PFI is in need of drastic surgery, according to the people who are struggling to work with it. In this procurement special, Angela Monaghan talks to contractors about high bid costs and strained capacity and asks if the government is ready to respond to calls for reform. Plus Mark Leftly examines the challenge for firms to make profit running public services, and the chairman of the PPP Forum warns that the government may miss its schools targets

PFI under the knife