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.

Preparing for disaster: a comparative analysis of education for critical infrastructure collapse

This article explores policy approaches to educating populations for potential critical infrastructure collapse in five different countries: the UK, the US, Germany, Japan and New Zealand. ‘Critical infrastructure’ is not always easy to define, and indeed is defined slightly differently across countries – it includes entities vital to life, such as utilities (water, energy), transportation systems and communications, and may also include social and cultural infrastructure. The article is a mapping exercise of different approaches to critical infrastructure protection and preparedness education by the five countries. The exercise facilitates a comparison of the countries and enables us to identify distinctive characteristics of each country’s approach. We argue that contrary to what most scholars of security have argued, these national approaches diverge greatly, suggesting that they are shaped more by internal politics and culture than by global approaches.

Development of the sustainability of coastal activities through ICZM process

Dissertação de Mestrado, Gestão da Água e da Costa, Faculdade de Ciências e Tecnologia, Universidade do Algarve, 2008

Management options towards coastal sustainability

Dissertação de Mestrado, Gestão da Água e da Costa, Faculdade de Ciências e Tecnologia, Universidade do Algarve, University of Plymouth, Universidad de Cadiz, 2010

Environmental Implications of Hotel Growth in China: Integrating Sustainability with Hotel Development

China has embarked on the largest program of new hotel construction the world has ever seen. Even though the nation’s growth rate has eased somewhat in the past year, China’s hotel development continues at a pace that would see at least three new 150+ room hotels open every day for the next 25 years.1 Even if the industry does not continue to expand at this rate, China’s hotel growth carries substantial consequences in terms of increases in energy and water consumption, and an expanding carbon footprint. In this paper, we outline the dimensions of this issue, and we urge hotel developers to heed the national government’s push for greater sustainability.

Seafood consumption in Portugal : patterns, drivers and sustainability

Tese de doutoramento, Ciências do Mar, Universidade de Lisboa, Faculdade de Ciências, 2014

Urban logistics: how can it meet policy makers' sustainability objectives?

This paper discusses how urban freight activity can function such that it meets the urban sustainability objectives policy makers are now beginning to implement. It considers: the importance of urban freight transport in maintaining the economic vitality of the city; the negative impacts that it imposes; the concept of urban sustainability and the development of sustainability strategies; and the means and measures by which freight transport could be made more sustainable. It presents results from a project that investigated the current freight transport operations of seven different companies in three urban areas in the UK. The potential operational, financial and environmental effects of four policy measures on these operations are considered.

Mudanças climáticas e económicas na costa portuguesa: percepções das comunidades, justiça social e democratização

O litoral português, onde se concentra mais de 80% da população e da produção de riqueza do país, é um dos mais vulneráveis da Europa no que respeita à erosão costeira. Queda de arribas, perda de areia das praias e recuo acentuado da linha de costa têm obrigado a avultados investimentos em infra-estruturas e medidas de protecção. Esta concentração populacional na zona litoral ocorreu em apenas algumas décadas, a um ritmo acelerado, perante um sistema institucional e de gestão que se revelou incapaz de restringir a proliferação de construções em áreas de risco. Actualmente, as populações e economias costeiras enfrentam dois enormes desafios: a crise climática e a crise económica. Nas próximas décadas, prevê-se que as alterações climáticas venham acentuar a perda de território pelo recuo da linha de costa, devido a um conjunto de factores, em particular a subida do nível médio do mar. Por outro lado, a crise económica pode inviabilizar a continuação de dispendiosas intervenções para conter o avanço do mar, incluindo a construção de esporões e paredões e o enchimento artificial das praias. Cada vez mais se ponderam estratégias alternativas de adaptação, inclusive a eventual deslocação de populações para áreas mais recuadas. A necessidade de tomar medidas mais drásticas, a génese ilegal de muitas das construções agora em risco na orla costeira, a diversidade de culturas e de modos de vida, assim como de interesses económicos, que nela convergem, fazem antever conflitualidades e problemas de justiça social.O desafio da sustentabilidade das zonas costeiras passa por criar processos de decisão e de gestão com a participação activa das populações locais e por uma abordagem inovadora face às estratégias de adaptação e ao seu próprio financiamento. Esta procura de modelos de gestão costeira mais sustentáveis não dispensa uma abordagem sociológica das problemáticas mencionadas. A partir de três casos de estudo na costa portuguesa – Vagueira, Costa da Caparica e Quarteira – nesta comunicação analisam-se os resultados de um inquérito aplicado a uma amostra representativa das populações aí residentes, bem como um conjunto de entrevistas realizadas aos stakeholders locais. Procuramos explorar as avaliações sobre os riscos costeiros e a disponibilidade dos actores locais para a participação em modelos alternativos de gestão e financiamento.

Increasing school choice: sustainability paradox

The UK government wants school travel to be safer, healthier and more environmentally friendly-with more pupils walking and cycling. In addition in 2005, it published the 14-19 Education and Skills White Paper. One of the key aims of the paper was to improve school choice for all pupils. This is to be achieved by giving more choice to disadvantaged children; and promoting fair admissions in order to give parents access to a wider range of schools. Allowing parents to look further than their local catchment area school is likely to result in greater numbers of children traveling longer distances. Therefore, as this paper illustrates, if school choice is really to be open to all, school transport must be included as part of the tool kit promoting choice and targeted at those who need it most.