March 2005
Has PFI changed healthcare?
Supporters of PFI note that more hospitals have been built in the UK in the last 10 years than in the previous 50. Detractors think the capital inflows are being spent on the wrong assets in the wrong places, leaving the future as uncertain as ever.
Participants
IW, PwC In the UK the last 10 years has seen an unprecedented increase in investment in healthcare, both in terms of the overall healthcare revenue spend and investment in healthcare infrastructure. There are many different programmes – private finance initiatives (PFI), NHS Local Improvement Finance Trust (LIFT), Independent Sector Treatment Centres (ISTCs) and the National Programme for IT (NPfIT). In all we have seen over £5 billion of funds raised under PFI since 1997, and there is an expectation that this will more than double over the next three years, as many more schemes are financed. NHS LIFT promises to raise £1 billion, and the ISTC programme is expected to let contracts of over £1 billion per year. In itself, the NPfIT programme is believed to be the largest global investment of IT, with investment of over £5 billion and implementation costs expected to take that figure much...
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