PFI Management handbook

PFI Management

Independent assurance.

Contractual control.

Better outcomes for the NHS.

Public Finance Initiatives (PFIs) and Public‑Private Partnerships (PPPs) were designed to provide the NHS with modern, well-maintained buildings without the upfront capital investment. The private sector would fund, build and maintain facilities,...Contents

Why this service

matters to you

What we

deliver

Why work

with us?

Thank you for reading

PFI Handbook

Introduction to

PFI Management

However, many early contracts are now approaching expiry with significant maintenance issues and works to keep properties compliant and functional are left incomplete. This makes strong, active contract management essential.

As part of the NHS, we have direct experience of managing PFIs across our own estate. Our team combines deep commercial, technical and operational expertise, helping ICBs, Trusts and GPs understand their contractual position, spot issues early and protect public value.

You’ll get PFI management support to help you understand, challenge and actively manage your PFI contracts. Helping you reduce potential maintenance costs and remedial work needed when the building is handed back to you.

Who this service is for

NHS Trusts

Integrated

Care Boards

GP practices

Community and

specialist providers

The service can also be applied to other public sector PFIs where appropriate, although our primary focus remains healthcare.

We help you to:

Understand your contract and rights, including what your project company is responsible for maintaining and upgrading before your contract ends.

Hold project companies to account, using robust evidence and clear contractual position statements.

Ensure contractual obligations are met through proactive monitoring, assurance and challenge, reducing clinical risks.

Manage contract variations effectively, ensuring changes are properly assessed, agreed and documented.

Reduce the risk of poorly maintained assets being handed back to the NHS – and unfunded costs - by strengthening oversight and hand-back readiness.

Prepare for contract expiry, ensuring facilities and assets are returned in Estates Code Condition B, supported by complete operational and maintenance manuals, schematics and drawings.