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

• Capital investment and property business case approval guidance for NHS trusts and foundation trusts
• Annex 1 Business Case Checklist
• Annex 2 Post Project Evaluation Templates
• Annex 3 Guidance on letters of support for capital business cases

Guidance on the cash and capital regime for 2021/22

• Guidance on NHS system capital envelopes for 2021/22

Guidance on the cash and capital regime for 2020/21

• Guidance on NHS system capital envelopes for 2020/21
• Reforms to the NHS cash and capital regimes for 2020/21 financial year
• Reforms to the NHS cash regime effective from 1 April 2020