Appendix One Methodology

Below is a brief overview of the methods used in this report. A more detailed explanation can be found on our website.

Method

Purpose

Census of 76 Trusts

To gather a range of quantitative and qualitative data including:

  Contractor performance

  Deductions charged

  Level of management resources

  Quality of relationship

  Suitability of the Performance Management System

  Management techniques

  Role of the Department

Census of 75 ProjectCos

To assess ProjectCo views on performance, relationship and the Performance Management System, to compare with Trusts' views.

Case studies of eight Trusts

To gain a deeper understanding of the services delivered via PFI and the challenges that Trusts face in managing contracts. Visits included interviews with contracts managers, senior management and clinicians from the Trust and key staff from the ProjectCo and subcontractors. We also carried out a high level review of the systems and controls used to run the contract.

File review of the Department's and Monitor's documentation

To understand the specific role that these organisations play in relation to Trusts with operational schemes.

Comparative analysis of Trusts' cost and performance data

To compare PFI to non-PFI hospitals on high level indicators.

Relative efficiency review

To understand what drives variation in what Trusts are paying for the services received under the contract, the scope to reduce expenditure and to identify Trusts which may benefit most from renegotiating their contracts.