In March 2024, NHS England asked every integrated care system to develop a 10-year system-wide infrastructure strategy that aligns to its clinical vision, delivers the NHS Long Term Plan and sets out how the local estate will be used.

These plans will ensure the most efficient and productive use of NHS resources in helping to address necessary backlog maintenance, support the recovery of our core services, and produce flexible solutions to meet the future needs of patients and staff.

These plans should incorporate requirements from the NHS trusts and primary care network estates within a system and support national strategic plans and priorities such as those for the New Hospital Programme.

NHS England has published guidance and templates to support systems in the development of their infrastructure strategy.