NHS Estate Funding: Addressing Immediate NHS Performance Priorities to Support Patient Safety and Care

Capital is a scarce resource in the NHS – yet it’s in high demand. But with limits on funding, how will the NHS meet current demands?

General information

30 April 2024 11:00 - 12:00 GMT
Member only
Darwin Group


  • Ilse Bosch
    Ilse Bosch
    Deputy Director of Policy NHS Confederation
  • Headshot of Andrew Gate
    Andrew Gate External link icon
    Estates National Capital Oversight SRO and Estates Delivery Director (NE & Yorkshire) NHS Estates Delivery Team
  • Michelle Larkin
    Michelle Larkin External link icon
    National NHS Account Director Mott MacDonald
  • Russ Favager
    Russ Favager External link icon
    Board SRO Leighton NHP and Estates Redevelopment Mid Cheshire Hospitals NHS Foundation Trust
  • Headshot of Alan Davidson
    Alan Davidson External link icon
    Healthcare Director Darwin Group

In partnership with Darwin Group

Capital is a scarce resource in the NHS – yet it’s in high demand. Existing estates are deteriorating, creating a potentially unsafe and uninviting environment for patients and staff.

But with limits on funding and an ever-changing landscape for providing care, how will the NHS meet the current demands, accommodate changing needs, and continue to reduce the care backlog - all whilst providing outstanding patient care?

In this webinar, we’ll explore:

  • Which roles flexible solutions play in resolving emergency situations
  • How revenue can be used to help create an adaptable NHS estate
  • The role of ICBs in building new healthcare estates


Alan Davidson, Healthcare Director, Darwin Group

Alan has over 30 years’ experience in Estates and Facilities Management Professional with considerable Construction, Project Management and Facilities Management experience in both the NHS and Private Sector.

Alan has acted as Project Director on schemes with a value of up to £120m, for Projects in Industry, Acute Hospitals, Dental Schools, Primary Care, Mental Health and Ambulance Trusts.

Having worked with traditional procurement, Joint Ventures, Lift Projects, PFI, P21+ and Framework agreements as a Director of Estates and Facilities Management within the NHS, Alan brings a wealth of knowledge to his role as Healthcare Director for Darwin Group.

Michelle Larkin, National NHS Account Director, Mott MacDonald

Michelle is a government honours nominee for her outstanding contribution to the COVID response. She is a highly experienced Director managing large scale system wide and National programmes, with senior experience in COVID-19 planning, vaccination rollout and delivery.

Michelle has over 20 years of health and social sector experience in both the public and private organisations, including posts at Board level. Michelle has experience in leading transformation programmes and service reconfigurations with multidisciplinary teams working across organisations throughout the UK, focusing on strategic redesign, performance improvement, and organisational design and development.

Andrew Gate, Estates National Capital Oversight SRO and Estates Delivery Director (NE & Yorkshire) NHS Estates Delivery Team

Andrew is one of our 7 Estates Delivery Directors who each cover 1 of the NHS Regions in England.   Andrew is responsible for Estates Delivery in the North East & Yorkshire (NEY) Region. He manages a team of Estates Delivery Leads working across the 4 Integrated Care Systems in the NEY region covering all aspects of NHS healthcare:- Acute Providers, Mental Health & Community, ICS systems, Primary Care and the NHS property companies.

Andrew has a national role as Senior Responsible Officer for the Capital Upgrades (former STP waves) programme reporting into the joint DHSC /NHSE Capital Delivery Oversight Group.  He also chairs the Northern Reinforced Aerated Autoclaved Concrete (RAAC) Planning Board and the NHSE Estates Town & Country Planning Working Group.

Areas of expertise include capital and contracts, commercial negotiations, PFI & public / private partnerships, Town & Country planning, Estates strategic planning and RAAC.

He has worked in the NHS for 8 years, prior to which he served over 21 years in Local Government. 

Russ Favager, Board SRO Leighton NHP and Estates Redevelopment , Mid Cheshire Hospitals NHS Foundation Trust 

Since January 2024 Russ has moved full time as the Senior Responsible Officer (SRO) for Mid Cheshire FT new Leighton Hospital build programme, one of two national reference sites for the government’s 40 new Hospitals programme. Prior to this he was the Deputy Chief Executive and Chief Financial Officer at the Trust. 

Russ has 30 years’ experience in the NHS and prior to joining Mid Cheshire in April 2019 was the Executive Director of Finance for Betsi Cadwaladr University Health Board - the largest health organisation in Wales. He has previously held the position of Director of Finance at the Cheshire, Warrington and Wirral Area Team of NHS England, where his responsibilities included commissioning £1.9bn of specialised services for the whole of the northwest. He has also previously been Director of Finance at Wirral University Teaching Hospital NHS Foundation Trust and Wirral Primary Care Trust. 

Russ has been the Board SRO lead through numerous Estate developments including a £33m new community hospital build, two new emergency departments buildings (£20m & £15m), £21m elective surgical hub and a £15m 2 storey modular ward build.

Ilse Bosch, Deputy Director of Policy, NHS Confederation

Ilse has been part of the NHS Confederation policy directorate since October 2019. As deputy director of policy, she leads the strategic policy team, programme managing the NHS Confederation's cross-organisational policy work. She initially joined the team as Brexit policy consultant in the organisation's international team, where she delivered an extensive influencing programme representing the interests of the NHS in the EU exit process.

Before her time at the NHS Confederation, Ilse was a senior policy adviser in the Cabinet Office where she delivered cross-government projects, including on health matters. Prior to that, Ilse worked in management consulting, including for Deloitte, where she worked with various health sector organisations on major transformation projects, including around delivering integrated care, frontline transformation of services and systems-wide population health.