NHS bonds could be alternative to private finance initiative for NHS

BMJ 1997; 315 doi: https://doi.org/10.1136/bmj.315.7122.1620 (Published 13 December 1997) Cite this as: BMJ 1997;315:1620
  1. Harry Keen, President, NHS Support Federationa,
  2. Peter Fisher, Chairman, NHS Consultants' Associationb,
  3. Peter Draper, Secretary, Health Policy Networkc
  1. a Apartment 12, Provost Court, 3–6 Eton Road, London NW3 4SR,
  2. b Hill House Great Bourton, Banbury, Oxfordshire OX17 1QH,
  3. c 45 Fortis Green Road, London N10 3HP

    Editor—Concern is growing as more detail is revealed about the private finance initiative in the NHS.1Negotiations over the initiative are conducted under terms of commercial confidentiality. Health professionals and the public are effectively shut out as commercial imperative takes precedence over social purpose.

    The private finance initiative is a costly option. Participating consortiums expect an annual return on investment of 15% or more, to be met by taxpayers (or charges on patients) locked in for 30–60 …

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