Select committee: Public Accounts Committee
Recommendation 14
25th Report - DHSC Annual Report and Accounts 2023-24
Published 14 May 2025
Addressed to HM Treasury
Public Accounts Committee DHSC Annual Report and Accounts 2023-24 All items in this report Report on parliament.uk ↗ Inquiry on parliament.uk ↗
Recommendation (the committee's words)
We asked UKHSA what progress it had made in deciding what it would do with the site. UKHSA told us that it was waiting for Ministers to decide whether to continue development at Harlow or to change course to a phased delivery option providing high containment facilities at Porton Down with later refurbishment of supporting infrastructure at Porton Down and Colindale. UKHSA told us that this decision was under “active review” by Ministers and that it expected a decision to be made in the second part of the spending review. It recognised that this was “now quite a critical decision in terms of timeframe, because it takes a long time to build … [and] commission them into service.” UKHSA informed us that that the decision–making process was difficult and prolonged because the relative costs and benefits of each option are finely balanced and difficult to compare. To ensure that it was ready for a decision either way, UKHSA said that it was working with the Infrastructure and Projects Authority to ensure its model for overseeing the programme included sufficient technical expertise.21 The Department should clarify the arrangements for accountability, oversight, and the involvement and status of delivery partners as soon as possible. 21 Qq 47–50 14 2 Protecting taxpayers’ money The continuing impact of clinical negligence
From: Public Accounts Committee, 25th Report - DHSC Annual Report and Accounts 2023-24 (HC 639), 14 May 2025
Government response
Latest Treasury Minutes progress report to the Committee of Public Accounts on the Twenty-fifth Report of Session 2024-26
The government responded to the whole report on 4 June 2026 (deadline 14 July 2025).
Treasury minutes: Government response to the Committee of Public Accounts on the Twenth-fifth report from Session 2024-26
Published 18 September 2025.
Summary written by Accountability Index from the government's response. It is not the government's own words.The government states that it "agrees" with each of the Committee's recommendations and gives target implementation dates ranging from "Recommendation implemented" to "to be advised".
- On the transfer of NHS England's functions, it agrees to share its plan and timetable, and says information on the size of resource functions "is likely to be confirmed in Autumn 2025".
- On the Annual Report and Accounts, it "plans to cover" the areas listed in the 2024-25 report and will update the Committee in September 2025.
- On publishing accounts before summer recess, it will write in September 2025 with detail on its multi-year plan, saying audit firms have indicated they lack capacity for pre-recess laying "in the shorter-term".
- On clinical negligence costs, it says ministers "will examine" the drivers of costs and "the potential merits of reform options", with the implementation date "to be advised".