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The private finance initiative, project form and design innovation: The UK's hospitals programme

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  • Barlow, James
  • Köberle-Gaiser, Martina

Abstract

This paper discusses the role of public demand, in the form of a government procurement policy, in generating innovative solutions for healthcare infrastructure. It considers the effects of the project delivery system (planning, finance, construction and operation) for new hospitals on design innovation. It focuses on hospitals built under the UK's private finance initiative (PFI), which was partly introduced to inject increased innovation into hospital delivery. We use case studies of six early PFI hospitals to argue that the introduction of PFI has increased the complexity at the interface between project delivery and hospital operational functions. The result is a project delivery model which yields less innovative outcomes and produces facilities that might not be able to cope with future changes in demand. The paper suggests that new public procurement models do not automatically provide efficiency and innovation benefits.

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  • Barlow, James & Köberle-Gaiser, Martina, 2008. "The private finance initiative, project form and design innovation: The UK's hospitals programme," Research Policy, Elsevier, vol. 37(8), pages 1392-1402, September.
    • Handle: RePEc:eee:respol:v:37:y:2008:i:8:p:1392-1402
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    References listed on IDEAS

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    Cited by:

    1. Miranda Sarmento, J. & Renneboog, L.D.R., 2014. "Public-Private Partnerships : Risk Allocation and Value for Money," Other publications TiSEM b9218010-a357-4c0a-805a-7, Tilburg University, School of Economics and Management.
    2. Roehrich, Jens K. & Lewis, Michael A. & George, Gerard, 2014. "Are public–private partnerships a healthy option? A systematic literature review," Social Science & Medicine, Elsevier, vol. 113(C), pages 110-119.
    3. Athena Roumboutsos & St�phane Saussier, 2014. "Public-private partnerships and investments in innovation: the influence of the contractual arrangement," Construction Management and Economics, Taylor & Francis Journals, vol. 32(4), pages 349-361, April.
    4. Kyriaki Psara & Christina Papadimitriou & Marily Efstratiadi & Sotiris Tsakanikas & Panos Papadopoulos & Paul Tobin, 2022. "European Energy Regulatory, Socioeconomic, and Organizational Aspects: An Analysis of Barriers Related to Data-Driven Services across Electricity Sectors," Energies, MDPI, vol. 15(6), pages 1-25, March.
    5. Michael Himmel & Matti Siemiatycki, 2017. "Infrastructure public–private partnerships as drivers of innovation? Lessons from Ontario, Canada," Environment and Planning C, , vol. 35(5), pages 746-764, August.
    6. Martijn van den Hurk & Marlies Hueskes, 2017. "Beyond the financial logic: Realizing valuable outcomes in public–private partnerships in Flanders and Ontario," Environment and Planning C, , vol. 35(5), pages 784-808, August.
    7. Nunzia Carbonara & Roberta Pellegrino, 2020. "The role of public private partnerships in fostering innovation," Construction Management and Economics, Taylor & Francis Journals, vol. 38(2), pages 140-156, February.
    8. Ferreira, D.C. & Marques, R.C., 2021. "Public-private partnerships in health care services: Do they outperform public hospitals regarding quality and access? Evidence from Portugal," Socio-Economic Planning Sciences, Elsevier, vol. 73(C).
    9. Filitz, Rainer & Henkel, Joachim & Tether, Bruce S., 2015. "Protecting aesthetic innovations? An exploration of the use of registered community designs," Research Policy, Elsevier, vol. 44(6), pages 1192-1206.
    10. Bernadine J. Dykes & Ikenna Uzuegbunam, 2023. "Foreign partner choice in the public interest: Experience and risk in infrastructure public–private partnerships," Journal of International Business Policy, Palgrave Macmillan, vol. 6(1), pages 47-66, March.
    11. Gil, Nuno & Miozzo, Marcela & Massini, Silvia, 2012. "The innovation potential of new infrastructure development: An empirical study of Heathrow airport's T5 project," Research Policy, Elsevier, vol. 41(2), pages 452-466.

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