RESOURCE – The ability to use various funding methods to support the development of a scheme.
SUPPORTED – Free support from the Department of Health from a dedicated team of Implementation Advisors (IA); also including free training, guidance documentation, template contracts and other tools. The IA will have an ongoing monitoring role to ensure project success.
ASSURED – PSCPs and supply chains are pre-vetted on appointment to Framework which complies with current government standards for construction procurement.
STRATEGIC – NHS Clients can aligning the delivery of their estate strategies with their P21+work and so create relationships with suppliers. As and when a project is initiated by a client, a supply chain is already on-site to provide feasibility, planning, costing and design advice.
The Client does not provide a long-term guarantee of work, but approves work to be done (initially identified in the scheme selection High Level Information Pack) as and when they need to, when funding is available, and if they are content that their PSCP is performing well. This arrangement is compliant with the Public Contract Regulations and provides maximum flexibility for Clients.
Key aspects of P22
P22 will continue the excellent work of P21+ by working alongside the PSCPs and delivering the following strands of work:
Cost Efficiency Savings enabling the NHS to deliver the cost efficiency savings required through best use of the financial resources available for capital investment.
Implementation of Building Information Modelling software on all P22 schemes.
The development of standardised products, designs and repeatable rooms with bulk buying solutions. Sharing of designs and other design information through a centralised database under the NHS Royalty-Free Licence.
Through collaboration with the NHS and Supply Chains (PSCPs and Supply Chain Members) further develop the P21+ Repeatable Rooms and Standard Components.
Include access by Social Care Clients in line with DH Policy.
Key Value for Money benefits of the P22 framework are:
Ability to respond to the emerging Clinical Pathway design requirements, be future ready & provide for flexible service models (briefing tool available)
Efficient & economical management control of change mid-process.
Fast track start without OJEU or legal fees being incurred.
Ability to achieve programme delivery to schedule.
Cost certainty in advance of construction (and contract engrossed).
Reduced risk of clinical incident & minimal clinical impact.
Reduced risk of H&S failures impacting on Patients, Visitors, Staff or Contractors.
No litigation on P21 or P21+.
Access to earlier designs (Royalty-free access).
Competitively tendered rates and margins as agreed at the outset of the P22 Framework, covering rates and margins as agreed at the outset of the P22 Framework covering:
Profit
Overheads
Training and Development
Insurance
Launch Workshop
Senior personnel
Administration
Management Supervision
Head Office Communication
VAT Recovery including:
A free service
Costs associated with scheme administration (this element of PSCP fee recoverable)
PSCP gain share (recoverable)
Speedy notification (at commencement of stage 4 (Construction)) enabling contribution to current scheme if required
Mandatory DH supported selection process for appointment of PSCPs.
Mandatory use of P22 joint risk management tool.
Gateway authorisation at each stage controlling exposure, without termination penalty SOC – FBC.
Structured approach to cost management
Validation of budget within 4 weeks of appointment
Monthly updates on forecast out-turn throughout
Target cost for each stage (stages 1–3 pre-construction and stage 4 construction)
Restrictions to the schedule of cost components
Well drafted contract enabling clear approach to disallowable cost
Robust management of risk (process from outset)
Procurement strategy agreed with NHS PM
Client PM and CA involved to the extent they require
Open Book process
Robust Audit and Governance
Ongoing training to the Client and stakeholders covering
P22 Introduction
Managing Pre-construction Stages
Commercial Management
Small Works
NEC3 Contract
All supported by DH and provided free of charge.
Monthly Monitoring System in place enabling early identification of difficulties.
Defect free delivery (contract change enabling defect free delivery).
PSCP post GMP re-tendering without change in specification, 100% benefit to the employer (reduces GMP).
PSCP gain share 50% on a range 95% – 100% of GMP (effectively caps at 2.5%).
PSCP pain share remains at 100% (cost over GMP to PSCP).
Expenses limited to DH/NHS levels (i.e. travel and accommodation).
Anti-apathy clause – no PSCP redress if CE not notified within the current assessment period.
Anti-dithering clause – PM to do what he should do when he should do it.
DH support to project conclusion
P22 is flexible enough to deliver the optimum service environment with whatever the NHS’s Value for Money determinants may be, versus lowest possible cost, highest quality, fast track delivery or any combination of these and more.