Andrew Clark in The Times 27th January 2014 reports: Competition small print threatens Circle’s ‘Big Society’ model for hospitals
The first private company to run an NHS hospital could be forced into a costly and disruptive shake-up after the Competition Commission imposed stiff restrictions on its John Lewis-style model of ownership by doctors.
The use of private hospitals for Health Services can provide problems for Trainees getting appropriate experience and training. In addition the ownership of Hospitals by Private Finance Initiative (PFI) Schemes who then lease out to the local Trust has become very profitable, and Wales must feel grateful that they have not got involved in the short termism of PFI schemes. These schemes were a product of closely contested marginal seats, where government felt it could gain a short-term advantage at the expense of long-term loss – when the bill would be funded by a successor administration.
The problem of building and service inefficiencies in NHS managed hospitals is only partly addressed by PFIs.