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PFI firms 'fleecing NHS'
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15 January 2007
But the public sector's gain from the refinancing deals has fallen around £100m short of Government predictions, said the report from the House of Commons Public Accounts Committee.
The committee warned that negotiations on PFI projects were left in the hands of local government officials who were "often painfully lacking in commercial experience" and urged the Treasury to take final responsibility for approving sensitive refinancing deals.
Doctors' representatives said the report showed how PFI was allowing private companies to "fleece" the NHS and said they would urge Tony Blair's successor to scale down its use.
But PFI was defended by the Treasury - which said taxpayers had made "significant" gains from a new system for sharing benefits from refinancing deals - and the Confederation of British Industry, which said refinancing was an "efficient, market-driven mechanism".
The report highlighted deals which have allowed PFI investors in projects such as the Norfolk and Norwich Hospital, Bromley Hospital in Kent and Debden Park School in Essex to increase the rate of return on projects from around 15%-30% to 60%-70%.
The chairman of the British Medical Association's consultants' committee, Dr Jonathan Fielden, said: "This report confirms what the BMA has been saying for many years - that PFI is an expensive way of borrowing money which stores up debts for the future and drains funds away from the NHS into the pockets of the private investors.
"We can see just how damaging this is as so many NHS trusts are currently crippled with debts and are struggling to meet PFI repayments. This is already directly affecting patient care."
Liberal Democrat Treasury spokesman Vince Cable said: "This report highlights all too clearly the lack of commercial awareness of public sector organisations negotiating PFI deals, and the result on the public purse."
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