Medium-term planning framework: Revenue finance and contracting guidance for 2026/27 to 2028/29

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This guidance is to support integrated care boards (ICBs) and NHS trusts and foundation trusts (‘NHS trusts’) to develop multi-year revenue finance plans, as well as the agreement of contract arrangements for 2026/27.

It should be read alongside the medium-term planning framework2026/27 to 2029/30 capital guidance and ICB allocations for 2026/27 to 2028/29, as well as the draft 2026/27 NHS Payment Scheme (NHSPS) and  draft 2026/27 NHS Standard Contract which are both subject to consultation.

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Accessible content. Published 17 November 2025.