Roger Johnson, BBC North West Tonight: Now a hospital Trust in Lancashire says that it's having to spend up to half a million pounds every year on ambulances just to move patients around the buildings on its own site. The Royal Lancaster Infirmary has 22 buildings, many of which need repairs.
Earlier this year, the Government approved a new hospital, and the staff in Lancaster have been telling our health correspondent Gill Dummigan today that it cannot come quickly enough.
Gill Dummigan, BBC North West Tonight: The Royal Lancaster Infirmary has been on this site since the 1890s, and parts of it are definitely not ageing well.
Russ Stephenson, Estates, University Hospitals of Morecambe Bay NHS Foundation Trust: You can see the remnants of the rain. It's running down the doors to the Chapel. It's run along the corridor area that we've got here. We've had to use the absorb mats that you see.
Gill Dummigan: Leaks are a frequent issue here and by no means the only one.
Russ Stephenson: We've got issues with drainage, we've got issues with electrical supply, we've got issues with our roofs and our infrastructure that support the functions that we do as a Trust. And at this moment in time it's all getting a little bit on top of us.
Gill Dummigan: And then there's the geography. This site's on a hill and over the years it's grown and spread across 22 different buildings, and this is one of them. This is a unit that looks after frail and elderly patients, patients who frequently have to go for scans and other treatments to entirely different parts of the hospital. And because of the way it's laid out, they often have to get there by ambulance. A huge disruption to the patients and a cost to the Trust of around half a million pounds a year.
Scott McLean, Chief Operating Officer, University Hospitals of Morecambe Bay NHS Foundation Trust: It's a challenge that costs us twice as much to run this site as it would to run our modern new hospital on a daily basis.
Gill Dummigan: And then there's a disruption to the patients, particularly those who may already be confused.
Julia Stevenson, Ward Manager, University Hospitals of Morecambe Bay NHS Foundation Trust: Certainly, if they've got a dementia, they think they are getting into an ambulance up there and are potentially going home, only to come down here, get out of an ambulance and come to a new environment.
Gill Dummigan: Do they get upset when they realise they're not?
Colette Saville, Ward Manager, University Hospitals of Morecambe Bay NHS Foundation Trust: Yes, absolutely. Sometimes can be a bit of a battle to get them back in, can't it?
Julia Stevenson: Yeah, yeah.
Gill Dummigan: The doctors too - the layout's wasting time and staff.
Dr Paul Smith, Clinical Director, Medicine, University Hospitals of Morecambe Bay NHS Foundation Trust: Our staff at weekends are having to cover all these different areas. At night, we've got four doctors on for medicine, well, if two of them have to go to one of the more remote parts of the hospital, that leaves us with limited medical staff in the main building. So it's just stretching our teams.
Gill Dummigan: So what do you think it would be like then being in a new building where you were part of everything?
Colette Saville: Exactly that, we would feel like we are part of everything instead of isolated in a different area, you know.
Julia Stevenson: It'd be great wouldn't it?.
Colette Saville: Yeah it definitely would, yeah.
Gill Dummigan: The new building's probably a decade away. The next task is to find the site for it.
Scott McLean: We're hoping to build a modern state-of-the-art hospital that delivers world class care near the site. This happens once in a generation for a population, so we're very excited about it.
Gill Dummigan: Gill Dummigan, BBC North West Tonight at the Royal Lancaster.