£217m for operations that never happened

Under “take or pay” contracts, the NHS allotted private providers a set sum at the beginning of each year, in order to complete a fixed number of operations in health clinics run under its Independent Sector Treatment Centre, ISTC, scheme.

But the Bureau has found that of the 31 first wave treatment centres, just four were performing all contracted operations. In contrast, nine performed less than 75 percent. In total, the government paid £217m for operations that never happened.The table below shows the amount overspent for each treatment centre.

Annex 1- Wave 1 ISTC Programme
All data obtained through FOI and Hansard
Contract Also known as Provider Contract start date Total Contract Value Total Contract utilisation Under utilisation (estimate)
LP8 Manchester Greater Manchester Surgical Centre Netcare 20 May 09 £86,324,000 56% £37,671,794
GC7 North East London North East London NHS Treatment Centre PHG 2 Jan 11 £109,989,000 71% £32,083,791
GC5E QMC (Nottingham) Nottingham NHS Treatment Centre Nations 2 Aug 12 £210,445,000 95% £10,753,740
GC8 Portsmouth St. Mary’s NHS Treatment Centre Care UK 2 Dec 09 £66,757,000 69% £20,694,670
LP3 Burton Midlands NHS Treatment Centre Nations 11 Jul 10 £78,188,000 65% £27,357,981
GC4 Noxf (North Oxford) Blakelands NHS Treatment Centre(1) Ramsay 2 Aug 10 £78,772,000 78% £17,298,331
GC8 Medway Will Adams NHS Treatment Centre Care UK 2 Oct 09 £27,398,000 96% £1,087,701
LP4 Barlborough (Trent & South Yorkshire) Barlborough NHS Treatment Centre PHG 2 Apr 09 £98,967,000 87% £12,737,053
GC4 Sth (Southampton) Capio New Hall NHS Treatment Centre Ramsay 2 Apr 09 £41,840,000 63% £15,669,080
GC4 EC (East Cornwall) Bodmin NHS Treatment Centre Ramsay 2 Oct 09 £25,543,000 61% £9,859,598
GC5W CM (Cheshire & Merseyside) Cheshire and Merseyside NHS Treatment Centre Interhealth 2 Jun 10 £112,798,000 100% £0
GC4 NEYNL (North East Yorkshire
& North Lincolnshire)
Clifton Park NHS Treatment Centre Ramsay 2 Jul 09 £43,032,000 141% -£17,582,875
GC5W Kidderminster Kidderminster NHS Treatment Centre Interhealth 2 Feb 09 £27,236,000 103% -£898,788
GC4 TVMK (Milton Keynes) Horton NHS Treatment Centre(1) Ramsay 2 Apr 09 £12,796,000 92% £1,003,206
GC8 Havant Havant NHS Treatment Centre Care UK 15 Jan 12 £6,511,000 66% £2,221,553
GC8 Wycombe Mid & South Buckinghamshire NHS Diagnostic Centre Care UK 2 Aug 09 £11,348,000 91% £997,489
GC4 EL (East Lincolnshire) Boston NHS Treatment Centre Ramsay 2 Apr 09 £9,300,000 72% £2,632,830
GC4 West Lincs Gainsborough NHS Treatment Centre Ramsay 2 Apr 09 £6,242,000 66% £2,103,554
GC4 NTW (Northumberland, Tyne & Wear) Cobalt NHS Treatment Centre Ramsay 2 May 09 £10,785,000 87% £106
GC6 Maidstone Mid Kent NHS Treatment Centre PHG 7 Nov 10 £37,070,000 84% £5,831,111
GC4 TVR (Reading) Reading NHS Treatment Centre(1) Ramsay 2 Apr 09 £14,905,000 91% £1,271,397
LP9 Plymouth Peninsula NHS Treatment Centre PHG 4 May 09 £59,846,000 95% £2,836,700
LP7 Somerset (Shepton Mallet) Shepton Mallet NHS Treatment Centre UK-SH 2 Jul 09 £111,552,000 79% £23,035,488
OC123 Ophthalmic Chain Ophthalmic Chain, Mobile Units £42,000,000 78% £9,240,000
LP5 Daventry Daventry NHS Treatment Centre £5,000,000 100% -£1,500
LP2 Bradford Eccleshill NHS Treatment Centre Nations 38,000,000 110.94% -£4,157,200
GC8 Brighton Sussex Orthopaedics NHS Treatment Centre Care UK 103,000,000 97% £3,090,000
Totals £1,475,644,000 85% £216,836,810