

A family office buys a hospital. A fund acquires a school group. An institutional investor takes a stake in a city’s transport network. The deal may make perfect sense on paper. But it raises a question for the public—is this owner a credible custodian of such critical public services?
Across the Gulf and beyond, private and institutional capital is taking a bigger role in healthcare, education, infrastructure, culture and housing. In these sectors, investors acquire more than assets. They inherit expectations—about access, continuity, affordability and public value. That makes trust part of the operating model, not a layer of messaging added after the deal.
Why Now
Diversification programs across the region are bringing private capital deeper into strategic sectors. Saudi Arabia’s Privatization Program, which concluded its mandate at the end of 2025, covered areas including healthcare, education, water, transport and municipalities. Over that time, around 90 contracts were signed, including public-private partnership (PPP) and asset-transfer agreements, with 12 government assets privatized, and the National Center for Privatization & PPP continues the work. The United Arab Emirates’ (UAE) federal PPP law, which sets the framework for federal partnerships with the private sector, has been in force since December 2023, and Qatar has announced more than USD 60 billion in projects and investment opportunities over the next five years, including infrastructure delivered through PPPs.
More capital and more collaboration create opportunity, but they also bring more scrutiny. Citizens want transparency, regulators want accountability, communities want stewardship and investors still want returns. The organizations involved sit where all of those expectations meet. That shifts the communications challenge: from how a deal is announced to how an owner is judged once it is running something people use every day.
Trust Is Part of the Infrastructure
Financial logic can explain why a deal made sense; it does not explain why stakeholders should accept the new owner as a custodian. That is a question of legitimacy: earning and keeping it across several audiences that define success differently. Stakeholder confidence often depends on more than financial outcomes. To earn that confidence, private capital (and its partners) need to shift from communicating as owners to communicating as long-term stewards.
Know whose trust you need. In practice, that starts before the announcement. Investors and operators need to understand who they are asking: regulators and public partners, of course, but also employees, customers, beneficiaries, communities and co-investors. The work is to understand what each expects, what each will judge and what evidence each needs to receive. The World Economic Forum’s idea of stakeholder capitalism is useful here: long-term value is created by taking account of the people and institutions around the business, as well as its shareholders.
Decide what you will promise in public. The story should begin with purpose, not the deal. Why does this partnership exist? What problem will it solve? Who should be better off because of it? People also need to hear what will not change: whether services will continue, how affordability will be protected and what happens to the workforce. These concerns should be anticipated and answered before the first wave of criticism.
From there, reassurance has to become proof. A polished announcement will not carry confidence for long. Clear updates, straightforward FAQs, accessible briefings and a small set of public measures can. The measures should be ones that stakeholders and regulators already recognize—service continuity, access, affordability, jobs, investment or other outcomes that matter in that sector. Report against them consistently and be honest about what sits outside the organization’s control. Health is a case in point. After concerns about patient safety at hospitals it backs, the World Bank Group’s International Finance Corporation added quality and ethical assessment tools to how it appraises and supervises health investments, and in May 2026 completed a review of its health services portfolio.
Name who is accountable, now and later. Visible governance matters for the same reason. Board oversight, reporting, controls and incentives should show that the asset is being run for the long term, with incentives that do not reward a quick uplift before exit. FCLT Global, a not-for-profit that mobilizes companies and investors to focus capital on the long term, offers a helpful frame in its focus on governance, incentives, engagement and metrics. For the owner of a hospital or a school group, that lens asks whether board oversight, management incentives and reported metrics all point towards patient care, learning outcomes and service continuity over a long hold. But the principle is simpler: stakeholders trust governance they can see, especially when commercial interests and public value may pull in different directions.
Leadership makes all of this real. The people in charge must be credible not only with investors, but with regulators, employees and the communities the service exists for. As needs change over a longer hold, leadership may need to change too. If it does, the transition should be handled with candor and respect—no surprises, no attempt to dress up a difficult decision. And when the investment itself ends, the exit should feel like a handover rather than a departure. Succession, governance and the story of the next custodian should be planned from the start, so stakeholders know what continues and why.
The Test
Before signing, leaders should be able to answer three questions in plain language: whose trust do we need, what are we prepared to promise in public and who will still be accountable when we are gone?
Returns will always matter. But in the sectors people depend on, legitimacy rests on something else: a clear purpose, visible safeguards, honest evidence and a credible plan for what comes next. Investors are judged on the returns they deliver. They are trusted for what they leave behind.
APCO is a long-standing partner of the World Economic Forum but had no involvement in the development of the stakeholder capitalism concept referenced in this article.
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