APPENDIX ONE Chronology of the Paddington Health Campus scheme

1998

February

The Turnberg Report, which reviewed the wider London healthcare strategy, is published.

September

Strategic Outline Case drawn up by West London Partnership Forum and submitted to Department of Health.

2000

April

West London Partnership Forum creates Paddington Basin Project Board to develop OBC.

June

West London Partnership Forum submits planning application for proposed Paddington Health Campus scheme to Westminster City Council.

July

Kensington and Chelsea Health Authority launch consultation on specialist services in west London.

October

London Regional Office of NHS approved Outline Business Case (estimated gross capital construction cost £300m), with caveats.

November

Consultation on specialist services closed, one month after the approval of the Outline Business Case.

First permanent project director for the scheme appointed.

2001

January/February

Objections to the Paddington Health Campus scheme raised by three Community Health Councils and scheme referred to the Secretary of State for Health.

May

Risk register drawn up by Ernst & Young.

October

Secretary of State confirmed approval for Paddington Health Campus scheme.

2002

March

Kensington, Chelsea and Westminster Health Authority, London Regional Office and West London Partnership Forum wound up under NHS reforms, to be replaced by North West London Strategic Health Authority and Primary Care Trusts.

May

Joint Project Board (JPB) established to replace Project Board of former West London Partnership Forum to oversee Paddington Health Campus scheme.

September

First draft of clinical output specifications produced. Planned Campus of insufficient scale to accommodate proposed clinical activity.

North West London Strategic Health Authority wrote to Campus partners stating that it should be ready for OJEU advertising by 31 March 2003 and that there could be no further slippage.

October

Joint Project Board considered 10 per cent increase in costs of Outline Business Case.

The Project Director's contract was terminated by mutual agreement. An interim Project Director was appointed immediatly and a permanent replacement from April 2003.

November

Westminster City Council planners advised that the Campus proposal exceeded the planning approval.

Partnerships UK appointed as co-sponsor for procurement expertise (with effect from 1 July 2002).

December

Cost estimate from Davis Langdon and Everest put capital construction cost for scheme at £786 million.

2003

February

Westminster City Council planning department request that the Campus partners withdraw their planning application for further consideration.

March

The Campus partners identified the availability of The Point building as essential for the enabling and decanting of the scheme.

April

Cost estimate from Davis Langdon and Everest put capital construction cost for scheme at £792 million. Affordability Gap £53 million.

Westminster Primary Care Trust noted that no agreement had been reached on service strategies so the clinical content of the scheme remained unconfirmed

May

New scheme configuration means that new Imperial College building is no longer separate from hospital buildings so the College's building was now within the scope of the proposed PFI scheme.

June

Scheme was approved by the Strategic Health Authority, with Primary Care Trust support.

August

OBC for Enabling Case for the Paddington Health Campus (procurement of the Point building on a long lease) was finalised.

October

Chief Secretary to Treasury requested new OBC and review of scheme management before Enabling Case could be considered.

Risk register updated by Davis Langdon and Everest

November

Full Business Case for enabling works was approved by North West London Strategic Health Authority.

Gateway review of Campus scheme.

The Chief Executive of St Mary's NHS Trust wrote to the Chief Executive of the NHS regarding who was the Accountable Officer for the scheme.

December

Joint Department of Health/HM Treasury/National Audit Office Review Steering Group commenced review.

2004

February

Interim findings of Joint Review reported orally to Campus partners. Work on OBC immediately stopped, pending decision on whether to proceed with project.

April

Campus partners agree new affordability and space constraints with commissioners, subject to 24 assumptions.

PDCL approached Campus partners identifying land on north of the Paddington Basin that scheme could use for more straightforward build. Campus partners received Departmental consent to explore this opportunity.

June

Joint Project Board noted the advantages of using north site and subsequently prepared the 2004 Outline Business Case.

July

Chief Secretary to Treasury approved one final attempt to make the project work, on condition that rigorous action was taken to address all of the problems identified by the Joint Review. Preparation of new OBC authorised by Department of Health.

September

Joint Review report published.

Strategic Health Authority installed as chair of the Principals' Group.

October

Westminster City Council planning committee notified Campus it would not approve Campus using both sides of the Paddington Basin.

Campus Principals' Group decided to exit the scheme, implementing a four-week timetable before a public announcement of the decision.

Westminster City Council offered the Campus partners part of its school site, which along with existing PDCL land, would allow the partners to build both hospitals on north side of the Basin.

December

Revised Outline Business Case was approved by the Campus partners and submitted to the Department by the Strategic Health Authority with caveats requiring funding support for land deal.

Affordability gap under Payment by Results of £9.8 million. Surplus of £4.4 million under existing funding regime.

2005

January

Campus partners prepared to cancel scheme in face of objections from Department of Health.

Department of Health no longer invited to Principals' Group.

February

Offer by Westminster City Council, to use the school site and procure land for the Campus from PDCL, was accepted as basis for Addendum to OBC.

March

PDCL terminated the Collaboration Agreement between the Campus partners and PDCL on 2 March 2005 because PDCL did not believe it was commercially sustainable.

May

Joint Project Board approved submission of Addendum to OBC to NHS Trust Boards and Imperial College's Council, subject to conditions yet to be agreed.

Surplus of £0.75 million under existing funding regime. Affordability deficit under Payment by Results of £2.8 million.

Royal Brompton and Harefield NHS Trust Board did not recommend Addendum to OBC.

June

Strategic Health Authority recommended cancellation of the scheme, withdrawal of the OBC and establishment of an independent review.

Scheme formally cancelled by Minister.