If I Were an NHS CFO: Preparing for the Return of PPP in Primary & Community Infrastructure
The NHS 10-Year Plan points towards the return of public–private partnerships for primary care, community diagnostics, and neighbourhood health hubs, with acute hospitals excluded. If you are an NHS CFO, the question is whether your organisation is ready to move quickly if a new route of private capital opens. This piece sets out the groundwork: build a complete estate view, align the clinical model with estate decisions, and take priority schemes to a project-ready position.
What does the data say about NHS Capital Allocation?
A new joint report from CF and public sector transaction specialists Burrum River Advisory has highlighted critical issue with the way capital funding is currently allocated across NHS Trusts and how it may be doing more harm than good—undermining system reform, perpetuating inequality, and encouraging short-term fixes over long-term transformation. Amid rising demand, outdated infrastructure, and urgent calls for modernisation, the report offers the in-depth, data-led analysis of how capital allocation interacts with financial performance, estate condition, and system efficiency.
Budget 2024: Capital projects - More checks than balances?
The 2024 Budget brings welcome capital investment to the NHS, but at what price to timely delivery?
Challenges and Solutions for the NHS Estate (CIPFA)
Thoughts and reflections from the CIPFA Roundtable on NHS estates challenges and solutions.
Why the NHS Capital Budget should be £16bn
NHS capital spending is going to enable the kind of transformation the service needs to get on top of its performance challenges. A compelling case can be made for boosting the NHS capital budget to around £16bn annually. Here, I present a variety of methods to estimate the need. None are perfect, but they all come to an uncannily similar number.