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Jane Batchelor

Business Case Club Week #8: Cost Assessment

 
Helping senior leaders in ICB’s and NHS Trust’s unlock funding and navigate complex projects.
Helping senior leaders in ICBs and NHS Trusts unlock funding and navigate complex projects.

In the latest instalment of our Business Case series, we focus on financial modelling – both Capital and Revenue costs - and determining if the scheme is affordable. This instalment is a detailed one, so get comfy and grab a






You’ve been through the feasibility options, you’ve assessed the longlist to create a shortlist, you’ve undertaken a risk appraisal and a benefits appraisal.


So, what's next?

  • Have you worked out what each option will cost?

  • Will these be one off costs or ongoing costs?

  • Do you need to apply VAT or not?

  • Do you need optimism bias or a contingency – or both?


To complete the Economic Appraisal, and provide the underlying information for the Financial Appraisal, you need to determine the various costs for each option. For most Business Cases, these typically fall into the two categories - Capital and Revenue:

Capital costs typically include:

Revenue costs typically include:

Land Costs

Rent

Stamp Duty

Rates

Construction/build costs

Utilities

Construction/ fees

Clinical Waste

Decant Costs

Services Charges & Management Fees

Temporary Accommodation Costs

Staff Costs & Salaries

Lifecycle Costs

Temporary Accommodation Costs could be revenue or capital, e.g. buy a portacabin or rent one

 ✏️ Top Tip: Costs are one of the areas that undergo the greatest level of scrutiny, by all parties! So, ensuring the right costs are assessed for the different areas of the Business Case is key. The same cost may look different dependent on whether you’re looking at the costs from an Economic perspective (to determine Value for Money) or the Financial perspective (to determine affordability and cash flows).



Once you have determined the costs, risks and benefits, you can prepare the Economic Appraisal to determine the Value for Money Preferred Option

(Keep an eye out for more detail on Value for Money in next week’s blog).


However, the costs that will be included as part of the cash flow assessment will need to be adjusted for inflation, VAT, other circular payments and other possible adjustments.


Taking a simplistic example, the construction costs for a new build may be estimated at £20m, excluding VAT and inflation. This would be the Economic Case value. However, for cashflow purposes, you need to:

  • understand whether the VAT costs are recoverable (and by who

  • have these costs been inflated to present the expected timing of when the cashflows will be incurred?

  • what is the phasing of the costs – will they all be incurred in a single financial period or over a number of years (resulting in different inflationary costs)?

  • do the costs include contingencies? Has Optimism bias been included?


Essentially, the Financial Case analysis is focused on what will actually need to be paid, by who, and in what timeframe.


A summary of the differences between the two views of costs is set out below:

Economic Appraisals

Financial Appraisals

Focus: Net Present value – Public value for money

Focus: Funding and affordability – cashflow and stock

Coverage: Society as a whole

Coverage: Relevant Public Organisation(s) budget

Relevant Standards:

  • National guidance

  • Agreed discount rate applied

Relevant Standards:

  • Public Sector accounting rules and standing orders

Analysis:

  • Real (base year) prices

  • Use of opportunity costs

  • Includes all quantifiable welfare costs and benefits to society

  • Includes environmental costs

  • Excludes transfer payments

  • Excludes general inflation

  • Excludes sunk costs

  • Excludes depreciation, impairment and capital charges

Analysis:

  • Current (nominal) prices

  • Benefits – cash releasing only

  • Includes capital and revenue costs

  • Includes transfer payments

  • Includes inflation

For most Business Cases, you will need to present the costs from both perspectives and, therefore, having a model which helps you calculate and then present this (in a summary and easy to understand format!) is key.


Other key issues to consider in relation to costs:

Optimism Bias

This is an economic concept relevant to public sector Business Cases, which is defined in HM Treasury’s Green book as follows:


“Optimism bias is the systematic tendency for appraisers to be over-optimistic about key project parameters, including capital costs, operating costs, project duration and benefits delivery. This is particularly common in the early stages of developing and costing projects (e.g. at SOC and OBC stage)”


To reduce this tendency, appraisals should make explicit adjustment for optimism bias, typically included as a percentage of capital costs and included in the Economic Case as an additional capital cost. The Green Book recommends applying overall percentage adjustments at the outset of an appraisal.


This additional cost adjustment is intended to capture increases in costs between OBC and FBC to reflect unexpected changes to the scope of projects (due to, for example, changes in national policy, local priorities or strategies). It also reflects the tendency for costs to increase as more detailed design work and consultation are undertaken. However, it is important to note that adjustments for optimism bias are not the same as financial contingency – these reflect known uncertainties, whereas Optimism Bias essentially represents the “unknown unknowns”


So, what does that all mean?


Basically, there is a tendency to under-egg the costs to try and get the scheme to be affordable and viable, so an adjustment needs to be included to reflect this. However, as projects develop and costs become more certain and unknowns become known, this percentage reduces, typically to the point of 5% or less, at the point a Final Business Case is submitted.

VAT

 

⭐Success Story: The redevelopment of Northwood & Pinner Cottage Hospital


In the case of the Northwood & Pinner development, the gbp consult Business Case team supported NHS Property Services (NHSPS) to prepare both an OBC, FBC and subsequent summarised (short form) reports, for various governing bodies.

Artists impression of the new development
Artists impression of the new development

A detailed model, over 60+ years, providing both the Economic, Financial and Tenants views was developed by the NHSPS Finance and Analytics teams, which gbp consult then reviewed and summarised for reporting purposes, providing explanations for the costs bases and implications. This meant expressing complex financial analyses in a simplified, understandable way, for both finance and non-finance readers.



 

Need help now?

Arrange a conversation with our expert Business Case Team. Contact Ian Sabini, Managing Consultant on: ian@gbpconsult.co.uk


 

Coming up next in our series of Business Case Club Blogs:

  • #9 Value for Money

  • #10 Delivery and Governance

 

Curious to find out more or have a pressing question?

Tell us what topics you'd like explored in more detail in an upcoming webinar by filling out this brief form.

 

➡️ Join our members only, Business Case Club group on LinkedIn, ask the team a question or start a conversation.





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