NHS leaders and partners say that capital funding must come
from a range of sources that provide efficient and flexible ways to
maintain estates and plan for the future.
NHS leaders say that they want to play a significant role in
developing a new capital and estates strategy for the NHS.
Importantly, they say it needs to be a system in which the bane of
most PFI schemes – that the NHS bears the crippling cost of
underwriting private sector partners' risk – is
eliminated.
Richard Darch, Chief Executive at Archus, an advisory,
investment and development company specialising in health and
social care, is one of a number of NHS opinion formers who wants
the NHS to be allowed to raise money from 'Health
muni-bonds'. These are an adaptation of local authority
muni-bonds which were launched in 2017. "Working with local
authorities it appears perfectly possible that a health muni-bond
could be raised," Darch says, "taking advantage of the
expertise and structures that
