Royal Brompton & Harefield NHS Trust’s refusal to approve business case puts plans for £800m hospital in jeopardy.

The proposed £800m Paddington Hospital looks likely to be scrapped after a key partner refused to approve the latest business case for the hospital.

The Board of Royal Brompton & Harefield NHS Trust rejected the business case last week. It blamed an affordability gap, uncertainty over a land deal on the site, and worries about capacity.

In March landowner Paddington Developments Corporation (PDCL) walked away from a land deal that would have seen the hospital acquire a 3.2 acre piece of land next to the scheme. The site was seen as crucial to providing the hospital with enough capacity but with the cost of the land rising to £148m the Department of Health was reluctant to approve the plans.

The Paddington Health Campus Project would have been one of the biggest planned for the NHS with services from Imperial College, St Mary's NHS Trust and Royal Brompton & Harefield NHS Trust being moved to the site.

The Paddington Health Campus Project comprises St Mary's NHS Trust, the Royal Brompton & Harefield NHS Trust and Imperial College. Without Royal Brompton & Harefield’s backing the scheme looks doomed to fail.