Private problems

Private Finance initiatives could prove a thorn in the side for current and aspiring foundation trusts. Seamus Ward looks at the risks and rewards that lie ahead.
The advance of foundation trusts is gathering momentum as the government pushes its key health reform policy. But with early implementation of payment by results, and without the security of Department of Health underwriters, life could get precarious for trusts.
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More information

Early Lessons from Payment by Results
Audit Commission, October 2005

Partnerships UK database of PFI projects

The future of PFI
Results of the Future Healthcare Network (part of the NHS Confederation) survey of 13 trusts involved in PFI schemes, October 2005

Regulator Monitor’s register of foundation trusts

General PFI Question and Answer Briefing
Department of Health

Darwent Valley Hospital : The PFI contract in action
National Audit Office, February 2005

The Refinancing of the Norfolk & Norwich PFI Hospital: How the deal can be viewed in the light of the refinancing
National Audit Office, June 2005

The PFI contract for the redevelopment of West Middlesex University Hospital
National Audit Office, November 2002