Health systems reform and public private partnerships (P02287)

? Credit Points : 20 ? SCQF Level : 11 ? Acronym : HEA-P-HSRPPP

Contemporary programmes of health system reform based on markets and private sector involvement have implications for the means by which services are matched to needs in universal health systems . Public private partnerships (PPPs) play a central role in the international trend towards private provision of public services and provide an important international model for reforming health service governance, funding and financing. Partnerships are promoted within the programmes of international organisations such as the World Bank, International Monetary Fund, United Nations, European Union, and Organisation of Economic Cooperation and Development. But whilst they involve the private sector more directly in the provision of public services they have a direct impact of public services resources and redistribution mechanisms. This course focuses on the significance of PPPs for ownership, financing and management in public service delivery. It will provide a detailed examination of the concepts of partnerships and the methods for their evaluation. It will take as its starting point NHS organisational and financing reforms that have accompanied PPP in order to provide a conceptual framework for more general evaluation of the model. The course will also cover concepts such as corporatisation, forms of privatisation, the third way of nonprofit companies, and the use of private finance and foreign direct investment for public service infrastructure renewal.

Entry Requirements

none

Subject Areas

Home subject area

International Public Health Policy, (School of Health in Social Science, Schedule D)

Delivery Information

? Normal year taken : Postgraduate

? Delivery Period : Semester 2 (Blocks 3-4)

? Contact Teaching Time : 3 hour(s) per week for 10 weeks

All of the following classes

Type	Day	Start	End	Area
Lecture	Friday	10:00	10:50	Central

Summary of Intended Learning Outcomes

The course will:
- Describe the introduction of private sector involvement in the United Kingdom's national health service
- Describe and examine the conceptual framework informing definitions of public, for-profit and nonprofit
- Describe models of decentralised debt financing
- Introduce basic accounting terms used in the evaluation of PPPs
- Examine in detail PPP appraisal methodology
- Discuss PPP case studies
- Review the international promotion of PPPs in international trade agreements, and debt and development instruments, and review international advocacy of PPPs by private companies
- Consider the arguments for and against foreign direct investment in health services infrastructure