This guidance is intended to reinfornce the impact of the NHS reforms and to end bidding by providers for schemes which have not been properly thought through - in effect, bringing the demand for capital into balance with its supply. The cost of any investment to a Trust will be reflected in its prices, and the investment must therefore be affordable to and supported by its purchasers (health authorities and GP fundholders).
The Manual applies to all capital investment except where subsequently published guidance has superseded its requirements. This additional guidance is extensive and its impact significant. This CIM is therefore under review and proposals for its revision are being considered.

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