Assess whether a healthcare project is suited to a public-private partnership using value-for-money analysis.
Healthcare & Pharmaceutical Management
Healthcare Public-Private Partnership Structuring
Prepares public health officials and private sponsors to assess, structure, finance and manage healthcare public-private partnerships from feasibility through to asset handback.
🗓️Duration5 training days
📚Content4 modules · 8 sessions
🎓On completionAccredited attendance certificate
About the programme
Course Overview
Governments and health systems turn to public-private partnerships to build and operate hospitals and clinical facilities when public capital budgets cannot fund the programme alone, but a poorly structured partnership can lock a health system into decades of unaffordable payments or misallocated risk. This course sets out how to test whether a healthcare project is suited to a partnership structure, using value-for-money assessment against a public sector comparator and a realistic affordability ceiling. It covers risk allocation across design, construction, demand and clinical domains, running a competitive procurement with output specifications, and structuring the special purpose vehicle's debt and equity alongside government guarantees where needed. Later modules cover drafting the project agreement, monitoring construction and operational performance against key performance indicators, and governing the partnership through its full concession term, including refinancing events, benchmarking and asset handback. Teaching uses risk matrices, payment mechanism models and contract clauses drawn from healthcare infrastructure programmes. Participants leave able to structure, negotiate or oversee a healthcare partnership from initial business case to contract close and beyond.
Expected Learning Outcomes
Build a risk allocation matrix that assigns design, construction and demand risk to the party best placed to manage it.
Design a competitive procurement process built around output specifications rather than prescribed inputs.
Structure the special purpose vehicle's financing across senior debt, equity and government support.
Draft payment mechanism and performance provisions that link payment to service availability and quality.
Monitor construction and operational performance against key performance indicators and service standards.
Plan asset handback and evaluate a completed partnership against its original value-for-money case.
Who Should Attend
Ministry of health and treasury officials assessing healthcare infrastructure financing options.
Hospital executives preparing to sponsor or host a public-private partnership project.
Infrastructure and project finance specialists structuring healthcare transactions.
Legal and commercial advisers drafting healthcare concession and project agreements.
Facilities management and operations directors managing an existing healthcare partnership contract.
Multilateral and development finance staff appraising healthcare public-private partnerships.
Course Modules
Select any module to see its sessions and points.
01Assessing the Case for a Healthcare Partnership
2 sessions · 8 points
Session 1Feasibility, Value for Money and Affordability
- Run a value-for-money assessment that compares the partnership option against a public sector comparator.
- Set an affordability ceiling for the project within the health system's medium-term capital budget.
- Define the clinical and non-clinical scope that the private partner will design, build and operate.
- Engage ministry, treasury and clinical stakeholders early to agree the scope and objectives of the partnership.
Session 2Risk Identification and Allocation
- Build a risk allocation matrix covering design, construction, demand and clinical service risk.
- Decide which risks the public authority retains and which transfer to the private partner.
- Assess demand risk and revenue support mechanisms appropriate to an availability-based scheme.
- Stress test the proposed structure against the public authority's long-term fiscal exposure.
02Procurement and Transaction Structuring
2 sessions · 8 points
Session 1Running a Competitive PPP Procurement
- Draft output specifications that define required service outcomes rather than prescribed inputs.
- Manage pre-qualification and shortlisting of bidding consortia against defined evaluation criteria.
- Run competitive dialogue and evaluate best and final offers against the published award criteria.
- Maintain probity and conflict-of-interest safeguards throughout the procurement process.
Session 2Financing the Special Purpose Vehicle
- Structure the special purpose vehicle's senior debt, equity and mezzanine financing.
- Negotiate government guarantees, letters of support or development bank involvement where needed.
- Model the payment mechanism, including availability payments and deductions for underperformance.
- Assess currency, interest-rate and refinancing risk across the life of the concession.
03Contract Design and Performance Management
2 sessions · 8 points
Session 1Drafting the Project Agreement
- Define the output specification, service standards and key performance indicators in the contract.
- Design the payment mechanism's deduction and abatement regime for identified service failures.
- Set change-of-scope, refinancing gain-share and step-in rights provisions in the agreement.
- Agree dispute resolution and force majeure provisions appropriate to a healthcare setting.
Session 2Monitoring Construction and Operations
- Monitor construction milestones, commissioning and clinical handover to live operations.
- Track key performance indicator dashboards covering facilities management and equipment availability.
- Manage variations and change requests and assess their impact on the payment mechanism.
- Prepare for independent certifier sign-off at each defined project milestone.
04Long-Term Governance and Asset Handback
2 sessions · 8 points
Session 1Managing the Partnership Over the Concession Term
- Govern the relationship through a joint partnership board and a defined escalation protocol.
- Benchmark and market-test soft services costs at the intervals set out in the agreement.
- Manage refinancing events and the public authority's share of any refinancing gain.
- Handle underperformance, warning notices and, where necessary, contract termination.
Session 2Asset Handback and Partnership Evaluation
- Plan condition surveys and lifecycle asset replacement ahead of contract expiry.
- Negotiate handback standards and residual value assessments for clinical facilities.
- Evaluate the completed partnership against its original value-for-money business case.
- Capture lessons learned to inform the risk allocation of future healthcare partnerships.
What the participant receives
4 course modules
A structured syllabus
8 training sessions
across 5 days
32 detailed points
Applied, detailed content
Accredited attendance certificate
On completing the programme
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