The end of the road for money-making advice on Private Finance
Initiative schemes was signalled by the Government this week after
it was revealed the National Health Service has spent œ30
million on consultancy fees without a contract being secured.
Alan Milburn, Minister of State for Health, slated the current
system, commenting: "The Tories' mishandling of PFI in the NHS has
cost a small fortune. Not one major hospital has been built through
the PFI, yet taxpayers have footed a vast consultancy bill.
"The Government is committed to making PFI work so that new
hospitals get built," he said. "By cutting PFI red tape, we will
get NHS cash spent on patient services, not on exorbitant advisors
fees."
Milburn believes that a central advisory body within the Department
of Health could have provided the same advice much more cheaply and
promised action to streamline PFI red tape.
"We are considering ways of providing advice from the Department of
Health to enable trusts to handle PFI deals without employing
expensive external advisors to cover ground already covered in
other parts of the NHS.
"There should be no more reinventing of the wheel."
Milburn revealed that in two cases, Guy's and St Thomas' in London
and the Royal Berks and Battle, money totalling œ1.3 million
has been spent on PFI projects which will not now go ahead.
The œ30 million spent on consultancy is equivalent to the cost
of 45 large GP surgeries, 15 health centres with a range of primary
care facilities, 7,500 hip replacements or 2000 kidney
transplants.
The move was welcomed by Graham Watts, Chief Executive of the
Construction Industry Council, which represents professionals and
consultants.
"Milburn's proposal is very, very close to one of our
recommendations. Enormous amounts of money have been made on the
gravy train of advice. I don't blame anyone for that: it was a
legal requirement.
"It's definitely a good move to centralise the advice. It may not
speed things up that much, but it should lead to a consistency of
approach."
Richard Baldwin, Chairman of the National Contractors Group which
represents the largest companies within the Building Employers
Confederation, commented: "It is imperative that the new Government
takes action to ensure that the major hospital projects which we
have been negotiating over the last two years can finally go ahead.
"The legislation recently introduced into the House of Lords will
make it clear that NHS Trusts have the resources necessary to
conclude these deals."
The Bill, which will remove legal obstacles preventing deals from
being closed, had its second reading on Tuesday 3 June.