Capability in evidence
Selected illustrative qualifications.
Seven assignments, each led at senior level and drawing on the network of experts and partner firms. Assignments are described by client and region.
European Commission, DG INTPA
Private sector engagement with the EU, the African Union and Africa CDC on health system transformation
Analytical reports on private sector participation in the Team Europe Initiative, covering seven case studies, a mapping of the financing architecture, and structured engagement with public and private interlocutors.
Domain iiiWorld Health Organization
RAPID appraisal, pre-feasibility and feasibility studies, for a greenfield hospital project
Pre-feasibility and feasibility studies applying the RAPID methodology, to assess maturity, demand justification, options and feasibility flags for a proposed greenfield hospital. Further to the appraisal report, the country requested transaction advisory services, using the BRIDGE instrument to structure the partnership.
RAPIDAsian Development Bank, for a grouping of development banks
Social infrastructure investment optimisation
Facilitation of a technical grouping of multilateral development banks, to create added value through collaboration, shared good practice and risk analysis, so that private investment in health is optimised.
CASHA group of private investors
VIBE assessment for a major health infrastructure project
Application of the VIBE methodology to assess upstream maturity for a substantial health infrastructure investment, in support of an investment decision.
VIBENational health agency · with WHO, funded by the European Investment Bank
Pre-feasibility study, National Health Reference Laboratory
Pre-feasibility of a national health reference laboratory requiring restructuring, with the mandate and remit reassessed, alongside service configuration, infrastructure requirements, investment scenarios and operational sustainability.
Domain iiNational health agency and national biomedical agency · with WHO
National capacity in medical warehousing and medical oxygen
Assessment of national capacity in medical warehousing and in the production, storage and distribution of medical oxygen, with the investment and operating implications of each option.
Domain iiA consortium of private operators
Early evaluation of viability, risk and opportunity, large hospital partnership
Early evaluation of the viability of a large hospital partnership, of the risks carried by the parties and of the opportunity the project represents, ahead of a decision to commit to detailed studies.
Domain iConfidentiality
Live engagements are described without naming the country, the client body or the financing partners. Further case studies are available on request.
Arrange a conversationIllustrative skill deployment
The range of work behind the practice.
The assignments below indicate the range of work undertaken in health infrastructure, capital investment and complex contracting.
Project-finance DBFOM feasibility, relocation of a national referral hospital
Ministry of Health, South East Europe · European Investment Bank funded
Partnership feasibility and design across Europe
Development banks, including the European Investment Bank, and private investors
Health and facility master plans in more than fifteen countries
Governments and health authorities
Training programmes for PPP decision makers in health
Egypt, Morocco and Serbia, with the European Commission
Working group on health financing and private sector participation
China · with WHO
Standardisation of primary health care facilities
Jordan · with WHO
Guide on health technology assessment
World Health Organization
Guide on inclusive health infrastructure
UNOPS · WHO
Partnership instruments for social security and health decision makers
Vietnam
Health system reform and programme delivery
Senegal, Vietnam, and European Commission funded programmes
Public-private partnerships in practice
Twenty years of partnership and complex contracting.
Contracts and transactions
Operation and management services delivery agreement
General hospital, North Africa
Joint venture for a health insurance card scheme
Ministry of Health, Southern Europe
Service delivery agreement, conversion of a military hospital
Ministry of Health
Consortia for build-own-operate-transfer projects
Hospital sector, worldwide
Feasibility, structuring and value for money
Territorial partnership arrangements in health
State governorate, Brazil
Concession model feasibility, outpatient consultations
Not-for-profit private hospital, Western Europe
Financial sustainability of vaccine and immunisation policy
Ministry of Health, Central Africa
International patient referral network strategy
Private healthcare network, Western Europe
Policy, legislation and capacity
Working document on private sector participation in social infrastructure
European Commission, Integrate Programme
National old age master plan
Ministry of Health, South East Asia
Health financing and contracting for private participation
Ministries of Health and Labour, West Africa
Training of decision makers on partnership instruments
European Commission and WHO programmes
How a partnership is put together
Who signs what, and what flows between them.
The public authority, the special purpose vehicle it contracts with, and the parties standing behind that vehicle. Health Solutions advises on every line in this diagram, from the agreement at the top to the operating and insurance arrangements at the foot.
The terms on which debt is raised set the coverage ratios the project must meet for the life of the concession. Payment mechanisms and availability regimes are drafted against the implementation and service arrangements.