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Few concepts in healthcare can arouse such passions as PFI. Hardly a month goes by, it seems, without policymakers and commentators questioning the effectiveness and value for money of the private sector getting involved in NHS business.

While there are undoubtedly some high profile examples of PFIs that have failed to deliver, with such unprecedented budgetary pressures facing the NHS, working in partnership with the private sector is very much a fact of life.

Trusts up and down the land face a daily battle to improve patient care and manage and improve ageing estates with significantly reduced budgets, all against the backdrop of tough government-imposed carbon reduction targets.

While chief executives could be forgiven for prioritising day to day clinical issues over longer term sustainability, the two are ultimately interlinked. Here in Somerset, we are taking the bull by the horns and embracing the green challenge head-on via an exciting new form of PPP, where the improvements are self-funding and the results, guaranteed.

Working with Schneider Electric, a global specialist in energy management, we have implemented the first guaranteed energy reduction project in the UK healthcare sector. This will free up £2.5 million for essential estate upgrades and save the hospital £17 million in reduced energy costs over 20 years – vital funds that can be ploughed straight back into patient care.

What makes this project stand out from more traditional forms of PPP is the fact that it is fully self-funding. The costs of replacing old energy inefficient infrastructure, equipment and the £2.5 million in essential estate projects are all financed by the fuel savings achieved, meaning there is zero cost to the taxpayer. Good news at a time when scrutiny of the public purse is intense.

Quite apart from the financial benefits on offer, the energy efficiency measures that are central to the project are striking. Over the course of the project, average energy consumption at our Musgrove Park site is set to be reduced by more than 40%, delivering a huge cut in carbon emissions of 43%. This, we believe, puts us among the best performing public sector organisations on carbon reduction in the UK.

What’s more, thanks to a long term performance guarantee clause in the project, if these ambitious targets aren’t met, the financial burden rests entirely with our private sector partner and not the trust – a further differentiator from more traditional forms of PPP.

It all adds up to a great deal for the trust and patients alike, delivering a cleaner, greener, safer and more sustainable clinical environment.

Looking to the future, with the combined energy costs of the NHS estate currently totalling over £500m and rising, the potential efficiencies that can be achieved by similar projects are significant. As such, we wouldn’t be surprised to see further Trusts following our lead in the near future.

Despite the manifold benefits of working with the private sector where costs are tightly controlled and results guaranteed, the negative connotations associated with PFI are unlikely to dissipate any time in the near future. Hopefully however, pioneering projects such as ours in Somerset will go some way to redressing the balance.

Written by Jo Cubbon
Thursday, 17 November 2011 11:11

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David Wathey, Head of Sustainable Procurement, Department of Health

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      AND access <= 1
  75. UPDATE `jos_session`
      SET `data` = '__default|a:7:{s:15:\"session.counter\";i:81;s:19:\"session.timer.start\";i:1330907045;s:18:\"session.timer.last\";i:1330917577;s:17:\"session.timer.now\";i:1330917592;s:22:\"session.client.browser\";s:89:\"Mozilla/5.0 (compatible; archive.org_bot +http://www.archive.org/details/archive.org_bot)\";s:8:\"registry\";O:9:\"JRegistry\":1:{s:7:\"\0*\0data\";O:8:\"stdClass\":0:{}}s:4:\"user\";O:5:\"JUser\":23:{s:9:\"\0*\0isRoot\";b:0;s:2:\"id\";i:0;s:4:\"name\";N;s:8:\"username\";N;s:5:\"email\";N;s:8:\"password\";N;s:14:\"password_clear\";s:0:\"\";s:8:\"usertype\";N;s:5:\"block\";N;s:9:\"sendEmail\";i:0;s:12:\"registerDate\";N;s:13:\"lastvisitDate\";N;s:10:\"activation\";N;s:6:\"params\";N;s:6:\"groups\";a:0:{}s:5:\"guest\";i:1;s:10:\"\0*\0_params\";O:9:\"JRegistry\":1:{s:7:\"\0*\0data\";O:8:\"stdClass\":0:{}}s:14:\"\0*\0_authGroups\";a:1:{i:0;i:1;}s:14:\"\0*\0_authLevels\";a:2:{i:0;i:1;i:1;i:1;}s:15:\"\0*\0_authActions\";N;s:12:\"\0*\0_errorMsg\";N;s:10:\"\0*\0_errors\";a:0:{}s:3:\"aid\";i:0;}}', `time` = 1330917592
      WHERE `session_id` = '7op7pud180fdav772gqv2ejns4'

32 Query Types Logged, Sorted by Occurrences.

SELECT Tables:
  1. 16 × select (b.id)id from jos_categories as a,jos_menu as b
  2. 8 × SELECT * FROM jos_categories
  3. 6 × select * from jos_content
  4. 6 × select (a.username)username,(a.email)email,(b.firstname)firstname,(b.lastname)lastname,(b.cb_org)cb_org,(b.cb_title)cb_title,(b.cb_jobtitle)cb_jobtitle,(b.avatar)avatar from jos_users as a,jos_comprofiler as b
  5. 5 × select * from jos_comprofiler
  6. 4 × SELECT extension_id AS "id", element AS "option", params, enabled FROM jos_extensions
  7. 2 × SELECT a.id as id,a.type as type,a.name as name,a.clickurl as clickurl,a.cid as cid,a.params as params,a.custombannercode as custombannercode,a.track_impressions as track_impressions,cl.track_impressions as client_track_impressions FROM jos_banners as a LEFT JOIN jos_banner_clients AS cl ON cl.id = a.cid LEFT JOIN jos_categories as cat ON a.catid = cat.id
  8. 2 × select id,title,catid,introtext,created_by from jos_content
  9. 1 × select * from jos_web_media
  10. 1 × SELECT m.id, m.title, m.module, m.position, m.content, m.showtitle, m.params, mm.menuid FROM jos_modules AS m LEFT JOIN jos_modules_menu AS mm ON mm.moduleid = m.id LEFT JOIN jos_extensions AS e ON e.element = m.module AND e.client_id = m.client_id
  11. 1 × SELECT * FROM jos_banners
  12. 1 × select * from jos_jcomments
  13. 1 × select * from jos_tag_term
  14. 1 × select * from jos_event_web as a inner join jos_web as b on b.id = a.webid
  15. 1 × SELECT id FROM jos_menu
  16. 1 × select (a.catid)catid,(b.level)level from jos_content as a, jos_categories as b
  17. 1 × select * from jos_web
  18. 1 × SELECT id, home, template, s.params FROM jos_template_styles as s LEFT JOIN jos_extensions as e ON e.element=s.template AND e.type='template' AND e.client_id=s.client_id
  19. 1 × SELECT * FROM jos_jcomments_setting
  20. 1 × SELECT m.id, m.menutype, m.title, m.alias, m.path AS route, m.link, m.type, m.level, m.language,m.browserNav, m.access, m.params, m.home, m.img, m.template_style_id, m.component_id, m.parent_id,e.element as component FROM jos_menu AS m LEFT JOIN jos_extensions AS e ON m.component_id = e.extension_id
  21. 1 × SELECT folder AS type, element AS name, params FROM jos_extensions
  22. 1 × SELECT * FROM jos_languages
  23. 1 × SELECT b.rules FROM jos_assets AS a LEFT JOIN jos_assets AS b ON b.lft <= a.lft AND b.rgt >= a.rgt
  24. 1 × SELECT * FROM `jos_jcomments_objects`
  25. 1 × SELECT count(*) FROM jos_jcomments AS c
  26. 1 × select * from jos_tag_term_content as a, jos_tag_term as b
  27. 1 × SELECT c.*,CASE WHEN CHAR_LENGTH(c.alias) THEN CONCAT_WS(":", c.id, c.alias) ELSE c.id END as slug FROM jos_categories as c LEFT JOIN jos_categories AS s ON (s.lft <= c.lft AND s.rgt >= c.rgt) OR (s.lft > c.lft AND s.rgt < c.rgt) LEFT JOIN (SELECT cat.id as id FROM jos_categories AS cat JOIN jos_categories AS parent ON cat.lft BETWEEN parent.lft AND parent.rgt
  28. 1 × SELECT a.id, a.asset_id, a.title, a.alias, a.title_alias, a.introtext, a.fulltext, CASE WHEN badcats.id is null THEN a.state ELSE 0 END AS state, a.mask, a.catid, a.created, a.created_by, a.created_by_alias, a.modified, a.modified_by, a.checked_out, a.checked_out_time, a.publish_up, a.publish_down, a.images, a.urls, a.attribs, a.version, a.parentid, a.ordering, a.metakey, a.metadesc, a.access, a.hits, a.metadata, a.featured, a.language, a.xreference,c.title AS category_title, c.alias AS category_alias, c.access AS category_access,u.name AS author,contact.id as contactid,parent.title as parent_title, parent.id as parent_id, parent.path as parent_route, parent.alias as parent_alias,ROUND( v.rating_sum / v.rating_count ) AS rating, v.rating_count as rating_count FROM jos_content AS a LEFT JOIN jos_categories AS c on c.id = a.catid LEFT JOIN jos_users AS u on u.id = a.created_by LEFT JOIN jos_contact_details AS contact on contact.user_id = a.created_by LEFT JOIN jos_categories as parent ON parent.id = c.parent_id LEFT JOIN jos_content_rating AS v ON a.id = v.content_id LEFT OUTER JOIN (SELECT cat.id as id FROM jos_categories AS cat JOIN jos_categories AS parent ON cat.lft BETWEEN parent.lft AND parent.rgt
  29. 1 × SELECT `data` FROM `jos_session`
OTHER Tables:
  1. 3 × UPDATE jos_banners SET impmade = (impmade + 1)
  2. 1 × UPDATE `jos_session` SET `data` = '__default|a:7:{s:15:\"session.counter\";i:81;s:19:\"session.timer.start\";i:1330907045;s:18:\"session.timer.last\";i:1330917577;s:17:\"session.timer.now\";i:1330917592;s:22:\"session.client.browser\";s:89:\"Mozilla/5.0 (compatible; archive.org_bot +http://www.archive.org/details/archive.org_bot)\";s:8:\"registry\";O:9:\"JRegistry\":1:{s:7:\"\0*\0data\";O:8:\"stdClass\":0:{}}s:4:\"user\";O:5:\"JUser\":23:{s:9:\"\0*\0isRoot\";b:0;s:2:\"id\";i:0;s:4:\"name\";N;s:8:\"username\";N;s:5:\"email\";N;s:8:\"password\";N;s:14:\"password_clear\";s:0:\"\";s:8:\"usertype\";N;s:5:\"block\";N;s:9:\"sendEmail\";i:0;s:12:\"registerDate\";N;s:13:\"lastvisitDate\";N;s:10:\"activation\";N;s:6:\"params\";N;s:6:\"groups\";a:0:{}s:5:\"guest\";i:1;s:10:\"\0*\0_params\";O:9:\"JRegistry\":1:{s:7:\"\0*\0data\";O:8:\"stdClass\":0:{}}s:14:\"\0*\0_authGroups\";a:1:{i:0;i:1;}s:14:\"\0*\0_authLevels\";a:2:{i:0;i:1;i:1;i:1;}s:15:\"\0*\0_authActions\";N;s:12:\"\0*\0_errorMsg\";N;s:10:\"\0*\0_errors\";a:0:{}s:3:\"aid\";i:0;}}', `time` = 1330917592
  3. 1 × UPDATE jos_content SET hits = hits + 1