:: Broomfield PFI Project Web Design Site ::

The NHS and the world of PFI are both very good at using jargon and acronyms. Please use the following glossary to find their meaning. If you cannot find the meaning of a word you have come across on this website then let us know by clicking on ‘Your Questions’ and sending us a question.

Term	Meaning
A&E	Accident & Emergency
ACC	Ambulatory Care Centre.
Acute Care	Care provided for a patient for whom a treatment plan is in place. The patient should be medically stable but requires regular medical / nursing observation, assessment and intervention.
ADSCR	Annual Debt Service Cover Ratio.
Advisers	The organisations appointed by the Trust to provide professional advice on the procurement process for the Scheme.
AEDET	Achieving Excellence Design Evaluation Toolkit; a toolkit for evaluating the design of healthcare buildings.
AHP	Allied Health Professional.
Assessment	A process, which may occur at any point in an episode of care, by which health professionals, either singly or working as a team, draw conclusions about a patient’s needs and devise a plan for clinical investigations, treatment and care.
Assessment and Critical Care	Care provided for a patient who is (potentially) medically unstable, requiring continuous review, nursing and medical intervention.
Availability Deduction	Deductions from the Unitary Payment made by the Trust in relation to the non availability of Functional Areas / Units in accordance with the Payment Mechanism.
Backlog Maintenance	Maintenance required on the Trust’s estates that has not been undertaken in accordance with the planned lifecycle and which has therefore built up into a ‘backlog’ of maintenance requirement.
Bedding-In Period	Agreed initial period during which the full impact of deductions under the Payment Mechanism is not implemented.
Bid	A response to the ITN containing an offer on the part of a Bidder to undertake the Project Operations.
Bidder	Reference to any one of the Bidders.
Bidders	Together, the Bidders to whom this ITN has been issued and who are therefore invited to submit a Bid.
Bill of Quantities	List of the equipment required (type and quantity) within the New Facilities.
BMA	British Medical Association.
Bulk Transfers	Special arrangement whereby enhanced transfer terms are negotiated with the Project Co to allow the transferring members to transfer accrued pension benefits to the Project Co pension scheme and receive pension benefits of equivalent value to those earned in the NHSPS immediately before transfer.
C/E	Consulting / Examination.
CABE	The Commission for Architecture and the Built Environment.
CAM	See Capital Accounting Manual.
Capital Accounting Manual	Procedures for accounting for fixed assets in the NHS, as published by NHS Executive.
Capital Charge	The depreciation and capital cost absorption duty associated with the Trust’s ownership of assets in accordance with the Capital Accounting Manual.
Care	One or more interventions, by one or more Trust staff, that is intended to provide physical or emotional support, assistance and comfort. It includes measures to encourage self care, promote health and to prevent loss of function.
Care Trust	An NHS Trust designated as a Care Trust pursuant to section 45 (1) of the Health and Social Care Act 2001.
Car-parking Contract	Existing contract that operates in relation to Trust car parks.
Car Parking Management Service	The services undertaken by the Trust in conjunction with the Car-parking Contractor in relation to the day-to-day operation of the Trust’s car parking.
Car-parking Provider	Provider of Car-parking facilities being Gentian (Mid Essex) Limited.
CBC	Chelmsford Borough Council being the Local Planning Authority for this Scheme.
CCU	Cardiac Care Unit.
CHAD	Centre for Health Architecture and Design.
Change Control Process	The formal process by which the Trust will record, evaluate, authorise and communicate changes to the scope of the Scheme.
CHC	Community Health Council.
Checkpoint 1	Point in the development of the Bid Submission at which Bidders make an interim Submission to the Trust. For Checkpoint 1, this Submission concentrates upon design development.
Checkpoint 2	Point in the development of the Bid Submission at which Bidders make an interim Submission to the Trust. For Checkpoint 2, this Submission concentrates upon legal and commercial matters.
Checkpoint 3	Point in the development of the Bid Submission at which Bidders make an interim Submission to the Trust. For Checkpoint 3, this Submission concentrates upon design development with an update on legal and commercial matters.
CIM	The Capital Investment Manual as published by NHS Executive.
CLCR	Concession Life Cover Ratio.
Clinical Equipment	Equipment utilised by the Trust for undertaking clinical services; equipment directly used in the treatment of patients.
Clinical Networks	Networks of healthcare specialism established across traditional organisational boundaries (eg cancer networks).
Clinical Working Groups	User focus groups established by the Trust to aid the process of Bid clarification and evaluation.
COG	Clinical Oncology Guidelines.
Commissioners	The authorities (Strategic Health Authorities or PCOs) which commission clinical services from the Trust.
Concession Period	The operational period of the Project Agreement; the period during which the Project Co. provides services to the Trust.
Commercial Close	The date on which the Trust and the Project Company enter into the Project Agreement.
Composite Trader Tax Treatment	Tax treatment which can be applied to PFI schemes and which may enable Project Co to significantly reduce their tax burdens.
Condition Survey	Survey to be undertaken on a jointly agreed scope between the Trust and the Bidders with the objective of assessing the current condition of the Retained Estate and identifying the Backlog Maintenance Works needed to bring the Retained Estate up to Estate Condition B.
Contract Debtor Accounting	Accounting treatment of Project Co whereby the PFI facility is accounted for on the balance sheet as a financial asset which is amortised over the life of the Project.
Contract Month	A calendar month.
Consumerism	Ways to help Trusts improve patient satisfaction during their interaction with the NHS.
Core Services	Those Soft FM services subject to Retention of Employment.
CT	Computed Tomography (commonly known as CAT scan).
CWGs	See Clinical Working Groups.
Data Room	Source of unwarranted additional data on the Trust and the Scheme.
DCAG	See Departmental Cost Allowance Guides.
Decanting Facilities	Temporary facilities into which the Trust’s services will move during relevant phases of the construction of the New Facilities.
Departmental Cost Allowance Guides	Standard construction cost guidance as issued by NHS Estates.
Department of Health	The Government department with responsibility for delivering NHS policy as agreed by the Secretary of State for Health.
Design Champion	Non Executive Director of the Trust charged with championing the cause of good design at all stages and levels of the Project. For this Scheme the Design Champion is Liz Fraser.
Design Quality Evaluation Toolkit	See AEDET.
Design Review Panel	Process established to provide advice, support and guidance to NHS Trust’s and PCO’s in the form of a design review and subsequent report. Panel is chaired and supported by staff from the Centre for Health Architecture and Design (CHAD).
Development Plan	Plan agreed between the Trust and the Preferred Bidder that ensures the development of service standards as applicable to the Interim Services toward the Service Level Standards required by the Output Based Specifications for the Hard and Soft FM Services.
Development Site	The area of Broomfield Hospital site on which the New Facilities will be developed.
Diagnosis & Treatment Centre	New way of delivering elective care so that it is insulated from the pressures of emergency services.
DGH	District General Hospital.
DOH	See Department of Health.
Donated Assets	Assets that are provided to the Trust as gifts or purchased via charitable funds.
DQET	See Design Quality Evaluation Toolkit.
DRP	See Design Review Panel.
DSCR	Debt Service Cover Ratio.
DTC	See Diagnosis and Treatment Centre.
DVT	Deep Vein Thrombosis.
EAS	Essex Ambulance Service NHS Trust.
EASA	European Aviation Safety Agency.
EAU	Elderly Assessment Unit
EBME	Electro Bio-medical Engineering.
ECC	Essex County Council.
EEG	Electroencephalograph.
EFVR	Expected Fair Value as Reversion
Elective	A patient whose admission date is known beforehand, thus allowing arrangements to be made beforehand.
Emergency	A patient admitted on the same day that admission is requested.
EMI	Elderly Mental Illness
Enabling Works	Initial works required to be undertaken on the Broomfield Hospital site in order to allow the construction and operation of Decanting Facilities, New Facilities and Retained Facilities.
ENT	Ear Nose and Throat
EPAU	Early Pregnancy Assessment Unit
EPU	Early Pregnancy Unit
Equipment Replacement Plan	Plan that describes the timescales in which the Trust’s equipment will be replaced.
Equipment Schedule	Indicative schedule of the Scheme requirements for equipment.
ERH	Essex Rivers Healthcare NHS Trust.
ESSA	Essex Shared Services Agency.
Estatecode	Publication from NHS Estates which provides guidance to NHS organisations on managing their estate.
Estate Condition B	Assessment of the condition of the estate in accordance with Estatecode, being an operationally acceptable standard for all building and engineering elements.
Evaluation Panels	Panels established by the Trust to undertake the evaluation of Bid Submissions to the ITN.
Existing Facilities	The facilities utilised by the Trust for current operations.
External Stakeholders Group	Group constituted to represent the interests of local government organisations and other health organisations in the Project.
FBC	See Full Business Case.
FCEs	Finished Consultant Episode’s.
Financial Advisers	The advisers appointed by the Trust to provide financial advice on the Scheme procurement process; for this Scheme the Financial Advisers are Ernst and Young.
Financial Close	The date at which the Project Agreement becomes unconditional. This should be assumed to be co-terminous with Commercial Close.
Financial Model	Computer spreadsheet model detailing the expenditure, revenues, financing and taxation of the Project Co and associated profit and loss accounts and balance sheets.
Firecode	Health Technical Memorandum (HTM 81-87) describing the fire strategy and planning issues to be met by NHS properties.
FM	Facilities Management.
FM Service Facilities	Those elements of the New Facilities and Retained Facilities that are utilised for the provision of FM services.
FRS5	Financial Reporting Standard 5 (Reporting the Substance of Transactions) as issued by the UK Accounting Standards Board.
Full Business Case	The Full Business Case which is required to support the Project and which will be published after receiving HM Treasury approval, after Financial Close.
Functional Area	An area of the New Facilities or Retained Facilities comprising two or more Functional Units.
Functional Unit	A room or space within a Functional Area.
Funders	All or any of the persons who provide financing or funding in respect of the Project Operations under the Funding Agreements.
Funding Competition	A competitive process undertaken by the Bidders in order to secure the most advantageous terms of funding for the Scheme. This process will be overseen by the Trust’s Financial Advisers.
Funders’ Direct Agreement	The agreement to be entered into between the Trust, the Senior Funders* and the Project Company.*
Funders’ Due Diligence	Review process undertaken by the Funders to achieve assurance that their level of investment is suitable in the circumstances of the Scheme.
Funding Agreement	All or any of the agreements or instruments to be entered into by the Project Company or any of its associates relating to the financing of the Project Operations.
Funding Competition	A competition run by the Bidders between funding solutions in order to identify the funding package for the Project which offers best value for money.
GAD	Government Actuaries Department.
GAD Passport	Advance certification provided by GAD to organisations who regularly bid for PFI projects, that their pension scheme satisfies the ‘broad comparability’ test for a specified category of employee.
GI	GastroIntestinal.
Governance Plan	The Trust’s annual plan for achieving Clinical Governance requirements.
GP’s	General Practitioners.
Group 1 Equipment	Items which are normally supplied and installed by the Project Company under the terms of a building/engineering contract with the Trust and funded within the works cost and which are generally fixtures, fitted furniture and items of plant or equipment which are permanently wired or installed.
Group 2.1 Equipment	Large items of fixed equipment which are usually provided by the Trust under the terms of a building/engineering contract with the Trust and which have a specific building construction and engineering service requirement for their installation and which are put in place by the Project Company.
Group 2.2 Equipment	Items of fixed equipment which are usually provided by the Trust under the terms of a building/engineering contract with the Trust, which do not have a specific building construction and engineering service requirement for their installation, and which are put in place by the Trust.
Group 3 Equipment	Moveable pieces of furniture and equipment required for the performance of clinical and non-clinical services which are usually purchased by the Trust under the terms of a building/engineering contract with the Trust and put in place by the Trust once the facility has been handed over.
Group 4 Equipment	Consumable items of equipment which are normally supplied and installed by the Trust.
GU	Genito-Urinary.
Hard FM Services	The maintenance of all buildings, fabric, engineering services, energy supply infrastructure and associated landscaping.
GUM	Genito-Urinary Medicine.
HDU	High Dependency Unit.
Hospital Non-Acute	The patient needs continuing assessment and therapeutic interventions within a treatment plan. The patient is medically stable, requiring periodic review by a hospital consultant, or at the request of the nurse or allied health professional.
Housing Provider	The Housing Association with whom the Trust will contract for the provision of staff residential accommodation.
HSDU	Hospital Sterilisation and Disinfection Unit.
ICAO	International Civil Aviation Organisation.
ICRS	Integrated Care Records Service.
ICU	Intensive Care Unit; see also ITU.
IM&T	Information Management and Technology.
Improving Working Lives	National standard for making improvements in the working lives of NHS staff.
Income Generation Schemes	The provision of Retail Units or other commercial facilities by the Preferred Bidder as part of the Scheme with the resulting financial benefits shared between the Trust and the Project Company on some agreed basis.
Inpatient	A patient who has gone through the full admission procedure and is occupying a hospital bed.
Input Specification	Service specification relating to the provision of Interim Services.
Interim Services	The provision of Hard FM and / or Soft FM services to the Trust post Financial Close but prior to commencement of operation of the New Facilities.
IOL	Induction of Labour.
IRR	Internal Rate of Return.
Issues	Those questions and requests for information generated within the Trust, which are recognised as being issues and which may become Requests for Change.
ITN	Invitation to Negotiate.
ITU	Intensive Treatment Unit. Alternatively known as Intensive Care Unit (ICU).
IWL	See Improving Working Lives.
JCNC	See Joint Consultative and Negotiating Committee.
Joint Consultative and Negotiating Committee	The forum for negotiation and consultation between the Trust and recognised Unions.
KPI	Key Performance Indicator.
LDRP	Labour Delivery Recovery Post-partum
Legal Advisers	The advisers appointed by the Trust to provide legal advice on the Scheme procurement process; for this Scheme the Legal Advisers are Berwin Leighton Paisner.
Letters of Support	Letter from Funders confirming their acceptance of the Project Agreement and Payment Mechanism.
LIFT	Local Improvement Finance Trust; a Department of Health initiative to develop and encourage a new market for investment in primary care and community based facilities and services.
LLCR	Loan Life Cover Ratio.
Local Planning Authority	For this scheme Chelmsford Borough Council (CBC).
LSCS	Lower Section Caesarean Section.
LSP	Local Service Provider, in the context of the National Programme for IT.
Managed Equipment Service	A service provided by the Project Company to the Trust whereby the provision, repair, maintenance and replacement of equipment is undertaken on behalf of the Trust by a Project Company for a standard unitary payment.
Mandatory Bid	A Bid which satisfies the requirements set out in section 1.12.2 of this ITN.
Master Plan	A requirement of the planning brief, establishing a requirement for a plan for the cohesive development of the whole Broomfield Hospital site.
MEHST	Mid Essex Hospital Services NHS Trust; the Trust.
Memorandum of Information	Outline information on the Scheme, as issued to those organisations expressing an interest in the Scheme following publication of the OJEC advertisement.
MEL	The Trust’s Medical Equipment Library; source of generic medical equipment which is centrally held and then loaned to individual wards and departments.
MES	See Managed Equipment Service.
MIPS	Median Index of Public Sector Tender Prices.
MIU	Minor Injuries Unit
MoI	See Memorandum of Information.
MRI	Magnetic Resonance Imaging.
NASP	National Application Service Provider; in the context of the National Plan for IT.
National Service Framework	National policies targeted on the development and standardisation of outcomes for specific areas of healthcare.
NEAT	NHS Environmental Assessment Toolkit.
NEMHPT	North Essex Mental Health Partnership NHS Trust.
Net Present Cost	The sum of the discounted future cashflows associated with a project.
New Facilities	Those facilities created by the Preferred Bidder, either by new construction or the planned refurbishment of Existing Facilities.
New Opportunities Fund	National Lottery funds accessible by the NHS for modernisation.
NHDU	Neonatal High Dependency Unit.
NHSE	The National Health Service Executive.
NHS Estatecode	See Estatecode.
NHS Estates	An executive agency of DOH established to provide information and guidance on estates and facilities management issues.
NHS Foundation Trusts	NHS organisations established as free-standing legal entities not directly subject to the Secretary of State’s powers of direction.
NHSnet	Secure wide area network developed exclusively for the NHS.
NHS Performance Ratings	Annual rating exercise of NHS Trusts undertaken by the Department of Health whereby each Trust is awarded a ‘star rating’ ranging from 0 to 3 based on a balanced scorecard approach to performance review.
NHSPS	NHS Pension Scheme.
NHS Trust	National Health Service Trust; a body established pursuant to Section 5(1) of the National Health Service and Community Care Act 1990.
NICU	Neo-natal Intensive Care Unit.
Non Clinical Equipment	All equipment utilised by the Trust other than Clinical Equipment.
NPC	See Net Present Cost.
NPfIT	National Programme for IT.
NPT	Near Patient Testing.
NSF	See National Service Framework.
OBC	See Outline Business Case.
OBS	See Output Based Specification.
Occupied Bed Days	Statistical measure of the occupation of in patient beds on a daily basis.
OGC	Office of Government Commerce
OJEC	Official Journal of the European Community.
OMFS	Oral Maxillo Facial Surgery
OPCS	Office of Population, Censuses and Surveys.
OPD	Out Patients Department
Operational Policies	Overall Trust policies for the provision of services within the hospital.
OPG	Orthopantomograph.
Outline Business Case	A business case presenting the background and options for a project and identification of the cost and benefits of a preferred option. This business case must be approved by the Department of Health prior to a project progressing to PFI.
Outline Planning Permission	The grant of outline planning permission by Chelmsford Borough Council.
Outpatient	A patient attending for treatment, consultation and advice but not staying in hospital.
Output Based Specification	The document which describes the Trust's output based requirements for a service.
PACS	Picture Archiving and Communication Systems.
PAS	Patient Administration System.
PBR	Payment by Results
Payment Mechanism	The mechanism by which the Trust will pay and incentivise the performance of the Project Company during the Project Term.
PCO	Primary Care Organisation; a generic term for Care Trusts and Primary Care Trusts.
PCR	Polymerase Chain Reaction.
PCT	See Primary Care Trust.
Performance Monitoring System	System by which the performance standards of FM Services are monitored and measured, for interaction with the Payment Mechanism.
PEAT	Patient Environment Assessment Teams.
PET	Positron Emission Tomography.
PFI	See Private Finance Initiative.
PFU	The Private Finance Unit of the Department of Health.
PITN	Preliminary Invitation to Negotiate.
Planning Brief	Document provided by CBC as part of the Outline Planning Permission; forms the framework by which the Master Plan will develop.
PMS	See Performance Monitoring System.
Policy Board	Joint clinical and executive management board of the Trust that approves future policies and procedures.
PPE	Post Project Evaluation.
PPU	Private Patients Unit.
PQQ	The Pre-qualification Questionnaire issued to those organisations expressing an interest in the Scheme following publication of the OJEC advertisement.
Preferred Bidder	The Bidder with whom the Trust elects to proceed to Financial Close.
Primary Care Trust	A Primary Care Trust established under Section 16A (1) of the National Health Service Act 1977.
Private Finance Initiative	The UK Government’s Private Finance Initiative or similar initiative replacing the Private Finance Initiative.
Process Board	Forum established by the Trust to identify and agree future clinical processes.
Project	The Project as contemplated by this ITN. See also Scheme.
Project Agreement	The legal agreement reached between the Trust and the Bouygues Consortium being the Standard Form Project Agreement version 3, as adjusted for project specific requirements.
Project Board	Oversight Board of the Trust that provides overall direction and management of the Project.
Project Co	See Project Company.
Project Company	The private sector company with whom the Trust will enter into the Project Agreement.
Project Director	Officer of the Trust who ensures the Project remains on target to deliver the expected products; for this Scheme Malcolm McKillop.
Project Executive Lead	The Trust’s Executive lead for the Project; for this scheme the Trust’s Director of Finance; Phil Neal.
Project Operations	The carrying out of the works, pre and post completion by the Project Company, the maintenance of the facilities, the management of the services and the performance of all other obligations of the Project Company.
Project Sponsor	For this Project, the Trust’s Chief Executive; Andrew Pike.
Project Term	The period commencing on the date of the Project Agreement and expiring on the date which is equivalent to the construction period and a Concession Period of thirty years from the date of the Project Agreement or on such other date as may be determined in accordance with the Project Agreement.
Project Website	The website developed to provide general information on the Project and to provide the Data Room: www.broomfieldpfi.nhs.uk.
Proposed Workforce	The workforce proposed by the Preferred Bidder being that required to deliver the Hard and Soft FM Services for the Scheme.
PSC	See Public Sector Comparator.
PSP	Primary Service Provider.
Public Sector Comparator	The anticipated cost and design of the Project if it were to be undertaken using traditional Public Sector funding sources.
RBC	Royal Bank of Canada
Requests for Change	Requests for change to the Project scope or details, arising from Issues identified by the Trust.
Requests for Information	Requests for additional information or clarification posed by the Bidders.
Residential Accommodation	Separate Project for the provision of Residential Accommodation available to staff at below market rents.
Residential Property	Individual unit of property identified for Residential Accommodation.
Response	A Response from a Bidder to this ITN in the form described by the Information Request.
Response Submission Date	The date by which all Responses to the ITN must be received by the Trust (01/2012/2003).
Retail Units	Commercial facilities such as shops and restaurants provided by Bidders as part of any agreed Income Generation Schemes.
Retained Employees	Those employees who will be seconded from the Trust to the Project Company under Retention of Employment as part of the Proposed workforce.
Retained Facilities	The elements of the Existing Facilities which will continue in use by the Trust and not be subject to demolition or disposal.
Retained Services	Those non clinical services which the Trust will continue to provide itself and which therefore do not directly form part of the Scheme.
Retention of Employment	Process by which staff employed in the 5 Core (Soft FM) Services remain as NHS employees despite the transfer of the service they provide to the Project Company.
RoE	See Retention of Employment.
Room Data Sheets	Detailed design schedules agreed for each room within the New Facilities.
RFI	See Requests for Information.
RPI	Retail Prices Index (All Items) as published by the Office for National Statistics.
RSL	Registered Social Landlord.
SaFF	Service and Financial Framework.
SCBU	Special Care Baby Unit
Schedules of Accommodation	Schedules of the Trust’s anticipated accommodation requirements for this Scheme.
Scheme	The Scheme as contemplated by this ITN. See also Project.
Section 106 Agreement	An agreement under Section 106 of the Town and Country Planning Act 1990.
Services	The services to be provided and/or procured by the Project Company for the Trust in accordance with Schedule 14 of the Project Agreement.
Service Level Standards	The individual service standards defined within the OBSs for Hard and Soft FM Services.
Service Providers	Persons engaged by the Project Company to procure the provision of the Services.
Shadow Unitary Tariff	An approximation of the annual unitary payment generated by the PFI scheme, based upon the capital and revenue costs of the Public Sector Comparator.
SLS	See Service Level Standards.
SF3	Standard Form Contract Version 3 (August 2003)
SFPA	Standard Form Project Agreement as published by the Department of Health’s Private Finance Unit.
SOC	See Strategic Outline Case.
SoPC3	Standardisation of Project Contracts Version 3.
Soft FM Services	Those FM services that are not Hard FM, being FM services supplied as integral to the operation of the Facilities.
Strategic Outline Case	The underlying strategic case that identifies the need for the Project to proceed. Requires approval prior to the OBC stage.
Technical Advisers	The advisers appointed by the Trust to provide technical advice on the Scheme procurement process; for this Scheme the Technical Advisers are Mott MacDonald.
Technical Groups	Groups established by the Trust to undertake the technical aspects of evaluating the Responses to the ITN.
The NHS Plan	The overall Department of Health policy document for the development of the NHS over a 10 year period; published in 2000.
The Prince’s Foundation	Charity that combines HRH the Prince of Wale’s interests in art, architecture and the built environment.
The Trust	Mid Essex Hospital Services NHS Trust; MEHST.
Transferred Employees	Those employees who will transfer from the Trust to the Project Company under TUPE as part of the Proposed Workforce.
Transfer Regulations	See TUPE.
Treatment	One or more interventions, by one or more health professionals, that is intended to alleviate or modify the cause or symptoms of illness or disability.
Trust Board	The Board of Directors of the Trust; both Executive and Non Executive Directors. The Trust Board meets on a monthly basis.
Trust's Construction Requirements	The requirements of the Trust set out in the Project Agreement as amended from time to time in accordance with the terms of the Project Agreement.
Trust Members	Members of the Trust Board.
Trust Representative	Any officer / employee of the Trust with specific responsibility to liase with members of the Project Company.
Trust Retained Equipment	Those items of equipment for which the Trust will retain maintenance and lifecycle responsibility.
TTA	To Take Away; in the context of issues of drugs to patients being discharged.
TUPE	Transfer of Undertakings (Protection of Employment) Regulations 1981.
Unitary Payment	The amount paid by the Trust to the Project Company on a monthly basis from the date of full practical completion of the New Facilities, for the duration of the Project Agreement.
US	Ultrasound.
Variant Bid	A Response from a Bidder that innovates by including content outside of that originally envisaged for the Scheme by the Trust.
VFM	Value for Money.
Visitors	Visitors to the Data Room, having previously agreed to the Data Access Rules and been assigned a username and password by the PFI Project Office.
Yellow Card	An access facility issued by a Consultant to parents allowing direct access to children’s facilities without initial GP appointment or attendance at A&E.