| Summary: | This research explores effective management and governance of PFIIPPP projects, and particularly the NHS PFI hospitals, through an appropriate integration of risk management in the pre-contractual procurement process into the proposed reengineered model. A brief review of the literature on general approaches to PFIIPPP in the construction industry and the NHS is undertaken and a more detailed review of the literature on risk classification in PFIIPPP construction projects and the established risk management procedures are presented. A case study is carried out for the purpose of assessing the way the risks have been managed in an actual NHS PFI hospital project. The findings suggest that a lack of knowledge and experience of key personnel within a NHS Trust on PFI transactions and a lack of appropriate risk management guidelines for the PFIIPPP procurement process have lead to some contentious results in the case study. Two initial models have been developed to identify key elements for the pre-contractual procurement process and risk prioritisation of the NHS PFI hospital projects through SADT- IDEFO and AHP techniques respectively. The findings from these models identify gaps in terms of offering effective risk management in the pre-contractual procurement process for PFIIPPP projects and the NHS PFI hospitals in particular. A reengineered model that integrates risk management into the pre-contractual procurement process for effective management and governance of PFIIPPP projects is developed. Key process elements and sub-elements, which need to be carried out systematically when the proposed reengineered model is implemented in the actual construction industry practice, have also been identified in this thesis to ensure a successful VFM delivery of PFIIPPP projects, and particularly the NHS PFI hospitals, with effective risk management. IX
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