In just five years, trusts paid £1.2bn in PFI debt and £1.8bn in interest. That interest alone could fund the starting salaries of 50,044 doctors. Finance wins, patients wait. Staff burn out while money bleeds into private coffers. 2/10

Total £3.1bn on PFI debt + interest in five years would have cleared the entire £2.7bn “high risk” maintenance backlog. Crumbling wards and failing systems persist not for lack of funds—but because those funds are locked to profit. 3/10

“High risk” means urgent work to prevent catastrophic failure or major disruption to clinical services. When these fixes don’t happen, care breaks. Yet cash flows, predictably and generously, to private concession holders. Who profits? 4/10

Semperian (based in Jersey) led the pack—£197m in debt and interest collected in five years. BIIF (including BAE Systems’ pension fund), Sun Life Financial, Innisfree Group, United Healthcare, and Dutch fund PFZW all take a slice. This isn’t investment—it’s extraction. 5/10

Money meant for hiring, capacity, and safety is captured by opaque PFI structures. The founding principles of the NHS—publicly owned, publicly run, free at the point of use—are eroded deal by deal. 6/10

EveryDoctor’s analysis: annual accounts from 35 trusts and FOI responses from 34 more. The scale is national, the impact local: fewer staff, longer waits, and buildings that can’t be kept safe because cash is contractually siphoned elsewhere. 7/10

PFI was sold as risk transfer and efficiency. In reality, the risk stayed in the wards while the returns went offshore. The NHS pays, year after year, and the bill crowds out the essentials: doctors, nurses, beds, repairs. 8/10

If this is the cost of “private finance,” the public is paying twice: once in cash, again in care. Until these contracts end or are restructured, patients and staff will keep footing the bill—while profits are secured far from the hospital floor. 9/10