Speeches by George.

“rose—”

“Please send them in.”

“There are good examples.”

“In many circumstances there will be an external organisation, say a community organisation or village hall. The Committee will be visiting west Cornwall next week and will see an example where a community CIC has delivered a building it leases to a GP practice: Cober Valley Health. It is a brilliant building. Is there …”

“You have, good; okay.”

“Moving slightly away from the estate and buildings themselves, you described earlier, Beccy, what neighbourhood health might be deemed to be: preventing people, effectively, from going into hospital. So far no one has talked about the role of the private sector; in other words, nursing and residential homes, and privat…”

“Does the public side have QSs going through independently on an open-book basis?”

“That is your development arm.”

“That is useful. Okay.”

“A lot of communities are concerned if NHS Prop Co own the building, because they fear that at some stage it might be sold and that money would then go to the centre, whereas if it is locally owned at least they can recirculate the money.”

“I have listened carefully. The Minister knows full well that committing to spend 3% or 3.5% tomorrow does not mean that the Government cannot commit to commissioning that expenditure now. He is aware that the delivery pipeline can often take five to 10 years in any case, and therefore the defence investment plan become…”

“Okay. Are you happy with that, John?”

“On local authority land.”

“I have a very quick yes/no question. How much of the PFI legacy estate is on your books, or is it all held by ICBs?”

“We heard about a lot of the impediments and difficulties you have in developing a neighbourhood health estate. Are there any examples of good practice that you know of around the country where communities have navigated their way through the impediments you identified in terms of unused CIL money and delivering precise…”

“I am very interested in better understanding the profit and risk-sharing elements of the development and construction side of all this work. There are certain projects that I have seen where—how can I put it?—the public sector takes the risks and the private sector takes the profit. When development budgets are being b…”

“Addressing the issue of delayed discharge from hospital, I am aware that in many parts of the country there is spare capacity within the nursing and residential care home sector, but the commissioners are not keen to discharge there because they deem that the sector is not particularly good at reablement. Therefore, on…”

“I understand that, but is anything being done to better utilise the available capacity? That is the question.”

“Are there other communities that do not involve yourselves that you have seen elsewhere? Ruth or Beccy, do you know of others? Martin, you are talking about your own organisation, but you are probably aware of others. Ruth and Beccy may be more aware of where there is good practice.”

“This is your development.”