Category Archives: Healthcare and Hospital PPP

Projects concerning Public Private Partnerships in the Healthcare sector.  This includes social infrastructure projects for Hospitals, Health Centres, Community Health Facilities, and Medical Facilities.

NHS Grampian – Foresterhill and Inverurie Health Centres – Financial Close

We would like to congratulate NHS Grampian on achieving Financial Close (on 5 December 2016) with hub North Scotland Ltd on the project to build new health centres in Inverurie and Foresterhill (Aberdeen) using the hub/DBFM/PPP structure.

The total construction cost of around £22 million will be funded by institutional debt from Aviva, and subordinated debt from Currie & Brown Equitix, Galliford Try Investments, NHS Grampian, the Scottish Government and the Hub Charitable Foundation. 

We advised NHS Grampian throughout the procurement up to and including financial close.  Our responsibilities included assessing the financial submissions from the private sector partner, confirming levels of private sector returns, margins and fees, payment mechanism calibration, and support of commercial negotiations.

The Foresterhill Health Centre is being built within the site of Aberdeen General Hospital, adjacent to the Anchor Cancer Care Centre.  It proximity will allow excellent liaison between Primary care and specialist services.

Inverurie Health Centre is home to the largest single General Practitioner practice in Scotland with around 21,000 registered patients, projected to rise to 30,000 by 2021.  The new health centre will be a major improvement on the existing facility.  At around 3,500 square metres, it will have space to incorporate community health services such as dental and community maternity provision. There will also be an energy centre as part of the development.

Education PPP – IDB, CAF and World Bank in Uruguay

Education PPP training Uruguay

Education PPP seminar

This October with Maria Jimena Cordoba from Castalia we provided a Education PPP training workshop for Uruguayan government agencies including Corporación Nacional de Desarollo (CND), Administración Nacional de Educación Pública (ANEP) and the Institute for Children and Adolescents (INAU) in Montevideo. The workshop covered international experience with Education PPP and management of  PPP contracts.

We also delivered a presentation on best practice in Education PPPs at a breakfast briefing event in Montevideo organised by the Inter-American Development Bank, the Development Bank of Latin America (CAF)  and the World Bank to promote the forthcoming Uruguay Kindergarten PPP project. 

Approximately 100 delegates from across  the Uruguayan PPP industry heard our presentation which described the Scottish experience of Education PPP over the last twenty years.

Government of the Republic of Uruguay

Working with Castalia Strategic Advisers and with support from the Inter-American Development Bank we advised the Government of Uruguay and Corporación Nacional para el Desarrollo (CND) on the development of financial and technical aspects of the Uruguayan early years education PPP programme.  This will create up to 60 kindergartens and family support centres to support the national poverty reduction and social inclusion policy.

Our responsibilities included project  financial modelling, international best practice studies and the development of bespoke technical documentation which drew on our extensive experience of PPP transactions and implementation.

Healthcare PPP Programme, Turkey

We have been selected as preferred bidder, alongside partners in Istanbul, Ankara and Warsaw, to assist the Government of Turkey and the European Bank for Reconstruction and Development with the design and implementation of the Ministry of Health Monitoring Unit for the national Healthcare PPP programme.

This is the largest Healthcare PPP programme in the world and will deliver at least 14 new hospitals with over 26,000 beds.

Latvijas Pašvaldību savienība (LPS), Latvian Association of Local and Regional Governments

Working with LPS, we delivered a half day seminar and web broadcast to around seventy representatives from Latvian municipalities and local government bodies.  The Webinar described the Scottish experience of PPP, its evolution to meet the particular social aspirations of the nation, and its relevance to other states of similar size and latitude.

Scottish National Blood Transfusion Service – New National Centre

We advised the Scottish National Blood Transfusion Service on the business case, procurement and development of KPIs for their purpose-built national centre.  The project reached financial close in 2014 and the facility opened in 2017, marking a step change in the sustainability of service delivery.  It involves consolidating three existing blood, tissue and cell manufacturing and testing facilities, plus associated functions in a purpose built facility at Heriot Watt Research Park in Edinburgh.