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The PFI hospitals also have higher cleanliness scores than non-PFI hospitals of similar age, according to data collected by the NHS. [ 130 ] Jonathan Fielden , chair of the British Medical Association 's consultants' committee has said that PFI debts are "distorting clinical priorities" and affecting the treatment given to patients.
1 Powers of NHS trusts to enter into agreements (1) The powers of a National Health Service trust include power to enter into externally financed development agreements. (2) For the purposes of this section, an agreement is an externally financed development agreement if it is certified as such in writing by the Secretary of State.
In July 1997 a Private Finance Initiative (PFI) taskforce was established within the Treasury to provide central co-ordination for the roll-out of PFI. Known as the Treasury Taskforce (TTF), its main responsibilities were to standardise the procurement process and train staff throughout government in the ways of PFI, especially in the private finance units of other government departments.
By the end of 1995, 60 relatively small projects had been planned for, at a total cost of around £2 billion. Under PFI, buildings were built and serviced by the private sector, and then leased back to the NHS. The Labour government elected under Tony Blair in 1997 embraced PFI projects, believing that public spending needed to be curtailed. [16]
Continuing healthcare, though paid for by the NHS, is largely privately provided. NHS trusts spot purchasing from private providers, largely to meet NHS targets rose from £645 million in 2013-14 to £1.3 billion in 2018-19. In May 2018 private providers carried out 43,145 NHS day case electives and 7,720 overnight elective procedures.
Site work started the following day (12 January 1998). The project was the first large PFI hospital scheme in the NHS. In July 2000 approval was given to extend the Norfolk and Norwich University Hospital with a second phase that included an additional 144 beds and took the project cost to £229 million. [4]
The trust took on formal legal responsibility for the operation of the NHS Nightingale Hospital London, a temporary hospital set up at ExCeL London to treat patients during the 2020 COVID-19 pandemic. [6] On 11 January 2021, the Trust opened the NHS COVID-19 Vaccination Centre, Newham at the ExCeL London site. [7]
The name National Health Service (NHS) is used to refer to the publicly funded health care services of England, Scotland and Wales, individually or collectively. Northern Ireland's services are known as 'Health and Social Care' to promote its dual integration of health and social services.