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MPs call for thorough review of PFI to ensure value for money

BMJ 2011; 342 doi: (Published 18 January 2011) Cite this as: BMJ 2011;342:d361
  1. Adrian O’Dowd
  1. 1London

MPs are calling for all private finance initiative (PFI) hospital schemes to be reviewed to ensure value for money, consider whether alternatives are preferable, and discover whether contracts can be renegotiated.

The government should also be forced to use its “market leverage” to get better value for taxpayers from these schemes, said MPs on the parliamentary public accounts select committee in a report published on 18 January.

Under PFI projects private companies build hospitals and social housing with NHS trusts and local authorities, repaying them typically over 30 years. By April 2009 there were 76 operational PFI hospitals in England.

The committee’s report follows its inquiry that asked the Department of Health and the Department for Communities and Local Government to examine their management of PFI programmes …

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