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Author Archives: Anne Stafford

Good integrated healthcare or neoliberal con? The Alzira Model is named after the town in Spain where the La Ribera hospital, the first hospital using this model, is located The Alzira Model: Goes beyond the PFI model of the building being privately operated to also include clinical services Paid for by a capitation fee The first contract covered only the La Ribera hospital and was signed in 1997, the hospital opened in 1999 and the contract was terminated in 2003 due to losses. Replaced by second contract, which widened the remit to also manage the primary healthcare of the surrounding health […]
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No matter who wins the General Election, the next government will have to deal with the growing cost of inflexible PFI contracts. Those contracts make the task of balancing the books much more difficult. Under the Private Finance Initiative (PFI), the private sector designs, builds and finances much needed new hospitals, schools, roads, prisons and other social and public infrastructure. It also provides the ancillary services – such as cleaning and security, but not the core professional services such as nursing – for typically 15 to 35 years, in return for an annual fee that covers both the capital cost […]
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