NHS capital no longer has a process problem. It has a delivery culture problem
The NHS has previously delivered major capital programmes at pace. PFI and ISTCs were not simpler than today’s programmes, nor less controversial. But they operated within a culture that prioritised delivery over optimisation. This article argues that NHS capital now suffers less from excessive formal process than from a deeply embedded assurance culture that slows decision-making, weakens momentum, and makes delivery harder.
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.
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.
Challenges and Solutions for the NHS Estate (CIPFA)
Thoughts and reflections from the CIPFA Roundtable on NHS estates challenges and solutions.