ICB request mechanic
The local ICB submits a contribution request as a statutory consultee. The request must evidence a capital shortfall in primary-care provision attributable to the scheme's incoming population. Generic catchment-pressure statements typically fail reg 122[CIL Regs 2010 reg 122].
Per-resident multiplier
Estimator default: £230 to £450 per resident, depending on LPA SPD and the ICB's published methodology. Occupancy yield of 2.4 residents per dwelling (ONS dwelling occupancy 2024) is applied to translate to a per-dwelling figure.
Capital versus revenue split
Contributions are capital only (new floorspace, fit-out, equipment). Revenue support for GP services is outside the planning system and cannot be sought under reg 122. Acute-hospital trust requests have a more difficult evidence path because the catchment causation is harder to demonstrate.
When the contribution is refused
Appeal decisions regularly strip out healthcare contributions where the ICB has not provided scheme-specific evidence. Development managers should challenge generic requests at pre-app rather than at committee.