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The Franchising of Hinchingbrooke Health Care NHS Trust
Great Britain: National Audit Office
其他書名
Department of Health
出版The Stationery Office, 2012-11-08
主題Medical / Public Health
ISBN01029804469780102980448
URLhttp://books.google.com.hk/books?id=Ay44vKwVaJIC&hl=&source=gbs_api
EBookSAMPLE
註釋Circle is the first private company to assume the management functions of an NHS Trust. This report examines how the NHS East of England Strategic Health Authority designed, initiated and managed the project to franchise Hinchingbrooke Health Care NHS Trust, and highlights early lessons that can be learnt. The Trust developed a cumulative deficit of £39 million between 2004-05 and 2007-08, on an annual income of around £73 million. This report finds that the Trust's performance against standards for cancer and accident and emergency waiting times has improved since the franchise began in February 2012. However, the Trust had generated an in-year deficit of £4.1 million by September 2012, which was £2.2 million higher than planned to that point. Circle plans to achieve £311 million in projected savings over the ten-year life of the franchise, which is unprecedented. However, Circle is not committed to delivering the proposed savings initiatives submitted during bidding, such as reducing the lengths of hospital stays. Most of the savings are expected to be made in the later years of the ten-year franchise. Although the Authority assessed the reasonableness of bidders' savings proposals, it did not fully consider the relative risks. However the agreement transfers all demand and financial risk up to £5 million to Circle. The Authority also rejected a guaranteed payment towards the Trust's cumulative deficit in favour of an ambitious bid that aimed to repay the debt in full. The cumulative debt stood at £38 million at the end of March 2012