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Nhs Capital Investment And Pfi
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Book Synopsis NHS Capital Investment and Pfi by : Pamela Stapleton
Download or read book NHS Capital Investment and Pfi written by Pamela Stapleton and published by . This book was released on 2012 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: At its inception, the NHS was structured as a public corporation, which owned its hospitals. Sixty years on, hospitals are business units or Trusts, which are responsible for capital investment in a local region. The Private Finance Initiative (PFI) has become the predominant mode of financing new hospitals. This paper's purpose is to review the impact of PFI. A literature review traces the various stages of the NHS' hospital investment programme and the research method is a case study. The findings show that PFI is leading to additional costs and complexity that make the achievement of the NHS's objectives difficult.
Book Synopsis Investing in Hospitals of the Future by : Bernd Rechel
Download or read book Investing in Hospitals of the Future written by Bernd Rechel and published by WHO Regional Office Europe. This book was released on 2009 with total page 303 pages. Available in PDF, EPUB and Kindle. Book excerpt: Despite considerable investments in health facilities worldwide, little systematic evidence is available on how to plan, design and build new facilities that maximize health gain and ensure that services are responsive to the legitimate expectations of users. This book brings together current knowledge about key dimensions of capital investment in the health sector.
Book Synopsis A Healthy Partnership by : Gavin Kelly
Download or read book A Healthy Partnership written by Gavin Kelly and published by Institute for Public Policy Research. This book was released on 2000 with total page 80 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book PFI Futures written by and published by . This book was released on 1998 with total page 10 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis The Private Financing of NHS Hospitals by : Mark Hellowell
Download or read book The Private Financing of NHS Hospitals written by Mark Hellowell and published by . This book was released on 2009 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This article outlines and critiques the main fiscal and economic rationales for the Private Finance Initiative and examines the impact of the policy on the long-term financial viability of NHS trusts. It concludes that the PFI funding of capital investment is highly problematic. Its high costs can have a negative impact on the finances of health systems.
Download or read book A Guide to the NHS written by Tony White and published by CRC Press. This book was released on 2018-05-08 with total page 198 pages. Available in PDF, EPUB and Kindle. Book excerpt: To maximise the effectiveness of their work, NHS employees need a clear understanding of the structures and systems of the organisation in which they work. However, this information can be widely spread, hard to access and difficult to gain a working overview of, and the pace of changes and initiatives can seem almost dizzying. This book draws together a clear picture of the modern NHS, from funding and governance to reports, inquiries and overarching legislation. The book is clear and easy to understand and crucially includes full references to provide a one-stop point of access to the most detailed and up-to-date information available. This book is essential reading for workers in the NHS at all levels, including managers, administrators and clinical professionals. It is vital reading for managers and staff at commercial companies working with the NHS. It will also be of interest to campaigners, patient interest groups, researchers and journalists with an interest in the NHS. Specialty registrars and consultants can also find the information from the book, and much more, in The Doctor's Handbook Parts 1 & 2, by the same author. 'Rather than long narrative histories or complex explanations, the author signposts readers to sources of further information, making this book the quick guide so many of us need' - from the Foreword by Sir Ian Carruthers
Book Synopsis Review of Capital Expenditure in the NHS by : Great Britain. National Audit Office
Download or read book Review of Capital Expenditure in the NHS written by Great Britain. National Audit Office and published by . This book was released on 2020 with total page 40 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis The New NHS by : Alison Talbot-Smith
Download or read book The New NHS written by Alison Talbot-Smith and published by Routledge. This book was released on 2006-09-27 with total page 221 pages. Available in PDF, EPUB and Kindle. Book excerpt: Do you understand the 'New NHS'? This new text is an indispensable guide to how health care is delivered in Britain today.
Book Synopsis Capital Investment for Health by : Bernd Rechel
Download or read book Capital Investment for Health written by Bernd Rechel and published by World Health Organization. This book was released on 2009 with total page 228 pages. Available in PDF, EPUB and Kindle. Book excerpt: Capital investment in European health systems has to take account of an array of challenges and opportunities: the demographic and epidemiological transitions associated with an ageing population; advances in medical technologies and pharmaceuticals; rising public expectations; and persistent health inequalities. This volume presents 11 case studies from across Europe and these offer a variety of perspectives on current issues relating to health capital investment and ways of trying to meet present challenges as well as those of the future. The case studies include the Orbis Medical Centre, Sittard, and the Martini Hospital, Groningen (both in the Netherlands); the St Olav's Hospital in Trondheim (Norway); the New Karolinska Solna Hospital in Stockholm (Sweden); the Coxa Hospital in Tampere (Finland); the Rhön Klinikum Group (Germany); the John Paul II Hospital in Krakow (Poland); the Alzira model in the Valencia region (Spain); regional planning in Northern Ireland and Tuscany (Italy); and the Private Finance Initiative (England).
Book Synopsis Public Private Partnerships for Infrastructure and Business Development by : Stefano Caselli
Download or read book Public Private Partnerships for Infrastructure and Business Development written by Stefano Caselli and published by Springer. This book was released on 2016-04-08 with total page 392 pages. Available in PDF, EPUB and Kindle. Book excerpt: Public-Private Partnerships for Infrastructure and Business Funding is ideal for scholars and practitioners who work in the field of public policy design and implementation, finance and banking, and economic development.
Author :Great Britain: Parliament: House of Commons: Treasury Committee Publisher :The Stationery Office ISBN 13 :9780215561206 Total Pages :120 pages Book Rating :4.5/5 (612 download)
Book Synopsis Private Finance Initiative by : Great Britain: Parliament: House of Commons: Treasury Committee
Download or read book Private Finance Initiative written by Great Britain: Parliament: House of Commons: Treasury Committee and published by The Stationery Office. This book was released on 2011-08-19 with total page 120 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Treasury Committee concludes that Private Finance Initiative (PFI) funding for new infrastructure, such as schools and hospitals, does not provide taxpayers with good value for money and stricter criteria should be introduced to govern its use. Higher borrowing costs since the credit crisis mean that PFI is now an extremely inefficient method of financing projects. Poor investment decisions may continue to be encouraged across the public sector, however, because PFI allows Government departments and public bodies to make big capital investments without committing large sums up front. There is no convincing evidence that savings and efficiencies during the lifetime of PFI projects offset the higher cost of finance. The current Value for Money appraisal system may be biased to favour PFIs and there are problems with the way costs and benefits for such projects are currently calculated. Investment could be increased in the long run if government capital investment were used instead of PFI. Paying off a PFI debt of £1bn may cost taxpayers the same as paying off a direct government debt of £1.7bn. Recommendations include: the Treasury should consider scoring most PFIs in departmental budgets in the same way as direct capital expenditure; the Treasury should discuss with the OBR the treatment of PFI to ensure that PFI cannot be used to 'game' the fiscal rules; the Value for Money assessment process should be subjected to scrutiny by the NAO; the Treasury should review the way in which risk transfer is identified.
Author :Great Britain: Parliament: House of Commons: Committee of Public Accounts Publisher :The Stationery Office ISBN 13 :9780215044129 Total Pages :52 pages Book Rating :4.0/5 (441 download)
Book Synopsis Equity investment in privately financed projects by : Great Britain: Parliament: House of Commons: Committee of Public Accounts
Download or read book Equity investment in privately financed projects written by Great Britain: Parliament: House of Commons: Committee of Public Accounts and published by The Stationery Office. This book was released on 2012-05-02 with total page 52 pages. Available in PDF, EPUB and Kindle. Book excerpt: This report examines the risks and rewards for private equity investors in government private finance projects. The Private Finance Initiative (PFI) model has been used by governments in some 700 projects over the last 20 years but defects, including failures to demonstrate the value for money case satisfactorily, the use of long inflexible contracts and the costly contracting process, and inefficient pricing of equity have made continuing with the current model unsustainable. The Treasury is currently reviewing the PFI model. It needs to improve flexibility in the way that private finance is used, establishing quicker and more efficient procurement procedures and achieving a better balance between investors' risks and their rewards. Private finance should only be used where it secures real value for money for the taxpayer, not because of definitional statistical incentives to get projects off the balance sheet (only some 20% of long term PFI liabilities are recorded as debt in the national accounts). Business cases must be an unbiased and transparent assessment of the best form of procurement for the particular project being undertaken, taking account of expected tax receipts from alternative options and not adjusting assumptions to bias the outcome of the assessment. The Treasury needs to collect data on investors' experiences and use this information to assess and challenge investors' returns. There needs to be greater transparency over the pricing of contracts, and inefficiencies which add to the cost of private deals, such as long procurement times, need to be addressed.
Book Synopsis Planning, Markets and Hospitals by : John Mohan
Download or read book Planning, Markets and Hospitals written by John Mohan and published by Routledge. This book was released on 2002-09-11 with total page 294 pages. Available in PDF, EPUB and Kindle. Book excerpt: Improving access to hospital services has been a goal of public policy in Britain for over seventy years, but the means by which this goal is to be attained have changed significantly over time. Drawing substantially on original research, lanning, Markets and Hospitals represents a systematic attempt to access the strengths and weaknesses of different forms of planning and coordination of hospital development. The period covered includes: services prior to 1948; wartime hospital policy; the successes and failures of the mixed economy of health care in the inter-war period; the national hospital plan of 1962 and ultimately the market based reforms of 1991 and the changes since. This book makes a fresh contribution to enduring debates about planning and regulation of health care, about the governance of welfare services and about the appropriate role for voluntary, commercial and charitable provision of services. It reinterprets previous histories of hospital policy and questions whether current policies will reconcile competing goals of equity and choice.
Book Synopsis The Executive Years of the NHS by : Brian Edwards
Download or read book The Executive Years of the NHS written by Brian Edwards and published by CRC Press. This book was released on 2018-12-14 with total page 301 pages. Available in PDF, EPUB and Kindle. Book excerpt: A guide to clinical effectiveness and governance, this second edition includes clinical governance issues. It aims to increase awareness of, and skills in, an evidence-based approach to health care, and there is advice on collecting, evaluating, interpreting and applying evidence.
Book Synopsis Public-Private Partnerships by : Akintola Akintoye
Download or read book Public-Private Partnerships written by Akintola Akintoye and published by John Wiley & Sons. This book was released on 2008-04-15 with total page 448 pages. Available in PDF, EPUB and Kindle. Book excerpt: Public Private Partnership is a key issue in the construction industry – causing much concern among contractors, funders and facility managers. Demand has been building for a thorough analysis ... This edited book will familiarise both researchers and construction professionals working with public private partnerships (PPP) with the issues involved in the planning, implementation and day-to-day management of public private projects. It will show how current risk management methods can help the complex process of managing procurement via such partnerships. The chapters - most authored by a practitioner/academic partnership - are organised round the concepts of best value and use the findings of a major research project investigating Risk Assessment and Management in Private Finance Initiative Projects. The analysis of this research will be supplemented with contributions by leading international experts from Hong Kong, Australia and Singapore, covering hospitals, schools, waste management and housing - to exemplify best practice in PPP-based procurement.
Book Synopsis The Doctor's Handbook by : Tony White
Download or read book The Doctor's Handbook written by Tony White and published by Radcliffe Publishing. This book was released on 2010 with total page 333 pages. Available in PDF, EPUB and Kindle. Book excerpt: Previously published as The Specialist Registrar and New Consultant Handbook, these completely revised and reconfigured volumes reflect the changing everyday work of specialist trainees, registrars and consultants. The two volumes of The Doctors Handbook are an essential reference for all doctors, from specialist trainees to consultants.
Author :Great Britain: Department of Health: Estates and Facilities Division Publisher :The Stationery Office ISBN 13 :9780113227839 Total Pages :126 pages Book Rating :4.2/5 (278 download)
Book Synopsis Estatecode by : Great Britain: Department of Health: Estates and Facilities Division
Download or read book Estatecode written by Great Britain: Department of Health: Estates and Facilities Division and published by The Stationery Office. This book was released on 2007-08-22 with total page 126 pages. Available in PDF, EPUB and Kindle. Book excerpt: With an amendment slip which incorporates the Directions relating to the register of public sector land. Supersedes the document 'Estatecode: essential guidance on estates and facilities management' (2002, ISBN 9780113225491). On cover and title page: Core elements
