A second independent sector diagnostic and treatment centre (ISDTC)
contract has fallen at the final hurdle, with preferred bidder
Anglo-Canadian Clinics kicked out of the race for being too
expensive.
The Department of Health's (DoH) decision to deselect
Anglo-Canadian as preferred bidder for the London ISDTC chain sent
shock waves through the PFI health sector this week.
This is the second ISDTC to run in to difficulties at preferred
bidder stage. In February it emerged that Tribal Group, a
consortium led by Mercury Health, pulled out as preferred bidder on
the £300m Spine chain of ISDTCs, after the DoH made radical
changes to the contract (CJ 25 February). The DoH has since paid
£2m towards the consortium's bid costs.
The London chain was due to start operating next April, providing
30,000 orthopaedic operations and general surgery at two London
hospitals in Ilford and Enfield and specialist surgery at the Royal
National Ear, Nose and Throat Hospital at King's Cross.
The DoH took this second setback in its stride. A well placed DoH
source said the government is totally committed to the ISDTC
programme and is planning to extend the capacity of the first wave,
as well as the second wave of ISDTCs, which has yet to be
announced.
The source told CJ that Anglo-Canadian's rates were "significantly"
higher than the NHS Tariff, adding: "These things happen. The other
Wave One contracts are progressing well. We are no longer operating
an on-the-spot purchase market, when we bought operations
piecemeal. Now we can exercise economies of scale and so we expect
very competitive prices."
Delays to the contract are now inevitable, since there is no
reserve bidder. The source said: "We may have to go back to the
prequalified list of bidders as the reserve bidder is no longer
with us." He declined to name the reserve bidder.
Industry observers were dismayed. One consultant said: "The NHS
Tariff is totally unrealistic. It is like comparing apples and
pears. Their problem is they pick up the marginal costs, ignore the
capital expenditure on maintenance and use low-fee management
costs. It is not a true reflection of costs."
One leading DTC contractor said: "I am surprised it has taken this
long for them to realise Anglo-Canadian's bid was too
expensive."
Another contractor added: "We understand the NHS kept squeezing
costs until Anglo-Canadian gave up and refused to go on."
Bowmer & Kirkland and Yorkon were part of the Anglo-Canadian
consortium. Neither was available to comment as CJ went to press.