HL Deb 02 February 1999 vol 596 cc202-6WA
Lord Clement-Jones

asked Her Majesty's Government:

How many beds will be created by each hospital development in the Private Finance Initiative; and how many beds are in each of the hospitals which such developments will replace. [HL474]

Baroness Hayman

Figures are provided in the tables for all major schemes (that is those with a capital value of at least £25 million) that have been nationally prioritised, showing:

  1. (i) the current number of staffed in-patient beds;
  2. (ii) the number of staffed beds required following the strategic investment appraisal conducted for the Outline Business Case (OBC). These are the
English Schemes: First Wave (Prioritised in 1997)
Trust Total number of NHS beds at present Total number of NHS beds proposed in the OBC Total number of NHS beds provided by PFI solution
Norfolk & Norwich 955 809 (adjusted OBC) 809
South Bucks 577 537 537
Calderdale 796 614 (includes 20 day case beds) 1614
South Manchester 21,229 881 881
Wellhouse 3406 406 4459
Dartford & Gravesham 451 400 400
Worcester 483 390 390
Bromley 619 525 507
Swindon & Marlborough 608 513 5516
1 Final approved figure in FBC; differs from proposed figure of 573 which appeared previously in Hansard (18 December 1997, col. 330).
2 These are split across the two sites and include "traditional" in-patient beds in Mental Health and Elderly service.
3 520 beds before the (publicly funded) phase 1a of the redevelopment was completed.
4 This includes neonatal, intensive care and ITU/HD beds not included in the previous figure of 406 published in Hansard (18 December 1997, col. 330).
5 This does not include 34 day care beds and 25 beds which will continue to be provided at Savemake Hospital.

Trust Total number of NHS beds at present Total number of NHS beds proposed in the OBC Total number of NHS beds provided by PFI solution
North Durham 539 565 6477
Carlisle 467 474 7465
Hereford 414 340 340
South Durham (Bishop Auckland) 8308 9351 347
Greenwich 575 621 565
South Tees 1,051 10955 980
6 Final approved figure in FBC; differs from proposed figure of 454 which appeared previously in Hansard (18 December 1997, col. 330).
7 Final approved figure in FBC; differs from proposed figure of 474 which appeared previously in Hansard (18 December 1997, col. 330).
8 Reduction from 375 which appeared in the table in Hansard (18 December 1997, col. 330) to the current figure of 308 is due to the rationalisation of in-patient beds which occurred at the NHS Trust between August 1997 and July 1998.
9 Increase from 223 which appeared in Hansard (18 December 1997, col. 330) to the current figure of 351 is due to a revised OBC which includes elderly, maternity and special care beds which were to be retained at Bishop Auckland, 43 day care beds and 2 x 24 bed wards required to reprovide in-patient beds at Tindale Crescent Hospital.
10 978 in OBC but adjusted down to 955 following further review of service activity.

English Schemes: Second Wave (Prioritised in 1998)
Trust Total number of NHS beds at present Total number of NHS beds proposed in OBC Total number of NHS beds provided by PFI solution
Central Manchester/Manchester Children's1 1,215 (Figure not yet available)2 (Figure not yet available)2
Dudley Hospitals 932 773 773
West Berkshire (Fair Mile Hospital) 237 3203 3203
Newcastle 1,808 (Figure not yet available) (Figure not yet available)
Walsgrave 1,180 980 980
West Middlesex 400 400 400
UCLH 952 834 834
King's 795 4837 4837
St. George's 1,013 1,017 1,013
Royal Hospitals 1,004 1,200 1,200

Notes:

1 The PFI scheme is being developed jointly by the Central Manchester NHS Trust and the Manchester Children's NHS Trust. The figure given for bed numbers therefore refers to the total number of beds provided by the two trusts.

2 Review of organisation of children's services across Greater Manchester, which is still in progress, will influence the final figures for bed numbers.

3 The reduction in beds will see the balance of patients will be resettled into more appropriate community settings elsewhere within the county.

4 This figure includes 48 beds provided to take the Accident and Emergency work transferred to King's following the closure of Guy's A&E department.

NB Estimates for future bed numbers are still provisional at this stage in several cases and may change.

numbers of beds agreed as being necessary to meet the strategic health needs of the area; it makes no presumption as to the source of funding to meet this recruitment;

(iii) the number of staffed beds projected to be provided in a new hospital under the Private Finance Initiative solution.

As shown by the tables, there are no schemes with capital value of £25 million or more in Northern Ireland.

Scottish Schemes
Trust Total number of NHS beds at present Total number of NHS beds proposed in OBC1 Total number of NHS beds provided by PFI solution
Hairmyres & Stonehouse Hospitals 492 364 364
Law Hospital 703 636 636
Royal infirmary of Edinburgh 21,058 986 869

Notes:

1 None of these three schemes prepared Outline Business Cases (OBCs) since the projects were originally designed as publicly-funded schemes. Figures for this column have been taken from the nearest equivalent to the OBC in each case.

2 This figure includes 25 maternity beds that are due to be transferred elsewhere.

Welsh Schemes
Trust Total number of NHS beds at present Total number of NHS beds proposed in OBC Total number of NHS beds provided by PFI solution
Glan y Mor 723 734 734