Estates and Technology Transformation Fund (Primary Care)

Stronger GP services are the cornerstone of delivering a new deal for primary care.

The General Practice Forward View has set out the importance of investment in premises and technology to enable transformation in general practice. The Estates and Technology Transformation Fund (ETTF) is a multi-million pound programme to accelerate the development of infrastructure to enable the improvement and expansion of joined-up out of hospital care for patients. Additional capital will also be invested in general practice beyond the ETTF which means that the overall total investment in capital assets up to 2020/21 will be £900 million.

In January 2015, GPs were invited to submit bids for investment in 2015/16. The majority of bids focused on helping GP practices make much needed improvements in access to clinical services by extending existing GP premises. As of October 2016, 560 schemes have now been completed across the country which means patients and staff are already benefitting from improved facilities in general practice. In addition, 316 schemes are currently either at construction stage or going through due diligence checks.

In June 2016, local Clinical Commissioning Groups (CCGs) submitted recommendations to NHS England for further investment, in line with their local estates and digital plans. This will include new buildings and technology schemes.  In 2016/17 nearly 300 schemes will be supported, subject to due diligence checks.  Further schemes are planned for future years. We will keep updating the list of schemes set to be supported this year as they are approved to move to the due diligence stage.

The key driver for investment is to improve existing facilities, increase flexibility to accommodate multi-disciplinary teams and develop the right infrastructure to expand the range of care for patients, add more training facilities and greater use of technology. This is needed to facilitate primary care at scale and more joined up care in local communities.

Further information

For more information, please contact the team at