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.
The Centre’s role in the 10 Year Health Plan
The 10-Year Plan gives Trusts real freedoms – but delivering capital transformation depends on how the centre responds. In this piece, we set out how DHSC and HMT can shift from approval gatekeepers to delivery enablers. We also argue for support for acquirers under the failure regime, and a rescue plan for the most challenged hospitals.
Uneasy lies the head that wears the crown: Capital Strategy After the 10-Year Health Plan
Government’s 10 Year Health Plan doesn’t solve the problems of the acute estate. But for Trust leadership teams willing to think boldly, the keys are there. It’s not a perfect answer, but it’s a better position than we have had for many years.
10 Year Health Plan Promises on Capital: A Turning Point?
Quick reflections on the 10 Year Plan’s impact on the NHS’s Capital Investment challenges.
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 Amid rising demand, outdated infrastructure, and urgent calls for modernisation, the report offers the in-depth, data-led analysis of how capital allocation interacts with financial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.
Challenges and Solutions for the NHS Estate (CIPFA)
Thoughts and reflections from the CIPFA Roundtable on NHS estates challenges and solutions.