Author: Ray Hamilton Publisher: Summersdale ISBN: 1783726563 Category : Political Science Languages : en Pages : 128
Book Description
Have you ever wanted to know... Which junction to take for Gibraltar? How to save £35,040 a year on Dartford Crossing tolls? How many assassins were buried within the concrete of the M25? (at least one) Why it’s important that North Ockendon declares itself independent from Greater London at the earliest opportunity? This indispensable biography of a road profiles the 117 miles of Britain’s most infamous motorway, from its controversial origins to its present-day status as backdrop to the lives and commutes of millions. Told with Ray Hamilton’s trademark powers of observation and off-the-wall humour, it is an eye-opening account of the stuff you didn’t know about the M25 – including the action, sightseeing or nature-loving fun you can have coming off at any junction – and a very different view of the stuff you did know.
Author: Great Britain: National Audit Office Publisher: The Stationery Office ISBN: 9780102965544 Category : Business & Economics Languages : en Pages : 44
Book Description
The slowness with which the Highways Agency's PFI contract to widen the M25 was taken forward resulted in higher financing costs in the credit crisis. Moreover, the Agency was slow to investigate a potentially cheaper alternative to widening. An 18-month delay in preparing and finalizing the widening procurement meant that the contract was let in May 2009 at the height of the credit crisis. This increased the net present cost of the deal by £660 million (24 per cent) to £3.4 billion. The case for PFI was less convincing than the Agency thought owing to shortcomings in its cost estimation process. The Government had announced in 2003 its intention to reduce congestion on the M25. The Agency was starting to carry out trials at that time of an alternative, potentially cheaper solution of hard shoulder running (allowing drivers to use the hard shoulder at times of peak congestion), first tested in Europe in 1996. The NAO estimates the savings from a conventionally procured hard shoulder running solution might range between £400 million and £1.1 billion. The Agency, however, doubted the technique's suitability for one of the sections of the M25 being widened which has high traffic flow and whether operation and maintenance savings could be achieved through conventional procurement
Author: Great Britain: Parliament: House of Commons: Committee of Public Accounts Publisher: The Stationery Office ISBN: 9780215556332 Category : Business & Economics Languages : en Pages : 48
Book Description
In May 2009 the Highways Agency signed a 30 year private finance contract for widening two sections of the M25 motorway, including the Dartford Crossing, and maintaining the entire 125 mile length of the road, and 125 miles of connecting roads and motorways. The Committee makes eight points in conclusion of its review of the contract: they do not agree that the PFI contract represents value for money; the £80 million spent on consultants over six years for this project was excessive; the Agency lacks the capacity to assess whether its advisers are providing value for money; the Agency significantly over-estimated the market rate for operation and maintenance; the invitation to tender was too narrowly drawn as it excluded hard should running as a solution for traffic congestion; the Agency persisted with its preferred solution of widening the M25 because of the time taken to trial hard shoulder running; the Agency appeared to be committed to a single procurement route & justified a widening deal through a flawed and biased cost estimation; evidence could not be taken from the Senior Responsible Owner of the project as he had left the Agency and was employed by one of the project's major contractors and investors. Ultimately the Committee believe that the project was mishandled at a potential extra cost to the taxpayer of around £1 billion
Author: Carol J. Buck Publisher: Elsevier Health Sciences ISBN: 0323567835 Category : Medical Languages : en Pages : 1712
Book Description
Ideal for radiology residents and medical students, as well as anyone who reads or orders radiology imaging studies, this user-friendly reference covers the basics of how to approach, read, and interpret radiological images. Using concise, step-by-step explanations and an enjoyable writing style, expert radiologist Dr. Fred A Mettler, Jr., walks you through a sequential thought process for all common indications for radiologic studies and their interpretation. Featuring thorough updates from cover to cover, this resource covers the fundamental information you need to know, as well as recent advances in the field.
Author: Elsevier Inc Publisher: Elsevier Health Sciences ISBN: 0443261520 Category : Medical Languages : en Pages : 1595
Book Description
Selecting diagnosis codes is faster and easier with Buck's 2025 ICD-10-CM for Physicians. Designed by coders for coders, this full-color manual includes all the ICD-10 codes that you need to code medical services provided in physicians' offices and outpatient settings. As coders need extensive knowledge to code with ICD-10-CM — and to choose from the thousands of possible codes — this edition makes it easier with colorful anatomy plates (including Netter's Anatomy illustrations) to help you understand anatomy and how it can affect your code choices. In addition, it comes with durable spiral binding, and includes a companion website with the latest coding updates.
Author: Ray Hamilton
Author: Great Britain: National Audit Office
Author: Great Britain: Parliament: House of Commons: Committee of Public Accounts
Author: 
Author: Carol J. Buck
Author: Elsevier Inc
Author: Great Britain. Department of Transport
Author: Carnegie Library of Pittsburgh
Author: Carnegie Library of Pittsburgh
Author: Pittsburgh, Pa. Carnegie Free Library of Alleghany