2015 Report details for project: Royal National Orthopaedic Hospital NHS Trust PFI Project

Project name: Royal National Orthopaedic Hospital NHS Trust PFI Project - there are 3 reports for this project: 2013, 2014, 2015
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Organisation: DOH (D12) - see all reports for this organisation
Report year: 2015 (data is from Sept 2014)
Category: Infrastructure - see all reports for this category
Description: The Trust is the largest specialist orthopaedic hospital in the UK and continues to be regarded as a world leader in the field of orthopaedics despite its ageing and dysfunctional site. The proposed facility has a capital value of approximately £40m and will include a mixture of approx 100 inpatients beds (Adult Acute and Children and Young People's Services); - Therapy areas for both inpatient service areas; - A new main entrance; - Inpatient and complex imaging. The new Healthcare Facilities will deliver improvements to clinical adjacencies, forming a main entrance 'hub' in the centre of the existing site, thereby commencing a process of site rationalisation that will deliver improved patient outcomes including: Improved privacy and dignity for patients as the project will deliver 50% single rooms for adults; Improved utilisation of beds as the single sex agenda and infection control will be easier to manage; Improved access to Imaging as the department will be planned to meet current and future activity and changes in technology; An attractive and modern environment to attract and recruit world-class professionals to train and work at the Trust;
DCA (RAG): Green
DCA text: The MPA RAG rating was Green at Q2 2014. The Trust confidence assessment was originally well founded as its OBC was agreed by the DH and HMT. It has subsequently had issues to resolve regarding affordability due to externally driven financial pressures e.g. tariff reviews and increasing Quality Innovation Productivity and Prevention (QIPP) demands. This led, in conjunction and agreement with the NHS Trust Development Authority (TDA), to the project being appropriately downsized to help mitigate the affordability position.
Start date: 2011-01-15
End date: 2016-11-28
Schedule text: There has been a change in the schedule timetable since the Q2 2013/14 return, primarily because the scheme has been on hold whilst affordability was reviewed. This has led to the procurement route being altered from PFI to non-PFI, with a revised OBC currently being prepared for issue to the TDA by end January 2015. Currently, the contract is scheduled for financial close July 2015, compared to November 2014 reflected in the Q2 2013/14 return. Construction completion is now scheduled for March 2017, compared to previous milestone of Sept 2016.
Baseline: £0.00m
Forecast: £0.00m
Variance: 0.00%
Variance text: Budget variance less than 5%
Whole Life Cost: £53.54m
WLCost text: i) The current whole life scheme costs of £53.54m include upfront capital costs of £40.5m, along with £13m relating to a Hard FM service provision over a 30 year period; ii) The costs have been calculated by the Trusts' Quantity Surveyors and are confirmed as accurate; iii) There has been a change in the figures since the Q2 2013/14 return, primarily because as at Q2 2013/14, the scheme was still a PFI procurement based on a £55m capital cost. The overall costs of the scheme at that stage were recorded as £208.79m and included the cumulative total of the PFI Annual Unitary Payment (AUP) over a 30 year period, with the AUP including elements covering debt repayment, interest payments, Hard FM, lifecycle, insurance, bid costs and management/administration costs.
Notes1: Royal National Orthopaedic Hospital (RNOH) NHS Trust PFI Project DOH CAPITAL
Notes2:
Sourcefile: IPA_2015.csv

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