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NHS: Capital Investment

Asked by Dr Ellie ChownsGreen PartyDepartment of Health and Social CareTabled Answered 3 November 2025UIN 86097

The question

To ask the Secretary of State for Health and Social Care, what steps he is taking to ensure capital investment in NHS (a) estate and (b) infrastructure supports improvements in climate resilience.

Answered by Karin Smyth

We recognise the importance of increasing the climate resilience of the National Health Service estate. NHS trusts are responsible for maintaining their estate, including adapting premises to reduce risks associated with climate change and severe weather, as set out in the NHS Standard Contract.

The Department is supporting the improvement of NHS sites by investing £30 billion over the next five years in day-to-day maintenance and repair, with £5 billion allocated specifically to address the most critical building issues. Additionally, the Department is making sure all new hospitals are fit for the future. Our New Hospital Programme requires schemes to achieve a minimum rating of ‘Excellent’ for new builds and ‘Very Good’ for refurbishments, under the Building Research Establishment Environmental Assessment Method. In addition, all NHS investments in new buildings and upgrades to existing facilities that are subject to HM Treasury business case approval process must align with the NHS Net Zero Building Standard, which includes a focus on overheating risks.

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