In a new Nanos Research Poll commissioned by CCPPP, 70% of Canadians are open to the private sector delivering services in partnership with the government in areas such as roads, hospitals, schools, public transit systems, and safe water systems. This has been an increasing trend since 2004 when support was at 60%

"Over the last eight years, we have seen more and more Canadians support the idea that combining private innovation with the public good is a great partnership to deliver much needed highways, bridges and hospitals in our growing communities," said Mark Romoff, President & CEO. "With the success of many of these large-scale projects on time and on budget we are now seeing acceptance for the P3 model for schools, transit and water treatment systems," added Mr. Romoff.

For the past several years Canadians have generally shown consistent support for P3 models to build roads (71%), recreation facilities (75%) and hospitals (66%). This year, Canadians showed an increase in support for possible public-private partnerships in transit systems (73%), water treatment (67%), water sewage facilities (67%) and schools (66%).

Healthcare infrastructure in Canada is being renewed through the P3 delivery model. With more that 50 P3 hospitals in operation or development, governments, health care leaders and communities are seeing the benefits. This report examines the extent of P3 activity across Canada over the last eight years. It includes case studies on seven P3 hospital projects in BC, Quebec and Ontario, as well as the lessons learned and the implications for the future.

For those municipalities considering public-private partnerships for the first time, this guide helps demystify the P3 model and provides a roadmap. It includes the benefits and differences between traditional procurement and P3s, implementation steps, federal and provincial support programs, case studies, lessons learned and best practices from various municipalities in Canada and beyond.