Hospital rebuild could replace demolition plan

Laura Foster,at the Princess Alexandra Hospitaland
Lewis Adams
Laura Foster/BBC Thom Lafferty has long brown hair and is wearing a dark suit jacket over a white shirt. The beige brick hospital building is behind him. He looks serious in his expression.Laura Foster/BBC
Thom Lafferty said working in some areas of the Princess Alexandra Hospital was becoming increasingly risky

Plans to build a new hospital in Harlow could be replaced by an extensive rebuild of the existing site instead, its chief executive has said.

The leading option is to demolish the Princess Alexandra Hospital and create a new facility outside the town on land near junction 7A of the M11 in Essex.

But hospital chief Thom Lafferty told the BBC they were now considering redeveloping each existing department gradually - because of "the state of risk" in some areas.

Work on the project, expected to cost up to £2bn, is due to begin between 2032 and 2034, with completion by 2040.

Under the previous Conservative government, it was hoped a new facility would be built by 2024 - but this slipped to 2030.

Health Secretary Wes Streeting announced in January 2025 that Labour would press ahead with the plan.

Sue Gwyne/Princess Alexandra Hospital NHS Trust The entrance to the Princess Alexandra Hospital with a rainbow flag flying on a vertical pole outside. It has green entrance doors with the hospital name in silver lettering above. The hospital building is mostly built from beige bricks.Sue Gwyne/Princess Alexandra Hospital NHS Trust
The deteriorating hospital estate is wreaking havoc on day-to-day operations, Lafferty has said

Lafferty said on Thursday that a total rebuild on greenfield land near the M11 was still his priority.

However, he added: "Because of the state of risk that we experience with our estate, [we are] looking at alternative options - including, potentially, the redevelopment of this site."

He said they were looking at whether redevelopment could mean people living in west Essex would get a new hospital sooner than 2040, with the most unsafe areas being prioritised.

"We are trying to work with local government and local NHS regulators to see if we did change that, whether that would have any impact on expediting our plans," he said.

Princess Alexandra Hospital NHS Trust An artist's impression of how the new hospital could look. It is a sprawling building of several floors that is set across a large estate. It is grey and has a large car park in front of it and lots of trees behindPrincess Alexandra Hospital NHS Trust
Images suggesting how a new hospital could look have previously been released by the NHS trust

The Princess Alexandra Hospital was opened in 1963.

Lafferty said staff were suffering operational disruption every week due to the ageing building, and claimed it was impacting morale.

He revealed an emergency closure of the maternity theatres had to be made recently, causing operations to be cancelled.

"Staff have every right to want to work in a hospital that is fit for purpose both in terms of modern facilities but also in terms of capacity," the chief added.

"Unfortunately, we can't offer that to our staff at the minute."

Chris Vince, the Labour MP for Harlow, said he was determined to secure a new hospital for the town.

He said: "We've got some draft ideas about what this site could look like but, of course, there's a long way to go."

John Fairhall/BBC Wes Streeting has short dark hair and is wearing a navy suit jacket, whie shirt and dark red tie. He is smiling in front of a window indoors.John Fairhall/BBC
Health Secretary Wes Streeting admitted 2040 was "a long way away"

Speaking separately to BBC Look East, Streeting insisted the project was "very high" on his agenda and he would accelerate it if that became viable.

"I can understand why for people waiting that feels like a long way away, it is a long way away," he said of the planned 2040 opening date.

"We're bringing forward schemes where we can, where it's affordable to do so."

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