NHS Capital Spending

Debate between Lisa Smart and Bobby Dean

Wednesday 4th March 2026 Westminster Hall

[Bobby Dean (Carshalton and Wallington) (LD)]

I beg to move,

That this House has considered NHS capital spending.

It is a pleasure to serve under your chairship, Mr Western. I am grateful to have secured this debate on NHS capital spending. This subject goes right to the heart of how the NHS functions, and yet it is not discussed enough in this place. I had a look through some ministerial statements and questions in preparation for this debate, and I found that we often talk about staffing, specific illnesses, waiting times and other operational performance issues, but the simple truth is that all these challenges will be much more difficult to deal with until we improve NHS buildings, equipment and technical infrastructure. I get it: it feels much more impactful and immediate to talk about lifting nurses’ pay or commissioning a new medicine, and those things are important. But however arduous the process, or however far beyond our electoral terms the output of capital investment may be, it is vital for the long-term healthcare of our constituents that we fight for these slow returners, too.

[Lisa Smart (Hazel Grove) (LD)]

My hon. Friend is starting to make a compelling point. In my local area, Stepping Hill hospital has a reported repairs backlog of £138 million. That means, in practice, that only four of the 14 lifts are working, staff are having to physically take meals upstairs to patients, and family members with a mobility issue cannot visit their relatives on higher floors. Does he agree that, while we are talking about bricks and mortar, we are also talking about people and their quality of life?

[Bobby Dean]

I am grateful for the point my hon. Friend made, and I will come to make very similar points about the impact that maintenance backlogs are having.

It is partly because of the slow payoff of capital investment that we are in this mess. The last Conservative Government completely undermined the NHS’s future by overpromising, underdelivering and sacrificing long-term investment to plug holes in their mismanagement of the public finances. While capital underspends being plundered for revenue black holes is not a total innovation, it did accelerate under the Conservatives, with the most acute period seeing more than £4 billion raided from the capital budget in the five years up to 2019 to cover deficits in day-to-day spending. I note that that was prior to the pandemic, when operational pressures were clearly stress-tested to the limits, and I have no doubt that that under-investment left us more exposed than we otherwise would have been during that period.

The outfall is staggering. If we had simply matched existing levels of capital spend, more than £30 billion of additional capital would have flowed into the NHS. Instead, we watched buildings decay, equipment age, diagnostics fall behind and maintenance backlogs soar.

Community Theatre

Debate between Lisa Smart and Bobby Dean

Wednesday 12th March 2025 Westminster Hall

[Lisa Smart]

I strongly agree. I remember growing up, with this accent, and really welcoming it when somebody sounded like me on the BBC or in a theatre production. It matters to all of us to see and hear ourselves and to hear our stories being told. Community and local theatre plays a hugely important role in that.

Community theatre also plays an important role in saving money from the public purse. We have so many young people on a waiting list for assessment and treatment by child and adolescent mental health services. They might be out of mainstream school and struggling as they live with a mental health condition. Participating in the life of a theatre, whether in a production or at the front or back of house, can make people feel they belong. It can help them to find their voice and support them, thereby reducing the cost to the state in other areas. It also offers invaluable educational opportunities.

At the Forum, local schools benefit from theatre experience days, when students can learn about career opportunities in the creative industries, which can be life changing. I am thinking about David, who discovered his passion for lighting and sound design during a school visit. When he left school, he became the theatre’s first apprentice, allowing him to master his passion over a two-year programme.

The charity that operates the theatre, NK Theatre Arts, also ensures that financial hardship does not prevent participation. The theatre vowed never to turn down a potential member due to financial difficulties. Recently, a long-time member of a much-loved drama class stopped attending, because her family was experiencing a tough time financially, and they decided they could no longer afford it. The theatre team pushed through and insisted that the member continue and only pay what she could.

[Bobby Dean (Carshalton and Wallington) (LD)]

My hon. Friend’s passion for her local theatre is clear to see. She mentioned the form of ownership, a charity in that case. In Carshalton, we have the CryerArts centre, a local theatre owned and operated by the local community, by a company specifically set up for that purpose. Does she agree that that kind of ownership structure should be encouraged by the Government and supported as much as possible?

[Lisa Smart]

I strongly agree that assets that are owned and run by the community are a powerful way of empowering that community to deliver what it needs. The Forum theatre is owned by the council but run by NK Theatre Arts, and I will come to some of the challenges that that funding model presents, but I think that communities being involved in improving themselves brings about the best for them.