Part 1 This 35-year deal meets expected local needs with some flexibility to address inherent uncertainties in wider long-term NHS plans

1.1 The 35-year PFI deal for the redevelopment of the West Middlesex Hospital is for new buildings and facilities management and maintenance services for all of the buildings on the site (which includes some being refurbished under separate arrangements). Difficulties in long-term planning for healthcare arise at all levels in the NHS but the local Health Authorities and the London Regional Office (LRO) are content that this deal, which includes some flexibility, will meet current and anticipated local needs.

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The project addresses the current situation at West Middlesex which is unsatisfactory
The local Health Authorities approved the business case for the project although there are inherent uncertainties in their long-term plans
Despite the lack of a cohesive long-term plan for West London the NHS considered this project appropriate and sufficiently flexible to meet local needs