Intended for healthcare professionals

Rapid response to:

Analysis

Borrowing to save: can NHS bodies ease financial pressures by terminating PFI contracts?

BMJ 2015; 351 doi: https://doi.org/10.1136/bmj.h4030 (Published 12 August 2015) Cite this as: BMJ 2015;351:h4030

Rapid Response:

Re: Borrowing to save: can NHS bodies ease financial pressures by terminating PFI contracts?

Thoughtful and informative, and naturally makes me wonder how we move.

What's wrong with hospital revenue bonds?

The PFI is not just inflexible, it is full of avoidable steps/processes that add costs in the name of avoiding risk. If NHS hospitals are indeed 'independent' then they can issue tax-exempt bonds, bypassing the high-priced help in the City.

In the end, it all depends from whom you get your advice. Turkeys don't vote for Christmas any more than financiers will design systems that won't benefit them. PFI has to learn from the banking crisis and explore alternatives.

Competing interests: No competing interests

18 August 2015
Michael Tremblay
health policy advisor
cassis limited
brabourne lees, kent