Responsibilities of the Secretary of State for Health - Health Committee Contents


Examination of Witnesses (Question Numbers 60-63)

RT HON ANDREW LANSLEY CBE MP

20 JULY 2010

  Q60  Mr Sharma: Will the Government continue to use PFI as a means of capital investment or will it now consider suspending PFI projects which it had previously approved?

  Mr Lansley: I have no proposals at the moment to stop PFI as a route to capital investment. If I may say it is probably more for my colleagues in the Treasury to lead on the question of the structure of capital investment projects overall and how public and private partnerships are best structured for this purpose. I might say in the NHS context I think there are already some innovations. I was with the Royal Liverpool and Broadgreen Trust two or three weeks ago and we have given them the approval to proceed with their PFI project. I could not explain in detail how they are structuring it but they are not structuring it with the same long-term hard and soft maintenance requirements as some PFIs in the past. To that extent I think they are beginning to adapt to a public-private partnership which better delivers for them. As we move to foundation trusts across the NHS I hope they will be able to use the freedoms we give them to structure their capital assets in the ways that make sense better for them.

  Q61  Mr Sharma: You partly answered this question earlier on but I would like a little bit more clarification. The funding that local authorities receive for providing social care is ring-fenced. Are you hoping to increase that amount?

  Mr Lansley: The Coalition Programme is very clear, as we were before and during the election, that the resources for the NHS will increase each year in real terms. I am afraid that does not extend to the social care budget as a whole.

  Q62  Mr Sharma: In the local authorities?

  Mr Lansley: As deployed through local authorities.

  Q63  Mr Sharma: So are you leaving the local authorities to decide how much they spend on their services?

  Mr Lansley: As part of the Spending Review of local government spending social care budgets as a component of the overall resource settlement to local authorities will be a part of that negotiation

  Chair: If I may suggest, as the Secretary of State rightly says, we are not going to do credit to the public expenditure round in the time available, but I thought it was an interesting question that Mr Sharma wanted to ask you. Secretary of State, thank you very much for being with us for an hour and 56 minutes and covering a very wide range of responsibilities. Thank you very much for your good humour and clarity.





 
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