Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential implications for the 10-year health plan of the findings of the report by NHS Providers entitled Investing in the NHS: empowering the sector to drive productivity, renewal and growth, published on 15 October 2025 on local authority funding for NHS infrastructure.

The Department of Health and Social Care continues to work proactively with the Ministry of Housing, Communities and Local Government and local authorities to reform National Health Service infrastructure in England. The 2025 Autumn Budget confirmed that the Department of Health and Social Care’s capital budgets will rise to £15.2 billion by the end of the Spending Review period of 2029/30, delivering the largest ever health capital budget, as well as medium-term certainty to the sector to enable multi-year planning.

This settlement commits to a major transformation of care delivery, moving from analogue to digital systems, hospital to community-based care, and from treatment to prevention, and also confirmed £300 million additional capital investment in NHS technology which will support NHS productivity improvements. Additionally, this includes the establishment of 250 neighbourhood health centres across England, of which 120 will be operational by 2030. These will be delivered through upgrading and repurposing existing buildings, and building new facilities through a combination of public sector investment and a new model of public-private partnerships. This is being developed by the National Infrastructure and Service Transformation Authority, supported by the Department of Health and Social Care, and will build on lessons learnt from past and current models and harness private sector expertise to deliver the new neighbourhood health centres.

Additionally, in November 2025, NHS England published the Capital guidance 2026/27 to 2029/30, which introduced several national reforms to the capital regime which addresses several of the recommendations in the report. These include: multi-year operational capital envelopes allocated directly to providers for the first time, providing firm funding until 2029/30 and indicative assumptions for a further five years; a new balance between national control and regional autonomy, giving regions a lead role in strategic estates planning and delivery oversight; expanded capital freedoms and flexibilities, including greater delegated authority and the ability for high-performing providers and newly authorised foundation trusts to reinvest surpluses; streamlined approvals and higher delegated limits, enabling faster delivery of capital schemes; and integration with the 10-Year Health Plan shifts, namely hospital to community, analogue to digital, and sickness to prevention, ensuring that capital investment underpins the long-term transformation of NHS services.