Infrastructure Renewal
The UK government has been active in the use of the 'Private Finance Initiative' to undertake the renewal of public hospitals, with the private sector also providing non-clinical support services under long-term contracts.
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The Performance and Management of Hospital PFI Contracts (Web Page)
National Audit Office, 2010
A report about the performance of the maintenance and support services under the operational phase of PFI contracts.
UK
NHS LIFT:
NHS Local Improvement Finance Trust (LIFT) information portal (Web Page) Department of Health, 2007 NHS LIFT aims to develop a new market for investment in primary care and community-based facilities and services. The LIFT website offers an overview of the project, details of current schemes, guidance on project operation and latest related news. UK
NHS LIFT: Current Progress, Future Growth
Calverley, Mark; Jago, Rosemary, 2005
City & Financial Publishing
LIFT Initiative for Local Government - Flyer (PDF) Public Private Partnerships Programme (4Ps), 2005 This document outlines the NHS LIFT and Local Government Conference to launch the Office of the Deputy Prime Minister and 4Ps' joint service-centre procurement pack and roll-out of Wave 4 LIFT schemes. UK
Infrastructure Renewal - General:
List of Resources:
Operating Healthcare Infrastructure: Analysing the evidence (PDF) KPMG in collaboration with University College London, 2010 A quantitative evaluation of PFI hospitals built since 1995. The study compares them with publicly financed and operated establishments of a similar age based on measures reflecting patient environment, cleanliness and cleaning costs. UK
The Paddington Health Campus Scheme (PDF) The National Audit Office, 2006 The Stationery Office This report examines the failed Paddington Health Campus scheme, a healthcare and research centre commissioned on a projected gross capital cost of £300million for a completion date of 2006. This report explores why and how the scheme collapsed in 2005 with costs projected costs up to £894million and the expected completion date back to 2013. It identifies three key reasons behind the failure and outlines a series of recommendations to avoid a repeat. UK
Department of Health: The National Programme for IT in the NHS (PDF) National Audit Office (NAO), 2006 The Stationery Office A report on the progress to date in delivering the £12bn NHS IT programme which, at the time of publishing, is wider and more extensive in scope, vision and complexity than any ongoing or planned helathcare IT programme in the world. It is accepted that implementation and value for money benefits can only be fully assessed at a later date Part three focuses on procuring and delivering the systems. HC 1173 Session 2005-2006 UK
The Refinancing of the Norfolk and Norwich PFI Hospital (PDF) Public Accounts Committee, 2006 The Stationery Office This is the PAC report into the controversial re-structuring of the Norfolk and Norwich Hospital PFI deal. Private sector consortium Octagon's behaviour was infamously labelled "the unacceptable face of capitalism" and the report is highly critical of both Octagon and the Trust for their actions. There follows a series of recommendations to avoid a recurrence of the problems with which this early contract was beset. HC 694 UK
The Refinancing of the Norfolk and Norwich Hospital: how the deal can be viewed in the light of the refinancing (PDF) National Audit Office (NAO), 2005 The Stationery Office This is the NAO report into the controversial re-structuring of the Norfolk and Norwich Hospital PFI deal. It examines and explains the source of financial disparity between private sector consortium Octagon and the Trust and makes recommendations to avoid a recurrence of such a deal in future. HC 78 UK
Darent Valley Hospital: The PFI Contract in Action (PDF) National Audit Office (NAO), 2005 The Stationery Office This report examines the evidence of value for money yielded by the Darent Valley PFI Hospital. It covers performance and delivery, re-financing and risk, and mechanisms to deal with changing health needs. It also makes a series of recommendations to monitor and improve future performance. HC 209 UK
Evaluating the Operation of PFI in Roads and Hospitals (PDF)
Research paper No. 84, 2005
Association of Chartered Certified Accountants (ACCA)
The PFI Contract for the Redevelopment of West Middlesex University Hospital (PDF)
House of Commons Public Accounts Committee, 2003
The Stationery Office
Public Expenditure Questionnaire, 2003 (Web Page)
House of Commons Public Health Committee, 2003
The Stationery Office
This annual survey by government quizzes health workers on current issues; general expenditure issues; NHS resources and activity; personal Social Services resources and activity; and capital expenditure and investment.
Good Practice Guide - Learning Lessons From Post-Project Evaluation (PDF) Department of Health, 2002 UK
Public Expenditure Questionnaire, 2002 (Web Page)
House of Commons Health Committee, 2002
The Stationery Office
This annual survey by government quizzes health workers on current issues; general expenditure issues; NHS resources and activity; personal Social Services resources and activity; and capital expenditure and investment.
The PFI Contract for the Redevelopment of the West Middlesex University Hospital (Report) (PDF)
National Audit Office (NAO), 2002
The Stationery Office
Public Expenditure Questionnaire, 2001 (Web Page)
House of Commons Health Select Committee, 2002
The Stationery Office
This annual survey by government quizzes health workers on current issues; NHS and PSS expenditure issues; public health; NHS resources and activity; and personal Social Services.
Building for the Future: The Management of Procurement under the Private Finance Initiative (PDF)
Audit Commission, 2001
This paper draws out some useful lessons from schemes in health and housing following contract closure, but neither endorses the PFI nor questions the fundamental assumptions underlying it. It looks at the strategic aspects of PFI, but also considers the practical project management issues that are raised by this form of procurement.
The Economics of the Private Finance Initiative in the NHS (Web Page)
Sussex, Jon , 2001
Office of Health Economics
This publication gives a detailed analysis of the economics of PFI in health, analysing capital in the NHS; benefits and costs of PFI; the cost of borrowing; and value-for-money assessment. It concludes with a cost-benefit analysis and policy recommendations. The report is available for free download following registration via the above link.
Asset Measurement in the Costing of Government Services
Productivity Commission, 2001
Examines the impact of asset measurement factors on unit costs in the service areas of public hospitals, police services, corrective services and housing. Research Paper by the Steering Committee for the Review of Commonwealth/State Service Provision.
ISBN 1 74037 050 3
Australia
The PFI Contract for the New Dartford and Gravesham Hospital. House of Commons Public Accounts Committee, 2000 The Stationery Office This report assesses the Dartford and Gravesham PFI hospital. It examines the extent to which the PFI contract is likely to deliver value for money and sketches lessons for future PFI deals. HC 131 UK
Public Expenditure Questionnaire, 2000 (Web Page)
House of Commons Health Select Committee, 2000
The Stationery Office
This annual survey by government quizzes health workers on current issues; NHS and PSS expenditure issues; public health; NHS resources and activity; and personal Social Services.
Planning the "New" NHS: Downsizing for the 21st Century (Web Page) Pollock, Allyson M; Dunnigan, Matthew G; Gaffney, Declan; Price , David and Shaoul, Jean, 1999 British Medical Journal A review of the role of the Private Finance Initiative in hospital building and its implications for service reconfiguration and centralisation. UK
The PFI Contract for the New Dartford and Gravesham Hospital (Report)
National Audit Office (NAO), 1999
The Stationery Office
This report assesses the Dartford and Gravesham PFI hospital. It examines the extent to which the PFI contract is likely to deliver value for money and sketches lessons for future PFI deals.