Select Committee on Health Memoranda


MEMORANDUM BY THE DEPARTMENT OF HEALTH (CONT.)

LONG TERM CAPITAL PROJECTS AND PFI

COMMENTARY FOR PROJECTS WITH SIGNIFICANT DISCREPANCIES[1] BETWEEN ORIGINAL AND CURRENT ESTIMATE INFORMATION

2.  SUNDERLAND SCHEME 3

  Time Performance—The time overrun of 60 per cent is mainly due to the termination of the original Design Team Architect's commission because of non-performance during the Pre-Contract Design Stage. This resulted in the re-appointment of a new Architect and an associated need to review the whole scheme design and costs and establish a new Design Team integrated Programme. The identification and management of the problem demonstrates the NHS commitment to tackling such issues.

3.  BRISTOL ROYAL FOR SICK CHILDREN

  Time Performance—The contract start date (Phase 1) was delayed three months to June 1997 because of an extended tender process, value engineering and design changes. Phase 2 did not commence until July 1998 (following the completion of Phase 1 in January 1998) due to the need to extend the design/approvals process to reflect changes and developments in the services to be provided, which required new design and planning/statutory approvals.

  The original completion date for Phase 2 was May 2000 which has now been extended to July 2000 due to inclement weather and further design changes.

  Cost Performance—A cost overrun of 20.5 per cent is currently forecast, the original estimate of expenditure of £21.93 million increasing to the current estimate of £26.42 million. The majority of this increase was as a result of service enhancements promoted by the Health Authority and which are supported by additional funding.

4.  NEW POSSIBILITIES NHS TRUST

  Cost Performance—A substantial cost saving of around 20 per cent is currently reported on this scheme due to the reduced content of a resource base and reduced land acquisition costs. However, the scheme is at an early stage and there is the possibility that the final cost saving may be different.

4.8(ii)   Could the Department provide details of PFI projects with a capital value of £10 million or over, approved since 1992, including their current status?

  5.  All projects with a capital value of £10 million or over are shown on the tables in answer to question 4.8(iii).

4.8(iii)   Could the Department provide tables showing the planned and actual annual contribution to capital from PFI, and the forecast level of investment generated by schemes over £10 million, plus an aggregate of those below £10 million, between 1997-98 and 2002-03? What revenue or transitional support is being given to support the Scheme? Could the Department provide further details of locally agreed arrangements to provide revenue or transitional support to schemes?

  6.  The information requested is provided in the attached tables. Part 2 of the question regarding revenue support for schemes is answered after the tables.

  Notes to the tables:

    (i)  PFI deals provide a fully serviced hospital facility. Capital costs are not identified separately and figures are for costed contracts rather than for separate components. Figures given are NHS estimates. The value of schemes that have not reached financial close are liable to change.

    (ii)  Total estimated capital cost to the private sector includes the cost of land, construction, equipment and professional fees, but excludes VAT, rolled up interest and financing costs such as bank arrangements fees, bank due diligence fees, banks' lawyers fees and third party equity costs. As PFI procures a service rather than the underlying asset, capital values shown are necessarily estimates.

    (iii)  The phasing of capital expenditure by the private sector is generally not available. The spend profile has been determined using a standard formula, below, or a best estimate, to spread the total capital cost to the private sector over the estimated construction period:
Size of Scheme £m Yr 1% of capital costYr 2% of capital cost Yr 3% of capital cost Yr 4% of capital cost Yr 5% of capital cost Yr 6% of capital cost
Under 1050%50%
11 to 5010%65% 25%
51 to 10010%25% 45%20%
101-20010%15% 30%30%15%
200+10%15% 25%20%20% 10%

    (iv)  The information does not provide details of schemes below £10 million.

    (v)  These figures may not sum due to rounding.


1   Significant discrepancies are defined as a change of +/-- 10 per cent on the original estimate. Back


 
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Prepared 27 October 2000