Health Secretary Steve Barclay has admitted not all of the 40 new hospitals promised for England by 2030 will probably be model new.

He informed the BBC the pledge coated a “range” of constructing work.

Refurbishments and new wings are additionally included within the determine.

Mr Barclay additionally acknowledged that among the hospitals initially promised would now be accomplished after 2030 however a complete of 40 tasks would nonetheless be completed by that date.

Pressed over whether or not a refurbishment could possibly be thought of a “new” hospital, Mr Barclay informed the BBC’s Sunday with Laura Kuenssberg programme: “If it’s a new wing, a new facility, a women’s and children hospital for example as part of a wider compass… what matters to you as a patient is whether the facilities are state of the art, whether they’re new.”

Mr Barclay mentioned: “We’re being honest in saying there will be difficulties on some of the schemes. There’s often local factors that need to be worked through like land acquisitions, service redesign… which make it challenging to complete those by 2030.”

He added: “We are being honest that some schemes will take slightly longer than 2030 but we’re going to get on with them.”

The dedication to construct 40 new hospitals by 2030 was made by Boris Johnson and included within the Conservative Party’s 2019 manifesto.

The 5 hospitals are deemed prone to collapse due to deteriorating concrete infrastructure.

Earlier this week Mr Barclay insisted the federal government would nonetheless meet its manifesto pledge as a result of in addition to these 5 hospitals it could additionally construct three psychological well being hospitals on prime of the unique tasks promised.

On Sunday’s programme he continued to confer with “40 new hospitals” though he accepted that not all of them could be model new.

He informed the BBC: “What the manifesto said was 40 new hospitals, that is what we committed to in the House [of Commons] on Thursday.”

A BBC investigation final week discovered constructing work was but to start out for 33 of the federal government’s promised 40 new hospitals.

Meanwhile, Mr Barclay clashed with the chief of the junior medical doctors’ union, who additionally appeared on the programme, over the federal government’s pay provide.

He accused junior medical doctors of being unreasonable by refusing to budge on their demand for a 35% pay rise.

But Dr Vivek Trivedi, who co-chairs the British Medical Association (BMA) Junior Doctors Committee, mentioned offers that amounted to a real-terms pay minimize had been “driving doctors away”.

It would be the third time junior medical doctors in England have staged strikes this 12 months, after industrial motion in March and April.

Ministers have provided a 5% pay rise however Dr Trivedi mentioned this might quantity to “a massive real-terms pay cut” because of rising costs.

“It was clear that after the government offered us their 5%, despite us going back and being creative… they were the ones who wouldn’t budge,” he mentioned.

However, Mr Barclay mentioned: “They’ve refused to move from the 35%. And I don’t think that is a fair and reasonable demand for them to take.”

He added: “We want to engage with them, we have been doing. It’s the junior doctors who walked away from those negotiations by calling strikes.”

The well being secretary insisted the federal government had already improved its pay provide from what was initially beneficial by the unbiased pay assessment physique.

Asked what it could take to resolve the dispute, Dr Trivedi mentioned: “We’re trying all we can and are eager and ready to get back to the negotiating table – it is the government who are refusing to meet us there.

“We have budged and are very completely happy to discover methods to completely restore our physician’s pay and we have provide you with a wide range of proposals to do this.”

The BMA says junior doctors have seen pay cut by 26% since 2008 once inflation – the rate prices are rising – is taken into account. The union wants a 35% pay rise to reverse this.

Dr Trivedi said a pay offer which did not reverse this trajectory “wouldn’t be honest or cheap”.