Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, with reference to his oral statement of 13 March 2025 on NHS England Update, Official Report, column 1300, what recent steps he has taken to streamline the business case approvals process for the New Hospitals Programme.

The New Hospital Programme is transforming the way that hospital infrastructure is constructed by using a national standardised approach, called Hospital 2.0. The average lifespan of new hospitals is expected to be in excess of 50 years, and is being designed in line with Hospital 2.0 principles, which will comply with regulatory building standards. This is the minimum expected lifespan, where some elements, such as the structure, will have a longer life expectancy, and other elements, such as internal doors, fixtures, and flooring, may need to be replaced after approximately 15 years. The lifespan of each individual hospital can vary based on external factors such as environmental conditions, maintenance, and usage.

The existing process for approving business cases has been agreed with the Department, NHS England, and HM Treasury, with the explicit purpose of clarifying roles and responsibilities, and where appropriate, delegating authority for faster approvals and for reducing duplication.