NHS Investment: Neighbourhood Health Centres and Digital

Karin Smyth Excerpts

Tuesday 25th November 2025 Written Statements

[The Minister for Secondary Care (Karin Smyth)]

At the Budget on Wednesday, the Chancellor will set out how the Government will take the fair choices to deliver on the country’s priorities to cut NHS waiting times, cut debt and cut the cost of living. The Chancellor is rightly boosting investment in the NHS after we inherited a health service on its knees—with Lord Darzi’s investigation uncovering a £40 billion black hole.

As part of this investment, I am confirming the delivery of hundreds of new neighbourhood health centres that will deliver healthcare direct to people’s doorsteps across the country. The 250 new health one-stop shops will bring the right local combination from GPs, nurses and pharmacists together under one roof to best meet the needs of the community.

Neighbourhood health centres fundamentally reimagine how the NHS works—bringing care closer to home and making sure the NHS is organised around patients’ needs, not the other way round.

The new neighbourhood health service will move more care out of hospitals, and these centres will provide space for clinics in communities across the country—bringing an end to the postcode lottery of access to healthcare.

The services will initially focus on improving access to general practice and supporting people with complex needs and long-term conditions—like diabetes and heart failure—in the areas of the highest deprivation. As the programme grows, it will expand to support other patients and priority cohorts.

The first 120 are due to be completed by 2030, 50 through the repurposing of existing estate and 70 new builds delivered through public-private partnerships, with a smaller proportion through public capital.

Our new NHS neighbourhood rebuild programme will give the health service the investment it needs, repurposing and building a new generation of neighbourhood health centres across the country. It will go hand in hand with reform and efficiency—ensuring proper value for money for taxpayers.

This will include improved incentives to make sure these NHS facilities are delivered on time and on budget—so patients across England get faster treatment in new and convenient buildings. By delivering through a combination of private and public investment the Government will be able to build further evidence and compare different models of delivery while updated accounting treatment will ensure these are recognised up front in public accounts, a fundamentally different approach to previous approaches, such as when PFI was used in the 2000s.

To further support the drive to reduce waiting lists there will be £300 million of additional capital investment in NHS technology to boost productivity, support staff and improve patient outcomes, driving the shift from analogue to digital. This builds on up to £10 billion announced at the spending review, and will ensure seamless navigation and communication between primary and secondary care through the NHS app. By guiding patients to self-care, primary care and urgent care through a single user-facing service, their information will be made readily available across all providers. This funding will also close the gap in patient access to digital health records, so patients can make informed choices about their care.

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