Select Committee on Health Report


Carlisle Hospitals NHS Trust Full Business Case Date of approval: 11 September 1997

Public Sector Comparator
Net Present Costs
Private Finance Option
Net Present Costs
£'000£'000
Without Risk152,500 173,100
Risk21,8000
Risk Adjusted174,300 173,100
Financial Close Date of close: 5 November 1997

Public Sector Comparator
Net Present Costs
Private Finance Option
Net Present Costs
£'000£'000
Without Risk151,103 167,045
Risk21,8000
Risk Adjusted172,903 167,045


North Durham Health Care NHS Trust Full Business Case Date of approval: 31 March 1998

Public Sector Comparator
Net Present Costs
Private Finance Option
Net Present Costs
£'000£'000
Without Risk153,320 173,870
Risk23,5903,040
Risk Adjusted176,910 176,910
Financial Close Date of close: 31 March 1998

Public Sector Comparator
Net Present Costs
Private Finance Option
Net Present Costs
£'000£'000
Without Risk157,320 173,870
Risk23,5903,167
Risk Adjusted180,910 177,037


South Buckinghamshire NHS Trust Full Business Case Date of approval: 13 November 1997

Public Sector Comparator
Net Present Costs
Private Finance Option
Net Present Costs
£'000£'000
Without Risk161,668 167,504
Risk7,627¸1,119
Risk Adjusted169,295 166,385
Financial Close Date of close: 16 December 1997

Public Sector Comparator
Net Present Costs
Private Finance Option
Net Present Costs
£'000£'000
Without Risk161,633 163,338
Risk7,610¸1,653
Risk Adjusted169,243 161,6851

1 The figure supplied to the Committee last year was £162,063. The nett present cost of the PFI option reduced as a result of increases to the value of land in the deal and the effects of indexation on the contract.

Norfolk and Norwich NHS Trust Full Business Case Date of approval: 2 April 1996
Public Sector Comparator
Net Present Costs
Private Finance Option
Net Present Costs
£'000£'000
Without Risk1,584,050 1,595,952
Risk79,6986,397
Risk Adjusted1,663,748 1,602,349
Financial Close Date of close: 9 January 1998
Public Sector Comparator
Net Present Costs
Private Finance Option
Net Present Costs
£'000£'000
Without Risk1,598,156 1,634,313
Risk83,6787,965
Risk Adjusted1,681,834 1,642,278


Dartford and Gravesham NHS Trust Full Business Case Date of approval: 31 January 1997

Public Sector Comparator
Net Present Costs
Private Finance Option
Net Present Costs
£'000£'000
Without Risk900.1926.6
Risk43.81.4
Risk Adjusted943.9928
Financial Close Date of close: 30 July 1997

Public Sector Comparator
Net Present Costs
Private Finance Option
Net Present Costs
£'000£'000
Without Risk900.1921.2
Risk43.81.4
Risk Adjusted943.9922.6


4.8g  Where benefits of the PFI option are indicated, for some schemes it appears that like-with-like comparisons are not being made. How is the "comparable" public sector option arrived at?

  1.  A number of the PFI options have proposed substantially different solutions to the public sector comparator. These differences include the proportion of new build compared to refurbishment, the layout of development, and the speed of construction. Private sector variations on the public sector solution such as these are regarded as legitimate. The key to a fair comparison is ensuring we compare the same service output. Thus, a publicly funded alternative may rely heavily on modernisation and refurbishment because of constraints on public capital. As no such constraints exist in the private sector, they are free to offer the same output but perhaps in a more efficient and cost effective manner. Such improvements may also be brought about by greater innovation the private sector sometimes brings to these schemes.

4.8h  Donations from Leagues of Friends

What information does the Department have about the amount of money raised each year by Leagues of Friends, or similar groups, for capital spend in the NHS?

  1.  The Department does not collect information on the amount of money raised by Leagues of Friends, or similar groups, for capital spend in the NHS as they are not NHS bodies. The individual accounts of Leagues of Friends and similar groups will be lodged with the Charity Commission.

  2.  The Department does however have information from the statutory accounts of NHS Trusts which shows the capital expenditure ie the amount spent not raised, which has been financed by charitable donations. Table 4.8h sets out the total amount of expenditure broken down by NHS Trust for 1996-97.

  3.  The definition of a donated asset:

    A donated asset is an asset acquired after the establishment of the NHS on 5 July 1948, from other than Exchequer sources which has been:

(i)  received as a gift; or

(ii)  purchased out of income received as a gift;

    provided that consideration is not given in return.


 
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Prepared 2 November 1998