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you know the roads you drive on the hospital near where you live and the food your kids eat at school well you might not expect this but they could all be provided by the same big private company there are a couple of reasons why for a big project like building a road or a hospital the government doesnt necessarily have or want to put up the cash itself it might not want to borrow the money either instead it would rather get a private company to do that and then pay them back over a number of years the other argument goes that private companies driven by making profit are more efficient at doing things and public authorities which dont have to worry about going out of business if they do a bad job so thats outsourcing it probably happens in your local hospital the cleaners wages dont come from the NHS like the nurses wages do instead the cleaners might get paid by a company thats got a contract to keep the place clean or the potholes on your local high street the guys who come to