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Chickens coming home to roost.


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The problem with PFI wasn't one of concept. After all, getting a commercial organisation to build or buy an asset up front and then receive a return on that investment over a period of time is exactly what anyone who's ever had a mortgage has done.

 

The problems have occurred as a result of lazy negotiation of the deals, lack of any kind of business sense or understanding of risk on the part of the public servants charged with securing them, and lax enforcement of the commercial organisation's compliance with the deal once it's been signed.

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Don't think this is about the operation of the NHS, but the provision of "new" buildings by "new" Labour; without the means to pay for them, hence saddling future generations with massive debts and in some cases, no hospital at the end of it. Perhaps the genius who thought up these schemes should be asked to pay for them?! :wink:

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The problem with PFI wasn't one of concept. After all, getting a commercial organisation to build or buy an asset up front and then receive a return on that investment over a period of time is exactly what anyone who's ever had a mortgage has done.

You can only take out a mortgage on a house you own. An NHS Trust that commissions a hospital will probably never own it

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New buildings don't make "hospitals", but the standards and quality of service within; I recall many of our old local hospitals were housed within "old" buildings. "New" buildings however carry some degree of political cashe; which is why Gordon probably got suckered into the PFI route. :wink:

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"New" doesn't necessarilly mean "cleaner", in bio terms, clinical diciplines and practises govern hygene standards not new bricks and mortar. The first thing that happened with the new Trusts, were new curtains, shops in the foyer etc - all superficial bulls**t; meanwhile special bio-cleaning teams were let go - hence recent super bug problems. :roll:

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