As NHS capital investment continues to be scarce, NHS Trusts, and providers worldwide, need to consider newer and faster ways to bring about wholesale change. There are three big problems with the capital planning process today:
- Intense scrutiny of capital spending and its revenue consequences means that less attention is given to the real transformative benefits that investment could – and should – enable.
- Healthcare planners continue to pursue the ‘holy grail’ of false certainty – for instance continuing to predict precisely how many beds a hospital will need in 10 years’ time.
- So much energy is devoted to getting the business case elephant onto the approval rollercoaster, that the opportunity for operational process improvement is frequently ignored.