- Private consignee's "Withdrawal" proposal receiving

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- Private consignee's "Withdrawal" proposal receiving

First-ever national PFI hospital and the Kochi medical center (Kochishi pond) frustrated it in year fifth of an open board. When the prefecture and the Kochishi hospital enterprise group that manages the center receive the proposal of consignee's special purpose company (SPC) "Kochi medical treatment Peefai", and the discussion for the PFI cancellation of contract is started, 16 table listed up daily changes discernment lingua. Enterprise group "The agreement end leads to the administrative improvement". How on earth has the hospital management by the PFI method whose public expense derating must be a purpose become it?

- Director Horimi"The diagnosis and treatment is continuation. "

"Will attach to the table of the conference for the agreement end. "In enterprise group Congress that was the center on the 16th, the head of the enterprise of Takaaki Yamazaki is an indifferent assertion lingua.

It is at the middle of May to percuss the rescission from SPC informally in the enterprise group , saying that "It is one method in the administrative improvement that SPC parts from affairs". Up to now, the enterprise group that worries because of loss making operations has analyzed, "There is no meaning that continues the PFI business under the present situation". In addition, the overhead of about 500 million yen a year paid to SPC was a problem. Formal percussion is received on June 8, and the enterprise group is an acknowledgment of order lingua.

PFI (private finance initiative) is a method that uses the private capital and the management know-how for the purpose, and maintains the public institution as for derating of the municipality. SPC that Orix etc. invest bears construction, the chemical procurement, and the school lunch services, etc. other than the medical practice for the medical center, and the contract amount is about 213 billion yen for 30 years. The reduction of 17.7 billion yen was expected from the prefecture and the city operating directly.

However, expenditure increases though the medical profession earnings expanded after an open board of 05 years, too. It becomes the deficit of about 2.1 billion yen because settlement of accounts is expected of last year, and the accumulated deficit since an open board has mounted up to about eight billion yen. The capital of about 760 million yen is short-circuited at the end of last year, and it to the situation to which the prefecture and Kochishi assist the capital. Enterprise group Congress urged an early administrative improvement on the enterprise group, and strengthened "The view of the rescission" and pressure.

It shows a loss to hold a necessary division publicly and an Yasui public hospital also in the leaving no margin. It is a reduction of material cost such as chemicals and consumables that SPC procures to be expected in the PFI business. It changes by about 30% after an open board though the ratio of targets that occupied it to the medical profession earnings (hospitalization and outpatient earnings) was assumed to be 23.4% at the PFI agreement. The Ftiyutaca president : between SPC about a reason not advanced by the reduction in material cost. 「The hospitalization diagnosis and treatment unit price rose more than the assumption at that time. The chemical etc. become large amount of money in providing with an advanced medical treatment, too. 」It describes. 

The enterprise group started "Public hospital reform plan" decision according to the guideline that the country provided last year. It aimed at making to the surplus at 11 fiscal years, and the expense reduction of 870 million yen was expected. 600 million yen is a SPC amount. The consignment fee reduction paid to the cooperation enterprise to which SPC in addition to the material cost reduction consigned affairs was requested.

"It is difficult to respond to the request" and it answers SPC against this. The PFI effect was insisted on, "(30 years) one calculated through the entire business period". Knowledge with "The cooperation enterprise could not help discussing the refusal of the affairs acceptance of order" was shown, and the opinion of both traced parallel lines to the consignment fee reduction.
"It is difficult to continue the PFI business without doing the review. "An honest governor Ozaki is who has made the depressed remark in a regular interview in January this year. The governor visited chairman Hiroaki Nishimyo of SPC main stockholder's Orix real estate, and had requested cooperation in the expense reduction several days before the interview. As for the conclusion, the enterprise group and SPC review the concern system again. --。The agreement disappeared substantially.

SPC proposes withdrawing by the fourth meeting, and frustrating the PFI business has been decided though the discussion work of both who started thus. The enterprise group and SPC start the work of the filling in the future for the rescission basic agreement this autumn. The contents says, "A money story becomes a center" (enterprise group), and advances the adjustment such as cancellation money.

The charge of the purchase about 11.8 billion yen of facilities such as plants and buildings in addition to the cancellation money about 2 billion 35 million yen is an accrual lingua in the precedent of Omihachiman municipal General Hospital (Shiga Prefecture) that became first-ever national PFI cancellation in the government hospital in the municipality.

The head of the Yamazaki enterprise is "After all, the proposal at the agreement wants not to be good of the outlook of the material cost 23.4%, and was very, and to probat the PFI business. "Director Tadashi Horimi「Neither the medical treatment site nor the inhabitants of the prefecture are affected by the rescission. I want you to be relieved because it accomplishes a conventional system of the diagnosis and treatment. 」It calls. 

An honest governor Ozaki comments, "It is thought that the administrative improvement will advance as a medical center that can use it at ease in the thorough expenditure cut because the enterprise group manages affairs immediately in the future" about the rescission. Mayor Tomoya of Okazaki also「Because SPC parts from affairs, the responsibility and the role of the enterprise group become more important. I want to support it in cooperation with the prefecture being possible to do. 」
The conversation was announced.

- Aspect
- Were there the people and confidential relations with government?

"I want to advance the conference by knowledge of partner with the enterprise group. "The Ftiyutaca president was answering coverage so between SPC before.
However, it withdraws from the business to the conclusion. There was a difference of the idea between the enterprise group and SPC in the backdrop of the rescission.

Frank is an argument over 23.4% of material cost such as chemicals. The enterprise group that wants to aim at the revenue and expenditure amelioration in a short term is "One defended as an agreement. "SPC that insisted on achievement in the contract term (30 years) on the other hand fought back , saying that "Target to the end". PFI business that states government and the people collaboration. It is really ended not to be able to find the breakthrough, and confidential relations were constructed or the doubt remains though there might be a complaint of both.

Everything doesn't necessarily go well because the prefecture and operating Kochishi directly though the rescission by the just cause "Administrative improvement".
The head of the enterprise of Takaaki Yamazaki also enumerated future tasks , saying that "Earning growth was aimed at, and trimmed costs very".

Indispensable medical center to inhabitants of the prefecture as hospital that bears advanced medical treatment of prefecture. It is necessary to check "What was PFI?" enough, and to stare at operating directly tightly though the maintenance of the medical treatment level was natural.
http://mainichi.jp/area/kochi/archive/news/2009/06/17/20090617ddlk39040394000c.html

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