Parliament. The people who are served by those hospitals were promised new facilities and have not had them. That is devastating for those communities.

If the Conservative approach was contemptible, Labour’s approach has been to procrastinate. The cost to the NHS of papering over the cracks and keeping hospitals running past their natural lifespan is enormous. That is why the Government must reverse the delay to the new hospital programme at once and urgently deliver the new hospitals that patients have long been promised.

[Mark Ferguson (Gateshead Central and Whickham) (Lab)]

I wonder if the hon. Member can explain to me how spending £22 billion extra on the national health service this year can in any way be described as procrastination.

[Helen Morgan]

It is important to recognise that the additional investment in the NHS amounts to about £10 billion a year—according to Office for Budget Responsibility numbers, which I am sure the hon. Gentleman has looked at—because of the cost of national insurance hikes and of compensating other public sector employers for those hikes. The £22 billion figure is somewhat misleading. The point that we are making is that it is a false economy to keep those buildings going, to keep repairing a crumbling estate, to keep patching up and putting a sticking plaster on those problems. Those buildings need to be demolished and rebuilt, so that approach is a false economy. It would be much better to build new buildings up front and save on future repair costs. We need to ensure that no one is treated in broken, uncomfortable and unsafe facilities. Repairing and replacing crumbling, substandard hospitals is not only vital for delivering better care and treating-more patients, but crucial for rebuilding the economy after years of Conservative economic vandalism.

How much would all this cost? In my county of Shropshire, the cost of the maintenance backlog across all sites has reached about £75 million. I am sure that everyone here would agree that £75 million is a lot of money—indeed, it is so much that it is the total amount of Government capital investment for hospices this year—but in terms of hospital maintenance it is a drop in the ocean. Torbay hospital needs more than £50 million to clear the backlog, Watford hospital has a backlog of £63 million, and Hull royal infirmary requires an eye-watering £70 million. Across England, the figure is a colossal £13.8 billion—and that is just to bring our existing hospital estate to the minimum standard.

[Josh Fenton-Glynn (Calder Valley) (Lab)]

The hon. Member is right that a huge amount of money needs to be spent. A lot of that goes back to the fact that, as Lord Darzi tells us, £37 billion less was spent on hospital buildings in the 2010s than was necessary. Will she remind me who was in government for the for half of the 2010s?

[Helen Morgan]

The hon. Gentleman will be aware that, when one comes into government and has to clean up the mess left behind by the previous Government, one has to make difficult choices. It is the job of the Opposition to point out where they would make those choices or take different options. We would invest to save money in the long run, rather than fritter money away on a repair bill for buildings that need to be demolished. It is not sensible to pour good money after bad when the right thing to do is invest in a new fit-for-purpose and modern estate that does not have endless and extortionate maintenance requirements.

[Several hon. Members rose—]

[Helen Morgan]

I will make some progress.

At North Devon district hospital, the ducting of the ventilation system that serves the operating theatres has not been changed since it was installed in 1979, and cannot be replaced because of ceiling height and asbestos. As a result, all operating theatres have been non-compliant with NHS England buildings guidance since 2007. The good people of Devon clearly need a new hospital, and they were promised that they would have one by 2030, only for the Labour Government to take it away and decide that the change those people need will not be delivered for another decade.

Even hospitals with comparatively few maintenance problems, such as the Royal Shrewsbury hospital, which serves my constituents and has a £35 million backlog, are clearly a long way short of being up to standard. I will not go into detail again about the catalogue of issues in Shropshire—the ambulance delays and station closures, the waiting times for check-ups, scans and surgeries, or the substandard state of cancer care—but they all combine to put huge pressure on hospitals, where staff and buildings are straining under the load.

[Jim Shannon (Strangford) (DUP)]

I commend the hon. Lady and the Liberal Democrats for securing this debate. One issue that they have not mentioned in their motion is car parking at hospitals, which is an ongoing problem for disabled people and patients who miss or delay their appointments as a result of a lack of spaces. Does she agree that car parking is central to addressing the issues that she is setting out?

[Helen Morgan]

Car parking is a real problem, particularly where public transport is poor—it plagues my constituents—and when it is unrealistically expensive for people who need to use hospital facilities. I thank the hon. Member for that point.

The NHS crisis impacts on patient outcomes. My constituent Emma was left in the “fit to sit” area for 48 hours despite having been diagnosed with suspected sepsis, 96-year-old Mary waited outside in an ambulance for 11 hours, and 82-year-old Paula spent 24 hours on a trolley in a corridor. That is the reality in hospitals up and down the country. I think we all agree that that is a disgrace and it must be rectified.

[Ben Coleman (Chelsea and Fulham) (Lab)]

Will the hon. Lady give way?

[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.

[Several hon. Members rose—]

[Helen Morgan]

I will give way to the hon. Member for Chelsea and Fulham (Ben Coleman) because he has tried to intervene before.

[Ben Coleman]

I am most grateful to the hon. Lady for her delayed response. I am struck by her lack of response to two of my colleagues. She did not acknowledge to my hon. Friend the Member for Hammersmith and Chiswick (Andy Slaughter) that in my constituency of Chelsea and Fulham, the Imperial College Healthcare NHS Trust is getting money from the Government as a precursor to rebuilding the hospitals promised to it. More importantly, she did not address the point made by my hon. Friend the Member for Calder Valley (Josh Fenton-Glynn) that we are all reaping the whirlwind of the decisions taken by the Conservative-Liberal Democrat coalition Government. The Liberal Democrats made a choice to go into that Government, to take on roles including as Chief Secretary to the Treasury and as Health Ministers, and to make those cuts and destroy the NHS. We are now reaping the whirlwind of the decisions that she and her colleagues made. Is it not a little bit cheeky of her to make some of the points and claims she is making today?

[Helen Morgan]

I am pleased that the hon. Gentleman’s hospital is being dealt with, but I am sure that the residents of Torbay will not feel the benefit of that. I am slightly surprised that he thinks that the decade since the Liberal Democrats were in power has had no impact whatsoever. I did address the point that when a party comes into government and has to clear up the appalling mess left by the previous Government, there are difficult choices to be made. His party knows that. Labour Members, for example, have voted to retain the two-child benefit cap and keep a quarter of a million children in poverty—something that no one in my party has ever voted for.

The last time I opened a Liberal Democrat Opposition day debate was in October, and the topic was primary care. I explained how the Government’s failure to invest in primary care was a false economy that increased pressures and costs in the critical parts of the system. The management of our hospital buildings displays that same false economy. Just as spending money on critical care instead of prevention and public health is a poor approach to managing a health service, waiting for the roof to collapse is an irresponsible way to manage NHS buildings. As problems are ignored and investment is poorly targeted, it is the patients and the hard-working staff striving to help them who are forced to suffer.

This is not just about the new hospital programme. Across the country, there are thousands of GP surgeries that need urgent improvement if they are to provide the care that patients deserve. More than 2,000 hospital buildings across England were built before the foundation of the NHS in 1948, while the state of GP surgeries varies wildly. Many surgeries are simply no longer fit for purpose, having been built in the 1950s. Prescott surgery in my constituency, for example, has long been recognised as somewhere that needs to drastically increase in size because the population of the village has increased drastically itself. Despite the land and the community infrastructure levy funding being available, there is no sign of a new surgery being built. As the delay continues, the costs are rising and the challenge grows for both the council and the integrated care board, which are already under immense pressure to cut their costs.

Instead of pursuing fantasies like the Conservatives or false economies like the Labour party, the Liberal Democrats would invest to save by starting construction now, and ending the epidemic of cancelled operations, closed-off wards and huge sums wasted on emergency repairs. That would save the taxpayer money in the long run and benefit patients much sooner.

[Andy Slaughter]

The hon. Lady is being a little bit unrealistic. I have three world-class hospitals in my constituency: Charing Cross, Hammersmith and St Mary’s Paddington. The repair bill is £874 million, but the rebuild or new build cost would be £4 billion. Yes, we are refurbishing parts of Charing Cross and putting a lot of investment into preparing for that work, but the idea that suddenly the hon. Lady is going to come up with tens, if not hundreds, of billions of pounds is unrealistic, is it not?

[Helen Morgan]

The plan that we have put forward involves £10 billion over 10 years, and I will come to that in a moment. The real issue is that we cannot pick one hospital and say that it is indicative of an NHS that is being dealt with appropriately. Hospitals across the country are falling apart. For example, Stepping Hill, in the constituency of my hon. Friend the Member for Cheadle (Mr Morrison), is not in the new hospital programme, yet it is falling apart at the seams. We need to address the whole estate fairly urgently.

Our 10-year guaranteed capital investment programme would provide long-term security and fix our crumbling hospitals and creaking GP surgeries. It would provide an extra £10 billion for our crumbling buildings over the next decade, improving outcomes for patients, boosting productivity and cutting day-to-day costs for the NHS. Providing certainty is crucial. As it stands, managers have to raid precious budgets not just to plug leaking pipes, but to plug staffing gaps when winter pressure arrives. That is why we would also end the reactive approach to the annual winter crisis through our winter taskforce. Instead of the average £376 million of emergency funding announced late into the winter each year for the last seven years, our winter taskforce would manage a ringfenced fund of £1.5 billion over the next four years. That would help hospitals to plan their budgets and build resilience in wards, A&E departments, ambulance services and patient discharging.

[Mr Andrew Snowden (Fylde) (Con)]

The hon. Lady is talking about the day-to-day budgets of the NHS, in particular the costs of paying off previous debts. She talked about the work that needed to be done during the coalition years and in the decade and a half since then, in response to interventions from Labour Members. Does she agree that one of the biggest messes that needed to be cleared up then, which is still being felt in NHS budgets, is the disastrous private finance initiatives of the Blair and Brown years?

[Helen Morgan]

There have been successive failures in NHS management that all parties need to hold their hands up for—that is a fair point. We should, though, focus on the task in hand rather than continually going back decades, either to the coalition Government or to the Blair Government before that. That is not helpful to our constituents, who want a solution now.

[Ben Coleman]

On that point, will the hon. Lady give way?

[Helen Morgan]

No. I have been very generous with my time and I am going to make some progress.

We are also campaigning for a review of outdated Government finance rules that prevent NHS trusts from investing the funds that they have raised into their own buildings. Even NHS managers struggle to access common-sense investment in their facilities due to overly complex rules and glacial processes. Trusts are prevented from using unspent funds on improving their buildings. We need root-and-branch reform, combined with our 10-year programme of investment, to bring our local health facilities up to scratch.

In conclusion, the recent history of the NHS is one of short-term decision making and of the failure of successive Governments to grasp the nettle of long-term sustained investment in the things that matter: hospital buildings, GP services, dentistry, pharmacy and, crucially, the unspoken crisis of social care. The outcome is an organisation that is spending millions of pounds to go backwards. It truly is a false economy.

This Government have spoken warmly of the need to reform the NHS and improve productivity, and we support them in that, but we cannot expect to retain staff and provide high-quality care when so many doctors and nurses are negotiating leaking roofs and sewage backing up on the wards. Dealing with the new hospital programme is a matter of urgency, and I urge the Secretary of State to, at long last, grasp the nettle.

[Mr Speaker]

I call Stephen Kinnock—is it?—to move the amendment; I have a different name in front of me.

--- Later in debate ---

[Mark Ferguson]

If we want the tone to be constructive, we should be constructive about the fact that Labour is going to be building hospitals, when no hospitals were constructed over the last five years. The reality is very clear: hospitals do not simply appear; we cannot wish a hospital into existence. They require two things: money and time. If we wish that there were more new hospitals in this country, we should go back in time to 10 to 15 years ago. That would have been a fantastic time, when borrowing was much cheaper than it is today, to have invested in hospitals in all our communities. Unfortunately, the cancellation of the building schools for the future project was basically the first act of the coalition Government, and there was a lack of investment in schools and hospitals. As the shadow spokesperson the hon. Member for North Shropshire (Helen Morgan) has said today, we are cleaning up the mess that has been left. That was the characterisation of the early 2010s, but it is very much more realistic today. The shadow spokesperson accused the Government of a lack of imagination. Well, there has been no lack of imagination here; there has been magical thinking from the Liberal Democrats, who apparently believe that a taskforce will generate the billions of pounds necessary to build hospitals immediately.

[Helen Morgan]

Will the hon. Gentleman give way?

[Mark Ferguson]

I am keen to make progress.

I have repeatedly made this point to Conservative Members, who I do not feel are taking the advice, but I will repeat it to the Liberal Democrats, who I equally do not think will do so. I have a huge amount of experience in opposition—a lot of us on the Government Benches have a lot more experience of it than we ever wanted. If we are really serious about what this country needs, we cannot just say that we want to have hospitals now and expect them to be delivered if we simultaneously oppose revenue-generating measures in the Budget. I am afraid that what this motion is about, which has been revealed by many of the speeches, is opportunism.

We all want more investment in the NHS and that is what this Government are delivering. A great point was made by my hon. Friend the Member for Calder Valley (Josh Fenton-Glynn) when he said that it is not simply a matter of buildings, but a matter of people too. The best maternity facility in the country is in my constituency at the Queen Elizabeth maternity hospital, yet it is in a very old building. I want a new building for that maternity hospital. I want far better resources for the staff. I hope that it will come in time, but they are doing a fantastic job with what we have got. We need to support those in the NHS rather than knocking them down.

--- Later in debate ---

[Sean Woodcock (Banbury) (Lab)]

For years, my constituents in Banbury have lived with the consequences of a health system that has been allowed to fall apart bit by bit, service by service. Our mental health services, especially for children and adolescents, are severely under-resourced. Families are waiting far too long for help, even in the most serious cases. Our maternity unit in Banbury was downgraded under the Conservatives, so those having complex or emergency births have to travel to Oxford or Warwick, with all the risk that that brings, especially when delays are caused by our inadequate transport infrastructure. There is no overnight surgery or day-care surgery available locally, and patients fall through the cracks because of poorly co-ordinated services between Oxfordshire, Warwickshire and Northamptonshire.

Under the Conservatives, and with the support of the Liberal Democrats in coalition, money was diverted away from vital health services into a disastrous and unnecessary reorganisation of our national health service. The result is what we are seeing now: fragmented care, overstretched services and communities like Banbury being left behind. My constituents are not going to be pleased by Governments making promises that they cannot keep and when they have no realistic plan or funds to deliver them.

[Helen Morgan]

Multiple Government Members have made that point, but surely they can see that promising to build a hospital in a decade’s time when they may not be in power is a meaningless promise.

[Sean Woodcock]

I suggest that our decade of national renewal will ensure that the hospitals that we have promised will be delivered. I am confident about that because things are changing. The new hospital programme has been put back on a firm footing, with every project backed by real funding and a realistic plan, which is equally important.

Crucially, this Government are not stopping there. Labour’s 10-year health plan is about improving how the whole system works with patients. That means better co-ordination between GPs, hospitals, mental health services and social care, and ensuring that wherever people live, even if that is on the border between counties, which is an issue close to the hearts of people in my constituents, they are not passed from one part of the system to another without support. It also means doing more locally, with more care available close to home, so fewer people have to travel longer distances to get basic treatment, and earlier invention, so that problems are picked up before they become emergencies.

We have already seen progress. We have cut waiting lists by over 200,000, delivered over 3 million extra appointments, recruited more GPs and invested £26 million in mental health crisis centres to alleviate the pressures on A&E services. Some £2 billion will be spent on technology and digital improvements to increase productivity and ensure patients are seen faster. We are starting to turn things around and doing so in a way that puts patients first, without making undeliverable, unrealistic promises that damage trust in politics and the power of politics under our democratic system. For too long, people in Banbury have been left wondering if their NHS would be there when they needed it. After 14 years, they can see that help is finally on the way. With this Labour Government, things are changing practically and with purpose.