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Monday, Feb 23, 2026

UK's '40 New Hospitals' Pledge Faces Major Delays and Cost Overruns

UK's '40 New Hospitals' Pledge Faces Major Delays and Cost Overruns

Revised Timetable Extends Construction of New Hospitals Beyond 2039 Amidst Rising Costs
Construction on some of the United Kingdom's '40 new hospitals' promised by former Prime Minister Boris Johnson is now not expected to begin until 2039, with costs ballooning to nearly £50 billion from an initial estimate of £20 billion.

This comes after a reassessment of the project by the Labour government, which described the original Conservative pledge as a 'work of fiction.'

The delayed timeline has led to concerns from several hospital leaders about the deteriorating condition of their facilities.

Many worry that the structures will not last until replacement dates set as far as the 2040s, potentially risking 'catastrophic failure.' Health Secretary Wes Streeting outlined to MPs that construction on 16 of the 40 projects will commence between 2025 and 2030. He stated that construction will be delayed further for another 18 sites, starting between 2030 and 2039.

St Mary’s Hospital in west London, which features sections dating back 180 years, will see work commence in the final construction phase starting at least from 2035. Professor Tim Orchard, the Chair of Imperial Healthcare NHS Trust, described the delay as 'devastating' and expressed concerns over the hospital's ability to survive until a replacement is established.

Dr James Marsh, Deputy Chief Executive of hospitals planning a new emergency care facility in Sutton, South London, indicated that further parts of his hospital buildings could become unsafe with delayed construction timelines.

Similarly, concerns were raised about delayed upgrades at St Helier Hospital, which is in a poor state of disrepair.

Streeting acknowledged that his announcement might cause discontent among the public, particularly in regions with dilapidated healthcare facilities.

He attributed the delays to previous Conservative government actions, claiming they misrepresented the feasibility of the project.

Meanwhile, seven earlier 'wave zero' hospital projects, which are already underway, are expected to complete by 2028.

The financial commitment to the project has substantially increased, with the overall cost now expected to be £48.7 billion.

Labour plans to inject £15 billion into subsequent stages, expecting to allocate an average of £3 billion annually until 2039 to ensure project viability.

Accusations have been directed at both current and past administrations regarding the administration and communication of the project.

Helen Morgan, Liberal Democrat Health and Social Care spokesperson, criticized both the Conservative's initial promises and the current government's handling of the project timing announcement.

The original proposal for the new hospitals was deemed by Streeting as an overstated initiative lacking sufficient funding support.
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