• New state-of-the-art emergency care and specialist hospital, centrally located in the area and offering safe and good quality healthcare
  • Working with other hospitals and health services in the area
  • On a clear site that’s easy to get to
  • Good public transport connections and affordable parking
  • Zero carbon, in a green and healing environment
  • Future-proof with room to expand

West Hertfordshire Teaching Hospitals NHS Trust insist that the redeveloped emergency care and specialist hospital must be at Watford General. But Watford General is the wrong site for the redeveloped hospital. That’s because new facilities at the Vicarage Road site would be:

  • Squeezed into a densely-packed urban area with congested roads and poor public transport links
  • Some way down busy roads from major centres of local population such as Hemel Hempstead and St Albans
  • On a sloping site with difficult access
  • Massively disruptive during many years of construction, as the main work would happen just a few metres from the existing operational hospital
  • At the centre of what is planned to be Watford’s largest new housing estate, with up to 1500 flats and houses being built very close by – a recipe for even more disturbance during construction and even worse traffic congestion for ever

This is not a healing environment.


A parking crisis is looming for West Hertfordshire Hospitals Trust. Demand for car spaces from new developments at Watford General and St Albans City Hospitals looks like exceeding planned supply. A year-old £39.3 million multi-storey car park, the Trust's claimed 'parking solution', is not likely to be big enough. Many patients, other visitors and staff could be forced to park well away from the hospitals.

The New Hospital Campaign is urging a ‘radical rethink’ of the Trust's Watford proposals - planning for an emergency care and specialist hospital on a clear new site rather than trying to squeeze so much onto the cramped Watford General site.

NHC Co-ordinator Philip Aylett said:

‘The Watford General site is simply unsuitable for the planned expansion. The case for redevelopment there relied on the claim that construction work would not interfere with the operation of the Hospital. This is patently untrue – disruption will be endemic at Watford General.'

At St Albans City Hospital, plans for a new elective surgery hub to reduce backlogs, serving the whole of Hertfordshire and West Essex, are stumbling over lack of car park space.
The Trust are desperately searching for spaces to meet the increased demand generated by the new hub. One possibility is for 20-30 cars to park on the Batchwood estate - a mile away across a busy road. Mr Aylett criticised the Trust's St Albans parking proposals as 'absurd'.

The full media release is here




Patients in Watford General’s planned new tower-block hospital face a gloomy outlook, with many wards in shade for most of the time.

A shocking computer diagram (above), produced by the West Hertfordshire Teaching Hospitals NHS Trust, reveals how the design of the planned 260-foot hospital will severely restrict sunlight and views for patients and staff. The problem will be severe even in June, the sunniest month.

The New Hospital Campaign have accused the new hospital, costing at least £1.1 bn, of being a ‘clinical carbuncle’ which would do nothing for health or wellbeing.

The new facility will suffer from serious defects:

• Deep dark courtyards will be surrounded by monolithic buildings of up to 16 storeys on all four sides;
• The new facility’s three tower blocks, the tallest about 260 feet high, will be just 15 metres apart;
• Blinds in wards will be needed to preserve the privacy and dignity of patients – a recipe for even more shade.

And the layout of the building will make things worse. Squashed on to a plot that is just half the size of the existing hospital, Watford General’s three towers are to face each other in a parallel row. Many wards and other rooms will directly face each other.

Watford General’s closely-packed hospital towers won't meet the minimal spacing standards demanded by Watford Borough Council for ordinary residential buildings.

Philip Aylett, Co-ordinator of the New Hospital Campaign, said today:

“The West Herts Trust seem bent on creating in this Hertfordshire town something usually seen only in dim corners of the City of London, where greed and property prices dictate close packing of office blocks.

"The  Trust have abjectly failed to come up with an attractive or effective design. The Trust are creating a clinical carbuncle which will do nothing for health and wellbeing – and the people of West Herts will be stuck with it for 60 years.

“Only for a brief period around noon in the summer will there be much natural light for most patients.

“Terrible for patients and staff. Terrible for the taxpayer.”



Harlow's Princess Alexandra Trust are showing how an imaginative NHS body can plan new clear-site hospitals that work for patients.

The Essex team want an efficient new hospital on a human scale - up to seven or eight storeys - in a spacious setting with room to breathe. By contrast West Herts want us to squeeze into a 16-storey, 260-foot monstrosity, surrounded by Watford's biggest new housing estate - the 1500-unit Riverwell.

In this blog, Walking the Tightrope,  the Trust explain the thinking behind their choice of a hospital that is in the right environment for healing.

A much better use of public money than Watford's towering infirmary.








Action Group attacks Trust’s current plans as absurd

A new report urges the NHS to revive Hemel Hempstead Hospital (HHH) and make it a vibrant integrated healthcare centre for Dacorum.

The report ‘A Vision for the Future of Hemel Hempstead Hospital’ by the Dacorum Health Action Group (DHAG), says better diagnostic facilities and wards should be combined on the town-centre site with services to support healthier lifestyles and tackling preventable disease.

Current proposals by the West Hertfordshire Teaching Hospitals NHS Trust for limited investment in “planned medical care” at HHH are described in the report as “absurd” and risking “a much less accessible overall health service provision for local patients”.

In contrast, the Group’s ambitious Vision for HHH says that, whatever decision is taken on the site for a new emergency care hospital, the other hospitals in West Hertfordshire should ‘provide a wide range of integrated services for their local communities.’

The DHAG Vision for Hemel Hospital includes:

  • Straightforward elective surgery, with orthopaedic outpatients facilities returning to HHH to serve the large elderly population;
  • Rehabilitation wards of a high standard to take patients from the emergency care hospital to stop bed blocking, and give patients support and therapy to help them regain their independence;
  • A day ward or Day centre to be run by well-trained senior nurses or District nurses;
  • District nurses to be based at HHH to enable a further integration of services;
  • An integrated centre for preventative services including stopping smoking, exercise groups to keep people mobile and prevent falls, exercise for cardiology patients, and weight loss.

To read the full report click here and let us know your thoughts!










Opposition to plans to redevelop Watford General has forced West Herts Trust to agree to review their decision. Amid signs that support for the Trust’s proposals among key local councils is crumbling, the Trust say they will be taking a ‘fresh eyes approach’ to the decision at a Board meeting on 31 May.

The U-turn follows a February meeting at which local health group the New Hospital Campaign (NHC) and others put their case for a new hospital on a clear and accessible central site to Health Secretary Sajid Javid.

In a letter sent today to Phil Townsend, the Trust Board Chair, NHC Co-ordinator Philip Aylett says:

‘I am glad that you and your colleagues are, at last, now apparently prepared to challenge officials to justify their approach.

‘The imminent departures of both the CEO and Deputy CEO, the present hiatus in the New Hospital Programme, the Secretary of State’s consideration of the evidence presented to him by the NHC and, maybe, some of the NHS failings we have heard about recently, all offer the Board a convenient and valuable opportunity to re-set.’

The NHC today sent the Trust their contribution to the review - the detailed submission the Campaign made to the Secretary of State following the meeting with him in February. That recommended that an independent expert body should be commissioned ‘to carry out a full review of options for acute redevelopment in West Hertfordshire. This review should include options for a clear site.’

To read the full press release click here

Click here for the letter sent today to Phil Townsend, West Herts Hospital Trust Chairman

For our full submission to Sajid Javid, Secretary of State for Health, click here



Image credit: James Sullivan, Unsplash







This update on hospital redevelopment in West Hertfordshire comes from the New Hospital Campaign (NHC), which is calling on the Government and the NHS to locate a new emergency care hospital for the area on a clear central site.

West Hertfordshire has been promised funding as one of the first of the new hospitals in the Government’s programme, but it’s vital that this investment is made in the right place. An emergency care hospital should be accessible to everyone across West Herts, offering a healing environment and providing value for money.

A hospital on a new site, convenient for all, could provide:

  • A good environment for care, with buildings on a human scale, decent landscaping and room to expand as our population grows
  • Convenient, easy parking, especially for people with mobility problems
  • Planned access by road and public transport from all of the area
  • Buildings that help achieve zero carbon, are suited to new technology, and offer single rooms for privacy and infection control
  • Speed of construction, as building can go on without interruption or disruption

There are several possibilities for clear new sites, easily accessible from everywhere in the area, but none has yet been properly assessed by the West Hertfordshire Hospitals NHS Trust (West Herts Trust), who continue to insist that new hospital facilities must be located at or around Watford General Hospital.

The NHC case was put to the Health and Social Care Secretary, Sajid Javid, on 7 February, when representatives from the Campaign took part in a delegation led by Sir Mike Penning MP. We look forward to positive results from that meeting.

Refusal to consider alternatives

The West Herts Trust say that redevelopment must take place at and around the increasingly cramped current site of Watford General in Vicarage Road.  They constantly manipulate the facts to support this view.  They did not, for instance, properly assess the risks of redeveloping at Watford General before the decision was taken to reject all new site options in favour of Watford in October 2020. This was a serious error.

But other trusts are taking a different route

The West Herts Trust’s attitude is baffling: in nearby Harlow the Princess Alexandra Hospital Trust, faced with the same choice of blundering on with redeveloping an existing, cramped town centre site or building anew on a clear ‘out-of-town’ site, have chosen the new site.

The Harlow Trust have analysed the evidence for a hospital on a clear site, and concluded it would be built much faster and more cheaply and give far better results for patients.

The huge flaws in the West Herts Trust’s plans

West Herts NHS Trust stubbornly refuse to admit that


That refusal to look at alternatives flies in the face of common sense and is – unsurprisingly – creating a number of critical problems.

Lack of space is one of the biggest difficulties for their Watford plans.

The Trust are trying to fit a 1000-bed new hospital facility into a plot that is half the size of the current one. It’s a mystery why the Trust have given up so much of their land. But the answer may lie in the murky depths of the so-called Watford Health Campus, an agreement under which developers and Watford Council have been planning large amounts of residential and other development on and around the current hospital site.

Squeezed into a small space, the Trust have had to plan to build high. The Trust’s current proposals would see demolition of most existing buildings at Watford and the building of three tall towers, the biggest 270 feet high – making it the tallest NHS building outside central London. It would of course look ridiculous among the (mostly) two-storey houses of West Watford. Furthermore, if the unthinkable were to happen, local fire services are not adequately equipped to deal with a fire in a building more than 150 feet high.

The Trust have also known for nearly a year that these towers would break the budget – it would cost over £900m to build and equip the three towers as designed. The money simply isn’t there from the Treasury for what the Trust plan to do.

So the Trust will have to curb their enthusiasm for their towering infirmary. But redeveloping at Watford General in other ways would almost certainly  mean having to retain and refurbish the existing buildings - which are in a desperate state.

Over three years ago, an expert survey of the condition of the Watford General buildings concluded:

  • Almost all of the buildings were in an unsatisfactory condition and not ‘functionally suitable’
  • The site services infrastructure - including electrical, steam heating system and hot water - was at the end of its life
  • It would cost at least £240 million to catch up with the maintenance backlog

The situation has got worse since that survey was done – there are over 1000 maintenance call-outs a month at Watford.

But any redeveloped or new facilities at Watford General would suffer other serious problems:

  • A poor environment – there will be serious overdevelopment of the constrained site around Watford General, with a total of 1500 flats and houses, a hotel, a school and industrial units either built or planned
  • The likely move of the Mount Vernon Cancer Centre to the Watford General site will add further congestion
  • The Watford site is mostly steeply sloping, and there are pollution and flooding problems that have not been properly investigated. That makes development expensive and subject to many risks
  • The construction noise, dust and pollution just a few metres away will disrupt the lives of patients and staff at the existing Watford hospital for many years - probably for the rest of the decade
  • The expense needed to redevelop Watford would deprive the Trust’s other hospitals, at Hemel Hempstead and St Albans, of much-needed investment.
  • Already poor access will get worse as car park places are cut and the site’s overdevelopment increases traffic. Greener travel is vital, but the Watford General car park spaces are being reduced immediately – with no funded plans in place for alternative means of transport in the near future
  • Travelling to Watford from Hemel Hempstead, St Albans and elsewhere across West Herts is bad enough now – it will only get much worse.

The Trust seem to have run out of Watford redevelopment options that would be good for patients, as well as being both affordable and providing value for money. They are struggling to produce a preferred option - that is months away from being decided.


There are a number of realistic possible alternatives to the Trust's faltering and delayed plans for Watford. These would see an easily-accessible emergency care hospital on a clear new site, combining with vibrant local hospitals to serve the whole community of West Hertfordshire.

This would not have to re-invent the wheel - there are elements of the Trust's existing plans which could be adapted to fit with an emergency care hospital on a new central, out-of-town site. All that is needed is a rational approach which moves away from the Trust's obsessive determination to redevelop emergency care at Watford General.

The Trust should now reconsider their decision to reject new site options for an emergency care hospital. They need to commission a proper independent study of all the alternatives, this time based on credible evidence.

The New Hospital Campaign is a collaboration between Dacorum Health Action Group, Dacorum Patients Group, and campaigners from Berkhamsted and St. Albans to share ideas and strategies to fight specifically for a new A&E hospital for West Herts in a more central location.

*Journalists and members of the media, please click here for our full press release

NHC meets with Health Secretary Sajid Javid

NHC call on Trust to seek new bids for greenfield sites after Health Secretary meeting





Health Secretary Sajid Javid is to look into the West Herts Trust decision to redevelop Watford General.  This heartening progress on the saga came after a face-to-face meeting including NHC campaigners in Mr Javid's House of Commons office.

The Campaign today called on the Trust to look again at all the four new clear greenfield sites wrongly rejected in 2020 - and to invite new bids to make sure patients and taxpayers get the best deal.

NHC Co-ordinator Philip Aylett and building expert Bob Scott were part of a delegation led by Hemel Hempstead MP Mike Penning. Bob pointed out the dire conditions at Watford, with buildings in a bad state of repair and services not fit for purpose. But the Trust's plans for a budget-busting 17-storey triple tower hospital on the severely sloping site won't work either.

Philip explained that Watford General was inaccessible and unpopular, and showed Sajid that the decision to reject all clear new sites was based on flimsy, incomplete and 'subjective' evidence that shouldn't have been used and won't wash with the Treasury. He called on the Trust to carry out a search for new clear greenfield sites that could be better than Watford and offer more than any current greenfield proposals.

To read the full press release issued by Mike Penning click here

The Future Of Our Hospitals: Your Views

Virtual Public Meeting on Zoom, 8th December 2021 7:30 pm to 9:00 pm

We are inviting residents of West Hertfordshire (Hertsmere, Three Rivers, Dacorum, Watford Borough, St. Albans District) to let us know your ideas on improving hospital services for all of us in West Herts.

The New Hospital Campaign is holding this virtual public meeting on how best to develop the area's hospitals.

All views are welcome- whether you support acute development at Watford General or want a different solution.

Our Zoom account is limited so please contact NHC coordinator, Philip Aylett, on philip.aylett@gmail.com to get the link.

Virtual places are offered first come, first served.

We hope to record the meeting but will only do so if everyone agrees to be recorded.

If you aren't able to join us on the day, but would like to share your views please email dhag.org.uk@gmail.com detailing your view.


Photo by Mika Baumeister on Unsplash

The system for managing flood risks in Hertfordshire is in trouble. ‘Severe’ staff shortages have forced Hertfordshire County Council’s flood planning risk experts to admit they are ‘unable to take on any new work except in the most exceptional of circumstances’.

And the Environment Agency admits it often can’t meet crucial consultation deadlines on Hertfordshire planning applications.

In an astonishing email, the County Council says that ‘for most planning applications [it] will be unable to provide any comments’ on flood risks from new developments.

Who is checking on the flood risk at Watford General?

Doubts about the effectiveness of the system are surfacing even in relation to major projects that could cause severe flooding.

One example is the highly controversial high-rise hospital planned for Watford by the West Hertfordshire Hospital Trust. When the Trust was given outline planning permission by Watford Council for the 1000-bed 120,000 square metre building in July 2021, a series of crucial questions about flood risk and management put by the County Council were left unanswered.  But serious flooding could undermine the viability of the whole project, one of the biggest in the whole programme of new hospitals. The blue light approach to the hospital has been badly affected by flooding.

Among other things, the Council demanded that the Trust should reduce the planned final discharge rate of surface water from the hospital site by a whopping 75 percent, and asked it to explain how it would manage the increased surface water runoff from the site.

The new hospital would be squeezed in as part of the ‘Riverwell’ development, which will see up to 1500 flats and houses, retail units, industrial buildings and a hotel added to a sloping site in crowded West Watford – an increasingly ambitious project, in itself presenting a raised risk of flooding.

West Herts situation beggars belief

Philip Aylett, Co-ordinator of the New Hospital Campaign, which supports the idea of a new hospital on a clear new site accessible to all in West Herts, said:

“The situation in West Hertfordshire beggars belief. Planning permission has been given to a massive hospital project on Vicarage Road, Watford with serious questions about flood risks left unanswered. The Trust’s plans for such a huge structure should never have been given the green light, in view of the uncertainty over flood risk."

For the full details and analysis into this critical matter, please click HERE for the full article.