Committee publication · Correspondence · 13 July 2026

Joint Letter from the Permanent Secretary at the Department of Health and Social Care and the Chief Executive Office at the National Health Service relating to the Publication of the New Hospital Programme Annual Report 2025 to 2026, 8 July 2026

From: Public Accounts Committee

Summary

Joint letter from the DHSC Permanent Secretary and NHS Chief Executive notifying Parliament's Public Accounts Committee of the publication of the New Hospital Programme's first annual report covering 2025–26. The report documents progress across schemes at different delivery stages, establishes governance improvements, and outlines challenges including market capacity constraints and funding alignment.

Key findings

  • First annual report of the New Hospital Programme published, covering 2025/26 financial year and establishing baseline for future reporting
  • Progress made across schemes at different development and delivery stages, aligned with the phased Plan for Implementation from January 2025
  • Key programme-wide enablers developed including Hospital 2.0 (standardised hospital design), commercial framework, and Health Delivery Partnership to strengthen consistency and productivity
  • Significant challenges identified: scheme-specific delivery obstacles, system reform requirements, market capacity constraints, and need to align delivery with available funding and value-for-money
  • Seven RAAC replacement schemes identified as priority; planned activity outlined for 2026/27 including business case development, enabling works, and construction

Tone

Procedural

Topics

infrastructurepublic-financehealthcaregovernance

Key actors

Samantha Jones, Sir James Mackey, Sir Geoffrey Clifton-Brown, Karin Smyth, Department of Health and Social Care, NHS England, Public Accounts Committee, National Audit Office

Notable line

The report also sets out the challenges associated with delivering a major, long-term infrastructure programme of this scale.

Key Quotes

The annual report provides an account of progress across the programme during the 2025/26 financial year and establishes a baseline for future annual reporting.
Samantha Jones and Sir James Mackey · Describing the scope and purpose of the NHP annual report
The report has been produced in response to recent scrutiny by the National Audit Office and the Public Accounts Committee.
Samantha Jones and Sir James Mackey · Explaining the origins of the annual reporting commitment
These include scheme-specific delivery challenges, wider system reform, market capacity constraints and the need to ensure delivery remains aligned with available funding and value-for-money considerations.
Samantha Jones and Sir James Mackey · Outlining obstacles to programme delivery
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Source · parliament.uk record ↗

Joint Letter from the Permanent Secretary at the Department of Health and Social Care and the Chief Executive Office at the National Health Service relating to the Publication of the New Hospital Programme Annual Report 2025 to 2026, 8 July 2026 | Beyond The Vote | Beyond The Vote