Select committee: Public Accounts Committee
Conclusion 27
76th Report - New Hospital Programme update
Published 22 Apr 2026
Addressed to HM Treasury
Public Accounts Committee New Hospital Programme update All items in this report Report on parliament.uk ↗ Inquiry on parliament.uk ↗
Conclusion (the committee's words)
The Government recently established new arrangements for how particularly risky, costly and complex projects (‘mega projects’) would be managed.61 Mega projects are afforded increased scrutiny and autonomy. For example, decisions at key stages involve the Prime Minister, Chancellor and relevant Secretary of State, advised by a panel including HM Treasury, NISTA and Cabinet Office officials.62 Mega projects may also receive fixed capital funding, the freedom to determine pay when recruiting for specialist roles, and the ability to shift funding between years.63
From: Public Accounts Committee, 76th Report - New Hospital Programme update (HC 1705), 22 April 2026
Government response
The government responded to the whole report on 4 August 2026 (deadline 22 June 2026).