Select Committee on Health Memoranda


2.  INVESTMENT (continued)

  2.2.2  Could the Department provide a commentary on publicly funded capital projects where there are significant discrepancies between original estimates of completion dates and/or expenditures and current estimates? (Q11)

  ANSWER

PENNINE ACUTE HOSPITALS

  The delay to the estimated completion date is due to the Full Business Case approval being granted later than originally anticipated, which led to a delayed start of the construction works. The Main Contractor, however, is currently ahead of the contract programme, and an overall project underspend is currently forecast.

South Manchester UHT Breast Care and Cancer Prevention Centre—Wythenshawe

  This project is forecast to be delivered 16 weeks earlier than the original estimated date. This significant time saving has been achieved by authorising design and enabling work at an early stage, thus allowing work to start on site earlier than originally planned.

South Manchester UHT Cardiac Improvements—Wythenshawe

  A slip in the original estimated completion date is due to a delayed start of construction works. This delay was caused as a result of the Full Business Case approval being granted three months later than originally anticipated. The project is currently forecast to be delivered within its original budget.

South Tees Hospitals Trust—Friarage Hospital main development

  The original contract programme has been delayed due to variations on the original construction works. An additional 26 weeks was required for additional demolition works of the vacated accommodation, the provision of additional car parking and for further design development required after the discovery of contaminated land. Despite this delay, the project is currently within budget.

Bradford District Care Trust

  The original estimated completion date has slipped because of a delayed start on site which was due to complications over the transfer of the site to the Bradford District Care Trust. The original building programme of 13 months remains on track.

Mid Yorkshire Hospitals

  This project consists of a large number of enabling work packages. Unforeseen problems in modifying existing services in some buildings, the removal of asbestos, the implications of planning requirements, and VAT recovery issues have all contributed to an overall increase in the estimated cost.

Kettering General Hospital: Treatment Centre

  The time delay and cost overrun are due to poor performance by the Main Contractor and the design team. Efforts are under way to resolve existing problems and to mitigate any delays.

Birmingham Children's Hospital NHS Trust

  The contract delay and an estimated cost increase have both been caused by the need to appoint a new Main Contractor to complete the works. The completion contract, which has been agreed with the new Main Contractor, is currently running to time and cost, with an expected completion date in May 2007, 11 months later than the original estimated date.

Burntwood, Lichfield and Tamworth PCT: Lichfield Community Hospital

  The original estimated completion date has slipped because the construction works started later than expected. This was due to a delay in the demolition of existing hospital buildings, which needed to be cleared from the site.

Whipps Cross University Hospital

  This project is currently considerably over time and over budget. The major elements of the overspend relate to costs associated with the delay to completion of the project, costs associated with rectifying aspects of the project, and the suitability and adequacy of the contract administration procedures.

  The Trust has commissioned an audit report on the failings of the project and is acting upon the recommendations of this report.

Central and North West London Mental Health NHS Trust

  This has been a complex project which was designed to move services from accommodation no longer deemed appropriate for this client group. The main delays, in the view of the Trust, appear to be due to the completeness of design information and how this was appropriately communicated consistently to the various building contractors employed to undertake the work. This view is not shared by the design professionals involved.

  The Trust identified the potential for delay and overspend in 2004 and engaged professional advisers to assist in mitigating the impact.

North West London Hospitals

  The Trust commissioned external auditors Deloitte & Touche to undertake a review of the delivery of this project. The review identified key areas for improvement and the implementation of an action plan has been agreed by the Trust Board and is currently being reviewed by the Trust with NHS London.

  The main areas relate to poor governance, performance and communications issues with contractors and design teams, and unsuccessful contract management processes.

Crawley Hospital refurbishment at six locations

  The original estimated completion date has slipped due to a delay in work starting on site. This delay was necessary for a review of contracts to be undertaken following recommendations made by the Gateway review.

2.3  Private Finance Initiative (PFI)

  2.3.1  Could the Department provide expenditure profiles of capital expenditure on PFI schemes from 1997-98 onwards by (a) region and (b) scheme by broad capital cost of scheme? (Q12)

  ANSWER

  1.  The information requested is given in Table 12a to Table 12k.

  2.  The expenditure profiles in the tables take into account the reduced capital values at the six PFI review schemes announced on 18 August. These were at Salford, Tameside, Leicester, Walsall, South Devon and North Staffordshire. The Department are in the process of reviewing the remaining PFI Schemes with values in excess of £75 million.




 
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Prepared 21 November 2006