What are PPPP™ Partnerships?

A Public-Private Partnership (aka PPP) is a commonly used term to describe the cooperation between government and the private sector to provide public services. There is no single, internationally accepted definition of PPP.


Patient-Public-Private-Parliamentarian (PPPP™) Partnerships is a term trademarked by Partners for Patients NGO that expands upon the concept of PPP. Much like PPP, there is no single, internationally accepted definition of PPPP™ Partnerships.


When Partners for Patients NGO uses the term PPPP™ Partnerships, we are referring to a long-term contract between patients, the private sector, the public sector, and a government entity (or multiple parliamentarian entities). This contract provides patients with asset(s) or service(s) directly related to improving the health outcomes for patients. In these contracts, the private sector bears significant risk and management responsibility. Remuneration is linked to performance.



The project functions transferred to the private party—such as design, construction, financing, operations, and maintenance—may vary from contract to contract, but in all cases the patients are accountable for overall project performance and also bears significant project management responsibility.


Why are PPPP™ Partnerships needed?

PPPP™ Partnerships enable the public sector to harness the expertise and efficiencies of the private sector in the delivery of certain facilities and services. It is not intended to privatize public services for profits. At a minimum, a PPPP™ Partnerships will include a long-term commitment to provide health infrastructure services and capacity building.


How do PPPP™ Partnerships work?

PPPP™ Partnership contracts typically allocate each risk to the party that can best manage and handle it—risk transfer to the private party is not a goal but is instrumental for full transfer of management responsibility and for the alignment of patient interests with the public interest.


How will Partners for Patients NGO accomplish our PPPP™ Partnerships objectives?

Our PPPP™ Partnerships include additional services, including the full operation of the infrastructure (encompassing health, economic, social, and government infrastructure—that is, the “basic physical and organizational structures” needed to make health, economic, social, and government activity possible) when the private operator is able to commit to health service quality and performance, and the procuring authority is able to define that same quality and performance. These additional health services should also take place over the long term.


Practitioners can, if their projects are well-selected and their PPPP™ Partnerships carefully structured, design and implement projects that optimize cost effectiveness and social and health well-being by aligning private partner profit objectives with public sector service objectives that support the public interest.


Partners for Patients NGO is providing a broad spectrum of practitioners from government, the private sector, international development institutions, academia, and expert advisors. We help navigate this body of knowledge. We introduce key topics on PPPP™ Partnerships, sets out options, and directs interested parties to contact us so they can meet with us and learn more.

PFP.NGO Advocacy in Action

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