ICS Budget Directory Preview

Demystifying Capital Resource Plans

39 of England's 42 Integrated Care System's (ICSs) have published Capital Resource Plans, revealing funding sources, capital allocations and confirmed projects for 2023/2024.

Stotles budget directory unifies data from plans to provide a single source of truth on funding allocated to ICS organisations this year. The aim of this directory is to help suppliers identify the most prosperous target accounts and funded opportunities this fiscal year.

This preview blog showcases our spotlight on the North West London region, to demonstrate the analysis available for each of England's Integrated Care Systems in the full directory.

Spotlight on North West London ICS

With a CDEL of £343m, North West London (NWL) boasts the largest budget of London's 5 ICSs in 2023/2024.

Responsible for equitably distributing capital to the 9 Trusts across their ICS, North West London's Capital Resource Plan reveals how the ICB will allocate funding in the 2023/24 fiscal year.

Understanding NWL's Capital Resource Plan

Below is a summary table of North West London's Capital Resource Plan, showing assumed funding sources and allocations for trusts across the ICS.

For simplicity, the figures are rounded figures to the nearest hundred thousand, so there may be discrepancies between the total CDEL and the sum of the previous columns. To access the full capital breakdown, please read the official publication here.

Authority Operational Capital National Programes Upgrades and
New Hospital Programme
Other Total CDEL (Budget)
North West London ICB £4.3m 0 0 0 £4.3m
Central North West London FT £14.5m £0.6m 0 £1.5m £16.5m
Central London Community Healthcare Trust £10.3m 0 0 0 £10.3m
Chelsea and Westminster Foundation Trust £33.5m £46.1m 0 £2.6m £82.2m
Imperial College Healthcare Trust £63.9m £12.6m 0 0 £76.5m
London Ambulance Service £27.0m £0.6m 0 £1.2m £28.8m
London North West University Healthcare Trust £28.9m £25.4m 0 £1.0m £55.4m
The Hillingdon Hospitals NHS Trust £21.3m £1.0m £26.2m 0 £48.4m
West London Mental Health Trust £20.0m 0 0 £1.2m £21.1m
Total System CDEL (Budget) £223.5m £86.3m £26.2m £7.5m £343.5m

North West London ICS has a total CDEL of £343m, including £219m of Operational Capital, £86m from National Programme funding and £26m from New Hospital Programme & upgrades.

These funding sources are evident in the bottom row of the table and are explained below.

Operational Capital:

NHS trusts use this budget to support ‘business as usual’ schemes, such as backlog maintenance, equipment replacement and IT expenditure. NHS England provide ICB's a capital allocation at the start of the financial year. ICB's are then responsible for distributing it to member trusts based on the needs of their population.

Suppliers working in Medical Technology and IT & Software can target authorities based on these budgets allocations.

National Programmes:

National Programme funding is held centrally by NHS England, directed towards trusts priority projects like Targeted Investment Fund, Frontline Digitisation, Diagnostics and Mental Health, among others.

To obtain national programme funding, NHS authorities submit a business case for an upcoming project. If successful, NHS England will confirm a capital allocation. As this budget is designated for specific projects , suppliers should use Capital Resource Plans to qualify the business case before engaging authorities over this budget.

Upgrades and National Hospital Programmes (NHP):

Upgrades and NHP funding is held centrally by NHS England and is allocated to trusts undertaking national strategic projects in building or construction, specifically new hospitals and hospital upgrades.

Suppliers working in construction can target authorities based on these budget allocations.

Other :

Other funding includes technical accounting adjustments such as PFI residual interest and the Impact of IFRS 16. In some cases, funding that falls into "Other" may also include small donations, or peppercorn leases.

This is not a specific "budget" to engage over and primarily relates to adjustments based on the previous years spending, and the appreciation/depreciation of held assets.

Total Capital Departmental Expenditure Limit (CDEL):

A CDEL is essentially a total system budget. It is the sum of operational capital, national programme funding, upgrades and NHP and other technical accounting metrics. The final column of the table shows a total CDEL for each member trust, which sums to the total ICS CDEL.

To help you visualise this funding, we have provided an infographic of the capital allocation in North West London below.

Procurement opportunities in North West London

As well as confirming funding sources and allocations, Capital Resource Plans also reveals major projects that have received funding for the upcoming year. This section provides further detail on projects funding has been allocated for, and highlights confirmed procurement opportunities that suppliers can pre-engage over.

Below, we've highlighted major ongoing projects and upcoming business cases for 2023/2024 within NWL ICS, confirmed within the Capital Resource Plan.

Ongoing Schemes

Details of ongoing projects started in previous fiscal years.

  • Urgent & Emergency Care (UEC) for the ICS held at CWFT (£26m).
  • Front Line Digitisation at THH (£1m) and LAS (£0.7m);
  • Community Diagnostics Centre LNWHT (£19.2m) and Imperial (£12.2m);
  • Diagnostics Digital Capacity Imperial (£0.4m,)
  • Endoscopy LNWHT (£6.2m);
  • Targeted Investment Fund (TIF) - Ambulatory Diagnostics Centre and Treatment
  • Centre Redevelopment (£20.1m) CWFT.
  • Mental Health UEC - Discharge lounges CNWL (£0.5m)

Upcoming Business Cases

Details of key business cases the ICB plan to submit in 2023/2024.

  • WLMH: Full Business Case (FBC) for Broadmoor. Relates to 2024/25.
  • THH – New Hospital Programme (Outline Business Case stage).

While this does not capture all the upcoming procurement opportunities in the region, it does provides a strong indicator of the most important strategic projects for NWL ICS.

To access a full view of contract opportunities as they emerge from NWL ICS, click the banner below to sign up for Stotles for free.

Put your outreach on autopilot with Stotles

Accelerate your public sector sales