On 11 January 1998, Prime Minister Tony Blair announced the go-ahead for the construction of a £214 million, 809 bed, new hospital in a broadcast from Tokyo on the BBC's Breakfast with Frost show. Site work started the following day (12 January 1998). The project was the first large PFI hospital scheme in the NHS. In July 2000 approval was given to extend the Norfolk and Norwich University Hospital with a second phase that included an additional 144 beds and took the project cost to £229 million. The Norfolk and Norwich University Hospitals NHS Foundation Trust pays the private PFI Octagon consortium in the region of £41 million a year. In 2004, the Association of Chartered Certified Accountants assessed the actual costs at £1.16 billion, or around five times the initial cost of £229 million.