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Funding options
The most well-known source of funding is Improvement Grant (IG) Funding - formally called
Business as Usual (BAU) capital. But there are other options that may be available to practices:
• Primary Care Utilisation and Modernisation Fund (25/26)
• NHS Property Services capital
• Community Health Partnerships (CHP) capital
• Local authority community infrastructure levy (CIL).

Top tip 2: Work with your ICB Capital and Estates team to understand what money
is available in your area, and the deadlines for application.

Feasibility, design and planning Obtaining funding approval
The above capital funding streams are Project approval timescales will vary from ICB
public money, and therefore a value-for- to ICB, but the process generally follows two
money approach must be taken to show key steps.
both need and expected outcomes for the
local health population. With the support of 1. Submit an Expression of Interest (EOI)
a specialist Project Manager, Malpas Surgery document. The EOI is reviewed by the ICB/
submitted a full IG funding proposal in June NHSE who complete their due diligence and
2022, which included:
check alignment to the local estate strategy.

• The grant application 2. If the EOI is accepted, the practice
• Financial feasibility must complete a formal Project Initiation
• Design information Document (PID), including details of
• Technical compliance competitive tender processes to be reviewed
• Fire and building regulatory work by ICB Boards/Committees.
• Planning permission
• Full tender documents. Formal approval will be granted, or the project
may be allocated for future funding rounds.
A third outcome may be that the project is
Top tip 3: Give yourself a minimum discounted altogether in its current form.
12-month lead into a capital application and
engage professional help. Funding timescales
are tight, so be ready for the opportunity. Top tip 4: Remember, although ICBs/NHSE
can award 100% funding, it is likely that
many projects will only be funded at 66%
of the eligible capital spend. Lots of things
aren’t eligible – so check the Premises Cost
Directions guidance.

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