Council admits we had no say in Hospital closure decision - full letter

  • Attached is the full response by a Dacorum Council officer to an FOI request about consultation on the closure of Hemel Hospital
  • It makes clear that:
  1. The 'engagement' public sessions held earlier this year were ONLY to 'gather views on the overall vision and model of care'.
  2. So the decision to clear the Hospital site and build a Market Square Hub instead was taken WITHOUT PUBLIC ENGAGEMENT 
  3. The size of the main NHS facility in Dacorum will be reduced from 18 acres to just 1.3 acres 
  4. This will severely limit future development of local healthcare facilities for the 160,000 people of Dacorum
  5. There will be no further work on any other option.
  6. The current Hemel Hospital site will be available for 450 or more flats.
  7. The Council claims that ANY public discussion of the factors behind the closure decision would be against its 'commercial interests'

FOI Response 1 Dec 2025


Council admits public had NO SAY in Hospital closure decision

  • Dacorum Council ADMIT public were deliberately cut out of decision on Hemel Hospital closure
  • They say 'Engagement' public sessions in the summer were just to 'gather views on the overall vision'
  • This makes clear that the Prime Minister's promise (to David Taylor MP) of public consultation has been ignored
  • Decision to make the closure the 'preferred way forward' was taken in private in May 2025 by UNELECTED Council and NHS bureaucrats, the 'Joint Strategic Board'.
  • The final decision to replace the Hospital with a Hub was confirmed in 'private session' of some councillors last month.
  • The Council said in an FOI response last week that
  • The purpose of the ['engagement'] sessions was to gather views on the overall vision and model of care, rather than to consult formally on a single preferred site.

Has the NHS had second thoughts over Hemel Hospital closure?

  • Has the NHS got cold feet over Hemel Hospital closure?
  • Closure plan was not on the agenda at key NHS meeting last week
  • The closure plan for Hemel Hospital was originally down for approval by the regional NHS ICB Board meeting which took place on 28 November. 
  • This would be a crucial step towards the shuttering of the 200-year-old institution
  • BUT THE PLAN FOR THE DEMOLITION OF THE HOSPITAL AND ITS REPLACEMENT BY A MARKET SQUARE HUB OR 'NEIGHBOURHOOD' HEALTH CENTRE WAS NOT ON THE AGENDA AS PUBLISHED
  • Has the NHS decided to rethink its plan to turn Hemel and Dacorum into a neighbourhood?
  • OR - WAS THE CRUCIAL DECISION TAKEN IN SECRECY (PART TWO OF THE MEETING) AND NOT MADE PUBLIC? 
  • Dacorum Health Action Group has put in a Freedom of Information request to find out what happened

Council says 'commercial interests' mean reasons for Hospital closure must remain hidden

  • Real reasons for Hospital closure decision kept secret to protect 'commercial interests' of West Herts Trust and Dacorum Council
  • A member of Dacorum Health Action Group has been REFUSED answers to an FOI request about why the Council wants the Hospital is to be closed 
  • Official claimed reasons behind Hemel Hospital closure decision must be kept secret by Dacorum councillors 'as disclosure would be prejudicial to the commercial interests of the Council and its partners.'
  • This information 'remains commercially sensitive and cannot be shared' according to the official
  • Council response said: 'Option 4 - Market Square - was identified as the preferred way forward because of:
  • the site’s ease of access,
  • its alignment with the neighbourhood model of care,
  • and its potential to support the future regeneration of the town centre. 
  • Nonsense ....
  • The Market Square was rated JOINT NINTH out of ten options in the last independent expert survey on similar measures 
  • WHAT LIES BEHIND THIS NHS AND COUNCIL SECRECY?
  • WHY ARE OUR COUNCILLORS SO KEEN TO SHUT OUR HOSPITAL WITHOUT TELLING US WHY?

 


Revealed - experts backed new building on Hemel Hospital site

  • Report by three top independent firms backed state-of-the-art new local hospital building on Hemel Hospital site
  • Expert report written the last time Hemel's hospital future was considered, between 2016 and 2018.
  • At that time, Council and NHS rated Market Square site joint NINTH OUT OF TEN options
  • Dacorum Council and NHS may have deleted or destroyed the expert report, which they helped to pay for - they claim they don't have it
  • BUT PARTS OF THE EXPERT REPORT HAVE NOW BEEN HANDED TO DACORUM HEALTH ACTION GROUP
  • Report assesses the site for a local hospital with services very similar to the planned 'Hemel Health Campus' 
  • Priorities would be prevention, integration and care closer to home
  • Experts said the 'optimum proposal' for a  new local hospital on the current site was on the northwestern edge, because it:
  • Was 'Close to the town centre'
  • 'Allows for sufficient parking and easy access from King Harry Street and Hillfield Road'
  • Was 'flexible to meet future demands and new services' 
  • 'Optimises the value of the [current Hospital] land'
  • The report assumed the rest of the current Hospital site would be used for housing to meet Government targets, and a school

 


No discussion as NHS bosses confirm Hemel Hospital closure decision

  • West Herts NHS Trust bosses confirmed yesterday that they will seek the closure of Hemel Hospital and its replacement with a Market Square Hub
  • There was NO DISCUSSION at the Trust Board meeting which in  a few minutes approved a business case for the £134.8m project
  • The only public information was in 15 slides with no financial figures and no details on options such as the use of the current site
  • The promotional  'engagement' sessions did not discuss options and provided no financial information on the Hub
  • Just over three years ago, the same Trust provided 183 pages of background information on the various options for Watford General, including full and detailed responses from the public
  • THE TRUST TAKE WATFORD SERIOUSLY. WHEN IT COMES TO DACORUM, THEY ARE JUST PR PEOPLE. DACORUM COUNCIL ARE SUPPORTING THEM IN THEIR COVER UP.
  • These are the May 2022 West Herts Trust board papers on the Watford General project (pages 7 to 190):
  • https://www.westhertshospitals.nhs.uk/application/files/7117/3677/6007/May_2022_board_papers2.pdf

We are consulted on waste recycling centres - but not on the Hospital

  • Herts County Council are consulting the public on changes to the way waste recycling centres are run 
  • A range of options are available for the public to say which policy they favour
  • BUT DACORUM AND THE NHS ARE GOING AHEAD WITH THE CLOSURE OF HEMEL HOSPITAL - WITHOUT CONSULTATION
  • Keir Starmer promised David Taylor MP in June that there would be public consultation
  • But the authorities decided to ignore the PM's pledge and move to closure 
  • No options are offered beyond the cramped and expensive Hub on Market Square
  • The promotional material for the Hub on the Dacorum website gives the game away:
  • "we’ll be seeking your feedback and thoughts on the health campus to shape our thinking and approach – and would value your views on this option. This will then be considered against other alternatives in the Strategic Outline Case."
  • This is the arrogant policy of TAKE OR LEAVE IT

Hemel Hospital - the great options they don't want you to see

  • The NHS worked on two options for a new build local hospital on the current site, within easy reach of big stores Asda and Iceland
  • They would be new like the Hub - but on a site that offers the chance for good parking
  • The NHS and Council want you to forget them because they are committed to the Market Square Hub
  • The two new build options for the current site had good ratings in the last independent expert assessment, in 2018:

a. A stand-alone new hospital (hub) located in the northwest part of the site. Demolish Cheere House and Tudor buildings and construct a three-storey compact
rectangular shape facility. Car parking is decked to meet the requirement. THAT WAS GIVEN 13 OUT OF 16 MARKS

b. A stand-alone new hospital (hub) located in the northeast part of the site. Demolish Windsor building and construct a three storey L shaped building at the northern
border. Car parking is decked to meet the requirement. THAT WAS GIVEN 12 OUT OF 16 MARKS

  • And the Market Square option?- the experts gave that just 8 OUT OF 16
  • And this is key - the independent site ratings assumed a very similar local hospital to the one being considered now.
  • Why do the authorities keep pushing the ninth-rate Market Square when there are much better options for a new hospital -that would also allow homes to be built on the rest of the site?
  • This is the post with the information on the last independent expert assessment:
  • https://dhag.org.uk/news-updates/market-square-was-rejected-as-hospital-site-by-nhs/

 


Revealed - Hemel Hub to cost nearly £135 million

  • The Market Square Hemel Health Hub will cost £134.8 million to build, according to new West Herts Trust papers
  • The Hub will cost £7 million a year to run, offset by annual savings of £4.2m (eg new buildings save on maintenance costs)
  • This is a big investment in Hemel, as forecast by the Council.
  • But why spend it on a cramped site with no room to expand?
  • Here are the Trust papers (see the second report in Item 6.3) :
  • November_2025_board_papers

Council confusion over housing targets - why must Hemel Hospital close?

  • Does Dacorum Council really need to demolish Hemel Hospital to make way for more housing?
  • The Council claims 450 homes should be built on the site, as part of an effort across the Borough to meet Government housebuilding targets
  • But, in a scathing report on Council planning, official inspectors have demanded the Council explain its figures on the numbers of homes needed across the Borough
  • In particular they attack the Council for failing to provide 'clear and consolidated evidence which sets out the reasons and the judgements that have resulted in the [housing] site allocations contained in the submitted Local Plan.'
  • The inspectors say it is 'unclear ... what processes the Council followed to decide which sites should be allocated [for housing] and the reasons why.' 
  • Dacorum's confusion over housing sites raises an awkward question for the Council:
  • WHY SHOULD ANYONE LISTEN TO YOU WHEN YOU CLAIM THE HOSPITAL SHOULD GO TO MAKE WAY FOR MORE FLATS AND HOUSES?
  • The Inspectors' letter is below:
  • Local Plan Inspectorate's First Response