Doncaster Royal Infirmary

Lord Scriven Excerpts

Monday 12th May 2025 Lords Chamber

[Baroness Merron (Lab)]

I am very aware of the unacceptable situation that the right reverend Prelate describes. I can confirm that, in terms of capital commitments, in 2025-26 the Government are backing NHS systems with over £4 billion in operational capital, £750 million of targeted estate-safety funding, which will be crucial to DRI, as well as £440 million to tackle crumbling RAAC. Why is this all so important? It is all about keeping staff, patients and their families safe, and it is also about providing the best possible care. I should say that the Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust, which DRI comes under, is discussing—indeed, it absolutely should be discussing—options with the ICB to steer the programme allocations towards DRI.

[Lord Scriven (LD)]

My Lords, system allocation guidelines of January this year state that systems will receive at least 80% of their 2025-26 core operational capital in each year of this Parliament, relative to their 2024-25 allocation. With many hospital buildings in serious financial capital backlog, why have the Government put in a system that could see some areas’ day-to-day capital allocation cut by 20%?

[Baroness Merron (Lab)]

I can tell your Lordships’ House that we have inherited an undercapitalisation over the past few years, and it is essential—including to cut waiting lists and provide proper care—that we provide resources. However, the noble Lord is very aware of the extent of the backlog; it stands, according to the latest NHSE figures for 2022-23, at £13.8 billion. Even more worryingly, the critical infrastructure risk within that, which the highest-tier hospitals are wrestling with, is £7.6 billion. We have had to find the best route forward to be fair and efficient. Is it a major mountain to climb? Yes, it is. Are there various options for doing it? Yes, there are, but we believe that we have been as transparent and fair as we can be.

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[Baroness Merron (Lab)]

On that point, I feel that the Government taking the backlog very seriously, against the background of what we have inherited, will make conditions far better for staff, which will make it a far more attractive place to work. That will be reflected when we report on the workforce plan. To the point about maternity, we are recruiting extra midwives and we are looking extremely closely at how we can better support best practice—as I saw just last week—how we can extend that and how we can bring better patient safety measures into the system. I am afraid that it is another area that we inherited in a difficult position, but noble Lords can be assured that we are working on it. I look forward to updating your Lordships’ House.

[Lord Scriven (LD)]

My Lords, I am going to come back at the Minister. I accept that the backlog is there. My question was: why have the Government put in a system that will reduce day-to-day capital expenditure, potentially by up to 20%, for some areas? That is this Government’s new plan. The Minister said at the Dispatch Box that the ICB in South Yorkshire has been allocated £150 million this year. It was allocated £161 million last year. How does this help Doncaster, Sheffield, Rotherham and Barnsley with their capital backlog?

[Baroness Merron (Lab)]

I understand that the noble Lord is, as I am, very keen to resolve this situation, but the fact is that DRI is in an extremely difficult place, which was the reason for the right reverend Prelate’s Question. To pursue the particular point he made, I will be very pleased to come back to him. However, I emphasise that the Autumn Budget made exceptional support for capitalisation, which is not just for the physical estate but also the digital estate. DRI has, for example, been updating patient records on paper. That is not the way forward and they will now be digitally brought up to date. On his particular point, I will be very pleased to look into it further and come back to him.