PFI scheme is blamed for financial collapse of Peterborough and Stamford trustBMJ 2013; 346 doi: https://doi.org/10.1136/bmj.f3735 (Published 07 June 2013) Cite this as: BMJ 2013;346:f3735
All rapid responses
Re: PFI scheme is blamed for financial collapse of Peterborough and Stamford trust. And now, "needs to be made safe". Fire and Rescue Service serve enforcement notice.
Re: Peterborough City Hospital, according to Peterborough Telegraph, 14 April -
Cambridgeshire Fire and Rescue Service has issued an enforcement notice on the Trust, after "becoming aware that defects at the hospital are more extensive than previously feared."
I ask: who is going to haul the PFI provider over the coals?
Has the Health and Safety Executive any role in ensuring the safety of the patients and the staff?
Perhaps The BMJ journalists could investigate further.
Competing interests: My nearest hospital. Might need to be treated there any time.
The continuing scandal of unaffordable PFI hospitals is alarming. Peterborough/Stamford is not the first trust to go bust and neither will it be the last. It seems unbelievable that no-one in NHS Central understands the meaning of unaffordable debt, and just as amazing that PFI debt is not being renegotiated country-wide. It is possible. Local authorities can secure large loans at low interest rates. Suppose one was to borrow at 1% and then loan on to a Trust at 1.5%; the authority makes a small profit, the Trust reduces its payments from an interest rate of 6% so makes a substantially smaller loss.
Currently the "preferred" options for financially challenged Trusts are merger, takeover or closure (or a combination of these) dressed up as rationalisation for clinical gain. Staff know that the result is longer waits in fewer A&E departments, and intolerable pressure on acute beds. Patients know that mergers mean greater travel distances. Take PFI debt away and a large number of these schemes would be unnecessary.
Competing interests: No competing interests