Capital investment and property business case approval guidance for NHS trusts and foundation trusts

This guidance sets out the overarching principles relating to delegated limits and the business case approval process for capital investment and property transactions. This guidance is applicable to all NHS Trusts and foundation trusts.

The guidance also includes:

  • a business case checklist for use by trusts in the production of business cases and NHS England in the review and approval of business cases
  • advice on post project evaluations
  • guidance on letters of support for capital business cases.

Capital investment and property business case approval guidance

Guidance on the cash and capital regime for 2021/22

Guidance on the cash and capital regime for 2020/21

Other guidance