In 2009 in the old Queen Elizabeth II hospital (QEII) in Maseru, Lesotho, the predecessor to Queen Mamohato Memorial Hospital (QMMH), 12% of patients admitted died and of these 35% died within 24 hours of admission; the infant mortality rate was 22% and 34% of children with pneumonia died. Five years later a new hospital and four primary care centres built and operated through a public private partnership (PPP) - turned this situation into a major success story in terms of significantly widening access to quality healthcare for the people of Lesotho and providing patients with healthcare services previously not available. The Lesotho healthcare PPP is not just a hospital. It is an integrated healthcare system that includes...four primary healthcare clinics. Access to quality healthcare is every citizen’s right but this was previously not fully realised, especially in the old QE II hospital...QMMH serves the entire country, not just the Maseru district. It is the only national referral hospital...