Re: The long-term cost no one talks about..
"The PFI are a national scandel."
This (apart from the spelling).
Example from what I can glean from reports. Calderdale had a bright shiny hospital built under PFI. The costs of this are crippling. Calderdale and Kirklees health care was merged into a single trust which then has the PFI burden. The solution seems to be to close the slightly older but still post-war Huddersfield hospital (HRI) and sell off the site to raise money. HRI was far from centrally located within its area*; patients from outlying areas who were faced with a long journey to HRI are now faced with an even longer journey along the often congested Eland bypass.
TFA mentions patients doing more themselves. This already happens. That journey will be either in their own transport, via a friend or relative or in a taxi at their own cost. When they or their friend or relative has struggled along the said Eland bypass they'll have to park in the not really adequate car park and pay for the privilege.
And no doubt this PFI induced mess is replicated up and down the country.
*A slightly more central site has already been closed and looks likely to become housing and a supermarket.