FINANCE & LEASING SERVICES
haven’t gone away. So, what the public-private model has shown is that the NHS has got the skills it needs to deploy – and those re- late to clinical services and what services should be provided from where – and the private sector has got skills in being able to deliver buildings on time, on cost.
“If you marry those two up, the ul- timate beneficiary is of course the NHS.”
Patchwork
The LIFT model doesn’t cover the whole of England, and doesn’t ex- tend to Wales and Scotland at all – and Pokora thinks the reforms have helped kill off any prospect of further extension of the model for now, due to uncertainties around organisational structure.
He explained: “There are still parts of England not covered by LIFTCos. I think that would have changed by now, but obviously a
want to see made, explaining: “I don’t think there are any amend- ments to the Bill itself we’d want to see. The Bill focuses more on the overall organisational structure of the NHS and how healthcare is go- ing to be commissioned, delivered and managed, and within that framework, LIFTCos will operate.
“But they’ve already demonstrated that they aren’t just healthcare bodies. The fact that LIFT was set up by the Department of Health does mean some people think they’re just health structures, but in reality the original OJEU adver- tisements that appeared were very broadly drafted to cover health, lo- cal authority services, education, and so on. There are examples, many up and down the country, where local authorities have used the LIFTCo to deliver services, be it leisure, education, libraries; I think even more use of that will be made in the future.”
What about the role of the LIFT
year ago when the Government came into power and made such profound statements about the demise of PCTs, then frankly the moves that were being made to broaden LIFT into non-LIFT ar- eas stopped overnight. That was understandable, because if a PCT doesn’t exist then you really can’t start off at that point in time say- ing you want to enter into a 20- year arrangement with an entity if you know you’re going to be wiped from the surface of the organisa- tional structure of the NHS within two and a half years.”
On the Health & Social Care Bill it- self, however, still winding its way through Parliament as NHE went to press, he said its focus meant there weren’t amendments he’d
Council itself in the future?
Pokora said: “We already repre- sent about 95% of the industry, so there’s not much scope for increas- ing that! We do basically cover the entirety of the private sector com- panies that are involved in LIFTs. So, I think our role will continue to be to promote the model and to demonstrate how it can assist the public sector to deliver what it has to deliver.
Visit
www.theliftcouncil.org.uk David Pokora
“Some of that will be delivered with a restricted or a reducing budget.”
FOR MORE INFORMATION national health executive Sep/Oct 11 | 45
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