Speeches by Fenton-Glynn.

“When I look back at my days as a councillor, that feels like the kind of thing you would do for a few years and then, after a while, an officer would say, “We could also look at the rents again and see whether we could bring them into line.” How secure are they? I do not mean for you specifically, but that does not fee…”

“Is there a governance arrangement that people think would work better to allow the health service, local authorities and VCSE organisations to share space better?”

“We are moving towards the One Public Estate model, which helps to support integration. How does it work? Does it have potential?”

“I am a recovering local government cabinet member, so I understand that well.”

“That is quite something, because you would expect the health service to understand the imperative. You have the asset there and you would think the NHS would fill it.”

“You keep using the phrase “community-led spaces”; could you define that?”

“Sam, you look like you are itching to get in.”

“Would you incentivise individual GPs, or GP practices?”

“I am going to talk about NHS Property Services. The BMA has reported that 65% of NHS Property Services tenants reported inaccurate charging. The Royal College of General Practitioners has said that the unsustainable costs and the unpredictable rent increases and services charges have forced people to reduce capacity or…”

“Where is the financial risk for neighbourhood estate projects currently being held? Is it being held in the right place? Bill might be best placed to answer.”

“Is it a particular LIFTCo problem, or is it a general issue that public-private partnerships are just not flexible enough as a model?”

“You have highlighted your desire to do more with some of the centres—turn them into neighbourhood health centres and make sure that they are not underused. What would be the best way to enable that? How could we best bring into use some areas that are not being used?”

“A 2009 article in the Journal of Risk and Governance, which I do not expect you to have read, said: “If there is significant change in a product or service originally specified,” then under the terms of the contract, “the supplier may see this as an opportunity to increase their revenue” and “lock the health service…in…”

“I am going to ask about the way the contracts are structured to understand where things have gone wrong. If we are going to look at new endeavours like this, we need to make sure we start from the right basis. Rob, in the Committee’s evidence session with Lord Hutton, I leant quite heavily on Todmorden health centre in…”

“I think I have a meeting coming up with your team on the specifics, but understanding how we got there with the problems is really helpful for looking to the future. Thank you very much for that.”

“I would like to observe that Rob did very well in answering about my constituency and Layla’s constituency. I hope he buys whoever briefed him a drink afterwards.”

“How significant will the transfer of NHSPS properties to trusts be, in terms of neighbourhood health?”

“There were staggering bits in the briefing for this session about GPs taking out personal loans and so forth. None of this is how you would design the system if you had a blank sheet of paper. If you were going to design a system for the NHS estate, how would you do it?”

“Can you explain the words “rental reimbursement to flow through that contract structure”?”

“If we are going to build and create new assets for neighbourhood health, which may be part of it, do you think that there is an impetus for organisations like yours to show you can be flexible with the estate we have and seek to be more flexible in future?”