Tony Blair has often said that he wants his legacy to be public sector reform. Key to this is the building of new schools and hospitals. But is Labour succeeding?
Schools
What they promised last time around:
650 schools rebuilt or renovated by 2004
Target achieved?
No 鈥 430 have been completed on time, the rest are part of the 鈥PFI 辫颈辫别濒颈苍别鈥
Labour鈥檚 spending plans for education have been the key domestic focus of this government since it was elected in 1997. In the first term it was concerned with 鈥渟oft鈥 areas, such as decreasing the number of pupils in a class. Having inherited a school building budget of less than 拢700m, it only increased this to 拢956m by 2000/01.
In the second term the focus shifted, as it promised to rebuild 650 schools. To achieve this, it more than doubled the Department for Education and Skills鈥 capital spend to 拢2.2bn in 2001/02. By next year it will have broken the 拢5bn barrier.
Money isn鈥檛 everything, though, and the government fell well short of redeveloping the 650 schools within its self-imposed three-year deadline. Instead, it fudged the results: 430 were completed, and the remainder were in the 鈥淧FI pipeline鈥. The government line was that redevelopment had started on 650 schools.
In truth, it has been difficult to judge exactly how much work the government has done. The DfES does not keep tabs on what local education authorities do with the capital spending they are allocated. Therefore, although the department believes that repairs to 7000 schools have been made in the past year, it cannot verify this.
The need for these repairs was established by a survey of LEAs in May 2003. It suggested that the backlog of needed repairs stood at 拢7产苍 in 2001, but had escalated to 拢8产苍 three years later. Allan Wilen, economics director at the Construction Products Association, says this increase could have simply been because Labour had raised the stakes. 鈥淧erhaps in the 2001 survey, expectations were less,鈥 he says.
Key stats
拢7产苍
Estimated backlog of school building repairs in 2001
拢8产苍
Estimated backlog of school building repairs in 2004
Wilen also argues that despite some of the problems, the flow of work in education 鈥渉as been good and strong鈥. And it will get better and stronger, with the 拢2.2bn-a-year secondary school programme, 好色先生TV Schools for the Future, due to formally start this year. Some 鈥渜uick fix鈥 money has already been made available to set up pilot schemes.
The one fear is that this programme will take a good 12 months to get into full swing. Andy Sturgess, main board director at contractor Galliford Try, warns that, as the latest wave of PFI work is coming to an end, there could be a lull in construction activity between now and the BSF launch: 鈥淭he last PFI schemes have already reached advanced phases in the tender process. I鈥檓 wondering if there is going to be enough throughput for a little while 鈥 I鈥檓 hoping that there isn鈥檛 going to be a lag in activity.鈥
There have already been some problems. Whitehall mandarins moan that they needed at least 12 months more than the two years the then schools minister David Miliband gave them to set the scheme up. The hectic timescale has led to some confusion, with contractors complaining that they don鈥檛 understand how the system works. Local authorities have exacerbated the difficulties, asking for 80% of the work to be done through the PFI. There were simply not enough credits available for this, and it has been a tortuous process to get authorities to scale down their ambitions to a more manageable 50%. Added to this, there is now confusion over how the new local education partnerships system 鈥 which splits the financing three ways between local authority, private sector and Partnerships for Schools 鈥 will work.
Another major problem was the leadership of Partnerships for Schools, the quango that now runs BSF. The body鈥檚 original chief executive, ex-Amey man Robert Osborne, quit last February. Officially he felt that he had completed his job setting the body up. Some close to him suggest that it was in fact because he found the department鈥檚 involvement 鈥 DfES holds a 50% stake in the quango 鈥 鈥渟tifling鈥.
Delays to the announcement of pilot schemes were inevitable when at least two candidates to succeed him pulled out at the last minute. In the end, the acting chief executive, Robert Osborne, stayed on and led the drive to get local authorities to lower their PFI demands. Not that the PFI is necessarily the best route for public services anyway 鈥 an RICS survey overleaf suggests that surveyors have found the cost and duration of the PFI process to have increased since 1997, probably due to increased legal and financial regulatory burdens.
Key stats
拢683尘
Capital investment in schools 1996/97
拢5.1产苍
Spend in 2005/06 (including PFI expenditure)
But the DfES now seems confident that the scheme will fly. It has allowed the civil servant in charge of the programme, Peter Stanton-Ife, to leave to secure more lucrative work in the private sector with Ernst & Young, and hasn鈥檛 directly replaced him with someone wholly dedicated to the secondary schools programme. Instead it has set up a capital investment team to handle both BSF and the government鈥檚 recently-announced primary school rebuilding work.
Two years ago a leading civil servant told 好色先生TV: 鈥淗aving secured funding, there is a realisation that we need to put ourselves in a position to deliver. There is a desire not to waste this opportunity.鈥 On the whole, the government hasn鈥檛.
What they鈥檙e promising this time:
I鈥檓 wondering if there is going to be enough throughput for a little while 鈥 I鈥檓 hoping that there isn鈥檛 going to be a lag in activity
Andy Sturgess, Galliford Try
Rebuilding of every secondary school in the future over 10-15 years 鈥 initially at 拢2.2bn a year; 拢9.4bn over the next five years to be invested in new primary schools and redevelopment.
Hospitals
What they promised last time around:
100 new hospitals by 2010
Target achieved?
Debatable 鈥 31 schemes started in 2001/04. The aim was 46, although the definition of 鈥榟ospital鈥 appears to have changed
The state of the NHS has been a thorn in the side of practically every government since the post-1945 Attlee administration set up the main structures of what became the welfare state. Unsurprisingly, the current government attacked the state of hospitals in 1997 鈥 one of its five key pledges was to 鈥渋ncrease spending on the NHS in real terms every year鈥 鈥 and has spent the second term desperately trying to defend the progress it has made.
The big pledge for its second term was to build 100 hospitals by 2010. Last weekend, health secretary John Reid trumpeted how well Labour was doing on major hospital schemes, arguing that 16 worth more than 拢50m are already operational. He compared this with the mere two that the Tories built under the premiership of John Major.
Whether or not it is performing better than the Tories, it cannot be certain if Labour is really meeting its pledge. The Construction Products Association estimates that nine starts per year are necessary to reach the 100 target. Moreover, Morton Hall, head of PFI health at KPMG, says that there seems to have been 鈥渁 lull in an announcement of new deals鈥. This could suggest that Labour is falling behind its 2010 target.
Key stats
20
Number of new treatment centres promised by 2004
26
Number of new treatment centres completed by 2004
22
Number under development
Yet senior officials at the Department of Health have told 好色先生TV that they could be about a year ahead of schedule. If this seems odd, it is because the definition of what a 鈥渘ew鈥 hospital is has been malleable. Whereas in the past it has been assumed that Labour was talking about major work, be it whole new hospitals or vast extensions, worth 拢25m or more, the lack of definition could allow ministers to scale down their ambitions. As one senior official concedes: 鈥淚t is not clearly defined 鈥 they are simply defined as 鈥榤ajor redevelopments鈥.鈥
It seems that many of the new hospitals will be clinical centres, with smaller capital costs. Perhaps it is unsurprising that the government is turned off larger schemes, which are procured through the PFI. The heavy delays and potential scrapping of the 拢800m Paddington hospital in west London has been a huge embarrassment, and major contractors are considering exiting a market that can cost them anything up to 拢25m in failed bid costs. The 拢300m Plymouth hospital has been so unpopular that it is left with only one bidder. Like Paddington, this means it faces an uncertain future as there need to be at least two bidders to meet European Union competition regulations.
Key stats
拢1.34产苍
Capital investment in hospitals 1996/97
拢3.38产苍
Capital investment in 2004/05
Still, Reid is keen to point out that Labour鈥檚 record on hospital capital expenditure outstrips the Tories, the government having spent 拢3.4bn in 2004/05 compared with 拢1.3bn in the last year of the previous administration. On the campaign trail, Reid says: 鈥淚t speaks volumes for the neglect of the NHS under the Tories that by the mid-1990s, almost half of all NHS buildings were older than the NHS itself. [Under Labour] that figure has already been halved.鈥
Perhaps. But this has not stopped contractors from moaning about certain key initiatives. Procure21 has received the most groans. The scheme is the NHS鈥 flagship procurement framework for work valued at more than 拢1m. Contractor Pearce left the framework last year, over frustration at the lack of work coming through. In its defence, the programme鈥檚 manager, NHS Estates, argued in October that Procure21 exceeded its five-year turnover target of 拢1.2bn after one year.
Contractors remain unconvinced. Earlier this month the chief executive of one of the 11 remaining contractors wrote to the government seeking confirmation that the scheme has a future after the election. The letter, from Kier boss John Dodd, expressed fears that this month鈥檚 abolition of NHS Estates would endanger the scheme.
What they鈥檙e promising this time:
The target for 100 new hospitals remains, with an additional 50 鈥渃ommunity鈥 hospitals announced last week by health secretary John Reid.
Schools & hospitals: Election Battleground no2
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