Transferring ProCure 21 to the private sector is one of a number of
options being considered following the abolition of NHS
Estates.
CJ has learned that Department of Health (DoH) officials are
looking at ways of transferring ProCure 21 to the private sector,
as part of a drive to cut the cost of the department's Arm's Length
Bodies (ALBs) by £500m during the next three years.
One source told CJ: "There is a move to outsource as many civil
servant functions as possible, so that they are no longer on the
government's books. One way is to put these ALB functions into
not-for-profit companies."
The government's recent report, Reconfiguring the Department of
Health's Arm's Length Bodies, which revealed the abolition of 18
ALBs, including NHS Estates, recommends a number of private sector
models to which centralised NHS services could be
transferred.
These include the NHS Foundation Trust model, companies limited by
guarantee and community interest companies (CICs).
The report states: "These models combine commercial discipline with
public sector safeguards and can be operated within a framework of
standards and inspection."
Observers say if ProCure 21 is privatised, it would probably be in
the form of a CIC. The DoH report says: "CICs are intended for
social entrepreneurship, but it is possible that the NHS or the DoH
could contract with a CIC for the delivery of certain
services."
Specialist Engineering Contractors' Group chief executive Rudi
Klein said any plan to outsource ProCure 21 to the private sector
would be a disaster.
"There is not one example of a good government initiative being run
well in the private sector. This programme must be kept intact,
kept in the public sector and kept fully resourced."
Lord Warner, DoH parliamentary under secretary, has written to both
Klein and Be chief executive Don Ward in response to their concerns
about ProCure 21.
The letter acknowledged the initiative "has achieved a huge amount
since it was launched", added that the government is "keen to
encourage construction framework initiatives", but said "precise
details of the way the new structures will unfold" cannot be given
yet.
In a letter responding to these points, Ward called for the DoH to
raise its game. He wrote: "Our ambition for ProCure 21 is far
greater - the opportunity is for world-class facilities that enable
far superior quality of patient care, delivered ever-faster and at
ever-lower costs.
"ProCure 21 has the potential to achieve this, more so than any
other approach, but only if it is managed in a first-class way.
Thus I can add my voice to the calls of other industry
organisations to retain ProCure 21 as part of an NHS Estates
function within the Department of Health."
Klein's response to Lord Warner's letter stated: "I must press you
for assurances that the current resources available to ProCure 21
will continue to be made available."
Last month, Klein and Ward warned against NHS Estates being
absorbed into a general NHS procurement unit (CJ 25 August), saying
it would endanger the achievements of the ProCure 21 initiative.