Most private finance initiative (PFI) hospitals in the UK are well-managed and are currently achieving the value for money expected when their contracts were signed, a National Audit Office (NAO) report has found.

According to the report, most contracts are performing satisfactorily or better and meeting the expectations of National Health Service trusts.

The cost and performance of services such as cleaning, laundry and portering in PFI hospitals are similar to those provided in non-PFI hospitals, although catering was found to be slightly cheaper in PFI-run medical centres.

The report also found that hospitals with PFI buildings spend more money on annual maintenance costs to maintain high standards in the hospital.

It said that most trusts are managing their PFI contracts well day-to-day and understand the risks to value for money, but some are not dedicating enough resources to managing PFI contracts.

Amyas Morse, head of the national audit office, said: “Trusts will need support from the Department of Health in the longer term to make sure that the current good performance is maintained, that efficiencies are sought and that an appropriate share of benefit comes back to the public sector.”

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