The JHOSC meets again. Frimley Health publishes its full Site Selection Report and the scoring matrix — both promised four weeks in advance — on the
same day as the scrutiny meeting, giving the committee no meaningful time for analysis.
The report reveals that
18 potential sites were assessed in total: 14 named sites, three sites assessed under commercial non-disclosure agreements (NDAs), and the Frimley Fuel Allotments. Of the four sites that reached the priority-site stage, FHFT's own scoring matrix placed
FFA third out of four, with 30 points against NDA Site Two's 40 and NDA Site Three's 37. Critically, FFA scored
last place (4th) on both Ecology and Air Quality — the two criteria most directly relevant to the site's proximity to the Thames Basin Heaths Special Protection Area and its blanket Tree Preservation Order.
The site was not selected because it outperformed the alternatives. It was selected by elimination:
- NDA Site One — deselected at priority stage on technical grounds (flooding, utilities, land assembly complexity)
- NDA Site Two — ranked first overall, and had "progressed to the preferred-site stage," but was ruled out on further due diligence: aviation safeguarding restrictions, multiple leaseholds, and complex land ownership that made Hospital 2.0 design compliance impossible
- NDA Site Three — ranked second overall and was "one of the final options alongside Frimley Fuel Allotments," but ruled out because it sits within the Green Belt
The Trust's own sensitivity analysis confirmed that no reasonable reweighting of the 13 criteria would have altered this ranking.
FFA was the last site standing — not the highest-scoring one.The report's conclusion that the existing Frimley Park Hospital site is not viable also rests on an assumption that has never been made explicit: that any rebuild on the current site must be delivered as a single-phase construction. A phased redevelopment — building at the rear of the existing site, decanting services progressively, demolishing the old structure in stages and repeating — is the established model for major hospital rebuilds on constrained NHS sites, including FHFT's own Heatherwood redevelopment. The Site Selection Report's Appendix E briefly considers a phased approach combining the MoD land and existing hospital site together, dismissing it as up to four years longer and £500m–£1bn more expensive. However, a phased redevelopment of the existing site alone — without MoD land — is never assessed or modelled anywhere in the published documentation. The Trust's public-facing communications address only single-phase scenarios when dismissing the existing site. If a multi-phase option for the existing site alone was modelled and rejected, the reasoning has never been published. If it was never modelled, the conclusion that the existing site is unviable rests on an incomplete analysis of the available options.
Also at the same meeting, the FHFT presentation slides (Third Supplementary, Item 6) stated that the
"proposed location remained the highest-scoring option throughout." This is directly contradicted by the Site Selection Report published the same day: the scoring matrix shows FFA placed
third out of four priority sites, with 30 points against NDA Site Two's 40 and NDA Site Three's 37. FFA scored last on both Ecology and Air Quality. The committee did not challenge the claim.
At the same meeting, public questions produced two further admissions on the record. First, FHFT confirmed that the programme is currently at
RIBA Stage 1 — the very earliest design stage (Preparation and Brief), meaning the programme is at concept level only. No figures were given for traffic mitigation budget; the response stated only that "allowances will be reviewed and updated as we progress" — an undefined budget at the point a preferred site has already been publicly announced. Second, in response to a question about ICB governance, FHFT stated that
only 3% of the population served by Surrey and Sussex ICB use Frimley Park Hospital. This means Surrey Heath — which will bear the full environmental, charitable, and access costs of the proposed development — represents a very small fraction of FPH's patient base, yet the lead commissioner is the Thames Valley ICB, which does not cover the area where the hospital will be built or the charitable land being disposed of.
The draft minutes of the meeting record a formal RESOLVED motion: that FHFT should
"invest significantly to strengthen their communications with the public on the New Hospital Project, with consultation and engagement on a continuing basis that truly involves both patients and residents in an open discussion on the future of the hospital services and takes into account both the current statutory guidance and the Gunning Principles." The Gunning Principles are the legal test for lawful public consultation established by the courts. The committee's express invocation of them on the public record — at the very meeting at which FHFT's claim that FFA was "the highest-scoring option throughout" passed unchallenged — sets a formal benchmark against which all subsequent engagement will be measured.
Source: FHFT New Frimley Park Hospital Preferred Way Forward Site Selection Report, published 17 July 2026; JHOSC Public Questions and Responses (First Supplementary), 17 July 2026; JHOSC draft minutes, 17 July 2026 (published September 2026); FHFT online public engagement webinar, 7 September 2026