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Developing an Analytical Framework for Analysing and Assessing Public-Private Partnerships: A Hospital Case Study

Published online by Cambridge University Press:  01 January 2023

Demi Chung
Demi Chung*
Affiliation:
School of Accounting, The University of New South Wales
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Abstract

Public-Private Partnerships have been a popular public procurement policy in a number of countries including Australia, the UK, and New Zealand since the early 1990s. This article examines the experience of the Port Macquarie Base Hospital (PMBH), the first public hospital delivered under the Public-Private-Partnership (PPP) model in the State of New South Wales, Australia. Using a framework adapted from Macário, this study focuses on the political climate in which this PPP mechanism was implemented, identifying the underlying motives driving the use of a PPP to deliver public health services and clarifying the essential conflicts undermining the PPP process. The article covers the entire life cycle of the PPP hospital, from the initial contracting process to its eventual sale. A political desire to reduce public debt, allied with an ideology assuming private sector superiority, made this approach particularly attractive, but failed to deliver the desired outcome. The success of PPPs would appear to depend strongly on goal alignment in a multi-level political system. Auditing processes during the implementation process need to take account of the presence or absence of such alignment.

Type
Article
Information
The Economic and Labour Relations Review , Volume 19 , Issue 2 , July 2009 , pp. 69 - 90
Copyright
Copyright © The Author(s) 2009

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References

ABC News (2002) ‘Inquiry uncovers hospital waiting list manipulation’, Australian Broadcasting Corporation, 5 September.Google Scholar
Bain, R. (2005) ‘Major road works ahead’, Traffic Engineering and Control, 46(7), pp. 248–251.Google Scholar
Broadbent, J., Laughlin, R. (1999) ‘The private finance initiative: Clarification of a future research agenda’, Financial Accountability and Management, 15(2), pp. 95–114.Google Scholar
Broadbent, J., Laughlin, R. (2004) ‘PPPs: Nature, development and unanswered questions', Australian Accounting Review, 14(2), pp. 4–10.CrossRefGoogle Scholar
Broadbent, J., Laughlin, R. (2005) ‘The role of PFI in the UK government's modernisation agenda’, Financial Accountability and Management, 21(1), pp. 75–97.CrossRefGoogle Scholar
Chung, D. (2003) ‘Public-Private Partnerships: A case study survey’, Honours thesis, Macquarie University, Sydney.Google Scholar
Collyer, F. (1997) ‘The Port Macquarie Base Hospital: Privatisation and the public purse’, Just Policy, 10, pp. 27–39.Google Scholar
Daley, G. (2000) ‘Mismatch made in medical model’, Newcastle Herald, 8 May.Google Scholar
Debande, O. (2002) ‘Private financing of transport infrastructure’, Journal of Transport Economics and Policy, 36(3), pp. 355–387.Google Scholar
Doherty, L. (1998) ‘Private hospital rated worst’, Sydney Morning Herald, 30 May.Google Scholar
Duffield, C. F. (2001) An evaluation framework for privately funded infrastructure projects in Australia, PhD thesis, The University of Melbourne, Melbourne.Google Scholar
Edwards, P., Shaoul, J., Stafford, A., Arblaster, L. (2004) ‘Evaluating the operation of PFI in roads and hospitals', Certified Accountants Educational Trust (ACCA), London, Research Report No. 84.Google Scholar
English, L. (2003) ‘Emasculating public accountability in the name of competition: Transformation of state audit in Victoria’, Critical Perspectives on Accounting, 14(1–2), pp. 51–76.CrossRefGoogle Scholar
English, L. (2005) ‘Evaluation and monitoring of Public Private Partnerships', Submission to the Legislative Assembly Public Accounts Committee Inquiry into Public Private Partnerships, Sydney, Sub. No. 4.Google Scholar
English, L., Guthrie, J. (2003) ‘Driving privately financed projects in Australia: What makes them tick?’, Accounting, Auditing and Accountability Journal, 16(3), pp. 493–511.CrossRefGoogle Scholar
English, L., Baxter, J. (2007) Using contracts to govern hybrid Public-Private Partnerships: A case study of Victorian prisons, 5th Asia Pacific Interdisciplinary Research in Accounting Conference (APIRA), Auckland, New Zealand, 8–10 July.Google Scholar
Froud, J. (2003) ‘The Private Finance Initiative: Risk, uncertainty and the state’, Accounting, Organizations and Society, 28, pp. 567–589.Google Scholar
Gain, L. (1992) Submission to Phase 1 of the Port Macquarie Hospital Inquiry, NSW Council of Social Service (NCOSS), May.Google Scholar
Glaister, S., Scanlon, R., Travers, T. (2000) ‘Getting Public Private Partnerships going in transport’, Public Policy and Administration, 15(4), pp. 49–70.CrossRefGoogle Scholar
Grimsey, D., Lewis, M. (2005) ‘Are Public Private Partnerships value for money?: Evaluating alternative approaches and comparing academic and practitioner views', Accounting Forum (Adelaide), 29(4), pp. 345–378.CrossRefGoogle Scholar
Hart, O. (2003) ‘Incomplete contracts and public ownership: Remarks, and an application to Public-Private Partnerships', The Economic Journal, 113, C69–C76.Google Scholar
Heald, D. (2003) ‘Value for money tests and accounting treatment in PFI schemes', Accounting, Auditing and Accountability Journal, 16(3), pp. 342–371.CrossRefGoogle Scholar
Heald, D., Dowdall, A. (1999) ‘Capital charging as a VFM tool in public services', Financial Accountability and Management, 15(3 and 4), pp. 209–228.CrossRefGoogle Scholar
Macário, R. (2001) Managing and assessing regulatory evolution in local public transport operations in Europe, 7th Conference on Competition and Ownership in Land Passenger Transport, Molde, Norway, 25–28 June.Google Scholar
Mills, G. (1991) ‘Commercial funding of transport infrastructure’, Journal of Transport Economics and Policy, 25(3), pp. 279–298.Google Scholar
NAO (National Audit Office) (2001) Managing the relationship to secure a successful partnership in PFI projects, The Stationery Office, London, Report by the Comptroller and Auditor General, HC 375, 2001–2002.Google Scholar
Newberry, S., Pallot, J. (2003) ‘Fiscal (ir)responsibility: Privileging PPPs in New Zealand’, Accounting, Auditing and Accountability Journal, 16(3), pp. 467–492.CrossRefGoogle Scholar
NSW AGO (NSW Auditor General's Office) (1996) The Auditor-General's Report for 1996, Vol. 1, Appendix 4.Google Scholar
NSW Hansard (1994) (NSW Legislative Assembly Hansard), Department Of Health Legal Expenses, Parliament of New South Wales, Article No.21 of 18 September.Google Scholar
NSW Hansard (1995) Port Macquarie Base Hospital Contracts, Parliament of New South Wales, Article No.38 of 23 November.Google Scholar
NSW Hansard (1996) Port Macquarie Base Hospital privatisation, Parliament of New South Wales, Article No.27 of 29 May.Google Scholar
NSW PAC (1992) (NSW Public Accounts Committee) Report of the Select Committee upon the Port Macquarie Base Hospital Project, Parliament of New South Wales, Sydney, June.Google Scholar
NSW PAC (1993) Phase One Report of the Select Committee upon the Port Macquarie Base Hospital. Project into the Funding of Health Infrastructure and Services in New South Wales, Public Accounts Committee, Parliament of New South Wales, Sydney, June.Google Scholar
NSW PAC (1994) Infrastructure Management and Financing in New South Wales, Volume 2: Public-Private Partnerships — Risk & Return in Infrastructure Financing, Public Accounts Committee, Parliament of New South Wales, Sydney.Google Scholar
NSW Treasury (2007) Working With Government: Risk Allocation and Commercial Principles, Office of Financial Management, Sydney.Google Scholar
Quiggin, J. (2005) ‘Public-Private Partnerships: Options for improved risk allocation’, Australian Economic Review, 38(4), pp. 445–450.CrossRefGoogle Scholar
Robinson, P., Samarasekera, N., Tarca, A. (2007) Evaluating the performance of a Public Private Partnership using a transaction costs approach: An Australian case study, 5th Asia Pacific Interdisciplinary Research in Accounting Conference (APIRA), Auckland, New Zealand, 8–10 July.Google Scholar
Rutherford, B. A. (2003) ‘The social construction of financial statement elements under Private Finance Initiative schemes', Accounting, Auditing and Accountability Journal, 16(3), pp. 372–396.CrossRefGoogle Scholar
Shaoul, J. (2005) ‘A critical financial analysis of the Private Finance Initiative: Selecting a financing method or allocating economic wealth?’, Critical Perspectives on Accounting, 16(4), pp. 441–471.Google Scholar
Spackman, M. (2002) ‘Public Private Partnerships: Lessons from the British approach’, Economic Systems, 26(3), pp. 283–301.CrossRefGoogle Scholar
Stanley, J., Hensher, D. (2004) ‘Melbourne's public transport franchising: Lessons for PPPs', Australian Accounting Review, 14(2), pp. 42–50.CrossRefGoogle Scholar
Trailer, J. W., Rechner, P. L., Hill, R. C. (2004) ‘A compounded agency problem: An empirical examination of Public-Private Partnerships', Journal of American Academy of Business, 5(1/2), pp. 308–315.Google Scholar
Walker, B. (2002) Public Private Partnerships: Different perspectives, Australian Equities Investment Conference, Sydney.Google Scholar
Walker, B. (2005) ‘5 things that Auditors-General should be doing about PPPs: [Public Private Partnerships]’, Dissent, 18, pp. 50–53.Google Scholar
Walker, B., Walker, B. (2000) Privatisation Sell Off or Sell Out? The Australian Experience, ABC Books, Sydney.Google Scholar
WWG (2006) Working with Government: Guidelines for Privately Financed Projects, Treasury, New South Wales Government.Google Scholar