Services / Strategic Technical Advisory / Business Cases & FEA

Business Cases & Financial and Economic Analysis

Build approvable business cases. Unlock funding. Deliver outcomes.

  • Does our business case comply with required standards?
  • Can we afford it, and if so, is it worth the investment?
  • If we go ahead, how will we evidence that it delivers the outcomes we’ve promised?

Healthcare organisations are under increasing pressure to make the right investment decisions, and provide the evidence needed to secure approval and, funding and deliver long‑term value.

Our Investment Appraisal & Performance Advisory service brings together business case support, financial modelling and economic appraisal to help you make confident, evidence-based decisions.

We develop robust business cases that stand up to scrutiny, proving value for money, testing affordability, and ensuring investments are grounded in reality and deliverable in practice.

Beyond approval, we help you track and prove performance, defining and measuring outcomes so you can demonstrate impact, optimise performance, and continuously improve future decisions.

Designed to succeed through governance, not just on paper

Proven methodology. 130+ business cases unlocking £6.2bn in capital investment.

Co-created, not commissioned

Business cases

A successful business case is more than a collection of evidence. It needs a clear story that demonstrates strategic need, value for money and deliverability.

We bring together complex evidence, stakeholder insights and technical inputs to develop robust, approval-ready business cases. From shaping a compelling case for change and guiding options appraisal to developing delivery plans and navigating governance processes, we help organisations secure investment with confidence.

Our multidisciplinary team combines strategic, financial and economic expertise, with 18 Better Business Case practitioners, three accountants and two economists. Together, we’ve delivered 130+ HM Treasury Green Book-compliant business cases, helping secure investment for programmes with a combined capital value of c. £6.2 billion.

Investment Appraisal & Economic Modelling

We go beyond the numbers to help organisations make the right investment decisions. Combining economic modelling, financial analysis and healthcare sector expertise, we assess the full costs, benefits and risks of different options, building a clear and defensible case for value for money.

Financial Modelling & Affordability

We develop detailed financial models to test capital and revenue, helping you understand affordability and build credible financial cases.

We develop detailed financial models to test capital, revenue and lifecycle impacts, helping you understand affordability, challenge assumptions, and build credible financial cases.

Benefits Realisation

We help organisations maximise the value of their investments by defining, quantifying and managing benefits from the outset. Through robust benefits cases, evidence-based forecasting and benefits realisation planning, we ensure expected outcomes are clearly tracked and successfully delivered.

Post Project Evaluation

We evaluate whether investments have delivered their intended outcomes, providing robust evidence of impact and value for money. By assessing economy, efficiency and effectiveness, we help organisations demonstrate success, capture lessons learned and inform future investment decisions.