Select Committee on Health Memoranda


MEMORANDUM

Memorandum by the Department of Health

Table 4.8c(ii)

SUPPORT TO PFI SCHEMES

£'000s

NHS Trust
Annual
Purchaser
Benefit

Carlisle Hospitals NHS Trust
374
North Durham Health Care NHS Trust
757
South Durham Healthcare NHS Trust
308
Calderdale Healthcare NHS Trust
427
Bromley Healthcare NHS Trust
1,048
Greenwich Healthcare NHS Trust
601
Wellhouse NHS Trust
358
Dartford & Gravesham NHS Trust
1,059
Swindon & Marlborough NHS Trust
1,402
Worcester Royal Infirmary NHS Trust
763
Hereford Hospitals NHS Trust
562
South Manchester University Hospitals NHS Trust
370


  4.8d  Could the Department provide tables showing the increases to the capital cost of schemes since the last expenditure questionnaire and provide a commentary on changes of more than 10 per cent.

Table 4.8d(i)

INCREASES TO THE CAPITAL COST OF PFI SCHEMES: SCHEMES THAT WERE AT FINANCIAL CLOSE AS AT THE 1998 HEALTH SELECT COMMITTEE

£ million

Region
Reported
Last Year
This Year
%
Increase/
decrease

NORTHERN & YORKSHIRE REGION
Carlisle Hospitals NHS Trust—Redevelopment of
Cumberland Infirmary
64.7
64.7
0.0
North Durham Healthcare NHS Trust—New DGH
61.0
61.0
0.0
TOTAL NORTHERN & YORKSHIRE
125.7
125.7
0.0
EASTERN REGION
Norfolk and Norwich Health Care NHS Trust—New DGH
143.5
143.5
0.0
TOTAL EASTERN
143.5
143.5
0.0
SOUTH EAST REGION
Dartford & Gravesham NHS Trust: New DGH
94.0
94.0
0.0
South Buckinghamshire NHS Trust: Site Rationalisation
45.0
45.1
0.1
TOTAL SOUTH EAST
139.0
139.1
0.1
TOTAL ENGLAND
408.2
408.3
0.1


Footnote:

1.  These figures may not sum due to rounding.

Table 4.8d (ii)

INCREASES TO THE CAPITAL COST OF PFI SCHEMES: EXCLUDING THOSE REPORTED ON TABLE 4.8d(i)

£ million

Region
Reported
Last Year
This Year
%
Increase/
decrease

NORTHERN & YORKSHIRE REGION
Newcastle upon Tyne Hospitals NHS Trust1
59.0
123.8
109.8
Northumbria Healthcare NHS Trust2
12.0
18.2
51.7
Leeds Community & Mental Health Services Teaching NHS Trust
43.0
43.0
0.0
South Durham Healthcare NHS Trust—Redevelopment of Bishop Auckland General Hospital
41.2
41.2
0.0
South Tees Acute Hospitals NHS Trust
96.3
96.3
0.0
Calderdale Healthcare NHS Trust
64.6
64.6
0.0
Northumberland Mental Health NHS Trust
18.0
18.0
0.0
TOTAL NORTHERN & YORKSHIRE
334.1
405.1
21.3
TRENT REGION
Queens Medical Centre, Nottingham University Hospital NHS Trust ENT/Ophthalmology scheme3
10.6
16.6
56.6
TOTAL TRENT
10.6
16.6
56.6
EASTERN
No schemes to report
0.0
0.0
0.0
LONDON REGION
The Royal Hospitals NHS Trust
250.0
250.0
0.0
University College London Hospital NHS Trust
160.0
160.0
0.0
Bromley Hospitals NHS Trust: New DGH
118.0
117.9
-0.1
Greenwich Healthcare NHS Trust: Refurbishment of DGH4
84.0
93.0
10.7
Kings Healthcare NHS Trust: New Block
64.0
64.0
0.0
Wellhouse NHS Trust
54.0
54.0
0.0
St Georges Hospitals NHS Trust: New Block
40.0
40.0
0.0
West Middlesex University Hospital NHS Trust
31.0
33.0
6.5
Newham Healthcare NHS Trust: Rationalisation
20.0
20.0
0.0
Oxleas NHS Trust: Reprovision of Mental Health Hospital5
18.0
15.0
-16.7
Newham Community Health Services NHS Trust: Mental Health Scheme
14.5
14.5
0.0
Camden and Islington Community Health Services NHS Trust: Mental Health Service
14.0
14.0
0.0
BHB Community Health Care NHS Trust: Mental Health Reprovision6
12.0
0.0
n/a
Parkside Health NHS Trust : Willesden Reprovision
11.0
11.0
0.0
TOTAL LONDON
890.5
886.4
-0.5
SOUTH EAST REGION
West Berkshire Priority Care Services NHS Trust—Fair Mile scheme7
25.0
29.4
17.5
Stoke Mandeville Hospital NHS Trust: Partial Re-development
23.2
23.7
2.2
Southampton Community Health Services NHS Trust Lymington Hospital—new community hospital
18.0
18.0
0.0
West Berkshire Priority Care Services NHS Trust: Newbury Hospital Development8
16.0
18.0
12.5
Sussex Weald and Downs NHS Trust: Reprovison of Mental Health Hospital9
15.0
17.0
13.3
Portsmouth Healthcare NHS Trust—Mental Health re-provision
11.0
11.0
0.0
Thames Gateway NHS Trust : Sheppey Community Hospital
10.0
10.0
0.0
TOTAL SOUTH EAST
118.2
127.1
7.5
SOUTH WEST REGION
Swindon and Marlborough NHS Trust
105.0
96.3
-8.3
TOTAL SOUTH WEST
105.0
96.3
-8.3
WEST MIDLANDS REGION
Walsgrave Hospitals NHS Trust and Coventry Healthcare NHS Trust
174.0
180.9
4.0
Worcester Royal Infirmary NHS Trust—Rationalisation
85.0
86.6
1.9
Dudley Priority Health NHS Trust
62.0
67.7
9.2
Hereford Hospitals NHS Trust—Redevelopment
61.6
64.1
4.1
North Staffordshire Combined Healthcare NHS Trust—Acute Mental Health Reprovision10
16.2
19.2
18.1
Northern Birmingham Mental Health NHS Trust—Mental Health Reprovision
11.9
12.3
3.1
TOTAL WEST MIDLANDS
410.7
430.8
4.9
NORTH WEST
Central Manchester Healthcare NHS Trust and Manchester Children's Hospital NHS Trust : Service Reconfiguration
127.0
127.0
0.0
South Manchester University Hospitals NHS Trust: Site Rationalisation
65.6
65.6
0.0
TOTAL NORTH WEST
192.6
192.6
0.0
TOTAL ENGLAND
2,061.7
2,154.8
4.5


Footnotes:

1.  Newcastle Upon Tyne Hospitals SOC—Since the merger of the former two acute Trusts in the City a review has taken place of the redevelopment proposals. As a result of this, a more extensive redevelopment is now proposed which will be the subject of further consideration.

2.  Northumbria Health Care, Wansbeck GH Phase II—The cost increase is due to an increase to the scope of the scheme.

3.  Earlier cost estimates had been based on the Public Sector Comparator. Following an innovative approach

suggested by the private sector partner, the scope of the scheme has been extended

4.  The figures now include the cost of the Mental Health element of the scheme,

value £9 million, which was previously excluded.

5.  The previously reported figure was an early estimate including an assumed level of building cost inflation.

6.  Now forms part of wider redevelopment proposal.

7.  West Berkshire Priority Care NHS Trust Fairmile scheme: increase of 17.5 per cent due to inclusion of VAT in the 1999 figure.

8.  West Berkshire Priority Care NHS Trust Newbury Hospital Development: Increase of 12.5 per cent due to additional costs associated with an integrated mental health facility and mortuary. These were not in the original case, but their inclusion is now being actively progressed

9.  Sussex Weald and Downs NHS Trust (previously Chichester NHS Trust): increase of 13.3 per cent due to indexation from OBC in 1996 (1998 figure had not been indexed)

10.  Figures in last year's return excluded professional fees, there has been an increase in capital cost due to the delay in reaching financial close, and additional requirement for single sex wards.

11.  These figures may not sum due to rounding.

  4.8e  Could the Department provide data on the revenue consequences of schemes which have reached financial close and represent long term contractual commitment over the next 25 years? Could the Department provide an update of the Departmental Report table showing the source and applications of HCHS capital, giving the outturn position for 1998-99?

  Could the Department identify the real savings behind PFI and other schemes, broken down by category, for example, reducing staffing costs due to redesign of buildings, reduced maintenance costs, transfer of risk, for all or a sample of schemes?


 
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Prepared 18 October 1999