Hospitals

Robin Swann Excerpts

Wednesday 23rd April 2025 Commons Chamber

[Robin Swann (South Antrim) (UUP)]

The motion starts by referring to “hospitals across the country”, but most of the debate today has been about England. I want to highlight the situation that has arisen from the decisions made in this House on capital investment and changes to fiscal rules, and how that affects Northern Ireland and the capital investment there.

Capital investment in the health estate in Northern Ireland has been broadly stable for the 15 years prior to 2019—until 2020 when the covid pandemic brought about increased capital investment. The long tail of the pandemic, compounded by Russia’s invasion of Ukraine, significantly disrupted global supply chains and increased construction costs. Those price increases have compounded a subsequent and very serious problem in Northern Ireland: the outcome of the two most recent Budgets, which has meant that the funding available for capital investment in Northern Ireland is now projected to be 16% lower per head of population than England for ’25-26, and therefore much lower than any assessed relative need would suggest. While I listened to the complaints of many English colleagues across the House about capital investment, in some cases I am quite envious of what they are being allocated, because it is a contrast to what we have.

Much of our health and social care capital budget is project-based. As the former Minister of Health in Northern Ireland, I am acutely aware that there is an increasing need to address the serious risks across our health and social care estate. That includes tackling its backlog maintenance liability, which currently sits at £1.4 billion. Now, as a constituency MP, I see the impact of below-needs budgets on projects in South Antrim. The new Birch Hill mental health centre is a much-needed, purpose-built facility to provide the very best environment for assessment, treatment and recovery. Yet under the budget that the Executive have provided the Department of Health, there is not enough to fund what has already been committed to, including the Executive’s flagship projects, to meet current contractual commitments, to progress projects in design or development, or to fund even limited maintenance of existing property assets.

Good projects and massive potential are being lost because the Executive cannot seem to think even six months down the line, never mind one or two years. Nevertheless, Birch Hill remains high on the agenda of our Department of Health, and I hope that the Executive parties responsible for funding allocations consider the consequences of their decisions and recognise the critical need for the project. For mothers and babies in Northern Ireland, it would also provide a centre for perinatal mental health and wellbeing.

I join the hon. Member for Milton Keynes North (Chris Curtis) who said that the motions are welcome but what we would like to see is action. That action would be the certainty of having budget, and assurance that it will be a recurrent budget. I look to the words of the Secretary of State for Health, who talked about transformation in the health service and how it needs both funding and political will. I hope that following today’s debate he can get both.