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Frameworks, funding and the future of NHS estates

Simon Hunt, strategic account director at Sypro, explores what the new NHS funding means for healthcare construction management at a time where improvements to both existing and new infrastructure have never been greater.

The NHS is operating under immense strain. Crumbling infrastructure, record-high waiting lists, and mounting pressure on staff have all become defining challenges. With some facilities dating back to the mid-20th century, many are no longer fit-for-purpose, while soaring energy costs, safety concerns, and growing maintenance backlogs compound the problem.

Meanwhile, demand for services continues to rise. An ageing population, increasingly complex care needs, and regional health inequalities have intensified the need for modern, flexible healthcare environments.

The latest NHS spending review could be a turning point. With a 3 per cent annual funding uplift and up to £10 bn earmarked for digital transformation by 2028/29, there's now a rare opportunity to upgrade the healthcare estate at scale. With more money comes more projects — and with more projects comes significantly more risk.

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