Allyson Pollock

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Allyson Pollock is professor of public health research and policy at Queen Mary University of London. She was previously director of the Centre for International Public Health Policy at the University of Edinburgh and prior to that was head of the Public Health Policy Unit at University College London and director of research and development at University College London Hospitals NHS Foundation Trust. She is known for her research into, and opposition to, part privatisation of the UK National Health Service (NHS) via the Private Finance Initiative (PFI) and other mechanisms.

She is a medical graduate (MBChB) of the University of Dundee in Scotland UK.

Work on PFI[edit]

Allyson Pollock has provided evidence[1][2] to the British Parliament and the Welsh National Assembly regarding PFI. Under her directorship CIPHP provided evidence[3] to the Scottish Parliament regarding PFI.

In their statements of evidence, Allyson Pollock and her co-researcher Mark Hellowell argue that capital investment through PFI creates a large public sector cash liability. For example, they say that the £5.2bn of PFI investment in Scotland has created a public sector cash liability of £22.3bn.[3] This cash liability is 'off balance-sheet' and does not show up on government statistics such as the Public Sector Borrowing Requirement (PSBR).

Pollock and Hellowell also say that, although the UK government's support for PFI is based on its supposed ability to deliver good value for money, the mechanisms for testing this are skewed.[3] While developing PFI proposals, contracting authorities such as NHS trusts are required to construct a theoretical alternative to the use of PFI, which compares the value for money offered by a public versus a private finance scheme. The publicly funded alternative is called a 'public sector comparator'. In theory, if this exercise concludes that PFI does not represent good value for money compared to public finance, then the latter should be used for the procurement. However, in practice this rarely happens.

The reasons for this are discussed in a paper[4] co-written by Pollock and published in the British Medical Journal. Pollock et al. conclude that the true risks of many privately financed contracts are not calculated correctly. They argue that the system involves a high degree of subjectivity regarding the value of the risk being transferred to the private sector. They take one example of an NHS project in which one of the risks theoretically being transferred was that the target for clinical cost savings would not be met. The cost of this risk was estimated at £5m. However, in practice the private consortium had no responsibility for ensuring that there would actually be clinical cost-savings, and faced no penalty if there were none. The paper concludes therefore that the risk transfer was "spurious".

Jeremy Colman, former deputy general of the National Audit Office and the current Auditor General for Wales has supported Pollock's findings. In a Financial Times article[5] he is quoted as saying many PFI appraisals suffer from "spurious precision" and others are based on "pseudo-scientific mumbo-jumbo". Some, he says, are simply "utter rubbish". He noted the pressures on contracting authorities to weight their appraisal in favour of taking their projects down the PFI route: "If the answer comes out wrong you don't get your project. So the answer doesn't come out wrong very often."

Criticism of school rugby[edit]

Pollock caused anger amongst professional rugby players when she said "rugby union in schools must distinguish itself from the very brutal game practiced by the professionals."[6] She further criticised poor monitoring of injuries which according to the Telegraph are three times higher than soccer. In the course of a season, children have a 20% chance of concussion or bone fracture and one in seven parents have considered withdrawing their child from the games.[6]

References[edit]

  1. ^ House of Commons, Treasury Committee (2000), The Private Finance Initiative: Minutes of Evidence, Tuesday 11 January 2000 - Prof.Stephen Glaister; Mr. Tony Travers; Ms. Rosemary Scanlon; Prof. Allyson Pollock (House of Commons Papers), Stationery Office Books, ISBN 978-0-10-212600-6 
  2. ^ *Hellowell, Mark; Pollock, Allyson M. (2007), Written Evidence to the National Assembly for Wales Finance Committee with Regards to its Inquiry on Public Private Partnerships, University of Edinburgh 
  3. ^ a b c Hellowell, Mark (2007), Written evidence to the Finance Committee of the Scottish Parliament with regards to its inquiry into the funding of capital investment, University of Edinburgh 
  4. ^ Gaffney, D.; Pollock, Allyson M.; Price, D.; Shaoul, J. (1999), "PFI in the NHS: is there an economic case?", British Medical Journal 319 
  5. ^ Timmins, N. (June 5, 2002), "Warning of 'Spurious' Figures on Value of PFI", The Financial Times 
  6. ^ a b Oliver Brown (19 February 2014). "It is time to tackle the danger of school rugby: The junior game needs to be as mature as its professional counterpart when it comes to addressing safety fears". Daily Telegraph. Retrieved 27 May 2014. 

Publications (selection)[edit]

In the popular press[edit]

The Guardian
The Herald
The Real News Network

External links[edit]