Threads / DHSC Group Accounting Manual Updates / DHSC is at risk of locking in a standard design that will r…
Committee Material Published 17 Nov 2023 ↗ View on Parliament

DHSC is at risk of locking in a standard design that will result in future hospitals being too small, which could lead to significantly greater expenditure and disruption in the long run. The version of Hospital 2.0 that DHSC used in its business case for NHP, and the basis on which HM Treasury has provided indicative future funding, is founded on unrealistic assumptions. It assumes that increasing demand for hospital care from a growing and ageing population can be mitigated by a very high l...

DHSC is at risk of locking in a standard design that will result in future hospitals being too small, which could lead to significantly greater expenditure and disruption in the long run. The version of Hospital 2.0 that DHSC used in its business case for NHP, and the basis on which HM Treasury has provided indicative future funding, is founded on unrealistic assumptions. It assumes that increasing demand for hospital care from a growing and ageing population can be mitigated by a very high level of bed occupancy (95%), substantial reductions in patients’ average length of stay in hospital, and a significant, recurring 1.8% per annum transfer Type: recommendation | Number: 5 | Response status: under_consideration Government response: The government notes the Committee's recommendation. The department will engage with any subsequent Health and Social Care Committee inquiries regarding the design of future hospitals within the NHP. The department is working with trusts to ensure that p