Pfi In Housing And Hospitals

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Pfi In Housing And Hospitals

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Author : Great Britain: Parliament: House of Commons: Committee of Public Accounts
language : en
Publisher: The Stationery Office
Release Date : 2011-01-18

Pfi In Housing And Hospitals written by Great Britain: Parliament: House of Commons: Committee of Public Accounts and has been published by The Stationery Office this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011-01-18 with Business & Economics categories.

The Department of Health and the Department for Communities and Local Government (the Departments) are responsible for sizeable portfolios of PFI projects covering hospitals and social housing. By April 2009 there were 76 operational PFI hospitals in England and over 13,000 homes had been built or refurbished through PFI. The letting of contracts and the responsibility for managing them is devolved to NHS Trusts and local authorities. The Departments are responsible for overseeing their PFI programmes and reporting to the public and Parliament on value for money. The Committee can find no clear and explicit justification and evaluation for the use of PFI in terms of its value for money. In many cases local authorities and Trusts chose the PFI route because the Departments offered no realistic funding alternative. Other concerns are central government's failure to use the market leverage that comes from overseeing multiple contracts, and the lack of robust central data to support effective programme management. It is clear that the implementation of PFI projects could be improved. Many PFI housing procurements have taken very much longer, and cost a great deal more, than originally planned. On hospitals, most are receiving the services expected at the point contracts were signed and are generally being well managed. There are, however, wide and unexplained variations in the cost of hospital support services, such as cleaning, catering and portering. Departments are not using their own buying power to leverage gains for the taxpayer.

Lessons From Pfi And Other Projects

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Author : Great Britain: National Audit Office
language : en
Publisher: The Stationery Office
Release Date : 2011-04-28

Lessons From Pfi And Other Projects written by Great Britain: National Audit Office and has been published by The Stationery Office this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011-04-28 with Business & Economics categories.

Lessons from the experience of using PFI can be applied to improve other forms of procurement and help Government achieve its aim of securing annual infrastructure delivery cost savings of £2 billion to £3 billion. To secure the best value for money from all types of procurement, the public sector needs to develop skills the NAO has identified. These are collecting better data to inform decision-making; ensuring projects have the right skills; establishing effective arrangements to test, challenge and, if necessary, stop projects; and using commercial awareness to obtain better deals. The case for using private finance in public procurement needs to be challenged more. Also, privately financed projects will often still be off balance-sheet which may continue to act as an incentive to use PFI. There has not been a systematic value for money evaluation of operational PFI projects by departments. So there is insufficient data to demonstrate whether the use of private finance has led to better or worse value for money than other forms of procurement. The Treasury and departments should identify alternative methods for delivering infrastructure and related facilities services to maximise value for money for government. The NAO welcomes the current plans of the Treasury and Cabinet Office to strengthen project assurance. The report highlights the need for independent challenge capable of stopping projects which do not give the prospect of value for money. This is particularly important as there is still a shortage of the skills needed to manage and oversee complex major projects.

Treasury Minutes On The Fourteenth To Eighteenth Reports From The Committee Of Public Accounts Session 2010 11

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Author : Great Britain. Treasury
language : en
Publisher: The Stationery Office
Release Date : 2011-03-24

Treasury Minutes On The Fourteenth To Eighteenth Reports From The Committee Of Public Accounts Session 2010 11 written by Great Britain. Treasury and has been published by The Stationery Office this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011-03-24 with Political Science categories.

The reports published as HC 631 (ISBN 9780215555922); HC 632 (9780215555939); HC 574 (9780215556042); HC 552 (9780215556066); HC 502 (9780215556165)

Understanding The Private Public Divide

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Author : Avner Offer
language : en
Publisher: Cambridge University Press
Release Date : 2022-04-07

Understanding The Private Public Divide written by Avner Offer and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2022-04-07 with Business & Economics categories.

A distinctive new account of why markets focus on short-term goals, while government needs to concentrate on society's long-term interests.

Management Of Nhs Hospital Productivity

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Author : Great Britain: Parliament: House of Commons: Committee of Public Accounts
language : en
Publisher: The Stationery Office
Release Date : 2011-03-15

Management Of Nhs Hospital Productivity written by Great Britain: Parliament: House of Commons: Committee of Public Accounts and has been published by The Stationery Office this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011-03-15 with Medical categories.

Government spending on the NHS has increased by 70%, from £60 billion in 2000-01 to £102 billion in 2010-11., with around 40% spent on services provided by acute and foundation hospitals. There have been significant improvements in the performance of the NHS, particularly in those areas targeted by the Department of Health (the Department) such as hospital waiting times and outcomes for patients with cancer and coronary heart disease. But productivity has actually fallen over the last decade. The Office for National Statistics estimates that, since 2000, total NHS productivity fell by an average of 0.2% a year, and by an average of 1.4% a year in hospitals. The trend of falling productivity will need to be reversed if the NHS is to meet the Department's productivity challenge, to deliver up to £20 billion of efficiency savings a year, by 2014-15, without compromising services. The Payment by Results approach (a tariff for procedures) has driven some improvements, but it only covers 60% of hospital activity and there is substantial variation in hospital costs and activity. The tariff system could, though, prioritise price over quality. National pay contracts have not yet been used to manage staff performance effectively, and consultants' productivity has fallen at the same time as they have had significant pay rises. There are risks to the NHS being able to deliver up to £20 billion savings annually, for reinvestment in healthcare, alongside implementing a substantial agenda of reform. Productivity improvements will be key to delivering these savings.

The Pfi Contract For The Redevelopment Of West Middlesex University Hospital

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Author : Great Britain. National Audit Office
language : en
Publisher:
Release Date : 2002

The Pfi Contract For The Redevelopment Of West Middlesex University Hospital written by Great Britain. National Audit Office and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2002 with Business & Economics categories.

In January 2001 the West Middlesex University Hospital Trust let a PFI contract to a private sector consortium, Bywest. The contract is for 35 years, with an estimated present net value of �125 million. Bywest are required to develop the Trust;'s site at Isleworth, and then to provide ongoing maintenance and facilities services. The report contrasts the PFI deal as contracted against the conventional procurement alternative. It finds that: the deal meets expected local needs; in getting the best available PFI deal the Trust applied common sense and had learnt from earlier experience elsewhere in the NHS; the Trust considered that the unquantifiable benefits of the PFI deal outweighed the disbenefits. The NAO makes further recommendations for those engaged in PFI projects, building on those made in its earlier report on Dartford and Gravesham Hospital (HCP 423, 1998-99, ISBN 0102661995)

Public Private Partnerships And Constitutional Law

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Author : Nikiforos Meletiadis
language : en
Publisher: Routledge
Release Date : 2018-12-10

Public Private Partnerships And Constitutional Law written by Nikiforos Meletiadis and has been published by Routledge this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-12-10 with Business & Economics categories.

Annually, the government commits significant expenditure to a type of public contracts which are known as Public-Private Partnerships (PPPs) or the Private Finance Initiative (PFI). These contracts bind the public purse for decades in sectors such as Health, Defence and Detention, and involve the assignment of a significant role to the private sector in the provision of public services. This book explores the controversial subject of the public accountability of these contracts, and the corresponding large sums of public money involved. It explains how public accountability works for PPPs and the PFI, and it argues that it should be provided as part of the Economic Constitution. Drawing comparative understandings from the UK and the USA constitutional legal traditions, the book investigates public accountability from the perspective of the Economic Constitution, focusing on three accountability criteria - legal, accounting and administrative. In doing so, it provides an analysis which informs both from the perspective of academic research and from that of legal and consulting practice.

Private Finance Initiative

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Author : Great Britain: Parliament: House of Commons: Treasury Committee
language : en
Publisher: The Stationery Office
Release Date : 2011-08-19

Private Finance Initiative written by Great Britain: Parliament: House of Commons: Treasury Committee and has been published by The Stationery Office this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011-08-19 with Business & Economics categories.

The Treasury Committee concludes that Private Finance Initiative (PFI) funding for new infrastructure, such as schools and hospitals, does not provide taxpayers with good value for money and stricter criteria should be introduced to govern its use. Higher borrowing costs since the credit crisis mean that PFI is now an extremely inefficient method of financing projects. Poor investment decisions may continue to be encouraged across the public sector, however, because PFI allows Government departments and public bodies to make big capital investments without committing large sums up front. There is no convincing evidence that savings and efficiencies during the lifetime of PFI projects offset the higher cost of finance. The current Value for Money appraisal system may be biased to favour PFIs and there are problems with the way costs and benefits for such projects are currently calculated. Investment could be increased in the long run if government capital investment were used instead of PFI. Paying off a PFI debt of £1bn may cost taxpayers the same as paying off a direct government debt of £1.7bn. Recommendations include: the Treasury should consider scoring most PFIs in departmental budgets in the same way as direct capital expenditure; the Treasury should discuss with the OBR the treatment of PFI to ensure that PFI cannot be used to 'game' the fiscal rules; the Value for Money assessment process should be subjected to scrutiny by the NAO; the Treasury should review the way in which risk transfer is identified.

Darent Valley Hospital

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Author : Great Britain. National Audit Office
language : en
Publisher: Stationery Office Books (TSO)
Release Date : 2005

Darent Valley Hospital written by Great Britain. National Audit Office and has been published by Stationery Office Books (TSO) this book supported file pdf, txt, epub, kindle and other format this book has been release on 2005 with Medical categories.

In 1997, the Dartford & Gravesham NHS Trust awarded the first NHS private finance initiative (PFI) contract for a new hospital at Darent Valley, to a company now known as The Hospital Company (Dartford) Limited. This NAO report examines the value for money the Trust is receiving now that the PFI hospital has been in operation for three years. Findings include that the new hospital has been delivered to time and cost in accordance with the PFI contract. The Trust received a reduction in the overall contract price through a refinancing deal, with THC Dartford shareholders receiving much quicker and larger profits than had been projected when the contract was awarded. However, the refinancing deal has brought the Trust new risks as well as benefits, and this highlights the need for authorities to fully assess risks involved before agreeing to a refinancing deal, including the significant senior management effort required to manage a PFI contract in the early years.

Pfi Contract For The Redevelopment Of West Middlesex University Hospital

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Author : Great Britain. Parliament. House of Commons. Committee of Public Accounts
language : en
Publisher:
Release Date : 2003

Pfi Contract For The Redevelopment Of West Middlesex University Hospital written by Great Britain. Parliament. House of Commons. Committee of Public Accounts and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2003 with Hospitals categories.

In January 2001, the West Middlesex University Hospital NHS Trust agreed a 35-year contract (worth about £120 million) under the Private Finance Initiative (PFI) with a private sector consortium for the redevelopment of the Trust's site and the provision of ongoing maintenance and facilities services. Following on from a report by the National Audit Office (HCP 49, session 2002-03; ISBN 0102919593), the Committee's report considers what lessons can be drawn for the NHS and more widely for negotiating future PFI deals. Key findings are: that when using public sector comparisons to aid decision-making on PFI deals, public authorities need to recognise the degree of uncertainty inherent in such calculations; departments should base decisions on PFI deals on a realistic and comprehensive analysis of costs, benefits and risks; and that the NHS should establish a database of information to ensure wider dissemination of good practice and lessons learned from negotiating and managing earlier PFI deals.