It is in several parts. But first, some background:
At the Calderdale and Kirklees Joint Health Scrutiny Committee (JHSC) meeting on 21st October, the Monitor employee said that that Calderdale & Huddersfield NHS Foundation Trust needed to:
“maximise the value of the Calderdale Royal Hospital (CRH) PFI contract”.
Responding to this information, the JHSC Chair Cllr Elizabeth Smaje asked:
“Are Monitor looking at which site would be better for hot and cold services in order to maximise the value/ potential of the PFI site?”
The Monitor rep ducked the question by saying:
My questions are:
- How does the decision to make CRH the acute/emergency hospital maximise its value/potential? (Particularly since acute and A&E services are costly and ‘unprofitable’ and the elective care services are the ‘profitable’ bits of hospital services.)
- Was EY responsible for the financial modelling that identified how to ‘maximise the value/potential of the PFI site?
- If not, who was?
- Where are the documents that show this financial modelling?
- Where are the minutes of the meetings which discussed this financial modelling and, in the light of it, reached the decision to make CRH the acute/ A&E site?
- What weight did the CCGs assign to the issue of maximising the value/potential of the PFI site (CRH) when they decided to make it the acute/ A&E hospital?
- How much say has Monitor had in the decision to make CRH the acute/A&E hospital?
- Given that elective care is the most profitable hospital service, is it the intention that once the Huddersfield elective care centre is up and running, it will be sold off to a private provider, (such as Locala?)