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<p>NHS England has been developing a national programme business case for local community
health and wellbeing hubs known collectively and informally as Cavell Centres. Since
April 2021, NHS England has employed some of its existing organisational budget to
support the development of outline business cases (OBCs) in six pioneer projects to
test and develop the different elements of the standardised product. These pioneers
are at different stages of maturity, Hucknall and Staines-upon-Thames continue to
develop the OBC. Sleaford continues to explore options for delivery and develop its
OBC. Shrewsbury is preparing to undertake public consultation on emerging options.</p><p>Derby
continues to make good progress bringing together National Health Service, community
and third sector providers as they develop their OBC and Plymouth have a near finalised
business case that has received endorsement from the system and region.</p><p>For
a business case to be formally reviewed or approved by the Department a scheme needs
to have identified and secured the capital budget required. This requirement has so
far not been met for any of the six Cavell Centre pilot projects or the national programme
business case. The Department remains committed to supporting local priorities and
regularly discusses all areas of healthcare provision with local authorities and other
key stakeholders.</p>
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