Select Committee on Health Written Evidence


Evidence submitted by PricewaterhouseCoopers (Def 59)

INTRODUCTION

  PwC's UK Business Recovery Services (BRS) practice is the largest in the World, providing a range of advisory and insolvency services to lenders, creditors, companies and individuals in troubled financial situations.

  In the UK we have 900 partners and staff operating out of 22 offices.

  The Practice provides the full range of services for underperforming businesses, public sector bodies and their stakeholders including the management of crisis, the implementation of turnaround and advising lenders, creditors and businesses of all sizes ranging from owner-managed mid-market businesses to multi-national organisations.

  The Corporate restructuring team works with the management of underperforming businesses and organisations to stabilise them and turn them around. It supports such organisations by improving cash management, regaining control of the organisation and developing a platform for future stability or growth.

  The Corporate Restructuring team within PwC's Business Recovery Services practice is lead by Kevin Ellis, a PwC partner.

  Kevin has specialised in providing turnaround and restructuring services to underperforming businesses and organisations in the public and private sectors for over 18 years. Kevin has extensive experience in turnaround situations, working with stakeholders in developing innovative, constructive and commercial solutions for underperforming organisations. Kevin often takes on a role of coaching and mentoring senior management during the process so as to bring about long term sustainable improvement.

  PwC is able to draw upon a unique resource of over 150 Turnaround Directors from its Turnaround Panel, who can be placed at short notice into troubled situations. The PricewaterhouseCoopers LLP Turnaround Panel is made up of independent Turnaround Directors who have a proven track record of turnaround that can be placed into executive positions to provide hands-on leadership in distressed or underperforming businesses. Turnaround Directors from this Panel have been introduced into middle-market, public sector and high profile rescues.

  The members of the PwC Turnaround Panel are typically experienced senior executives from a wide variety of backgrounds. The common theme is that these executives have "done it before", bringing their sector and situational skills to bear rapidly and effectively on a distressed situation.

  Panel members can fulfil a wide range of roles including Chief Executives, Finance Directors, Chief Restructuring Officers, functional directors/managers and executive/non-executive chairmen. A rigorous selection process is employed, involving interviewing and reference checking to ensure consistency of quality of Turnaround Directors. They have no subsequent contractual relationship with PwC and the final decision to utilise their services in Turnaround situations will be taken by the client or other stakeholder.

RECENT TURNAROUND ACTIVITY IN THE NHS

1.   National Programme Office ("NPO") for turnaround

  Following the analysis of those Trusts/PCTs with the largest deficits performed by KPMG (Project Sands—baseline assessment) in late 2005/early 2006, PwC were invited (along with the other Big Four firms) to tender to provide a structure for and support to the National Programme Office for turnaround (NPO).

  PwC were successful in this competitive tender and as a result have secondees working for Keith Davies, an independent Turnaround Director who heads up this team and reports to the DH Turnaround Task Force chaired by Richard Gleave of the DH Recovery and Support Unit.

  The role of the NPO is to ensure turnarounds were rigorously planned and executed whilst ensuring there is a real time sharing of best practice and knowledge.

2.   SHA Turnaround Directors

  As part of the infrastructure to support the delivery of turnaround, private sector Turnaround Directors were appointed to each of the 11 SHA Transitional Patches to support the Transitional Leaders in managing their turnaround organisations and to act as the interface with the NPO. In each case local NHS management had the final say on their appointment.

  Following a request to Deloitte, KPMG, Ernst & Young and PwC for CVs of experienced Turnaround Directors who were ready for immediate deployment, 10 Turnaround Directors were chosen from a selection of CVs provided by PwC.

  The remaining Turnaround Director is a PwC employee and Director who with over 10 years of turnaround experience who had been on secondment to the Department of Health since May 2005 working in the Performance Support Team and in November 2005 was subsequently deployed into a SHA Turnaround Director role by the DH (whilst still on secondment).

3.   Turnaround Support in Turnaround Cohort Trusts/PCTs

  The baseline assessment (Project Sands) of the financial position of 98 organisations within the turnaround cohort highlighted that a significant number of these organisations were projecting a budget deficit during the same financial year and therefore required cost improvement/recovery plans in order to return to financial balance. The review also included the categorisation of Trusts and PCTs in terms of their likely turnaround support requirements during business recovery. Those categorised as 1 or 2, in particular, were recognised as requiring external support and assistance in order to develop robust and credible turnaround plans.

  Following the baseline assessment, PwC have been invited by various Trusts and PCTs in the cohort to competitively tender for the provision of a range of turnaround support. PwC have as a result provided support to over 20 organisations within the turnaround cohort as well as a number of other Trusts/PCTs (outside of the cohort) who have independently recognised the need for external support and invited tenders.

  The assignments undertaken have varied in size but generally take between six to eight weeks during which the PwC team work closely with all staff within the relevant NHS organisation in the development of a robust turnaround plan. This involves empowering and working with the clinical staff. In most cases initial ideas for recovery plans are generated by clinical and management leaders within the organisations themselves, the job of the advisory teams is to work these ideas into detailed, executable plans.

  We are confident that we are making a key contribution in supporting Trusts achieve sustainable financial improvement.

PricewaterhouseCoopers

June 2006





 
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