Primary Healthcare Concession Programme

A pilot concession model designed to strengthen primary healthcare infrastructure, service delivery, and long-term asset stewardship across Nigeria.

The Primary Healthcare Concession Programme is a current project under the LifeCome Healthcare & Health Energy platform. Developed in partnership with the Office of the Senior Special Assistant to the President on Sustainable Development Goals (OSSAP-SDGs), the programme begins with a pilot concession of six large primary healthcare centres across the country and is designed to demonstrate how private capital can support government healthcare priorities through renovation, equipment deployment, operations, maintenance, and eventual transfer.

Project Overview

The Primary Healthcare Concession Programme is a strategic healthcare infrastructure and service delivery initiative within the LifeCome Healthcare & Health Energy platform. The programme is being developed in partnership with OSSAP-SDGs as a pilot designed to test a structured concession-based model for strengthening frontline healthcare assets across Nigeria.

The first phase covers six large primary healthcare centres located across the country. These centres are intended to be renovated, equipped, operated, maintained, and transferred at the end of the concession term under a structured long-term framework.
The programme is designed not as a one-time refurbishment effort, but as a practical model for combining private capital, operating discipline, and long-term responsibility in support of government development goals.

Why This Project Matters

Primary healthcare is the foundation of any effective health system. It is often the first point of care for individuals, families, and communities, and its performance has a direct influence on access, prevention, early treatment, and wider health outcomes.

Yet across many settings, primary healthcare facilities face persistent constraints in infrastructure condition, medical equipment, maintenance discipline, and day-to-day operational performance. This programme is important because it addresses those challenges through an integrated concession model rather than through short-duration intervention alone.
It also matters because it is aligned with public purpose. The programme is intended to show how private capital can be deployed in a way that supports government priorities, strengthens healthcare delivery, and improves long-term asset performance.

The Pilot Phase

The pilot phase covers six large primary healthcare centres across the country. This initial stage is intended to establish a proof of execution for the wider LifeCome platform and to demonstrate that a concession structure can support stronger primary healthcare delivery when paired with the right operational model.
The pilot provides an opportunity to validate infrastructure renewal assumptions, establish maintenance systems, strengthen operating frameworks, and create a practical basis for future scale.
It is both an execution project and a learning phase—one designed to support disciplined rollout over time.

Long-Term Vision

Beyond the pilot phase, the LifeCome platform is being positioned to support a broader portfolio of approximately 20 to 25 healthcare concessions.

The long-term objective is to build a structured pipeline of primary healthcare centres that can be improved and managed through carefully designed concession arrangements. Under this model, facilities would be renovated, equipped, operated, maintained, and transferred upon the expiration of the concession term.

This creates a repeatable platform approach with clear accountability, defined stewardship, and stronger alignment between capital deployment and long-term operating responsibility.

What the Concession Model Is Designed to Deliver

The programme is built around a full-cycle concession structure with five core delivery components:

Renovate

Upgrade physical infrastructure to improve service readiness, patient environment, and operational functionality.

Equip

Deploy modern equipment required to strengthen diagnostic capability, treatment readiness, and facility performance.

Operate

Provide long-term operating responsibility to support stronger service delivery, management discipline, and institutional performance.

Maintain

Preserve facility condition and functionality over time through structured maintenance and asset stewardship.

Transfer

Return facilities at the expiration of the concession period in line with agreed transfer arrangements.

Our Delivery Approach

LifeCome approaches healthcare assets as operating platforms rather than passive infrastructure. In this programme, that means aligning capital improvement with operating capability, maintenance discipline, governance structure, and long-term delivery responsibility.

This model is intended to achieve three core outcomes: better infrastructure quality, stronger operational performance, and a more credible pathway for using private capital to support public healthcare goals.
It reflects a broader platform view that healthcare delivery improves most meaningfully when infrastructure, equipment, systems, capital, and long-term accountability are brought together in one institutional framework.

Position Within the LifeCome Platform

The Primary Healthcare Concession Programme sits within the wider LifeCome Healthcare & Health Energy strategy, which is focused on building and operating healthcare-linked assets and systems through long-term partnerships and disciplined execution.

The programme reflects several core priorities of the platform:

  • Healthcare infrastructure renewal
  • Stronger operating performance
  • Government-aligned delivery models
  • Investable long-term partnerships
  • Scalable healthcare asset stewardship

Within the portfolio, it serves as a flagship primary care initiative with the potential to create a broader national pathway for future concessions.

Institutional Importance

This programme is important not only because of the individual centres involved, but because of the model it represents.
For government stakeholders, it offers a practical framework for improving primary healthcare assets through long-term concession-based partnership.
For investors and development partners, it offers a more structured model in which capital is tied to real assets, defined responsibilities, and measurable service delivery outcomes.
For the LifeCome platform, it demonstrates the ability to participate in nationally relevant healthcare programmes with long-term execution potential.

Looking Ahead

As the pilot phase advances, the focus will be on demonstrating credible delivery across the initial six centres, refining the operations and maintenance framework, and establishing a stronger basis for future expansion.
The long-term goal is to show that primary healthcare infrastructure can be strengthened through a model that is disciplined, scalable, and aligned with public development priorities.
Over time, the programme is expected to contribute to a broader portfolio of 20 to 25 healthcare concessions under the LifeCome platform.