Downsizing of acute beds & privatisation

Downsizing of acute inpatient beds associated with private finance initiative: Scotland’s case study

Matthew G Dunnigan, senior research fellow,
Allyson M Pollock, professor

a University Department of Human Nutrition, Glasgow Royal Infirmary, Glasgow G31 2ER, b Public Health Policy Unit, School of Public Policy, University College London, London WC1H 9QU

Correspondence to: A M Pollock


Objectives: To evaluate whether the projected 24% reduction in acute bed numbers in Lothian hospitals, which formed part of the private finance initiative (PFI) plans for the replacement Royal Infirmary of Edinburgh, is being compensated for by improvements in efficiency and greater use of community facilities, and to ascertain whether there is an independent PFI effect by comparing clinical activity and performance in acute specialties in Lothian hospitals with other NHS hospitals in Scotland.

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