NHS Trusts: Finance
The question
To ask the Secretary of State for Health and Social Care, what steps his department is taking to help ensure trusts have sufficient access to operational capital funding to repair buildings, replace old equipment, and provide a suitable environment for patients.
Answered by Karin Smyth
The Government is committed to delivering a National Health Service that is fit for the future through our 10-Year Health Plan, and we recognise the importance of supporting NHS trusts to manage and maintain their estates using operational capital allocations.
The Government’s recently published 10 Year Infrastructure Strategy set out 10-year maintenance budgets for the public estate, confirming £6 billion per year for the maintenance and repair of the NHS estate up to 2034/35.
Within this overall figure, the Government is providing over £4 billion in operational capital in 2025/26 and has now allocated a further £15.6 billion directly to providers over the following four years, from 2026/27 to 2029/30. Providers have also been given further five-year operational capital planning assumptions, covering 2030/31 to 2034/35, allowing them to plan longer term with confidence and accelerate investment decisions aligned to local priorities, including repairs, maintenance, and ensuring suitable patient environments.
In addition to operational capital, the Estates Safety Fund, established in 2025/26, will continue, with £6.75 billion investment over the next nine years to target the most critical building repairs and ensure safe environments for healthcare delivery.
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