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free term paper on b2b cost to setup private exchange

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... sector services have been created in the UK (Broadbent, et al, 2002). However, it has been under public scrutiny regarding its operation in the National Health Service (NHS).

PFI calls upon the private sector to supply asset-based services to the public sector over a long period (up to 60 years) in exchange for monthly lease payments ( Broadbent, et al, 2002). PFI was officially created in 1992 under the Conservative Government but was furthered by the Labour Government when it came into power in 1997.

The Labour Government has expanded the PFI in general into areas of the public sector that have historically been closed ...

... organisational changes initiated by the new PFI-driven NHS model (Warne, et al, 2002, DoH, 2002).

1948 NHS Model New NHS Model

Values: free at the point of service

Spending: annual lottery

National standards: none



Providers: monopoly


Staff: rigid professional demarcations

Patients: Handed down treatment


System: top down


Appointments: long waits

Values: free at the point of service

Spending: planned for 3/5 years

National standards: NICE, NSFs and single independent healthcare inspectorate/regulator

Providers: Plurality state/private/voluntary

Staff: modernised flexible professions benefiting patients

Patients: choice of where and when get treatment

System: led by frontline devolved to primary care

Appointments: short waits, booked ...

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