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The private finance initiative (PFI) implemented in Lothian,
Scotland, led to capacity constraints across all acute specialties and
downsizing of hospital and community provision. Dunnigan and Pollock
(p 905) analysed projected and actual trends in bed capacity and
inpatient and day case admissions for the Lothian healthcare plan, and
compared the results with those from the rest of Scotland. Rates for
inpatient admission in all specialties and for day case admissions in
acute specialties were significantly lower in Lothian hospitals than in
the rest of Scotland, while the proportion of delayed discharges in
staffed beds was higher. The authors conclude that PFI did not reach
its targets, and further downsizing may be required due to its high
costs.

(Credit: STOCKBYTE/REX)