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Mark Hellowell
Dr Mark Hellowell
Senior Lecturer
Social Policy School of Social and Political Science
University of Edinburgh
2.02 22 George Square Edinburgh UK EH8 9LD
0131 6511330
Health Systems Public Private Partnerships Innovative Health Taxes Private Sector in Health Managing Health Markets


Mark Hellowell is senior lecturer in Global Health Policy at the University of Edinburgh. His research focuses on business-government relations of various kinds, from the interaction of public and private sector organisations in the financing and delivery of healthcare, to the role of regulation and taxation in reducing the supply and consumption of health-damaging commodities such as tobacco, alcohol and sugar. He is special adviser to the House of Commons Treasury Committee in relation to its inquiries into the role of private finance in healthcare; and leads a training collaboration with the World Bank's Global Finance Facility on the management of markets aimed at health policymakers in developing countries. He is currently leading a collaboration between the University of Edinburgh and NHS Health Scotland (and other public health actors) to develop new proposals for innovative health taxes in Scotland.

Peer-reviewed publications

Wright, A, Smith, K.E. and Hellowell, M (2017), 'Policy lessons from health taxes: a systematic review of empirical studies', BMC Public Health, https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-017-4497-z

Hellowell, M., Smith, K.E. and Wright, A. (2016), 'Hard to Avoid but Difficult to Sustain: Scotland’s Innovative Health Tax on Large Retailers Selling Tobacco and Alcohol', The Milbank Quarterly. http://onlinelibrary.wiley.com/doi/10.1111/1468-0009.12200/full

Biro, A. and Hellowell, M. (2016), 'Public-private sector interactions and the demand for supplementary health insurance in the United Kingdom', Health Policy, DOI: http://dx.doi.org/10.1016/j.healthpol.2016.05.002

Boardman, A and Hellowell, M (2016), ‘A Comparative Analysis and Evaluation of Specialist PPP Units’ Methodologies for Conducting Value for Money Appraisals’, Journal of Comparative Policy Analysishttp://dx.doi.org/10.1080/13876988.2016.1190083

Hellowell, M. (2016), 'The price of certainty: Benefits and costs of public–private partnerships for healthcare infrastructure and related services?', Health Services Management Research, DOI: 10.1177/0951484816639742.

Hellowell, M. (2015), 'Analysis: Borrowing to save: can NHS bodies ease financial pressures by terminating PFI contracts?', BMJ,  http://www.bmj.com/bmj/section-pdf/903129/6

Hellowell, M. and Ralston, M. (2015), The equity implications of health system change in the UK,  in Smith, K., Hill, S. & Bambra, C. (eds.). Health Inequalities: Critical Perspectives. Oxford University Press, 11. See:  http://ukcatalogue.oup.com/product/9780198703358.do

Colla, P, Hellowell, M, Vecchi, V and Gatti, S. (2015), 'Determinants of the cost of capital for privately financed hospital projects in the UK', Health Policy. DOI: http://dx.doi.org/10.1016/j.healthpol.2015.08.018

Hellowell, M and Vecchi, V. (2015), 'The Non-Incremental Road to Disaster? Agency Problems in the Commissioning of Infrastructure Projects in the UK and Italy', Journal of Comparative Policy Analysis, DOI: 10.1080/13876988.2015.1016773

Hellowell, M (2015), 'Public Investment as a Driver of Economic Development and Growth', In Caselli, S, et al (eds), Public-Private Partnerships for Infrastructure and Business Development, New York, Palgrave Macmillan, ch. 3

Hellowell, M, Vecchi, V and Caselli, S. (2015), 'Return of the state? An appraisal of policies to enhance access to credit for infrastructure-based PPPs', Public Money and ManagementVolume 35Issue 1, pp. 35:1, 71-78, DOI: 10.1080/09540962.2015.986898

Hellowell, M. (2013). 'PFI Redux?: Assessing a New Model for Financing Hospitals', Health policy, 113(1-2), 77-85, DOI: 10.1016/j.healthpol.2013.09.008.

Vecchi, V, Hellowell, M, Gatti, S. (2013), 'Does the private sector receive an excessive return from investments in health care infrastructure projects? Evidence from the UK', Health Policy. Vol. 110, issue 2, pp. 243-270.

Vecchi, V and Hellowell, M. (2013), 'Leasing by public authorities in Italy: creating economic value from a balance sheet illusion', Public Money & Management, Vol. 33, No.1, pp. 63-70.

Vecchi, V and Hellowell, M. (2012), 'Securing a Better Deal from Investors in Public Infrastructure Projects: Insights from Capital Budgeting', Public Management Review.

Hellowell, M and Vecchi, V. (2012), 'What return for Risk? The Price of Equity Capital in Public-Private Partnerships'. In Greve, C and Hodge, G (eds), Rethinking Public-Private Partnerships: Strategies for Turbulent Times, Abingdon, Oxon; New York, NY: Routlege, ch. 3

Smith, K and Hellowell, M. (2012), 'Beyond Rhetorical Differences: A Cohesive Account of Post-devolution Developments in Health Policy', Social Policy and Administration, Vol.46, No.2, p.178-198.

Hellowell, M and Vecchi, V. (2012), 'An evaluation of the projected returns to investors on 10 PFI projects commissioned by the National Health Service', Financial Accountability and Management, Vol.28, No.1, p.77-100.

Vecchi, V, Hellowell, M and Longo, F (2010), 'Are Italian healthcare organisations paying too much for their public private partnerships?', Public Money and Management. Vol. 30(2), pp. 125-132.

Hellowell, M and Pollock, AM. (2010), 'Do PPPs in social infrastructure enhance the public interest?', Australian Journal of Public Administration, Vol. 69, No. S1, pp. S23-S34.

Hellowell, M. (2010), 'The private finance initiative: policy, performance and prospects'. In Hodge, G, Greve, C and Boardman, A, International Handbook on Public-Private-Partnerships. Edward Elgar.

Hellowell, M and Pollock, AM. (2009), 'The private financing of NHS hospitals: politics, policy and practice', Economic Affairs. Vol.29. No.1, pp.13-19.

Hellowell, M and Pollock, AM. (2009), 'Non-profit distribution: the Scottish approach to private finance in public services', Social Policy and Society. Vol 8 (3), pp. 405-418.

Hellowell, M and Pollock AM. (2007), 'The PFI: Scotland's Plan for Expansion and its Implications', Public Money and Management. Vol. 27 (5), pp. 351-255.

Recent reports

Hellowell, M, Vecchi, V Gatti, S (2015), Risk Mitigation and Incentives for Infrastructure Finance, Part II of Mapping of Instruments and Incentives for Infrastructure Financing: A Taxonomy; OECD Report to G20 Finance Ministers and Central Bank Governors. Paris: OECD

Hellowell, M (2014), The return of PFI – will the NHS pay a higher price for new hospitals? London: The Centre for Health and the Public Interest. Available: http://chpi.org.uk/wp-content/uploads/2015/02/CHPI-PFI-Return-Nov14-2.pdf

Hellowell, M (2014), 'PPPs and economic growth in developing countries', In Robertson, A and Jones-Parry, J (eds), Governance and Growth 2014, London: Commonwealth Sectretariat.

Hellowell, M (2012), 'The role of public-private partnerships in health systems'. In Robertson, A and Jones-Parry, R (eds), Commonwealth Health Partnership 2012, London: Commonwealth Secretariat, p. 71-73.

Hellowell, M, Vecchi, V (2009), 'The cost-efficiency of private finance in public healthcare: evidence from the UK and Italy', Mecosan Review, CERGAS: Milan.

Amatucci F., Hellowell, M and Vecchi, V (2008), 'Il project finance: quali lezioni dalle esperienze internazionali?'. In Pessina, E, Cantù E (eds) 'L'aziendalizzazione della sanità in Italia: rapporto', Milan: Egea.


Mark is Programme Director of the forthcoming MSc Global Health Policy. He is also Course Organiser for the on-campus and online courses in Health Systems Analysis (at both undergraduate and postgraduate levels). He holds a PhD in Health Policy, an MSc in Finance, an MSc in Public Policy, and a PGCert in University Teaching.