I have written an article for issue 2 of Hospital Times ( http://www.hospital-times.co.uk) (http://(https://edition.pagesuite-professional.co.uk/html5/reader/production/default.aspx?pubname=&edid=e6d0bc32-4e0c-4853-818b-946dc281816)) .  It is on pages 46 to 47, sitting amongst some interesting stuff, including articles on  public health, vaccinations, universal health coverage and workforce shortages.

In the UK,  a lot of shortfalls in healthcare delivery are blamed on the private finance initiative .  I have seen shortfalls in this delivery model. But many problems can be attributed to contract management resourcing  and would benefit more from careful analysis instead of knee jerk headlining.  Of course things go wrong in hospitals. They are complicated places where people do very difficult things which matter a lot.  They tend to go wrong more often and more seriously when healthcare expenditure is inadequate, healthcare systems are inefficient and there are not enough staff.  PFI could address some of these problems but by no means all and there are pros and cons: a balancing act in deciding priorities. And there are, of course,  other ways of doing things.

But if we look around the world we see PFI  (or PPP) being adapted to help in the provision of healthcare infrastructure and assist in the goal of universal healthcare coverage.  n Uk we have over 100 extant PFI hospital projects and over 300 other PPP healthcare facilities. It is not wise to ignore them. If we do so, expense will increase and we will get even less of the healthcare we want.