Obtaining funds through section 106 (s106) and community infrastructure levy (CIL)


This is an important opportunity for trusts to secure additional revenue and capital to support services and sites when housing growth places additional pressures on them. This needs to be closely co-ordinated to optimise outcomes.

Securing section 106 and community infrastructure levy funds — a guide’ provides an overview of s106 and CIL and what trusts need to do to engage with their local planning authority (LPA), as well as contacts points for advice. Health Building Note 00-08 provides additional information and guidance on town and country planning.

Many trusts do not currently optimise their opportunities by working closely with their LPA and council members. This affects:

  • securing affordable housing for occupation by NHS staff in line with the Homes for NHS Staff scheme
  • accessing revenue and capital funding support from s106 and CIL to mitigate the impact of an increase in local housing and population numbers
  • the ability to secure appropriate planning consents for new healthcare projects in a smooth and effective manner
  • the identification and classification of former healthcare facilities and land for residential disposal and development.

Securing section 106 and community infrastructure levy funds – a guide PDF, 377.8 KB

This guide describes the s106 and CIL capital and revenue opportunities for NHS trusts and foundation trusts impacted by a local development.

S106 and CIL funds have been available for some time. However, many trusts have not been active in engaging with their local council to secure the funds. As reported in the Ministry of Housing, Communities and Local Government’s March 2018 paper ‘Supporting housing delivery through developer contributions’, developer contributions paid out in 2016/17 were:

  • affordable housing – £4.047 billion (including commuted sums)
  • transport and travel – £132 million
  • education – £241 million
  • community – £146 million (health is included within ‘community’)

Annual housing supply in England amounted to 217,350 net additional dwellings in 2016/17, up 15% on 2015/16, so the impact on the NHS is significant.

Trusts are encouraged to engage effectively with their LPA and council leads with regard to general planning, but also with the relevant sustainability and transformation partnerships (STPs) and integrated care systems (ICSs). It is only through strong communication and collaboration with STP and ICS partners that trusts and foundation trusts will be able to fully optimise access to s106 and CIL. 

This will also ensure that acute, mental health, community health and primary care are all able to secure funds where appropriate.

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