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The Economics of the Private Finance Initiative in the NHS

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  • Jon Sussex

Abstract

The Private Finance Initiative (PFI) is officially described as a means for providing skilled and efficient services to public sector organisations and hence to the communities they serve. But the PFI has also become the main source of capital funds for major investment… The Private Finance Initiative (PFI) is officially described as a means for providing skilled and efficient services to public sector organisations and hence to the communities they serve. But the PFI has also become the main source of capital funds for major investment projects in the NHS and the rest of the UK public sector. Since 1997,…

Suggested Citation

  • Jon Sussex, 2001. "The Economics of the Private Finance Initiative in the NHS," Monograph 000470, Office of Health Economics.
    • Handle: RePEc:ohe:monogr:000470
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    References listed on IDEAS

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    1. Declan Gaffney & Allyson M. Pollock, 1999. "Pump-Priming the PFI: Why are Privately Financed Hospital Schemes Being Subsidized?," Public Money & Management, Taylor & Francis Journals, vol. 19(1), pages 55-62, January.
    2. Charles Webster, 1998. "National Health Service Reorganisation: Learning from History?," Monograph 000442, Office of Health Economics.
    3. David Heald & Neal Geaughan, 1997. "Private Finance Initiative: Accounting for the Private Finance Initiative," Public Money & Management, Taylor & Francis Journals, vol. 17(3), pages 11-16, July.
    4. Flemming, John & Mayer, Colin, 1997. "The Assessment: Public-Sector Investment," Oxford Review of Economic Policy, Oxford University Press and Oxford Review of Economic Policy Limited, vol. 13(4), pages 1-11, Winter.
    5. Adam Oliver, 1999. "Risk Adjusting Health Care Resource Allocations," Monograph 000452, Office of Health Economics.
    6. Adam Oliver, 2001. "Why Care About Health Inequality?," Monograph 000472, Office of Health Economics.
    7. Heald, David, 1997. "Privately Financed Capital in Public Services," The Manchester School of Economic & Social Studies, University of Manchester, vol. 65(5), pages 568-598, December.
    8. Klein, Michael, 1997. "The Risk Premium for Evaluating Public Projects," Oxford Review of Economic Policy, Oxford University Press and Oxford Review of Economic Policy Limited, vol. 13(4), pages 29-42, Winter.
    9. Grout, Paul A, 1997. "The Economics of the Private Finance Initiative," Oxford Review of Economic Policy, Oxford University Press and Oxford Review of Economic Policy Limited, vol. 13(4), pages 53-66, Winter.
    Full references (including those not matched with items on IDEAS)

    Citations

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    Cited by:

    1. Diane Dawson, 2001. "The private finance initiative: a public finance illusion?," Health Economics, John Wiley & Sons, Ltd., vol. 10(6), pages 479-486, September.
    2. Laura Martiniello & Donato Morea & Francesco Paolone & Riccardo Tiscini, 2020. "Energy Performance Contracting and Public-Private Partnership: How to Share Risks and Balance Benefits," Energies, MDPI, vol. 13(14), pages 1-19, July.
    3. Robert McMaster, 2002. "A Socio-instutionalist Critique of the 1990s' Reforms of the United Kingdom's National Health Service," Review of Social Economy, Taylor & Francis Journals, vol. 60(3), pages 403-433.
    4. Spackman, Michael, 2002. "Public-private partnerships: lessons from the British approach," Economic Systems, Elsevier, vol. 26(3), pages 283-301, September.
    5. Thompson, Ceri R. & McKee, Martin, 2004. "Financing and planning of public and private not-for-profit hospitals in the European Union," Health Policy, Elsevier, vol. 67(3), pages 281-291, March.
    6. Pantaleo, Antonio & Candelise, Chiara & Bauen, Ausilio & Shah, Nilay, 2014. "ESCO business models for biomass heating and CHP: Profitability of ESCO operations in Italy and key factors assessment," Renewable and Sustainable Energy Reviews, Elsevier, vol. 30(C), pages 237-253.
    7. Adam Oliver, 2005. "The English National Health Service: 1979‐2005," Health Economics, John Wiley & Sons, Ltd., vol. 14(S1), pages 75-99, September.
    8. Sorrell, Steve, 2007. "The economics of energy service contracts," Energy Policy, Elsevier, vol. 35(1), pages 507-521, January.
    9. Bennett, John & Iossa, Elisabetta, 2006. "Building and managing facilities for public services," Journal of Public Economics, Elsevier, vol. 90(10-11), pages 2143-2160, November.
    10. Robert Bain, 2010. "Public sector comparators for UK PFI roads: inside the black box," Transportation, Springer, vol. 37(3), pages 447-471, May.

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    • I1 - Health, Education, and Welfare - - Health

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