Public Hospitals, Private Management

Public Hospitals, Private Management argues that the NHS suffers from declining productivity, rising costs, and weak accountability due to its centralised structure. Drawing on a case study of Hawkesbury General Hospital in Ontario, David Davis shows how private management transformed a failing public hospital into a financially viable and higher-performing institution. The paper proposes introducing competitive tendering and private management within the NHS to improve efficiency, raise service quality, and deliver better outcomes for patients.