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Author Archives: CHPI Research Team

A Smith Institute report recently set out a “progressive” programme to reset the relationship between government and the private sector when delivering public services. The report recommends introducing new accountability requirements for private contractors – such as the need for open book accounting and for the introduction of profit caps. These are viable proposals for ensuring that future government to business contracting prioritises the public interest and places business under a duty to adhere to the same levels of accountability as public bodies. It recognises that the government has the ability and, some may say, the duty to impose requirements on companies […]
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What is the basis for imposing a windfall tax on PFI operators? The NHS is currently in the most austere decade of funding growth in its 69-year history and is facing an unprecedented funding gap of up to £34bn over the 5-year period to 2020/21. With planners facing the unenviable task of rationing care, questions have been raised about areas of NHS funding where savings could be made without affecting patient care. A recent CHPI report found that over the past 6 years PFI companies made pre-tax profits of £831m and are estimated to make profits of almost £1bn over the next 5 years. This led to calls for […]
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Reforming private hospitals in England after the Ian Paterson scandal Executive summary This report sets out a series of recommendations to reform the private hospital sector in England following the Ian Paterson scandal which left over 500 hundred women who underwent unnecessary breast surgery in two private hospitals maimed and injured. As we have shown in two previous reports, there are a number of systemic patient safety risks which are specific to the private hospital sector. The reaction by both the regulator the Care Quality Commission and the private hospital sector to the Ian Paterson scandal highlights the extent to which those risks remain and will continue to […]
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This report looks at how much profit has been generated by the private companies owning and operating NHS hospitals and other facilities under the Private Finance Initiative over the past 6 years, and the impact of this on NHS finances at a time of severe funding shortfalls. The Private Finance Initiative is a scheme whereby private companies borrow money from banks and shareholders to build NHS hospitals and facilities. The NHS pays an annual charge to the PFI companies partly for use and maintenance of the hospitals but also to pay back the money, and interest, the private companies have borrowed. The contracts with the PFI companies […]
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The government says it wants to ‘save lives’, and it’s possible in psychiatry if you want to. It’s primarily about common sense and treating people decently. For years there has been an abundance of good practice guidance, advice by the National Confidential Inquiry into Suicides and Homicides (NCISH)  and national suicide prevention strategies. Why then has the number of suicides by mental health patients in the UK not been falling in recent years, but rising, from 1,453 in 2006 to 1,876 in 2013?  Why has yet another inquiry on suicide prevention just been launched, this time by the Health Select Committee? 1. […]
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Why it is not enough and what are its implications for the provider sector? Introduction In the time since this analysis paper was prepared Britain has voted to leave the European Union. The referendum result creates enormous uncertainties for the future of the NHS, not least because it will likely mean that existing assumptions about the future financial settlement of the NHS will need to be revised. However, while the context has changed, the challenges facing the NHS have not abated. The circumstances of political and economic uncertainty make rigorous analysis of the financial plans for the future of the […]
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