Trust | Unitary fee at Financial Close £000s | Revised Unitary Fee £000s | % change | Reason |
Worcestershire Acute Hospitals | 19,399 | 22,280 | 14.9 | Additional services extended to Newtown Site, Additional Equipment and other design and building changes required by the Trust. |
Luton & Dunstable | 1,021 | 1,139 | 11.6 | Provision of an additional ward. |
Barking, Havering & Redbridge Hospitals | 31,003 | 32,653 | 5.3 | The increases were caused by: a new coronary care unit creating additional capacity for ITU & HDU beds; a 60-bed emergency ward as a reserve to accommodate future pressures on bed demand. Other minor variations such as increased cot space and an additional bunker for a linear accelerator. |
Norfolk & Norwich | 28,401 | 29,788 | 4.9 | Variations for provision of additional 144 beds; other variations including additional renal and cardiology facilities. In 2003-04 a refinancing of original deal led to a £1 million reduction to the Unitary payments for a 30 year period. Variations on soft FM services. The revised fee is 2005-06 forecast fee and includes indexation increases. |
St George's Healthcare | 7,327 | 7,629 | 4.1 | The increase was due to an additional cardiac theatre, 12 cardiac beds, hot laboratory and additional ITU pendants. |
Berkshire Healthcare | 4,020 | 4,151 | 3.3 | Contract variation to include relocation of Reading PCT intermediate care beds. |
Wandsworth PCT-Queen Mary's Roehampton | 9,700 | 9,840 | 1.4 | Variations for inclusion of a Burns Dressing Clinic, amendments to Trust Equipment Specification due to changes in technology (under Managed Equipment Service) and minor design changes. Figures are Trust estimates as the revised financial model has not yet been agreed. |
Northumbria Healthcare-Hexham3 | 4,193 | 6,773 | 61.5 | The third and final phase of the Hexham general hospital reconfiguration was always planned within the original business case and, whilst likely to proceed as a variation rather than a new PFI, is therefore not a conventional post-contract variation per se. The variation comprises a Primary Care Centre; an Education Centre; a 10 place assessment/ treatment unit to the Emergency Care Centre; a 30 bed in-patient ward; a Chronic Disease Treatment & Management Centre and a Laparoscopic Surgical Training facility. |
South Tees Acute Hospitals | 30,000 (first year's UP includes the variation. | 5.6 | £1.6 million variation for cardiothoracic facilities (wards and high dependency Unit). This was reflected in the first Unitary payment made by the trust. | |
Calderdale & Huddersfield4 | Non recurrent increase from 14,326 to 14,786 (see 4 below) | 3.2 | Cancer Unit. | |
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1. This information is collected from NHS Trusts.
2. The information above sets out the increased unitary payments (UP) arising from the provision of additional physical capacity (ie arising from a capital investment and associated facilities management costs-eg maintenance & cleaning). There are more instances where increased patient throughput, staff residences etc have led to an increase in the UP but these do not appear on this table but are presented to the HSC.
3. This proposed £25 million variation has yet to be approved by the Strategic Health Authority and the Department of Health's Capital Investment Branch. Quoted unitary increase is from existing forecasted payment in 2008-09 to fee once new phase is operational in the same year.
4. The new cancer unit, costing around 500k, was paid for by the Trust. However, Macmillan Cancer charity reimbursed the Trust for the capital cost of the cancer unit and there were no further services or service costs involved for the Trust.