Select Committee on Health Memoranda


5.  CAPITAL EXPENDITURE AND INVESTMENT

5.1  General

  5.1.1  Could the Department provide an update of Table 5.1.1? [5.1.1]

5.2  Primary care capital investment and facilities

  5.2.1  Could the Department provide an account of capital allocations for primary care investment and the sources of funding (both HCHS capital and revenue and Family Health Services budgets) over the last eight years for England and by health authority? Can they reconcile the General Medical Services budgets against the HCHS and Family Health Services budgets? [5.2.1]

  5.2.2  Could the Department provide a trend analysis of the costs of the rental reimbursement schemes (in graphic form) by category (eg notional, actual etc) and an explanation for any changes? [5.2.2]

  5.2.3  Could the Department provide an account of the total value of the asset base in primary care by category of owner, eg HA, LA, GP, private provider? [5.2.3]

  5.2.4  Could the Department provide an account of estimates of backlog in repairs and maintenance for primary care nationally and by health authority? [5.2.4]

  5.2.5  Could the Department provide baseline data on the changing ownership of primary care premises and provide details of the top 10 new provider companies? [5.2.5]

  5.2.6  Could the Department please provide data on all grants, public loans and capital receipts used to fund or finance primary care facilities on an annual basis since 1997. [5.2.6]

  5.2.7  Could the department please provide a list of primary care premises which have signed or in the process of signing up for the use of PFI, together with their total capital cost, the length of contract, the annual unitary charge and availability fee and FM fee. Where projects are bundled with non-NHS facilities, could they also provide details of the other income streams eg from commercial and retail, local authority. [5.2.7]

  5.2.8  Could the department provide data on practice premise size (single handed, 1-4, 4-8, 8-12, 12 plus and average list size) by ownership category? [5.2.9]

5.3  Long Term Capital Projects and PFI

  5.3.1  Could the Department provide a table showing all publicly funded capital projects with a total cost above £10 million which are under construction during 2003-04? Could this also show the original and current estimated completion dates along with a percentage figure for any additional time overrun/saving? Likewise, the original total cost and current estimated out-turn cost should be provided along with a percentage cost performance figure. [5.4.1]

  5.3.2  Could the Department provide a commentary on cases where there are significant discrepancies between original estimates of completion dates and/or expenditures and current estimates? [5.4.2]

  5.3.3  Could the Department provide an update of Tables 5.4.4? [5.4.4]

  5.3.4  Could the Department provide an update of Tables 5.4.5? [5.4.5]

  5.3.5  For major projects (currently defined as those greater than £25 million in value), could the Department please provide a comparison between the PFI price and the publicly financed option. The publicly financed comparator's costings should be broken down as follows:

  Basic construction contract, broken down between pre-implementation and post implementation costs;

  The value of risk adjustment, again broken down between pre-implementation and post implementation costs, in both pounds and percentage terms, and

  The final total real full life cost of both options. [5.4.7]

  5.3.6  Could the Department provide an update of Tables 5.4.11? [5.4.11]

  5.3.7  Could the Department specify the cost of the unitary fee for PFI hospitals above that negotiated in the original contract?

5.4  Capital investment in social services

  5.4.1  Could the Department update the figures provided last year on the acquisition, upgrade and sale of personal social services assets? [5.5.1]

  5.4.2  Could the Department provide an update on PFI projects currently supported, or being considered by the Departments, and state its criteria for supporting such projects? [5.5.3]

  5.4.3  Could the Department compare actual capital spend by social services departments with the funding provided through credit approvals and capital grants? [5.5.4]

5.  CAPITAL EXPENDITURE AND INVESTMENT

5.1  General

  5.1.1  Could the Department provide an update of Table 5.1.1? [5.1.1]

  1.  The information requested is provided in Table 5.1.1.

Table 5.1.1

NHS CAPITAL SPENDING 2002-03 to 2005-06 (resources)


2002-03
Forecast Outturn
£m
2003-04
Plan
£m
2004-05
Plan
£m
2005-06
Plan
£m

Government Spending
1,953
2,892
3,383
4,363
Percentage Real Terms Growth
44.2
14.0
25.8
Receipts from Land Sales
408
227
185
140
Percentage Real Terms Growth
-45.8
-20.6
-26.2
PFI Investment
556
901
1,511
1,549
Percentage Real Terms Growth
57.8
63.5
0.0
Total
2,917
4,020
5,079
6,052
Percentage Real Terms Growth
34.2
23.2
16.3

Real Terms Growth calculated using GDP deflator of 2.69%/2.59%/2.5%





 
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