Select Committee on Health Memoranda


2.  INVESTMENT (continued)

  2.4.2  What has revenue spending on GP premises been in each year since 1997-98? Could the Department comment on the consistency of this series? (Q18)

ANSWER

  1.  The data requested is given in Table 18.

  2.  In the main, revenue spend on GP premises is to support capital borrowed by GPs who build and own their own premises or invested by private landlords who rent the premises to GPs and their staff. In addition, revenue funding grants made to practices as a contribution towards the cost of improvements to premises; for example to build an extension to better deliver services.

  3.  As indicated in the table, spend on PMS premises was not collected until 2004-05 and the sharp decrease in the totals from 2001-02 reflects proportionate increased take-up of PMS. Whilst accurate comparisons cannot be made between pre and post 2004 data, around 40% of practices are covered by PMS and it is expected that a similar proportion will comprise total premises spend.

Table 18

REVENUE SPEND ON GP PREMISES SINCE 1997-98


Year
£ millions

1997-98
292.2
1998-99
319.3
1999-2000
321.5
2000-01
334.2
2001-02
302.5
2002-03
282.3
2003-04
270.4
2004-05(3)
577.0
2005-06(3)
661.0

Source:PCT FIMS returns.
Footnotes:
1.  Personal medical services (PMS) was introduced in 1998 and premises spend data not collected until 2004-05.
2.  Sharp decrease in spend between 2001-02 to 2004-05 reflects proportionate increased take-up of PMS.
3.  GMS and PMS allocations. Actual spend returns being validated.


2.5  Personal Social Services (PSS) Investment

  2.5.1  Could the Department tabulate Local Authority Personal Social Services capital expenditure, broken down into maintenance and new acquisitions, and income, broken down into sale of buildings and sale of equipment, from 1997-98 to 2005-06? (Q19)

ANSWER

  1.  The information requested is given in Table 19.

Table 19

LOCAL AUTHORITY PERSONAL SOCIAL SERVICES CAPITAL EXPENDITURE AND INCOME 1997-98 TO 2006-07


£ millions


1997-98
1998-99
1999-2000
2000-01
2001-02
2002-03(2)
2003-04
2004-05
2005-06
(pro-
visional)
2006-07
(pro-
visional)

Maintenance
11.8
10.9
10.4
12.3
12.5
New acquisitions
138.2
129.1
123.6
143.7
145.5
TOTAL SPEND
150
140
134
156.1
158.3
199.3
260.0
284.5
286.0
469.0
Sale of buildings
34.4
42.4
40.8
50
64.5
Sale of equipment
8.6
10.6
10.2
12
5.5
TOTAL RECEIPTS
43
53
51
63
70.4
75.0
74.5
77.0
75.0
126.0
NET SPEND
107.0
87.0
83.0
93.3
87.9
124.3
185.5
207.5
211.0
343.0

Source:

COR (Outturn to 2004-05), CPR4 (Provisional) and CER (Forecast) returns.

Footnotes:

1.  Figures may not sum due to rounding.

2.  From 2002-03 the breakdown between maintenance and new acquisitions and the sale of buildings is no longer available.


  2.5.2  What Personal Social Services PFI projects have been (a) approved and (b) given ministerial approval? Could details of value, approval date and completion date be included? (Q20)

ANSWER

  1.The information requested is given in Table 20.

  2.  The table shows, in alphabetical order, the PFI credits awarded to all the social care PFI schemes, including those that have reached financial close. Approval date and, where available, estimated completion date, are included.

  3.  In the 2005 HSC response, five schemes were noted as having bid. These (Birmingham, East Sussex, Medway, Tower Hamlets and Wolverhampton) all received Ministerial approval and are included in the table. They are currently undergoing the OBC approval stage, and will be applying for Treasury endorsement of the PFI credits award in the next few months.

  4.  The bidding round in 2005 also included the 2006-07 year in order to fund the five preferred bids. As this took up the bulk of the availble funding, new bids will only be invited from 2007-08 onwards. It has not yet been decided whether this will be via a formal bidding round (as in 2005) or through ad hoc bids (as was the approach before 2005).

  5.  Ministerial approval is the first stage in the approvals process. A Local Authority may put forward a social care proposal to DH via either an Expression of Interest (EoI) or a Strategic Outline Case (SOC). If this meets the evaluation criteria, Ministerial approval of an initial allocation of PFI credits is given.

  6.  The second approval stage is approval by Treasury, and when social care projects have been approved, the award of the PFI credits by the DH Minister is formally endorsed. This approval is based on Outline Business Cases (OBC); the subsequent Full Business Case, prior to contract signature, is approved by the sponsoring department (ie DH) only. (However, if the amount requested for PFI credits increases, further Treasury endorsement may be necessary.)



 
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