Abstract
English This article describes the changing role of private sector capital investment in primary health services premises and discusses some of the consequences. Private sector funding has always played a major role in the financing of premises for general practitioner services. However, the extension of private sector involvement into new areas such as building design, income generation, revenue planning and facilities management may in turn influence the services which are accommodated within primary health services premises. The article discusses some of these implications in the context of a National Health Service which has still only recently begun to draw primary health services into mainstream managerial frameworks. It concludes that the management of private sector involvement in primary health services capital developments presents considerable challenges to probity, accountability and the achievement of broader strategic health objectives.
Published Version
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