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The purpose of the project is to develop a UNECE Standard on best practi= ce in relation to the management of Public-Private Partnership (PPP) progra= mmes in the healthcare sector, under which capital investment in healthcare= infrastructure (hospitals, clinics, etc.) is funded using commercial finan= ce repaid over a long-term (>10-year) concession period. The project aim= s to improve universal access to good quality healthcare by providing guida= nce on the transparent and efficient delivery of PPP programmes that will s= upport the health (and fiscal) policy of governments.
There is rapidly growing demand globally for healthcare services. Changi= ng casemix, scientific and technological developments and increasing patien= t demand is driving a growing need for investment in healthcare systems and= infrastructure to meet the Sustainable Development Goals. Many governments= =E2=80=93 particularly those with low or middle income =E2=80=93 have limi= ted capital reserves available to respond to that need. To address this cha= llenge a number of governments have turned to PPP programmes to access comm= ercial funding for capital projects under contracts for the design, constru= ction, financing and management of the new facilities. In many cases the sc= ope of the programmes have also included services such as cleaning and cate= ring, and clinical services.
Governments have implemented a wide range of PPP programmes in th= e healthcare sector, with different objectives and diverse outcomes. This p= roject aims to provide guidance in the development and implementation of a = healthcare PPP policy which supports and is consistent with governments=E2= =80=99 existing health and fiscal policies.
The project will assess different models of PPP in the healthcare sector= using feedback from markets where PPP programmes have been established, an= d recommend best practice for the establishment and management of robust PP= P programmes. It is anticipated that this guidance will be provided under s= ix categories related to the use of PPP in the health sector:
The project will specifically address the use of PPP programmes t= o fund capital investment in physical infrastructure and systems such as me= dical equipment and ICT. It will consider healthcare social infrastructure = projects ranging from acute hospitals, mental healthcare facilities and com= munity clinics, diagnostic and treatment centres to outreach services such = as dialysis and radiotherapy centres. While these programmes may include so= me services including clinical services, this project will not address part= nerships limited solely to the delivery of healthcare services which do not= require capital investment.
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