Recommendation 28

In September 2025 we reported that some critical programmes had been left out of plans to strengthen governance of mega projects. The New Hospital Programme was not granted mega project status by the Treasury because it was considered a collection of small, standardised 57 Qq 23-25 58 Q 14 59 C&AG’s report, paras 3.6-3.7 60 C&AG’s report, para 3.3 61 C&AG’s report, para 3.5 62 Committee of Public Accounts, Governance and decision-making on major projects, Forty-fourth report of session 2024–25, HC 642, 10 September 2025 63 C&AG’s report para 3.5 18 and repeatable construction projects, rather than a singular, large, novel project, despite the value for money concerns this Committee raised in 2023.64 64 Committee of Public Accounts, Governance and decision-making on major projects, Forty-fourth report of session 2024–25, HC 642, 10 September 2025; Committee of Public Accounts, The New Hospital Programme, First Report of Session 2023–24, HC 77, 17 November 2023 19