Carillion Government Services

1. Total Facilities Management Services Provider at The James Cook University Hospital Robert Stonier, General Manager Rachael Askew, Operations Manager Carillion Government Services

2. "Does onerous contract monitoring actually deliver extra value or is it just an expensive overhead?"

3. Total PFI FM Delivery Mixed delivery with ‘public – private’ approach Total NHS delivery using directly employed labour How Does Monitoring Differ Between:

4. What Does Contract Monitoring Mean To You?

5. What Monitoring Means to Carillion as a PFI Contractor

6. Self Monitoring Trust Monitoring SPV Monitoring Monitoring by Outside Organisations Monitoring Sources of PFI Contract

7. Monitor Service Standards e.g. cleaning C4C system Patient Surveys Hand Hygiene Audits Waste Audits Health & Safety e.g. Stop Shift Audits Statutory Compliance ISO Internal Compliance Audits Self Monitoring

11. Demonstrates “Due Diligence” Gives an indication of customer satisfaction Performance against nationally recognised standards Identifies best practice, poor performance and areas for improvement Identifies changes in client’s working practices and highlights deviation from client’s policies by both provider and client What Does This Achieve?

12. Informed Client Clinical Matrons Ward / Departmental Managers & Sisters Infection Prevention and Control Dieticians – Nutritional Standards, Essence of Care Monitoring Officers Statutory Compliance e.g. legionella, fire safety Trust Monitoring

13. Quality standards against output specification Contractual Compliance Legislative Compliance Monitoring against 149 Key Performance Indicators Carillion contributes to external monitoring of SPV e.g. by project funders SPV Monitoring

14. Drives the Payment Mechanism Enables both Trust & SPV to demonstrate external compliance Improves service delivery? e.g. monitoring of clinical areas Raises standards? Too sporadic and lacking in objectivity and knowledge / understanding to produce qualitative reports. Managing expectations e.g. 2007 National Cleaning Standards Creates additional workload for ALL What Does This Additional (Onerous?) Monitoring Achieve?

15. Includes: Quality Care Commission PEAT ISO9001, ISO18000, ISO22001 Environmental Health Fire, HSE Environment Agency Monitoring by Outside Organisations

16. "Does onerous contract monitoring actually deliver extra value or is it just an expensive overhead?" From a PFI service provider’s perspective we believe that it offers some benefit however elements can be onerous and detract from the main focus of delivering a quality service to the Trust and its patients and this all comes at a cost to provider and client alike.