Key Facts of the West Middlesex PFI Deal

 

PFI deal as contracted

Conventional procurement alternative

Final deal cost at 2001 prices (discounted over 35 years to April 2001 and excluding clinical costs)

£125 million 35 years

£130 million 60 years

(Based on annual unitary payment of some £10 million)

£130 million  35 years 

£140 million  60 years 

(Risk adjusted)

Cost profiles

Annual unitary charge of some

£10 million plus refurbishment costs of

£12 million under separate arrangements.

Full capital construction and refurbishment costs of some £62 million (cash estimate) over first four years, followed by ongoing maintenance and ancillary services.

Risk allocation

  Remaining with public sector

  Passed on to private sector

  Clinical service provision; 

  Change in Trust requirements; 

  NHS specific regulatory/legislative changes.

  Construction Design (except changes due to external NHS requirements);

  Meeting specified performance standards and operating cost risk;

  Non-NHS specific regulatory/ legislative changes.

Most risks retained by the public sector.

Cost of advisers used in procurement

(actual prices)

£2.3 million

The Department has suggested a range of between 2 to 4% of capital value for schemes over £20 million. This would give between £1.2 million and 2.4 million in this case.

Original estimate of deal cost (based on 30 year contract):

  Invitation to negotiate (1998/99 prices)

  Selection of preferred bidder (February 2000 prices)





£91 million 


£95 million





£93 million 



£98 million

Trust's assessment of additional benefits of its chosen procurement over conventional procurement

Greater price certainty.

Incentivises contractor to complete development on time as full payment only starts once the building is ready for use and occupied.

Payment linked to delivery of service which incentivises the PFI contractor to deliver the quality of service which is specified over the contract period.

Same contractor designs, maintains and operates building under one contract and is therefore incentivised to adopt whole-life costing.

Cost overruns passed to public body.





Only recourse for poor performance is to terminate the contract which can also lead to payments from the Trust.

Design, maintenance and operation of building is dealt with under separate contracts.