Table 5.4.5(a)
INCREASES TO THE CAPITAL COST OF PFI SCHEMES
| A | B
| C | D | E
| F |
| Northern & Yorkshire | Capital Cost at OBC Stage
| Capital Cost Reported Last Year |
Capital Value This Year | Per cent Increase Since OBC Stage
| Per cent Increase Since Last Year |
| £m | £m
| £m | |
|
| Leeds Teaching Hospitals NHS Trust | 125.0
| 125.0 | 125.0 | 0.0
| 0.0 |
| Newcastle upon Tyne Hospitals NHS Trust |
129.5 | 129.5 | 129.5
| 0.0 | 0.0 |
| North Durham Health Care—Chester-Le-Street
| 10.4 | 10.4 | 10.4
| -0.1 | 0.1 |
| Pinderfield & Pontefract Hospitals* |
164.1 | N/A | 200.0
| 18.0 | N/A |
| Hull & East Yorkshire Hospitals (Oncology)*
| 37.6 | N/A | 53.0
| 29.1 | N/A |
| Leeds Teaching Hospitals—Wharfedale |
11.7 | N/A | 11.7 |
0.0 | N/A |
| Newcastle, Nrth Tyneside—Morpeth | 21.3
| N/A | 25.0 | 14.8
| N/A |
| TOTAL NORTHERN & YORKSHIRE | 466.6
| 264.9 | 517.9 |
| |
Comment on any increases over 10 per cent:
Pinderfields and Pontefract
Increase costs due to a £23.6 million increase relating
to the revised NHS Estates Departmental Cost Allowance Guides
(DCAGs) which take into account the new principles in order to
produce a better patient environment, changes in functional content
of £12.7 million and other changes of £0.3 million.
Hull and East Yorks
Increased costs due to increase in MIPs from SOC stage £1.6
million, functional content changes of £0.4 million, increase
in equipment £6.4 million, "improving the patient environment"
£2.9 million, inclusion of a separate academic facility £4.7
million.
Newcastle, North Tyneside—Morpeth
Increase in MIPS since OBC of £0.9 million, "improving
the patient environment" £2.8 million.
Note
The figure for Leeds of £125 million excludes the capital
elements publicly funded or funded through charity. The total
capital cost including these elements will be £164 million.
The capital value this year for Pinderfields and Pontefract
of £200 million includes publicly funded elements of £13
million.
Table 5.4.5(b)
INCREASES TO THE CAPITAL COST OF PFI SCHEMES
| A | B | C
| D | E | F
|
| Trent | Capital Cost at OBC Stage
| Capital Cost Reported Last Year |
Capital Value This Year | Per cent Increase Since OBC Stage
| Per cent Increase Since Last Year |
| £m | £m
| £m | |
|
| Southern Derbyshire Acute Hospitals NHS Trust
| 177.0 | 177.0 | 177.0
| 0.0 | 0.0 |
| Nottingham Healthcare NHS Trust | 13.9
| 13.4 | 13.4 | -3.6
| 0.0 |
| Doncaster and South Humber NHS Trust | 11.3
| 11.3 | 12.1 | 7.1
| 7.1 |
| University Hospitals of Leicester* | 286
| N/A | 363.0 | 26.9
| N/A |
| Daventry & South Northants PCT | 19.5
| N/A | 19.5 | 0.0
| N/A |
| Northamptonshire Healthcare | 19.5
| 19.5 | 19.8 | 1.5
| 1.5 |
| TOTAL TRENT | 507.7 | 201.7
| 585.0 | | |
Comment on any increases over 10 per cent:
Leicester
UHL Pathway project has increased by 21 per cent since SOC
approval. This has been due to a number of factors: the application
of "improving the patient environment", inflation and
the inclusion of the reprovision of academic space due to be replaced
within the PFI. The affordability of the scheme has not been
affected and the OBC has now been submitted to the SHA for Board
approval. PCT support will be finalised over the next couple
of weeks.
Table 5.4.5(c)
INCREASES TO THE CAPITAL COST OF PFI SCHEMES
| A | B | C
| D | E | F
|
| Eastern | Capital Cost at OBC Stage
| Capital Cost Reported Last Year |
Capital Value This Year | Per cent Increase Since OBC Stage
| Per cent Increase Since Last Year |
| £m | £m
| £m | |
|
| Peterborough Hospitals* | 135.0
| N/A | 250.0 | 85.2
| N/A |
| Addenbrookes DTC | 30.0 | 30.0
| 43.0 | 43.3 | 43.3
|
| Hinchinbrooke DTC | 15.7 |
15.7 | 22.6 | 43.9
| 43.9 |
| Mid Essex hospitals—Chelmsford* | 80
| N/A | 110.0 | 37.5
| N/A |
| TOTAL EASTERN | 260.7 | 45.7
| 425.6 | | |
Comment on any increases over 10 per cent:
Addenbrookes
Inclusion of a genetics centre—capital cost £9m.
This was originally a separate scheme but has now been merged
with the larger scheme. Inclusion of new DCAGs for "improving
the patient environment".
Hinchingbrooke
Inclusion of new DCAGs for "improving the patient environment".
Mid Essex Hospital
Inclusion of new DCAGs for "improving the patient environment";
70 extra beds and two additonal theatres; removal of staff accommodation
element.
Peterborough
Inclusion of new DCAGs for "improving the patient environment".
Expansion of cancer, renal and neo-natal intensive care services.
Table 5.4.5(d)
INCREASES TO THE CAPITAL COST OF PFI SCHEMES
| A | B | C
| D | E | F
|
| London | Capital Cost at OBC Stage
| Capital Cost Reported Last Year |
Capital Value This Year | Per cent Increase Since OBC Stage
| Per cent Increase Since Last Year |
| £m | £m
| £m | |
|
| Barking, Havering & Redbridge | 145.6
| 146.5 | 184.8 | 26.9 per cent
| 26.1 per cent |
| The Whittington Hospital NHS Trust | 23.0
| 23.0 | 23.0 | 0.0 per cent
| 0.0 per cent |
| Wandsworth PCT (formerly SWLC NHS Trust) |
20.5 | 21.3 | 21.3
| 3.9 per cent | 0.0 per cent |
| Newham Healthcare NHS Trust | 21.3
| 21.3 | 30.8 | 44.6 per cent
| 44.6 per cent |
| Brent PCT—Willesden | 11.0
| 11.9 | 19.0 | 72.7 per cent
| 59.7 per cent |
| Kingston Hospital NHS Trust | 22.1
| 22.1 | 22.1 | 0.0 per cent
| 0.0 per cent |
| Whipps Cross* | 184.0 | N/A
| 313.0 | 70.1 per cent | N/A
|
| Paddington Basin | 327.0 |
N/A | 327.0 | 0.0 per cent
| N/A |
| Central Middlesex (NW London)* | 55.0
| N/A | 55.0 | 0.0 per cent
| N/A |
| Lewisham Hospital * | 44.0 |
N/A | 44.0 | 0.0 per cent
| N/A |
| North Middlesex* | 73.0 |
N/A | 73.0 | 0.0 per cent
| N/A |
| LONDON TOTAL | 926.5 | 246.1
| 1113.0 | | |
Comment on any increases over 10 per cent:
Barking Havering & Redbridge
The building price index (MIPS) was increased from 310 to
345 on 1 July 2002, which has increased the base capital cost
by £14.7 million. The location factor—the premium experienced
for building in Outer London has increased from 13 per cent at
OBC to 15 per cent by July 2002. This has increased the capital
costs by £5.9 million. Hence, total indexation/market changes
= £20.6 million. The scheme design fee allowance and contingency
allowance are driven by the overall capital costs and have therefore
also increased by £2.2 million. Therefore, cost increases
outwith any changes to the scheme are £22.8 million. The
scheme also includes integral IM&T provision and this has
been included in this return for the first time to ensure consistency
with the final approval. This accounts for a further £10
million. This accounts for £32.8 million of the declared
increase, leaving £5.5 million as design development changes—60
additional beds were added to the scheme in September 2001. The
real changes to the scheme are therefore £5.5 million—well
below the 10 per cent tolerance.
Whipps Cross
"The increase reflects:
— the change in bed numbers and adoption of central
guidance around full
compliance with Health Building Notes;
— 50 per cent single rooms;
— `improving the patient environment'; NHS Plan."
Newham
"Increase due to:
— Design changes—increased floor area, Building
Design Regulations, Access Control & Security, `improving
the patient environment'
— Changes in Law—Aggregate Tax, Landfill Tax,
Building Regulations
Brent PCT
"The change from OBC was due to:
— changes in functional content;
— an increase in on-costs from 15 per cent to 51
per cent of departmental costs;
— an increase in location adjustment;
Table 5.4.5(e)
INCREASES TO THE CAPITAL COST OF PFI SCHEMES
| A | B | C
| D | E | F
|
| South East | Capital Cost at OBC Stage
| Capital Cost Reported Last Year |
Capital Value This Year | Per cent Increase Since OBC Stage
| Per cent Increase Since Last Year |
| £m | £m
| £m | |
|
| Portsmouth Hospitals NHS Trust | 127.7
| 127.7 | 173.0 | 35.5
| 35.5 |
| Oxford Radcliffe Hospitals—Relocation |
95.0 | 95.0 | 127.0
| 33.7 | 33.7 |
| Stoke Mandeville Hospital NHS Trust | 23.7
| 27.4 | 41.5 | 75.1
| 51.5 |
| Nuffield Orthopaedic Centre NHS Trust | 23.6
| 26.4 | 37.0 | 56.8
| 40.2 |
| Brighton Healthcare—Childrens scheme* |
30.9 | N/A | 30.9 |
0.0 | N/A |
| Oxford Radcliffe Hospitals—Cancer* |
60.0 | N/A | 66.4 |
10.7 | N/A |
| TOTAL SOUTH EAST | 360.9 |
276.5 | 475.8 | |
|
Comment on any increases over 10 per cent:
Portsmouth Hospitals
Impact of MIPS and "improving the patient environment"
is reflected in the revised capital value.
Oxford—Relocation Scheme:
| Capital cost at MIPS 325 | 0.0
|
| Uplift from MIPS level at previous report to MIPS as at 1 April 2002 (MIPS 325 to MIPS 361)
| 17.3 |
| Adjustment to price level to correct for location factor
| 5.0 |
| Impact of Building Regulations Part L | 3.5
|
| Impact of "improving the patient environment"
| 6.0 |
| "Real" changes in design/functional content
| 0.2 |
| 32.0 |
| |
Stoke Mandeville
| Cost last year at MIPS 310 | 27.4
|
| Intermediate Care ward (22 beds) | 1.7
|
| Pharmacy and Cook-chill reprovision | 2.7
|
| Additional Acute Medical beds/Stroke Unit (44 beds)
| 3.4 |
| Uplift from MIPS 310 to MIPS 360 | 6.8
|
| Other | -0.5 |
| Cost this year at MIPS 360 | 41.5
|
| |
(Note for information: Cost increases in prior years (from
OBC) have been in respect of new Mortuary (£1.0 million),
"improving the patient environment" related area increases
(£2.0 million), Other (£0.5 million)).
Nuffield Orthopaedic
The capital costs shown in last year's table £26.4 million
represent the costs in an early outline business case constructed
on the basis of a part refurbished part new build option.
When bids were submitted to the Trust, bidders were able
to present to the Trust affordable bids based on a total new build
of the hospital which provided enhanced facilities for patient
whilst still demonstrating value for money.
In agreement with the regional office prior to selection
of a preferred bidder the Trust constructed a comparitor option
in order to confirm the VFM calculations. This comparitor option
was based on a total new build and the capital costs of this option
were £37 million. This option should with hindsight have
been included in the OBC but it was decided that inclusion in
the FBC would be the best way forward given the late stage of
the process.
This option was then included in the full Business Case submitted
by the Trust prior to financial close.
Oxford—Cancer Centre Scheme
| Capital cost at MIPS 325 | 60.0
|
| Uplift from MIPS level at previous report to MIPS as at 1 April 2002 (MIPS 325 to MIPS 361)
| 6.4 |
| 66.4 |
| |
| 
