Capital regime, investment and property business case approval guidance for NHS providers
Sets out the overarching principles relating to the capital regime and the business case approval process that apply with immediate effect.
The capital regime is applicable to all foundation trusts and NHS trusts. The delegated limits and business case approval process for capital investment and property transactions applies to any foundation trust in financial distress and to all NHS trusts. Existing thresholds for reporting and review remain in place for foundation trusts that are not deemed to be in financial distress.
The guidance also sets out other useful information for trusts including:
- development of business cases in the five case model
- a business case core checklist for use by trusts in the production of business cases and NHS Improvement in the review and approval of business cases
- further technical guidance including information specific to NHS trusts and details for foundation trusts that are not in financial distress
- advice on post-project evaluations
- roles and responsibilities of trusts and NHS Improvement in the preparation and approval of capital investment and property business cases
Guidance on the cash and capital regime 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
Other guidance
- Capital regime, investment and property business case approval guidance for NHS trusts and foundation trusts
- Annex 1: Business case core checklist
- Annex 2: Clinical quality review guidance (applicable to foundation trusts in financial distress and to all NHS trusts)
- Annex 3: Guidance for producing the strategic outline case
- Annex 4: Strategic outline case – technical requirements
- Annex 5: Business case key stage documentation for foundation trusts in financial distress and NHS trusts, and NHS Improvement delegated limits
- Annex 6: Technical guidance applicable to foundation trusts in financial distress and to all NHS trusts
- Annex 7: NHS trust-specific guidance
- Annex 8: Post-project evaluation templates for foundation trusts in financial distress and all NHS trusts
- Annex 9: Roles and responsibilities
- Annex 10: Template recommendation report
- Annex 11: Whole-life costs – template recommendation report
- Annex 12: Disposal of land/property – template recommendation report
- Annex 13: Guidance for foundation trusts that are not in financial distress
- Annex 14: Glossary and list of acronyms