Long-term financial model (LTFM) and system modelling tools


These resources will help you to forecast the finances, activity and workforce in your trust, sustainability and transformation plan (STP), integrated care system (ICS) or user defined system.

We have has a number of strategic tools available to support provider and system planning. These are detailed below and contact details of how to get one.

Long-term financial model

A new LTFM is available to all providers undertaking material transactions that require assessment by NHS Improvement. Material transactions include, but are not limited to foundation trust applications, mergers and acquisitions, and new care models (NCMs) being assessed under the integrated support and assurance process.

The new model replaces the old LTFM which has been used since 2004. It's been updated to include up to eight providers, be aligned with our current financial reporting templates, and have functionality to review NCMs.

System template

We have also built a system tool that is linked to the new LTFM so transactions that impact organisations outside of a conventional transaction review process can be captured. It can also be used as a standalone tool for system planning.

If you're interested in receiving a copy of either model, please email NHSI.Modelqueries@nhs.net stating:

  • your reason for use
  • outturn/baseline year of model required
  • forecast period (this is usually at least four years from the base year for those required to complete an LTFM
  • expected date of transaction (if relevant)
  • organisations and/or system completing the model

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