Demand for capital in the NHS continues to outstrip supply and the UK lags behind other OECD countries in terms of capital investment in its health system. DHSC has maintained its recent track record of not fully investing the capital funds HMT allocates it and instead reallocating large amounts for day-to-day revenue spending. It transferred £0.4 billion from capital to revenue in 2022–23, £0.9 billion in 2023–24, and it told us that a similar amount of £0.9 billion would be switched during ...

Demand for capital in the NHS continues to outstrip supply and the UK lags behind other OECD countries in terms of capital investment in its health system. DHSC has maintained its recent track record of not fully investing the capital funds HMT allocates it and instead reallocating large amounts for day-to-day revenue spending. It transferred £0.4 billion from capital to revenue in 2022–23, £0.9 billion in 2023–24, and it told us that a similar amount of £0.9 billion would be switched during the current 2024–25 financial year.19 However, DHSC provided assurances that there would be no further transfers of capital to resource funding because t Type: conclusion | Number: 12 | Response status: not_addressed Government response: 2.8 Decisions to switch CDEL to RDEL have previously been made, in line with the principles set out in ‘Consolidated Budgeting Guidance’ and in agreement with HM Treasury, to meet financial pressures and protect frontline care. 2.9 The fiscal rules set out by the