The ‘make do and mend’ health service: Solving the NHS’ capital crisis

Article

The NHS has had historically low levels of capital investment. Compared to similarly advanced economies, this country’s capital investment has been very low. On average, a person living in the UK has missed out on almost £2,000 since 1975 – the equivalent of over £100 billion overall.

Though they were bad deals, private finance initiatives (PFI) were the only mechanism that brought enough capital into the health system. However, PFI specifically has turned out to be a bad deal – and will eventually cost almost £80 billion for just £13 billion of assets. This report reveals that £55 billion of this debt is still outstanding – representing a huge burden on tight NHS resources if the government does not take action.

This report recommends a new settlement to fund capital and support transformation totalling £5.6 billion per year – an 80 per cent uplift. The PFI legacy must also be urgently addressed, through a ‘right to enfranchisement’ for the NHS, which would bring those that represent bad deals back into public ownership.

Related items

  1. A row of international flags flying in the breeze outside a building in Paris on a sunny day

    Diversifying diplomacy: UK strategy in a fragmenting world

    How the UK might build more durable international partnerships in energy, defence and technology.
  2. A 'To Let' sign outside a row of houses on a residential street, UK

    High housing costs in the private rental sector: The case for action

    45 per cent of all private renters in the UK have unaffordable rents. It's time for the government to act to limit rent increases.
  3. A wide shot of several large commercial vessels, including oil tankers and a survey boat, floating on turquoise water. In the background, an industrial shoreline with numerous smokestacks and refinery infrastructure is visible under a cloudy sky. Concept of global logistics, maritime industry, and international trade.

    Price caps and economic stability: How to manage the Iran war energy shock?

    The Iran war energy shock will impose significant costs on the UK economy, even if the government does not offer a universal support package.