2006, but sensed that a log-jam effect had been created and was
confident this would be released in fiscal year 2007/08. Another
chose its words carefully when it said There are signs of an
upturn in activity levels in the sector, certainly in the context of a
requirement for lease advisory services which may foreshadow a
corresponding upturn in leasing volumes although this upturn is
not consistent across the sector.
Richard Bate, director of Healthcare Finance at Close Brothers,
feels that while volumes had been static, some Trusts might have
been delaying transactions until the new Framework Agreement
for Leasing was in place, while some Trusts may also be preparing
to convert to Foundation Trust status and dont want to take on
any more commitments until the status had been granted. He
added: Close Healthcare Finance is a niche player with financial
muscle and a long track record. We take our own residual value
risk, and are happy to continue developing our relationships with
chosen advisers and existing Trusts.
The flavour of the year from the NHS as regards procurement
has been Collaborative Procurement Hubs, which were
introduced as a follow up to the pilot schemes/first wave
Confederations. The principle is to generate economies of scale
in procurement, Confederations typically represented a dozen or
so Trusts, while Hubs represent even more Trusts, typically c.30-80 Trusts.
Unfortunately economies of scale do not necessarily translate
directly into economies in leasing rates; in fact the opposite is true
initially as there is a substantial workload in identifying existing
leases in all the Trusts and recording them in one place, which
requires the extra expense of a lease co-ordination person.
Early experiences with Confederations led to identifying the
usual tendering process as a bottleneck in lease procurement, so
the concept of a Framework Agreement for leasing has been put
into place. Framework Agreements bring a number of providers
through the tendering process at once, so that the chosen group
can, for a period of two years, quote on transactions as they
come up without having to tender from scratch each time.
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The advent of the Framework Agreement for Leasing points to a
period of continuous stability for lessors in the NHS market, as
all the major players are thought to have thrown their hats into
the ring.
Lessors might be forgiven if they get frustrated because they
find it difficult to form relationships with individual Trusts, as
they can only get to them via a leasing adviser, or via a public
tendering process. They cant even send their client a bottle of
wine at Christmas because of the NHS rules. When lessors do win
the transaction some used to feel that if they had been given the
opportunity to get involved earlier, they wouldnt have structured
the lease transaction in the way they had been asked to. But this
arms-length approach has always been a characteristic of the
NHS market, and lessors now remark that advisers are doing a
good job, with better staff and services than before.
Of the advisers, Leaseguard continues to dominate about a
third of the market. The advent of Hubs has not impacted
advisers activities too much although the picture is not very clear.
Advisers tend to deal at individual Trust level with the finance
director, so when a Hub is created with, for example 70-80 Trusts,
several different advisers can find themselves involved with the
same Hub. Does the Hub then allow all the advisers to remain
involved or does it put out a new tender to select just one adviser
for the whole Hub? The experience to date has been that Hubs
can do either, and advisers are now seeking clarification from
PASA regarding a common approach to this problem.
Some advisers report that Hubs do not appear to be moving
forward particularly quickly and are adopting a wait and see
attitude. Leaseguards Stuart Jefcoate has noticed a change in
Trusts requirements, Leaseguard has been realigning its strategic
planning services to accommodate the needs of Foundation
Trusts, and from April, Acute Trusts. We are now advising not
only on Lease versus Buy but also Lease versus Loan. The
feedback on the ground is that advisers are currently very busy, so
after what for many has been an indifferent year, the next 12
months should see a firmer market.
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