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5 top tips for combining multiple sources of capital funding

Our team of experts are well experienced in helping the NHS secure funding to improve patient outcomes. Having unlocked over £150m in funding for Integrated Care Boards (ICBs) and Trusts across England to deliver their estate projects, we’re best placed to help you too.

Adrian Powell

Director of Investment & Development Management, NHS Property Services

Aahsan Rahman

Head of Town Planning, NHS Property Services

Victoria Shaw

Property Development Partner, NHS Property Services

Over half (54%) of NHS senior leaders lack confidence in combining multiple sources of funding, with 1 in 4 saying they’re not confident at all*

We all know NHS budgets are tight, and capital funding is limited, meaning that you need to look elsewhere to fund your projects and get approval.

But it’s also important to make sure you can cover unexpected costs that emerge during the development process without halting the project. Like changes to designs of heritage sites after consultations with statutory stakeholders or surprise environmental incidents like finding asbestos in a building.

There are many reasons why your estates project may need multiple combinations of capital funding streams. 

This, however, isn’t without risk. The more elements of funding you add, the more challenging it is to get all those pots of funding together at the same time when you need it to deliver your scheme. 

That's why our estates experts have shared their insights and top tips to help you take a more strategic approach to combining multiple funding streams.

Here are 5 top tips from our experts.

  1. Be aware of different funding sources, and have confidence in them

    Don’t just focus on the most obvious source of funding – there are some lesser-known funding streams that can make a big difference. By staying informed and engaging with partners, you can discover opportunities that might not have been on your radar.

    For example, local authorities offer developer contributions that you can bid for. You can find the scale and type of funding available in your area by accessing the Council’s Annual Infrastructure Funding Statement through your local planning authority’s website. Read blog for 5 top tips to help you secure developer contribution funding.

  2. Understand the limitations of different funding sources

    Each funding source comes with its own rules, restrictions and timeframes.
    Understanding these limitations and complexities early on can help you avoid roadblocks later that could hold up your project at a critical time. 

    Some funding schemes are timebound, meaning the money is only available for a short period of time. This is one of the biggest challenges - being able to deliver a multi-year project. While others are restricted to specific types of projects. 

  3. Tackle projects in phases 

    If securing full funding upfront isn’t possible, consider breaking your project into smaller, manageable phases. Accessing smaller funding pots at different stages can be easier to coordinate while keeping the momentum going.

What Aahsan has to say

Before starting on a project, you should be aware of the strengths, weaknesses and flexibilities of each funding source so you can factor them into your plan. For example, there may be a tight window for spending any central funding on projects, otherwise funding may be withdrawn or lost. However, with section 106 or CIL for example, there’s often a little more flexibility.

Aahsan Rahman

Head of Town Planning, NHS Property Services.

What Aahsan has to say

For one of our projects we’ve got a multi-phased scheme approved. So, we’ve got £3 million in Community Infrastructure Levy (CIL) that will help with the first phase…but we’ve also put in a bid for Section 106 (S106) funding which would enable the second phase to be fully funded.

Aahsan Rahman

Head of Town Planning, NHS Property Services.

4.  Align your funding strategy with your estate strategy 

To deliver your estate strategy, you need a clear funding strategy. Understanding what funding your projects need and remaining aware of available opportunities will help you plan ahead. The more prepared you are, the faster you can secure funding when opportunities arise. 

What Adrian has to say

You need to have confidence in the availability of these funding sources and be proactive. Back this up by investing in resources to access this funding to help you deliver your projects.

Adrian Powell

Director of Investment & Development Management, NHS Property Services.

What Adrian has to say

Too often, funding becomes available at short notice, and if you’re not ready with a strong business case or haven’t quite worked out exactly how much you need, you miss out or end up with insufficient funding. Having a proactive strategy will help you secure the right funding at the right time for your estate strategy.

Adrian Powell

Director of Investment & Development Management, NHS Property Services.

5. Consider creating internal funding streams 

Reaching net zero carbon and preparing buildings for the future is vital. To help make sure your projects support your long-term goals, consider creating an internal funding stream. For example, our Regional Energy and Efficiency Fund (REEF) pays the difference on projects that are already going ahead to ensure that the outcome is more sustainable. This removes the upfront cost barriers for greener options. 

For example, you may have budgeted to replace an end-of-life gas boiler with a new gas boiler, but the REEF can supplement this budget to allow you to invest in an alternative heating system that doesn’t rely on gas or oil as fuel.  Read chapter 5 in our guide to NHS estate funding to learn more.

What Victoria has to say

Because we’d already invested in REEF, our delivery team were able to draw upon funding from the NHSPS Energy and Environment pot we’d secured to support energy efficient projects.

Victoria Shaw

Property Development Partner, NHS Property Services.

Want more on NHS estate funding?

For more comprehensive advice on funding your NHS estate and the options available to you, download our NHS Estate Funding Guide. It’s packed full of practical insight and advice on how to get the most from different capital and revenue funding options.

NHS guide to estate funding

*That’s what we learnt from our recent survey with finance and estates leaders (in partnership with the Health Service Journal (HSJ) . Full report here.