Public-private partnerships and efficiency in public procurement of primary healthcare infrastructure: a qualitative research in the NHS UK

Aim There is growing interest in the contribution of public-private partnerships (PPPs) bridging the shortage of financial resources and management expertise in developing public healthcare infrastructure. However, few studies have evidenced PPPs’ ability in increasing efficiency in public procurement of primary healthcare infrastructure. The aim of this study was to assess to what extent PPPs would increase efficiency in public procurement of primary healthcare facilities. Subject and Methods A qualitative analysis, adopting a realistic research evaluation method, used data collected from a purposive sample of public (n=23) and private sector staff (n=2) directly involved in the UK National Health Service Local Improvement Finance Trust (LIFT). Results We find a positive association of LIFT helping to bridge public sector capital shortages for developing primary care surgeries. LIFT is negatively associated with inefficient procurement because it borrows finance from private banks, leaving public agencies paying high interest rates. The study shows that some contextual factors and mechanisms in LIFT play a major part in obstructing public staff from increasing procurement efficiency. Conclusion PPP’s ability to increase efficiency may be determined by contextual factors and mechanisms that restrict discretion over critical decisions by frontline public sector staff. Developing their capacity in monitoring PPP activities may make partnerships more efficient.

Zombie pedagogies: the problems with using the undead in public pedagogies for emergencies

The well-known Hollywood ‘zombie’ genre has recently begun to invade programs and training courses in disaster control and emergency prevention. The author explores the consequences of a transfer of an entertainment metaphor into real US military policies. Is it possible that this implies attuning the populace to catastrophies by means of edutainment? And does this, as Preston argues, in some ways ‘de-humanize’ one’s adversaries? The article points to a fatal dialectics and disturbing elements of a post-ethical disposition. This results not only in some sort of inevitable legitimation of the ‘war on terror’ leaving behind all tenets of civil society. It also permits, subcutaneously, to act without restrictions against certain groups as if they were ‘undeads’.

The business of governorship: Corporate elitism in public education

This is a post-peer-review, pre-copy edited version of an extract/chapter published in Corporate Elites and the Reform of Public Education. Details of the definitive published version and how to purchase it are available online at: https://policypress.co.uk/corporate-elites-and-the-reform-of-public-education. Not to be cited.