Tens of millions of pounds is needed to complete repairs at West Hertfordshire Teaching Hospitals Trust, new figures show.
Across England, a growing number of buildings are in a poor state, with the repair bill climbing to £11.6 billion last year.
NHS Providers, the body which represents NHS hospital, mental health, community and ambulance services, said the rate at which the bill is rising is "alarming", and urged the Government to provide much-needed investment in broken buildings.
The latest NHS Digital figures show £69.8 million is needed to restore buildings at West Hertfordshire Teaching Hospitals NHS Trust to certain standards as of March.
This work should have already taken place and covers everything from leaky gutters and faulty lifts to critical electrical and structural issues in hospital buildings. It does not include planned maintenance due to be undertaken.
Of this, just £4.4 million is required to fix high-risk issues, which NHS reports say must be addressed with urgent priority to prevent catastrophic failure, major disruption to clinical services, or safety deficiencies liable to cause serious injury.
The most expensive site was Watford General Hospital, with £35.4 million needed to complete all the necessary repairs.
Nationally, the maintenance backlog rose by more 13 per cent last year, including £2.4 billion earmarked to eradicate the high-risk backlog.
Chief executive of NHS Providers Sir Julian Hartley said: "The cost of trying to patch up creaking buildings and out-of-date facilities is rocketing. Far too many NHS buildings and equipment are in a very bad way, and the situation is just getting worse.
"The safety of patients and staff is at stake. To provide first-class care, the NHS needs safe, efficient and reliable buildings, facilities and equipment."
"Many trusts – mental health, community, hospital and ambulance services – need major investment to refurbish ageing buildings and tackle risks to the safety of patients and staff," he added.
"We need the Government to shift gear and inject a significant shot in the arm of capital investment in the NHS."
A DHSC spokesperson added: "We have invested significant sums to upgrade and modernise NHS buildings so staff have the facilities needed to provide world-class care for patients, including £4.2 billion this financial year.
"Trusts are responsible for prioritising this funding to maintain and refurbish their premises, including the renewal and replacement of equipment.
"This is on top of the £3.7 billion made available for the first four years of the New Hospital Programme and a further £1.7 billion for over 70 hospital upgrades across England alongside a range of nationally-funded infrastructure improvements in mental health, urgent and emergency care and diagnostic capacity."
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When approached for comment, a spokesperson for the West Hertfordshire Teaching Hospitals Trust said: "Watford General Hospital will be rebuilt to provide residents across West Hertfordshire with state-of-the-art facilities, and we have redevelopment plans for our St Albans and Hemel Hempstead sites.
"Whilst these major redevelopment plans progress we are actively managing the on-going maintenance needs across all our sites.”
Further information regarding the redevelopment plans can be found at: www.westhertshospitals.nhs.uk/investinginourhospitals.
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