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 UniversityR0A2026/27 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 HospitalsRR8Capital 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 HealthR1H2026/27 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 HospitalsRGTTotal 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 ServiceRRU2026/27 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 HospitalsRHQ2026/27 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 MarsdenRPYAdditional 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 HospitalsRTH2026/27 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'RJ1Children'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 HealthcareRYXNeighbourhood 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 HealthR1HBarts 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 HospitalsRTDPSDS 4 estate decarbonisation project · £46m

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

Nottingham University HospitalsRX1PSDS4 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 HospitalsRTHEstates 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 ValleysRX3New 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 ServiceRYFElectronic 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 ServiceRRUWorkforce 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 BirminghamRRKWest 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 HospitalsRTDTrust-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 HealthRYYThird-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 UniversityR0AValue 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 HospitalsRR8Waste 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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