In 1997, the Dartford & Gravesham NHS Trust awarded the first NHS PFI contract in the UK for a new hospital at Darent Valley. The report is an overview of how project has developed since the contract was let. A few report findings: a) the facilities and services have been delivered to a quality that has overall has been satisfactory; b) a refinancing of the PFI deal has generated large accelerated financial benefits for the shareholders.