The National Audit Office has found the project is behind schedule and not delivering value for money.
The government is likely to miss its target to build 40 new hospitals by 2030, the spending watchdog has said.
When the health department officially set out the plan in October 2020, eight hospital construction projects already under way were not included in the target. But recent government statements about building 40 new hospitals include these eight projects, referred to as "legacy hospitals". The 32 that will be built in time include 24 from the original new hospitals programme, five that were added in May, and three new mental health hospitals.
It also warned that a push to meet the target at the lowest possible cost - combined with optimistic forecasts about how much care will be outside hospitals in the future - could result in new hospitals that are too small. He made the admission as he updated the department's building plans to deal with hospitals built with a lightweight concrete that was used in the 1980s and is now judged to be unsafe.Image caption,Gareth Davies, head of the NAO, said the programme included "innovative plans" to improve efficiency and quality. But there are important lessons to ensure future major projects were affordable, transparent and delivered on time, he said.
Liberal Democrat deputy leader Daisy Cooper said the "utterly damning report demolishes the government's claims to be building 40 'new hospitals'".
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