PULSE
What is Usage Based Revenue Agreement?
Pulse is a usage based revenue agreement, offering NHS Trusts a ground-breaking approach to accessing state-of-the-art healthcare facilities without affecting CDEL.
Variable Payment Schedule
Payments are made based on actual usage, with clear invoicing that reflects daily usage of the theatre. This transparent approach simplifies budgeting and provides additional flexibility during the term.
Risk Management and Ownership
MCH retains the ownership, managing all risks associated with the facility for the duration of the agreement. This includes maintenance, ensuring the theatre remains fully operational at all times.
Tailored Cost Estimation
We work closely with your team to assess expected usage through dedicated workshops. This collaborative approach ensures that cost estimations are accurate and aligned with your operational needs, helping to build a strong business case for the revenue model.
VAT Recoverability
MCH can include the provision of Hard and Soft Facilities Management Services that allow the Trust to recover VAT on the hire cost payment.
Revenue Budget Utilisation
Unlike traditional construction projects that require significant capital expenditure, Pulse offers Trusts the ability to fund new facilities from their revenue budgets. These budgets are typically more flexible and easier to manage, avoiding the need to draw on limited capital funds.
IFRS16 compliant with no impact on CDEL
An IFRS16 compliant model without affecting Trust’s CDEL. This allows Trusts to acquire the facilities they need without adding long-term liabilities to their balance sheet.
Easy Procurement
Accessible through various compliant and robust framework agreements ensures a streamlined procurement process, saving time and resources.
Rapid Access
Speed is crucial in healthcare, especially when dealing with surges in patient demand or emergencies. This solution enables NHS Trusts to rapidly access additional capacity when needed, without the delays associated with traditional procurement or construction processes.
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What are the key benefits for NHS Trusts?
Payments are based on the actual usage, ensuring the Trust only pays when the facility is in use, with no costs incurred during periods of non-usage.
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How do we make this happen?
We follow a structured, transparent process to ensure seamless project delivery from cost estimation and agreement drafting, to VAT recovery and final handover.
01. Schedule Workshop for Cost Estimation
Organise a workshop between the Trust and MCH to finalise expected usage patterns and cost estimations.
02. Draft Agreement Preparation
MCH will prepare a draft agreement outlining the structured repayment schedule, risk management, and maintenance responsibilities.
03. VAT Recovery Exploration
Explore VAT recoverability and discuss how the proposed services can maximise recovery options.
04. Project Handover
Upon completion, the facility is delivered, fully operational, and ready for immediate use, ensuring a seamless transition into hospital services.
Clear all customer questions
Frequently Asked Questions
How does Pulse differ from traditional capital procurement?
Unlike capital-funded builds, Pulse operates as a revenue-based model. This means you don’t need to secure large upfront funding. Instead, you pay for the facility as you use it, aligning costs directly with patient activity and service delivery.
How are payments structured?
Payments are based on agreed usage metrics, such as the number of procedures, patient throughput, or operational hours. This flexible model aligns facility costs with actual healthcare delivery and performance.
Is Pulse a short-term or long-term solution?
Both. Pulse can support short-term surge capacity (e.g., for elective recovery or winter pressures) or long-term managed service expansion without the need for capital investment.
Who owns the building under Pulse?
Moduleco Healthcare retains ownership and maintains the facility. This removes the burden of lifecycle maintenance, compliance, and depreciation from your organisation.
OUR WORK
Explore Recent Projects
See how we’ve worked with different Trusts to deliver flexible finance solutions