The costs of repaying the PFI debt and of paying for the expensive PFI hospital maintenance and service contracts are one of the causes of the Calderdale and Huddersfield hospital Trust’s finance problems.

PFI costs, funding shortage and Strategic Review of future of NHS and social care

Shortage of funding is behind the proposed closure of Calderdale A&E and at least 100 acute hospital beds, and their replacement by a new system of care in the community that is based on an American private health care system used by a company called Kaiser Permanente.