The
health system in Ukraine faces important shortcomings that have significantly
contributed to poor health outcomes among the population. High comparative
public health care expenditures are not reflected in quality of service and
adequate coverage, and little investment in modern infrastructure has resulted
in an outdated system with an excessively large hospital sector and
underdeveloped modern primary care structures.
Since
there have been no hospital masterplan developed in most regions yet, hospital
network is predominantly based on small, mono-profile hospitals that treat
separate disease categories and population groups. Most of the acute beds are
located in these mono-profile hospitals, which limits the possibility to treat
patients facing multiple conditions.
The
invasion has caused approximately US$2.5 billion in damage to the health
sector, and total losses are conservatively estimated at US$16.5 billion. The actual level of damage is likely higher,
given incomplete or missing reports and impact on infrastructure. To consolidate
mono-profile facilities and to upgrade its public hospital network, including
as part of the reconstruction plan, there is a need for a modern multi-profile facility
in the City, to deliver healthcare services in a new well-equipped hospital
designed in accordance with best industry standards. The Government of Ukraine
considers PPPs as one of its priority strategic tools to attract private
investment to support the reconstruction program.
To
that end, the City of Zhytomir (the “City”, the “Client”) requested support of
the International Finance Corporation (IFC) and the Global Infrastructure
Facility (GIF), members of the World Bank Group, in collaboration with the Public-Private
Partnership (PPP) Development Agency of Ukraine, to implement a hospital PPP
project in Zhytomir. The objective of the City is to consolidate four existing
public hospitals and attract a private sector participation to design, finance,
construct, equip and maintain a new greenfield hospital in the city (the “Project”).
It is expected that the hospital PPP will follow a PFI model, with the private
partner not involved in the delivery of clinical services.
The
City’s objectives for the Project are (i) to benefit from the expertise of
specialized companies to implement best-practice hospital design solutions,
that will lead to improved clinical workflows as well as potentially
efficiencies in maintenance and management services; (ii) to attract private
investors to the health sector in Ukraine and access private financing; (iii)
to ensure on time and within budget delivery of public infrastructure; (iv) to
benefit from potential technical innovations; and (v) ensure high quality of
hospital building during its life.
IFC
PPP Transaction Advisory is advising the City of Zhytomir in defining and
structuring the Project and administering a
competitive tender process to select a qualified private investor.
The
Project will be implemented in two phases:
·
Phase 1: Project due diligence and
structuring. Preparation of the PPP feasibility study as required by the
Ukrainian legislation.
·
Phase 2: Preparation of tender documents
(request for qualification, request for proposals and other necessary
documents). Tender Process to be implemented in two stages (prequalification
and submission of proposals).
IFC
is hereby recruiting a qualified international legal consultant firm (the “Consultant”,
the “Legal Consultant”) to support implementation of the Project. IFC will act
as the Lead Transaction Advisor to the City. The Legal Consultant will work
under the coordination and supervision of IFC and will report to the IFC on all
the aspects and deliverables of this assignment. IFC will separately recruit an
international technical consultant who will be working under IFC’s supervision
and in close collaboration with the Legal Consultant throughout the duration of
this assignment.
Qualified
international legal consultancy firms are invited to submit their expressions
of interest along with the company information and credentials summarizing the
consultant’s experience in healthcare and hospital PPPs in the region. The
expressions of interest should not exceed 30 pages.
It
is expected that a qualified consultant will have a project team consisting of
international and national experts with experience in healthcare infrastructure
development under different models, investment agreements and other models that
envisage private sector investment.
Detailed
Terms of Reference will be provided in due course.