New Hospital Programme Annual Report

Today the Department has published the first “New Hospital Programme annual report”, covering the 2025 to 2026 financial year.

This report marks the first full year of delivery following the programme reset and the publication of a costed, phased delivery plan through the NHP plan for implementation in January 2025. It represents an important transition from recovery and stabilisation to sustained delivery under a clearer and more realistic framework.

The report sets out the progress made by the NHP during the last financial year, at both programmatic and scheme level. Over the reporting period, the programme has strengthened its governance and assurance in response to scrutiny from the National Audit Office and Parliament.

It has made progress across hospital schemes in multiple waves, and new delivery approaches have been implemented such as the Hospital 2.0 standardised design model and the Hospital 2.0 Alliance commercial framework, aimed at improving efficiency, increasing market capacity, and enabling faster delivery at scale.

Each scheme within the NHP presents its own complex challenges. Market capacity at all tiers continues to pose potential delivery constraints. The launch of the Hospital 2.0 Alliance is an important step in creating a commercial environment that protects the supply chain and enables concurrent delivery of several large hospital schemes.

Looking ahead to the 2026-27 financial year, the NHP will continue to progress schemes in line with the plan for implementation. For wave 1 schemes, focus will remain on business case development and preparing sites for main construction. The seven RAAC replacement schemes, while having been deemed safe to remain open beyond 2030 with appropriate mitigations in place, remain a priority and will continue to be a key focus for the programme in the financial year 2026-27.

Wave 2 schemes will focus on early works to support scheme readiness and de-risk future delivery, and for schemes in wave 3 there is focus on early pre-construction work to de-risk the delivery of schemes where it is necessary to do so at this stage.

A copy of the report has been placed in the House of Commons Library and is available on www.gov.uk.

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