ProgrammeOverview

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Health p

Public Private Partnerships (PPP) have been identif i ed as ef f i cient instruments to promote and implement

rojects at both the municipal and state level. Usually, in the area of public health services, PPPs are promoted as a means to deliver service or generate inf

direct market advantage for the f i rm, such as exclusive

rastruprivate sector f i rm. This mechanism may provide a

cture via a contractual relationship with a

temporal operation

However, PPPs can also be a means to promote sustainable development in areas not directly linked to companies’ core business but that address their social and environmental responsibility goals by contributing to local communities. For public sector entities, alliances of this nature can facilitate access to a larger resource pool to undertake actions related to healthcare management, capital expenditure,provision of infrastructure and equipment, institutional development and provision of specialist services

Basic operational principles for PPPs under this caproject costs and reach greater degrees of ef i ciency

tegory are resource complementarity to spread

and subsidiarity. The latter term means that none of the alliance partners would undertake the project without the others’ participation

impoThe sum of e�orts and resources acquires a greater

governments typically su�er from chronic budgetary rtance in developing countries where

constraints in the provision of public health services

PPP for Healthcare Projects

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Course Summary

ProgrammeOverview

About course trainer Programme Outline

nOutline Design and Project Agreement Financial Close Modela

DAY ONEAnthony Smith - Instructor

years of pAnthony is a UK Qualif i ed lawyer with over 20

ractice. He is a specialist in infrastructure, construction and PPP projects and has advised on many major PPP projects in transport, health, education, defence, accommodation, energy and waste to energy in Europe, the Middle East, the Far East and Africa

He is a member of the UNECE PPP Team of Specialists, formerly Head of the UN’s PPP Readiness Task Force (set up to give practical aid and advice to countries in their PPP implementation programmes), is an associate expert in PPP Capacity Building with UNDPHe has assisted the United Nations Economic and Social Commission in drafting its Transport PPP Guidance documentation and Co-authored the UNECE Guide to Promoting Good Governance in Public Private Partner-ships

He has recently carried out a feasibility study for PPP implementation in Mongolia and Uzbekistan on behalf of the Governments and worked with USAID, the Mongolian State Property Committee and its PPP Unit to develop PPP Capacity and the Mongolian Governments PPP documentation as part of USAID’s Economic Policy Reform and Competitiveness Project. He worked on ament Of f i cials in PPP In India

WorldBank Project and training of Govern-

Tony has lectured extensively on PPP related topics and has worked with UNDP , United NAsia Pacif i c, U.N.E.C.E, the Moscow School of

ational Economic and Social Commission

Economics, The world Bank, USAID and Asian

and EasDevelopment Bank in the Asia Paci�c Region

tern Europe developing PPP Capacity Building and drafting standard guidance and contract documentation

Who should attend this training course

The course will be relevant to a wide range of PPP Stakeholders or interested parties from

- Local and National Health

- Project Managers- Construction Managers- Banking and Finance Professionals- Legal Professionals- Commercial Managers- Educational Institutions & Universities

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Overview of Health PPP Projects

1.1 Welcome, Introductions and Course Objectives

1.2 What is PPP?

- A brief discussion on types of PPP and their use within the sector in comparison to traditional procurement 1.3 Case studies: Healthcare Provision using the PPP Model: Worldwide Variations

1.4 The Anatomy of a Health Care PPP Project:

- Contractual structure - The relationship of the parties during the works and services periods - How do the contractual mechanisms work - Compensation, Relief or Force Majeure Events - Political or Non Political Events - Changes in Law - Termination of the Contract - Compensation on Termination and why

1.5 Healthcare Payment Mechanism

- In depth review of actual payment mechanism and the incentives to deliver infrastructure and services 1.6 Delivering Healthcare infrastructure - Bid Adjudication

1.7 Summary of Day 1/Plan for Day 2

DAY TWO

PPP Healthcare Procurement, Bidding and Risk Management

2.1 Structure and Objectives for Day 2

2.2 PPP Healthcare Procurement Process:

- Procurement Strategy - Data Room and Information Management - Outline Design and Project Agreement - Shadow Financial Model - Shadow Risk Matrix - Selection of Preferred Bidder - Convergence - Financial Close

2.3 Case Study - Financial Modelling & Key Decision Variables

- Cash Flow Models - Capital Expenditure - Operational Expenditure - Revenue Stream - Debt Finance and ROCE - Determining Net Present Value and IRR - Sensitivity Testing

2.4 Risk Allocation and Uncertainty Management

- - Risk Allocation; Demand, Design, Construction, Availability - Project Lifecycle

Key areas covered on the course

Programme Outline

nal Negotiations to Financial Close Modela

DAY ONE- Provide current guidance and thinking regarding best practice in Health Project Management- Create an understanding of; contract performance, monitoring and avoiding / resolving disputes- Provide an insight in to how to plan for or redress the main issues which arise in operational contract- Be aware of the necessary interpersonal, commercial and project management skills required- Allow delegates to cement the learning process throughout by engaging them with practical exercises- Allow delegates to cement the learning process throughout be ending them with practical exercises- Ensure delegates have current guidance and can share experience during the three days

PPP Experts PromisedWe always ensure that the course trainers have an appropriate background in thetopic that they are covering. All of our deliveryteam have been responsible for either projectmanaging/ delivering/ managing PFI/PPPprojects, or providing consulting services toprojects

If you would like a detailed CV of the trainer,please contact a member ofour team

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Continued

- - Risk Analysis - Risk Mitigation - Risk Management

2.5 Team Exercise – Health PPP Risk & Mitigation Planning:

- - Risk Exercise Objectives - Team-working - Team Feedback & Commentary 2.6 Health PPP Bidding Process

- Expressions of Interest - - Outline Proposals - Competitive Dialogue - Full Proposals - Preferred Bidder Selection - Final Negotiations - Financial Close

2.7 PPP Health Potential for Development in the Economic Crisis

2.8 World Bank Project Lifecycle

2.9 Case Study: Experience in Healthcare Projects in Afghanistan

2.10 General discussion on points of particular interest arising from course

2.11 Course Conclusion and Feedback

- -

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In-House Training SolutionsIf you have a number of delegates with similar training needs, then you may wish to consider having an In-House training solution delivered locally on-site.

Comments from past programmes

“ I have been on a few PPP Experts courses now and I really enjoyed Tony's style of teaching. His experience in PPPs is clear to see and certainly delivers more than the programme agenda. I would highly recommend this programme and PPP Experts!”

“immense. The case studies hepresented of actual projects allowed us to quickly apply the knowledge to our own projects. A really valuable course for anyone involved in this sector”Health Professional, NHS, UK

TABLET TECHNOLOGY

All our trainings are conducted on personalised tablets. Each delegate will receive his/hers own tablet to keep, fully loaded with all the course materials and case studies!