We urgently need a new hospital – find out more about our redevelopment programme and how you can help us to create a better St Mary’s
St Mary’s is the site in most urgent need of redevelopment. We submitted a first stage business case in August 2020 and, following discussions with the New Hospital Programme, we updated and re-submitted the case in September 2021 based on full, upfront funding being provided centrally.
You can read a summary of the St Mary's strategic outline case. The redevelopment will involve building a new, 800-840 bed hospital in the east of the St Mary’s estate. It will be primarily one, tall building on a smaller footprint than the current facilities which are spread across the ten acre site.
We are currently progressing detailed design and planning for the redevelopment of St Mary’s Hospital. St Mary’s is in wave 3 of New Hospital Programme schemes, with central funding for construction due to be released from 2035. The Trust is working with partners to develop options for reducing the amount of New Hospital Programme funding required for construction, in order to be able to bring forward the start date for redevelopment.
Following the Government’s decision in May 2023 to delay the main capital funding for the Trust’s schemes, the Trust has been working with the New Hospital Programme to explore ways to keep its redevelopments on track.
In January 2024 the Trust launched a range of activities to gather the views of patients and local communities about what matters most to them. These engagement activities align with Westminster City Council’s upcoming Regulation 19 public consultation, which will incorporate an updated site allocation for the St Mary’s campus. You can read the feedback from our recent survey about what you would like to see from a new St Mary's Hospital. In the meantime we are continuing to deliver an estates and infrastructure investment plan for the short to medium term.
Following the 2024 General Election, Chancellor of the Exchequer Rachel Reeves gave a statement to the House of Commons on 29 July, including that the Government will “conduct a complete reset of the New Hospital Programme, with a thorough, realistic and costed timetable for delivery”.
Secretary of State for Health and Social Care, Wes Streeting MP, made an announcement on 20 January 2025 outlining the outcome of the review of the New Hospital Programme, including an updated timeline for existing schemes. St Mary’s, Charing Cross and Hammersmith hospitals have been included in the third wave, which would see building starting between 2035 and 2039.
In response Chief executive Professor Tim Orchard’s gave this statement on the outcome of the Government’s review of the New Hospital Programme to the Board in Common of the North West London Acute Provider Collaborative. Professor Orchard set out the Trust’s approach to find a way to progress our schemes more quickly. This includes exploring alternative funding approaches, leveraging the value of our land that will be surplus to requirements and the significant contribution of our life science partnerships to local and national economic growth.
On 5 February 2025, the New Hospital Programme confirmed that Imperial College Healthcare will be able to continue to detailed design and planning for St Mary’s Hospital redevelopment. This phase of work is intended to conclude with planning consent for a new hospital within a redeveloped life sciences campus in 2027/28. A first tranche of £19.4 million is due to be released in February 2025 from what is anticipated to be a total of around £50 million to complete this phase.