To ask the Secretary of State for Health what is the projected capital spending in the NHS in the next three years; and if he will make a statement.

For the future, my hon. Friend will have to await the autumn statement by my right hon. Friend the Chancellor of the exchequer which I understand will be made tomorrow.

Since 1979 we have increased capital spending on average by 4·3 per cent. per year. Labour when in office cut it by an average of 6·7 per cent. per year.

Is my right hon. Friend aware that that means that since 1979 there has been a two thirds increase in capital spending compared with a cut of one third when Labour was in power? Is he aware that the North Western regional health authority has a record capital spending programme for next year of more than £100 million and that it includes Bolton's new hospital?

Those dramatic figures are correct. Labour's record on capital spending was lamentable. It was about a one third cut in real terms in capital spending in Labour's last period in office. The North Western regional health authority has a magnificent capital programme for new projects beginning next year and at the head of that programme is Bolton general hospital. That will cost about £37 million in bricks and mortar and another £10 million for equipment. There are also major new projects at Chorley and South Ribble, Iancaster, Central Manchester, Salford, Tameside and Glossop. As I say, the total is about £100 million for next year.

As the Secretary of State is aware, Westminster hospital is due to close and the accident and emergency department is to move to St. Thomas's hospital. Will the right hon. Gentleman give a commitment that capital will be made available in time for the accident and emergency unit to be completed and ready to receive patients when Westminster hospital closes?

As the hon. Lady knows, the commitment to the new Westminster hospital on the old St. Stephen's site is one of the biggest of all the projects in the national health service. The change will need careful management to ensure that the major gains for patients that will come from it are properly realised. I shall look into the specific matter that the hon. Lady raised.

Does my right hon. Friend agree that those figures sit ill with the, I am sure honourable, argument of the Opposition that we are trying to close the health service? How can we be spending two thirds more on capital equipment? My right hon. Friend must be wrong when he says that we are spending 4·3 per cent. more in real terms on the health service than when we came to office. The Opposition tell half-truths because Labour is the only party which when in office cut national health expenditure.

The previous Labour Government started off with their normal irresponsible pledges which produced enormous inflation and catastrophic cuts to all public service capital programmes. Nowhere did those cuts hit harder than in the health service. Many of those who are now on the Opposition front bench were deeply ashamed of that at the time and remain deeply ashamed of it. They are right to be so ashamed.