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Author: Great Britain: National Audit Office
Publisher: The Stationery Office
ISBN: 9780102933055
Category : Medical
Languages : en
Pages : 40
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Book Description
The Norfolk and Norwich University Hospital NHS Trust currently pays £38.7 million a year to a private sector consortium, Octagon, for the building and maintaining of a new hospital. This pathfinder PFI contract was entered into in 1998 but in 2003 Octagon was able to refinance their deal and gain £81 million (some of which was shared with the Trust). This report examines whether the large private sector gains indicates some inadequacy in the initial PFI deal and how the price the Trust is paying compares to current PFI hospital deals. The overall findings were that Trust continues to pay a premium on financing costs compared to current deals and it might have improved the original deal with greater competition and better defined requirements. However the Trust believes it gained benefit from the early provision of facilities in a deal that had previously been assessed as good value for money.
Author: Great Britain: National Audit Office
Publisher: The Stationery Office
ISBN: 9780102933055
Category : Medical
Languages : en
Pages : 40
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Book Description
The Norfolk and Norwich University Hospital NHS Trust currently pays £38.7 million a year to a private sector consortium, Octagon, for the building and maintaining of a new hospital. This pathfinder PFI contract was entered into in 1998 but in 2003 Octagon was able to refinance their deal and gain £81 million (some of which was shared with the Trust). This report examines whether the large private sector gains indicates some inadequacy in the initial PFI deal and how the price the Trust is paying compares to current PFI hospital deals. The overall findings were that Trust continues to pay a premium on financing costs compared to current deals and it might have improved the original deal with greater competition and better defined requirements. However the Trust believes it gained benefit from the early provision of facilities in a deal that had previously been assessed as good value for money.
Author: Great Britain: National Audit Office
Publisher: The Stationery Office
ISBN: 0102937575
Category : Business & Economics
Languages : en
Pages : 72
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Book Description
Findings from this NAO report include that the government has secured gains of £137 million from Private Finance Initiative (PFI) debt refinancings under new arrangements introduced by the Treasury in 2002 (including £102 million from four large refinancings (one of the London Underground contracts and three hospital projects: Norfolk and Norwich, Darent Valley and Bromley). The NAO found that the new sharing arrangements through a voluntary Code appear to be generally working well but there have been exceptions, for example in three road projects the public sector missed out on at least £1.7 million because gains were not shared in accordance with the voluntary code. The report also describes the emergence of the PFI secondary market which is enabling equity investors in PFI projects to sell their shares on to new investors.
Author: Great Britain: National Audit Office
Publisher: The Stationery Office
ISBN: 0102937699
Category : Business & Economics
Languages : en
Pages : 56
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Book Description
In 1998, the Department of Trade and Industry (DTI) and Laser, a special purpose company jointly owned by Serco Group plc and John Laing plc, signed a 25-year long Private Finance Initiative (PFI) contract. Laser would build and manage new facilities for the National Physical Laboratory (NPL), comprising 16 linked modules, containing over 400 laboratories, and replacing many existing buildings. The planned cost of the new buildings was approximately £96 million. The DTI would pay Laser a unitary charge, of £11.5 million (1998 prices) a year once the new buildings were ready, the charge increasing annually based on the increase in retail prices. The project suffered considerable construction delays and difficulties in achieving the specification for some parts of the buildings, mainly due to deficient design. In December 2004, it was agreed to terminate the PFI contract. The DTI paid Laser £75 million for its interest in the new buildings. This was the first termination of a major PFI contract involving serious non-performance. This report examines the problems that led to the termination, why these problems arose, how the Department managed them and the value for money consequences of the termination. The report finds that the DTI successfully transferred risk in the PFI contract to the private sector, but that the project risks could have been reduced with firmer control and better communication. Up to and including the termination, the Department's investment in the new facilities was about £122 million (March 2005 prices). In return, the Department secured an asset valued at £85 million and for which all but eight of more than 400 laboratories should be capable of being made to meet its specification in full. The private sector reported a loss of at least £100 million.
Author: Sir John Bourn
Publisher: John Wiley & Sons
ISBN: 9780470725344
Category : Business & Economics
Languages : en
Pages : 426
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Book Description
Drawing on 20 years of experience as Comptroller and Auditor General, and head of the United Kingdom National Audit Office, Public Sector Auditing: Is it Value for Money? is Sir John Bourn’s own account of the role and influence value for money auditing has in holding governments to account and in helping public bodies improve the ways in which they deliver services. Key features include: In-depth case studies from UK, US, Canada, China, India and Australia; Detailed analysis of complex areas of public expenditure such as health, education, privatisation, regulation, defence and IT; Examples of how auditing can promote positive outcomes rather than negative post mortems. This book is relevant for people working in both the public and private sectors, and should be essential reading for the staff of public sector audit institutions around the world, as well as commercial accountancy firms and students of accountancy, politics, economics and public management.
Author: Great Britain: National Audit Office
Publisher: The Stationery Office
ISBN: 0102933448
Category : Medical
Languages : en
Pages : 100
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Book Description
The Department of Health estimates that one in ten patients admitted to NHS hospitals will be unintentionally harmed (a rate similar to other developed countries), due to incidents such as an injury from a fall, medication errors, equipment related incidents, record documentation errors and hospital acquired infections. About half of such incidents could have been avoided, if lessons from previous incidents had been learned. This NAO report examines the progress being made in the NHS to improve the patient safety culture, to encourage incident reporting and to learn lessons for the future. The report finds that most trusts have developed a predominantly open and fair reporting culture at the local level, driven largely by the Department of Health's clinical governance initiative and more effective risk management systems. However, a 'blame culture' still exists in some trusts, and there have been delays in establishing an effective national reporting system. There is scope for improving strategies for sharing good practice and for monitoring that lessons are learned.
Author: Ewan Ferlie
Publisher: Oxford University Press
ISBN: 0198705107
Category : Business & Economics
Languages : en
Pages : 577
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Book Description
The Oxford Handbook of Healthcare Management offers a variety of current scholarly perspectives which explore important policy developments in health care management on an international basis.
Author: Rob Baggott
Publisher: Policy Press
ISBN: 1861346301
Category : Medical
Languages : en
Pages : 296
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Book Description
"In recent years the pace of reform in health policy and the NHS has been relentless. But how are policies formed and implemented? This new book takes a fresh look at the processes and institutions that make health policy, examining such questions as what constitutes health policy, where power lies, and what changes could be made to improve the quality of health policy making." "Written particularly with the needs of students and tutors in mind, this textbook will also be invaluable to policy makers, practitioners and researchers in the health policy field."--BOOK JACKET.
Author: Great Britain: Department of Health
Publisher: The Stationery Office
ISBN: 0101709323
Category : Political Science
Languages : en
Pages : 243
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Book Description
Dated May 2007. On cover: Departmental report. The health and personal social services programmes
Author: Great Britain: National Audit Office
Publisher: The Stationery Office
ISBN: 9780102986129
Category : Business & Economics
Languages : en
Pages : 44
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Book Description
The Government's first mutual joint venture MyCSP, which administers pensions for 1.5 million civil service employees, has the potential to be good value for money with a projected saving of 25 per cent on costs after seven years. However, the complexity of the deal combined with poor quality of data, initial planning, and infrastructure meant that it took the Cabinet Office longer than intended to finalise the transaction. Furthermore, the Department and MyCSP still face many large challenges in transforming the service. The biggest challenge is improving data to support the implementation of the new 2015 pension scheme. The deal is projected by the Department to reduce the cost of administration by 25 per cent, to £13 per member per year by 2019. Scheme members should receive a better quality of service as a result of significant investment in the business by the private sector partner, Equiniti Paymaster, and a payment mechanism that penalizes MyCSP if it misses the service standard levels in the contract. The deal also means that MyCSP now has a credible plan to meet the challenges of the 2015 civil service pension reforms, including data improvement. The Department did not initially make the most of the opportunities to learn from this transaction as a pathfinder, but has now reviewed the lessons learned from executing the transaction and has put in place an evaluation strategy. The Cabinet Office must now ensure it evaluates the longer-term comparative performance of MyCSP and captures and disseminates the lessons learnt from the deal.
Author: Great Britain: Parliament: House of Commons: Committee of Public Accounts
Publisher: The Stationery Office
ISBN: 9780215555922
Category : Business & Economics
Languages : en
Pages : 40
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Book Description
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.
