Abstract
IT WAS AUGUST AND THE SILLY SEASON, so it was perhaps not clear at first whether the news from the Cumberland Infirmary, Carlisle, was a spoof or not. Collapsing ceilings? Flooding sewerage? No air conditioning and an indoor temperature of 33 degrees centigrade (thanks to a transparent roof)? A beds crisis in August? Unfortunately, far from spoof, this was the real life experience of a shining flagship development of the Private Finance Initiative— one of the country's first new PFI hospitals (Mathiason, 2000). Thirty-seven others, worth over £3.6bn, have been approved for development so far.
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