The PAC report (HC 131, 12th Report 1999-2000)

4  The PAC's key conclusions and recommendations were:

a  The NHS failed to estimate correctly the costs of this long-term contract.

b   Value for money comparisons must be rigorously checked

c  Departments must understand the full range of risks and potential rewards available to the private sector when negotiating contracts

d  The NHS must use its experience of the PFI to drive down advisers' costs.