TrustRounds
Board Signals — issue 1 · August 2026

What NHS trust boards just decided — before the tenders exist.

20 trusts · packs dated 25 March – 1 August 2026. Every signal quotes the board’s own words (25 words at most) and links to the page it came from. The full structured feed — about 1,900 signals this cycle — is the £199/month subscription.

The big capital programmes

Approved capital30 Jul 2026

Manchester UniversityR0A — 2026/27 capital plan · £147.3m

“MFT's 2026/27 capital plan is a total of £147.3m including capital spend on IFRS 16 leases, PDC funded schemes, grant and charity schemes”
Source: Board papers, p.357
Approved capital30 Jul 2026

Leeds Teaching HospitalsRR8 — Capital programme 2026/27 (forecast spend) · £121.7m

“the Trust is working towards delivering a forecasted capital spend of £121.7m, which includes a £5.2m over-commitment compared to the Trust's CDEL allocation”
Source: Board papers, p.27
Mentioned capital8 Jul 2026

Barts HealthR1H — 2026/27 capital plan submitted to NHSE via NEL ICB · £135.7m

“The Trust submitted a draft capital plan to NHSE via the NEL ICB for £135.7m”
Source: Board papers, p.97
Mentioned capital10 Jun 2026

Cambridge University HospitalsRGT — Total Trust capital budget 2026/27 · £85.6m

“the Trust's capital budget for the year now totals £85.6m”
Source: Board papers, p.28
Mentioned capital18 Jun 2026

London Ambulance ServiceRRU — 2026/27 Capital Investment Programme (Fleet, Estates, Digital, Medical Equipment) · £63.3m

“The Trust has a planned Capital Investment Programme of £63.3m for 2026/27 across Fleet, Estates, Digital and Medical Equipment.”
Source: Board papers, p.102
Approved capital21 Jul 2026

Sheffield Teaching HospitalsRHQ — 2026/27 Capital Programme (Quarter 1 update, 4 year plan) · £58.2m

“The current funding available for the 2026/27 capital programme is £58.2m as at Quarter 1.”
Source: Board papers, p.1
Approved capital25 Mar 2026

The Royal MarsdenRPY — Additional PDC and Trust-funded capital uplift to £57.8m

“and additional Trust funded (non-cash-backed) of £9.8m, taking the authorised spend to £57.8m”
Source: Board papers, p.93
Approved capital29 Jul 2026

Oxford University HospitalsRTH — 2026/27 Capital Plan – Operational Capital · £41.7m

“It includes a plan for Operational Capital of £41.7m and initial provision of £9.0m of National PDC funding (Estates Safety)”
Source: Board papers, p.13

Schemes and business cases

Approved capital13 May 2026

Guy's and St Thomas'RJ1 — Children's Hospital Programme business case

“The Committee approved the business case, recognising that financial, contractual and delivery risks would require ongoing management as the programme progressed.”
Source: Board papers, p.93
Approved capital30 Jul 2026

Central London Community HealthcareRYX — Neighbourhood Health Centres first wave (27 upgrade schemes) · £50m

“a first wave of 27 upgrade schemes for delivery in 2026/27 has been identified backed by up to £50 million”
Source: Board papers, p.134
Mentioned capital8 Jul 2026

Barts HealthR1H — Barts Life Sciences Cluster, Whitechapel · £800m

“More than £800m of planned investment around The Royal London Hospital will help turn cutting-edge research into new treatments and technologies.”
Source: Board papers, p.39
Approved capital31 Jul 2026

The Newcastle upon Tyne HospitalsRTD — PSDS 4 estate decarbonisation project · £46m

“delivery of our £46m PSDS 4 decarbonisation project”
Source: Board papers, p.233
Approved capital9 Jul 2026

Nottingham University HospitalsRX1 — PSDS4 decarbonisation programme – total delivery cost · £42.6m

“This brings the total programme delivery cost to £42.64m (VAT adjusted).”
Source: Board papers, p.502
Approved estates29 Jul 2026

Oxford University HospitalsRTH — Estates Safety / Critical Infrastructure Risk (incl. Maternity) · £22.8m

“Estates Safety/CIR £4.5m under plan. Main cause: delayed start in Maternity due to HRB checks and late confirmation of funding awards.”
Source: Board papers, p.13

Going to market

Tender planned digital-EPR25 Jun 2026

Tees, Esk and Wear ValleysRX3 — New Electronic Patient Record (EPR) procurement

“To recommend procurement of a new Electronic Patient Record (EPR) system for approval by the Board of Directors”
Source: Board papers, p.96
Tender planned digital-EPR2 Jul 2026

South Western Ambulance ServiceRYF — Electronic Patient Record (EPR) Contract Award

“Electronic Patient Record (EPR) Contract Award – the Committee supported the proposed approach and noted that further detail on benefits realisation would be presented”
Source: Board papers, p.165
Tender planned procurement18 Jun 2026

London Ambulance ServiceRRU — Workforce management / rostering system tender (999, 111, corporate)

“Tender for a workforce management system for 999, 111 and corporate staff March 2026”
Source: Board papers, p.170
Tender planned procurement29 Jun 2026

University Hospitals BirminghamRRK — West Midlands PET-CT collaborative (UHB as primary contractor)

“UHB will act as primary contractor for the West Midlands PET collaborative to deliver the PET-CT service for the West Midlands”
Source: Board papers, p.193
Tender planned procurement31 Jul 2026

The Newcastle upon Tyne HospitalsRTD — Trust-wide standard and specialist mattress review/tender

“A procurement process has commenced to review both standard and specialist mattresses across the Trust.”
Source: Board papers, p.71
Tender planned procurement15 Jul 2026

Kent Community HealthRYY — Third-party CHC caseload backlog review (£8m of ICB CIP schemes)

“Of the schemes £8m is reliant on the ICB securing an third party to undertake the backlog review”
Source: Board papers, p.59

Transformation money in motion

Mentioned workforce30 Jul 2026

Manchester UniversityR0A — Value for Patients (VfP) savings programme 2026/27 · £175m

“Deliver £175m of Value for Patients schemes, with 75% as recurrent improvements by Q4.”
Source: Board papers, p.85
Approved workforce30 Jul 2026

Leeds Teaching HospitalsRR8 — Waste Reduction Programme (WRP) 2026/27 · £95m

“The financial plan submitted for 2026/27 is a breakeven position and includes a waste reduction programme (WRP) of £95m.”
Source: Board papers, p.26

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