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Individual National Health Service organisations are responsible for maintaining their estates. NHS provider organisations invest more than £3 billion of capital annually. 2019-20 NHS planning guidance makes clear that providers should ensure capital investments are consistent with their clinical strategies and how they demonstrate the delivery of safe, productive services.<\/p>

We recognise the challenge for providers in maintaining their existing estates and investing in new facilities. In August 2019, we announced £1.8 billion of additional funding, which included a £1 billion boost to NHS capital spending, allowing existing upgrade programmes to proceed and tackling the most urgent infrastructure projects.<\/p>

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