This book addresses the five core components of an investment appraisal; strategic, economic, commercial, financial and project management. It provides managers and policy makers in healthcare, government and private sector organisations with a tried and tested decision making tool and supporting guidance to improve capital investment decisions. It is a practical guide that includes numerous examples from the health service as well as lessons learnt from other public sector areas where best practice has been demonstrated. Comprehensively illustrated with case studies, checklists and templates to aid decision making, it offers practical, evidence-based guidance, clear summaries and pointers to accessing further information.