EoI for Organization of PET Service for Medical Center of Oncology and Radiology in Tashkent

The Ministry of Health of Uzbekistan seeks to implement the project of organizing PET (positron emission tomography) services on the basis of a public-private partnership for the republican specialized scientific and practical medical center of oncology and radiology in Tashkent, Uzbekistan.

International and local companies, experts and consultants are invited to submit their proposals for the study, preparation of project documentation, tendering process and proposals for the implementation of the project by July 1, 2021 to the Ministry of Health of the Republic of Uzbekistan. Learn more

PPHealth4All provides assistance in finding the right experts, book a meeting to find out more.

PPPHealth4All Advisory Board Meeting

On May 28 2021 the second PPPHealth4all Advisory Board meeting took place. The meeting started with paying a tribute to late Chidi Izuwah, CEO of Infrastructure Concession Regulatory Commission of Nigeria, a member of Advisory Board who passed away in March 2021.

The PPPHealth4All team shared the progress was made in the last 6 months and the plans for the second half of the year. As always, it was great to receive the constructive suggestions and comments from our members of the Advisory Board and also congratulations on the progress made. The next steps will be development of PPP healthcare project database based on AI and machine learning, further development of PPPHealth4Alll ecosystem and ensure entry to new markets with support of trAIDe GmbH/KPMG and financed by the government of Germany.

The best wishes were extended to all team members representing PPPHealth4All In Asia, Latin America, Europe and Africa and those who recently joined management echelon.  Natalia Korchakova-Heeb is leaving PPPHealth4All and will be leading PPPs globally at Siemens Healthineers. We are grateful to the members of our Advisory Board, namely Dr. Rosemary Kumwenda, Audrey Mwala, Mark Moseley and Dr. Tarik Linjawi and would like to acknowledge their continuous support and advice.

Invitation for Expression of Interest: Pre-feasibility Study PPP Hospital Fusagasugá, Colombia

The National Planning Department of Colombia together with the Governor’s Office of Cundinamarca has opened the call to conduct technical, legal, commercial, economic and financial pre-feasibility studies in order to determine the eligibility to continue to the feasibility phase under a Public Private Partnership scheme. The project includes design, financing, construction, equipment, operation, maintenance and reversion of a new high complexity hospital in Fusagasugá.
Deadline for submission of EoI – June 01, 2021. The interested firms are invited to apply here

PPPHealth4All provides assistance in finding the right expert for all stakeholders involved in building healthcare PPPs. Book a meeting to find out more.

PPPHealth4All Persona – Sameer Pujari, Acting Head of the Unit, WHO

We are very happy and privileged to welcome our next PPPHealth4All Persona, Sameer Pujari, Acting Head of the Unit, the World Health Organization’s Department of Digital Health and Innovation.  He works extensively on Digital Health including mHealth, Big Data and AI providing support in over 40 countries.

Sameer has shared with us how WHO and the member states are working with the private sector and how AI can be deployed and successfully managed at the country level to improve healthcare system. Also we talked  about WHO and ITU initiative on Digital Health and mHealthGlobal Health Hub initiative and implementation of gender equality.

Special thanks to Violeta Isabel Pérez Nueno to make this interview happened.

Interview by Natalia Korchakova-Heeb

Internship Opportunity with PPPHealth4All

We are looking for young enthusiasts to empower our team! Are you a student or graduate in the field of marketing, business analytics, legal framework or sustainability who is willing to gain experience in healthcare PPPs? We are happy to welcome you to our team. As an intern, you’ll be part of a dedicated team and take ownership of your ideas from day one.

PPPHealth4All is a global award-winning platform serving 61 countries. Its objective is to bring better healthcare by promoting sustainable PPPs in the sector and bringing “Value for People” along with “Value for Money”. 

Join us to work on an interesting global project to promote sustainable public-private partnerships in the healthcare sector.

PPP Hospital Tender Opportunity in the UK: New Velindre Cancer Centre MIM Project

Image: Velindre University NHS Trust

Velindre University NHS Trust is seeking tender proposals for the New Velindre Cancer Centre project which will be situated at Whitchurch, North Cardiff. It is proposed by the contracting authority to procure the estimated £562,000 project through the Welsh Government’s Mutual Investment Model (“MIM”) which is a specific model for procuring PPPs in Wales.

The new cancer centre facility which is about 32,000 m² is to be designed, constructed, financed and maintained by an operator who will be awarded the contract. It will have the capacity for 8,500 new patients and 160,000 patient appointments a year – up from the current levels by two thousand and 20,000. It’s part of a plan to increase capacity across South East Wales.

The new Velindre Cancer Centre project director, David Powel, said, “The 60 year-old Velindre Cancer Centre does not have the facilities or space to meet this future challenge. So, we want to replace it with a new one. The new centre will treat more patients and help more people live longer with cancer. It will also further support international research and development aiming to make Wales a leader in cancer treatment.”

The deadline for applications: 21 June, 2021
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PPPHealth4All Database of PPP Healthcare Projects

PPPHealth4All platform was launched in April 2020 to address the profound knowledge gap faced by the national governments and civil society in developing healthcare PPPs. The platform assists by collecting and standardizing data and state-of-the-art asset models to create the performance benchmarks that are needed for asset allocation, prudential regulation and the sustainable design of PPP healthcare projects. There is a number of international databases on PPPs.  Some databases are free of charge, some of them are commercial. The key differences between databases:

  • target audience and objectives pursued (aiming mainly at investors, community of members);
  • source of information (information publicly available, provided directly by the governments or sources of information are no disclosed);
  • information categories (various parameters used in various databases);
  • project maturity (some projects are encoded only after financial closure);
  • access fee (free/via subscription);
  • availability of information on PPP healthcare (some database does not have health sector in focus);
  • include/non include non-infrastructure PPP healthcare projects.

In general, the information provided by all known sources is fragmented, not complete and does not reflect the actual status of the projects. The information about research PPPs, service PPPs, partnerships with NGOs on provisions medical services on public health or strengthening health systems is not available. 

PPPHealth4All strives to systemize the available project information and to map existing partnerships projects in the healthcare sector. Subscribe to our platform to get access to knowledge base in healthcare PPPs

Upcoming Tender for 2 PPP Hospitals in Peru

Earlier this year, our colleague from Peru Jaime Li reported  about two PPP healthcare projects in pipeline promoted by the Social Health Insurance Board (EsSalud). These projects are in the formulation stage by the Private Investment Promotion Agency – PROINVERSION. We are expecting the announcement of tender soon. The projects are:

New High Complexity Hospital in Chimbote, Peru:

  • Design, construction, and provision of hospital equipment
  • Provision of non-clinical services (cleaning, security, waste management, maintenance of equipment and facilities, etc.)
  • Contract term: 20 years including investment stage.
  • Investment value: approximately US$ 110 million

New High Complexity Hospital in Piura, Peru:

  • Design, construction, and hospital equipment (Clinic and Non-Clinic)
  • Provision of non-clinical services
  • Contract term: 20 years including investment stage.
  • Investment value: approximately US$ 144 million

PPPHealth4All  provides  services for all stakeholders involved in  building healthcare PPPs. Book a meeting to find out more.

PPPHealth4All Persona – Erjon Murataj, Senior PPP Expert at PPPHealth4All

We continue our series of PPPHealth4All  interviews with prominent PPP experts around the world. And today our senior PPP expert Erjon Murataj will share the insights for development of successful PPP healthcare projects and what problems could be faced. Dear Erjon, thanks for being with us today. Could you please introduce yourself?

My name is Erjon Murataj. I have more than 10 years of experience in developing the Public Private Partnerships from public side. I have worked in Albania PPP Unit and also in Ministry of Finance of Albania, where I have been involved in preparation of various Public Private Partnership projects. My education includes a Master Degree in Business Law from the Tirana Business University. Currently I reside in Spain.

What PPP healthcare projects were developed in Albania?

Not many, but in 2013, the Albanian government pledged to implement universal healthcare coverage and has since undertaken a series of steps toward implementation of this model. Since January 2016, roughly 600,000 uninsured Albanians benefit annually from free family doctor visits and reimbursable drugs, and close to one million Albanians aged between 35-70 years old, both insured and uninsured, are entitled to benefit from free medical check-ups provided under a PPP contract.

Also in February 2015, the Ministry of Health asked IFC to assist in designing a public-private partnership (PPP) with a qualified healthcare company to provide modern public laboratory services with international standards across 18 university and regional hospitals. After a competitive bidding process, the Consortium of Labopharma (Albania) and Exalab (France) was awarded a 10-year contract, with PPP agreements signed in April 2019.

Healthcare PPPs are different from other PPPs and often certain difficulties in preparation and implementation of healthcare PPPs. Why are the problems in your views and what could be potential grounds for PPP healthcare projects failures?

There are many issues that impact PPP healthcare projects. While some of them are obvious, the others are often disregarded. There are some key elements that needs to be addressed in the right way. Those elements are important for PPP project in any sector, but my focus today will be on healthcare PPP projects. Based on my experience as PPP public official with more than 20 years of experience, I could share what is important from my point of view and what I could derive from my past and current experience.

  1. Failure to proper assess the needs

When formulating an initial idea of the PPP project, it is important to understand what kind of problem the project is solving and with what means. After shaping the initial idea, further in-depth analysis and needs assessment have to be carried out. The following questions should be asked: what the project stands for? What is the problem to be solved or the needs to be fulfilled? Who are benefiting from this project? It is a brainstorming stage and various ideas and assumptions should be brought under discussion. When we will get all the answers for the questions, all the concerns addressed and all the opportunities realized, we will get a solid project idea. A lot of projects fail to address the real needs of the country, sector and stakeholders. This is I would say a fundamental flaw.

  1. Deficient planning

After evaluating the real needs, it is time for plan and shape the project. At this stage, project specifics gets shaped. Deficient planning is the second main factor why the PPP healthcare projects often fail. There are many issues that might lead to deficient planning:

  • Different perception issues (social, cultural, economic, environmental, religious… etc.). causing different expectations and conflicts in a certain socio-economic context

  • Problems at Design-Build stage. Design-Build issues refer to the implementation of the project and mostly with the project requirements (functionality idea and main requirements). Bad design or problems during the construction affect the whole project life-cycle.

  • Costs issues. The healthcare projects in general are expensive (due to the equipment and their lifetime), this is why the planning of the real costs is very hard.

  • Lack of proper market sounding. Market sounding is a process that involves many steps and various market players – without checking market readiness, it is impossible to launch a successful project.

  1. Failure in procurement

Another important factor is the transparent procurement – the process of awarding the private partner that will build (operate, finance) the PPP project. Many countries have very strict procurement procedures. In my view, the procurement process and procedures should be also transparent, which is not always the case, especially in developing countries.

It is also important to properly formulate the main criteria for implementing the project. Criteria that describe the functionality of the project should be “pass or fail”. Sometimes the choice of awarding criteria is designed in the way that prevent selecting the best bidder and this would hamper a fair competition.

  1. Insufficient contract management and monitoring

After the contract has been signed, it is crucial to start monitoring the contract implementation. Many governmental entities neglect contract management and monitoring and rely on the goodwill of the private partner. The importance of this phase is vital. The public partner could collect important data and lessons to be used for improvement of this project and also for developing the new ones. Monitoring of the healthcare PPPs is orientated to the high quality medical services to be delivered through the project.

  1. Failure in getting a right advice

Many governments spend millions on mega healthcare PPP projects, and do not have the money for advisers or fail in approaching the right ones. It could be a serious drawback if the public entities do not allocate funds for advisory services. The advisers must be engaged from the beginning and they do not need to be the most expensive ones. Although hiring an adviser is not very simple and especially when they are not local based. Nowadays this process is getting more simple through the implementation of the digital solutions and information technologies. PPPHealth4All could play a vital role here in helping to identify suitable consultants. I see a great service offering from PPPHealth4All platform, which offers a lot of support for governments and PPP Units on different matters. The best offer, in my view, are the consultations on the demand with “best in the class” experts. These consultations allow to reduce time and costs for preparation of PPP projects but also to increase quality.

How to support public officials during the process of preparation of PPP healthcare projects?

PPP healthcare projects are critically needed, especially during these difficult time of global pandemic. The governments need help in developing and implementing PPP healthcare projects. It is great to have such a platform that could serve as one-stop shop for preparation of healthcare PPPs and where public officials could receive a necessary support when required.

Dear Erjon, thanks a lot for sharing your views and for your valuable insights. Thanks for joining us today.

Thank you.

Interview by Natalia Korchakova-Heeb

Call for Tender of the Hospital de La Serena in Chile

The Ministry of Public Works in Chile announced the call for bids for 668 beds Hospital de La Serena. The project, which is part of the National Plan for Investments in Health, will benefit about 723 thousand residents of the communes of La Serena, La Higuera, Vicuña and Paihuano and other benchmarks in the Coquimbo Region.

The Minister of Public Works, Alfredo Moreno, specified that with the call for bids for the Hospital de La Serena, a new step is taken in fulfilling the goal of tendering 10 projects, involving 19 hospitals and an investment of USD 2,415 between 2018 and 2022: “In these times of pandemic, providing new hospital facilities to different regions of the country becomes even more urgent, and the concession mechanism gives us a great opportunity to build first-rate infrastructure, with the certainty of maintaining its standard of service in time. We have already made a call for tenders for four projects (which include 12 hospitals) and within the second quarter of this year we will call for the new Coquimbo Hospital, which will allow us to deliver a wide coverage of care to the Coquimbo Region ”.

The project involves an investment of UF 6,146,350 (USD 261K) for the design, construction and maintenance of the new facilities, as well as the provision, replacement, assembly and maintenance of medical equipment and furniture. The term of the concession is approximately 19 years. The new hospital will have capacity for 668 beds, distributed in 146 for critical patients, 332 medical-surgical beds, 90 gyneco-obstetric, 48 pediatric, 18 neonatological and 34 for adult psychiatry. To this will be added 15 pavilions, 85 boxes for medical, dental and non-medical consultations, 6 rooms for comprehensive childbirth care and an emergency service.

10 prequalified companies are invited to submit a bid. It is estimated that this project will be started at the end of 2021 year and that the construction will take place during the first quarter of 2023, which would allow the hospital to operate in the first half of 2026.

The deadline for submission is June 13, 2021.

More information