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Published by: Key Note Publications Ltd
Published: Apr. 1, 2007 - 198 Pages
Table of Contents
- Executive Summary
- 1. Market Definition
- REPORT COVERAGE
- MARKET SECTORS
- Long-Term Care
- Acute Care
- Psychiatric Care
- Primary Care
- Private Medical Insurance
- MARKET TRENDS
- Increasing Private Sector and Public Sector Partnerships
- Growing Crisis in Long-Term Care Funding and Provision
- Increasing Scope and Range of the Private Sector
- Rising Health Tourism
- Globalisation of the Healthcare Market
- Household Expenditure on Health
- Table 1: UK Individual Final Consumption Household Expenditure on Health at Current Prices (£m), 1996-2004
- Figure 1: UK Individual Final Consumption Household Expenditure on Health at Current Prices (£m), 1996-2004
- Demographics
- Table 2: The UK Population by Age Distribution (number and %), 1971-2006
- Table 3: Number of Deaths in the UK by Cause, 2000
- ECONOMIC TRENDS
- Population
- Table 4: UK Resident Population Estimates by Sex (000), Mid-Years 2002-2006
- Gross Domestic Product
- Table 5: UK Gross Domestic Product at Current and Annual Chain-Linked Prices (£m), 2002-2006
- Inflation
- Table 6: UK Rate of Inflation (%), 2002-2006
- Unemployment
- Table 7: Actual Number of Unemployed Persons in the UK (million), 2002-2006
- Household Disposable Income
- Table 8: UK Household Disposable Income Per Capita (£), 2002-2006
- MARKET POSITION
- The UK
- Table 9: Total UK Healthcare Expenditure by Sector by Value (£m and %), 2002-2006
- Figure 2: Total UK Healthcare Expenditure by Sector by Value (£m), 2002-2006
- Overseas
- Table 10: Private Healthcare Expenditure as a Percentage of Total Healthcare Expenditure by Country, 2003
- 2. Market Size
- THE TOTAL MARKET
- Table 11: The Total UK Private Healthcare Market by Sector by Value (£m), 2002-2006
- Figure 3: The Total UK Private Healthcare Market by Sector by Value (£m), 2002-2006
- BY MARKET SECTOR
- Figure 4: The Total UK Private Healthcare Market by Sector by Value (%), 2006
- Long-Term Care
- Table 12: Number of Long-Term Care Beds in the UK by Type, 2002-2006
- Table 13: The UK Long-Term Care Sector by Subsector by Value (£m), 2002-2006
- Acute Care
- Table 14: The UK Private Acute Care Sector by Value (£m), 2002-2006
- Private Medical Insurance
- Table 15: The UK Private Medical Insurance Sector by Value (£m), 2002-2006
- Table 16: Personal Medical Insurance — Number of Subscribers and People Covered (000), 2002-2006
- Psychiatric Care
- Table 17: The UK Psychiatric Care Sector by Value (£m), 2002-2006
- Primary Care
- Table 18: The UK Primary Care Sector by Subsector by Value (£m), 2002-2006
- 3. Industry Background
- RECENT HISTORY
- The Private Finance Initiative
- The NHS Consultant Contract
- NUMBER OF COMPANIES
- Table 19: Number of UK VAT-Based Enterprises Engaged in Human Health Activities by Turnover Sizeband, 2006
- EMPLOYMENT
- Table 20: Number of UK VAT-Based Enterprises Engaged in Human Health Activities by Employment Sizeband, 2006
- REGIONAL VARIATIONS IN THE MARKETPLACE
- Table 21: Regional Distribution of Private Acute Care Facilities (%), 2006
- DISTRIBUTION
- Table 22: Long-Term Residential Care in the UK by Sector by Value (% of total revenue), 2002-2006
- Table 23: Long-Term Nursing Care in the UK by Sector by Value (% of total revenue), 2002-2006
- Table 24: Private Acute Care Revenues by Source (%), 2005
- HOW ROBUST IS THE MARKET?
- LEGISLATION
- KEY TRADE ASSOCIATIONS
- Association of British Healthcare Industries
- Association of British Insurers
- British Healthcare Trades Association
- The British Medical Association
- English Community Care Association
- General Medical Council
- National Pharmacy Association
- Royal College of Nursing
- Royal Pharmaceutical Society of Great Britain
- 4. Competitor Analysis
- THE MARKETPLACE
- MARKET LEADERS
- Allied Healthcare Group Ltd
- Company Structure
- Current and Future Developments
- Financial Results
- Anchor Trust
- Company Structure
- Current and Future Developments
- Financial Results
- AXA PPP healthcare Ltd
- Company Structure
- Current and Future Developments
- Financial Results
- The British United Provident Association Ltd
- Company Structure
- BUPA Health Insurance
- BUPA Hospitals
- BUPA Care Homes
- BUPA Wellness
- BUPA Childcare
- BUPA International
- Current and Future Developments
- Financial Results
- Four Seasons Health Care Ltd
- Company Structure
- Current and Future Developments
- Financial Results
- General Healthcare Group Ltd
- Company Structure
- BMI Healthcare
- Amicus Healthcare
- Current and Future Developments
- Financial Results
- HSA
- Company Structure
- Current and Future Developments
- Financial Results
- Nestor Healthcare Group PLC
- Company Structure
- Current and Future Developments
- Financial Results
- Nuffield Hospitals
- Company Structure
- Current and Future Developments
- Financial Results
- Standard Life Healthcare Ltd
- Company Structure
- Current and Future Developments
- Financial Results
- Other Companies
- OUTSIDE SUPPLIERS
- Pharmaceutical Companies
- Medical Laboratory, Device and Equipment Companies
- MARKETING ACTIVITY
- Main Media Advertising Expenditure
- Table 25: Main Media Advertising Expenditure on Private Health Services by Category (£000), Year Ending September 2006
- Exhibitions
- 5. Strengths, Weaknesses, Opportunities and Threats
- STRENGTHS
- WEAKNESSES
- OPPORTUNITIES
- THREATS
- 6. Buying Behaviour
- INTRODUCTION
- Summary of Results
- Uptake of Private Medical Insurance
- Table 26: Uptake of Private Medical Insurance (% of respondents), 2006
- Use of Healthcare Services
- Table 27: Use of Healthcare Services (% of respondents), 2006
- Consumer Attitudes and Concerns
- Table 28: Consumer Attitudes and Concerns Towards Healthcare (% of respondents), 2006
- UPTAKE OF PRIVATE MEDICAL INSURANCE
- Uptake/Renewal of Private Medical Insurance Policies
- I Have Taken Out/Renewed a Private Medical Insurance Policy in the Previous 12 Months for Myself Only
- I Have Taken Out/Renewed a Private Medical Insurance Policy in the Previous 12 Months for My Family
- Table 29: Uptake/Renewal of Private Medical Insurance Policies (% of respondents), 2006
- Funding of Private Medical Insurance Policies
- My Employer Pays for My Private Medical Insurance
- My Employer Pays Part of My Private Medical Insurance
- Table 30: Funding of Private Medical Insurance Policies (% of respondents), 2006
- USE OF HEALTHCARE SERVICES
- Use of Private Healthcare
- I Have Undergone a Routine Procedure Privately in the Previous 12 Months
- I Have Had Emergency/Non-Routine Treatment Privately in the Previous 12 Months
- Table 31: Use of Private Healthcare (% of respondents), 2006
- Use of NHS Treatment
- I Have Elected for NHS Treatment Instead of Private Treatment in the Previous 12 Months in Order to Receive Cash Benefits
- I Have Elected for NHS Treatment Instead of Private Treatment in the Previous 12 Months Because of the Serious Nature of My Treatment
- Table 32: Use of NHS Treatment (% of respondents), 2006
- Use of Other Healthcare Services
- I Have Undergone Cosmetic Surgery in the Previous 12 Months
- I Have Used a Walk-In Health Centre in the Previous 12 Months
- I Have Consulted a Private General Practitioner in the Previous 12 Months
- Table 33: Use of Other NHS Healthcare Services (% of respondents), 2006
- CONSUMER ATTITUDES AND CONCERNS
- Reasons for Purchasing Private Medical Insurance
- I Have Private Medical Insurance Only Because it is an Employment Benefit
- I Have Private Medical Insurance Because I am Concerned Over Problems in the NHS
- Table 34: Reasons for Purchasing Private Medical Insurance (% of respondents), 2006
- Preference for Private Healthcare
- If I Could Afford It, I Would Prefer to Use Private Healthcare for Routine Health Procedures
- If I Could Afford It, I Would Use Private Healthcare for All Healthcare, Including Emergencies and Complex Treatments
- I Would Be Willing to Travel Abroad for Private Healthcare, If Costs Were Reduced
- Table 35: Preference for Private Healthcare (% of respondents), 2006
- Preference for the NHS
- I Would Prefer to Use the NHS for Routine Health Procedures If Waiting Lists Were Reduced and Conditions Improved
- I Would Prefer to Use the NHS for Emergency and Serious Care If Waiting Lists Were Reduced and Conditions Improved
- Table 36: Preference for the NHS (% of respondents), 2006
- Superiority of the NHS
- I Believe That the NHS is Superior to Private Healthcare for Routine Health Procedures and Treatments
- I Believe That the NHS is Superior to Private Healthcare for Emergency and Serious Complex Healthcare Treatments
- Table 37: Superiority of the NHS (% of respondents), 2006
- 7. Current Issues
- EUROPEAN/INTERNATIONAL MARKETS
- Private Care in Germany
- Cosmetic Surgery Particularly Popular Among US Minorities
- THE POLITICAL SCENE
- Healthcare Commission Analysis
- NHS Funding
- The Green Paper — Independence, Well Being and Choice
- The Business of Caring — Kings Fund 2005
- The Private Finance Initiative
- Private Assessment of NHS Patients
- HEALTH ISSUES
- Care of the Elderly
- Cosmetic Surgery Linked to Suicide
- Cancer Care
- CONSUMER DEMAND
- Cosmetic Surgery
- CORPORATE ACTIVITY
- Advantage Healthcare Group
- Affinity Healthcare
- Ashbourne Ltd
- BUPA
- Capio
- Central Surrey Health
- Chancellor Care
- Covenant Healthcare
- Four Seasons Healthcare
- General Healthcare Group
- Norwich Union
- Partnerships in Care
- Partnership Health Group
- PruHealth
- LEGISLATIVE CHANGES
- The Disabled Persons (Independent Living) Bill 2006
- 8. The Global Market
- TOTAL MARKET SIZE
- Table 38: Total Per Capita Expenditure† on Health by Selected Country ($), 1999-2003
- Figure 5: Total Per Capita Expenditure† on Health by Selected Country ($), 2003
- Table 39: Breakdown of Expenditure on Health by Selected Country (%), 2003
- Figure 6: Breakdown of Government and Private Expenditure on Health by Selected Country (%), 2003
- MAJOR TRENDS
- CONSUMER BEHAVIOUR
- 9. Forecasts
- INTRODUCTION
- Telemedicine
- Genetics and Targeted Medicine
- Increasing Globalisation of Healthcare
- Economic Trends
- Table 40: Forecast UK Economic Indicators (000, % and million), 2007-2011
- FORECASTS 2007 TO 2011
- The Total Market
- Table 41: The Forecast Total UK Private Healthcare Market by Value (£m), 2007-2011
- By Market Sector
- Figure 7: The Forecast Total UK Private Healthcare Market by Sector by Value (£m), 2007-2011
- Long-Term Care
- Table 42: The Forecast UK Private Long-Term Care Sector by Value (£m), 2007-2011
- Acute Care
- Table 43: The Forecast UK Private Acute Care Sector by Value (£m), 2007-2011
- Private Medical Insurance
- Table 44: The Forecast UK Private Medical Insurance Sector by Value (£m), 2007-2011
- Psychiatric Care
- Table 45: The UK Psychiatric Care Sector by Value (£m), 2007-2011
- Primary Care
- Table 46: The UK Primary Care Sector by Subsector by Value (£m), 2007-2011
- MARKET GROWTH
- Figure 8: Growth in the Total UK Private Healthcare Market by Value (£m), 2002-2011
- FUTURE TRENDS
- Demographic Changes
- Table 47: The Projected UK Population† by Age Distribution (number and %), 2006, 2011, 2016, 2021 and 2026
- Antibiotic Resistance
- Technological Developments
- Globalisation of Healthcare Market
- Increasing Private-Public Partnerships
- 10. Company Profiles
- Allied Healthcare Group Ltd
- Anchor TRust
- Axa Ppp Healthcare Ltd
- The British United Provident Association Ltd
- Four Seasons Health Care Ltd
- General Healthcare Group Ltd
- Nestor Healthcare Group Plc
- Nuffield Hospitals
- Simplyhealth Access
- Standard Life Healthcare Ltd
- 11. Consumer Confidence
- METHODOLOGY
- KEY FINDINGS THIS QUARTER
- THE WILLINGNESS TO BORROW
- Confidence Improves
- Table A: The Average Amount Consumers Are Willing to Borrow in Order to Purchase Expensive Items at Current and Constant November 2004 Prices (£ and £bn), February 2006-2007
- Willingness to Borrow Slips Slightly
- Table B: The Number of Adults Willing to Borrow in Order to Purchase Expensive Items (000 and %), February 2006-2007
- SPENDING FROM SAVINGS
- Slight Increase in Spending from Savings
- Table C: The Average Amount Consumers Are Willing to Spend from Savings in Order to Purchase Expensive Items at Current and Constant November 2004 Prices (£ and £bn), February 2006-2007
- Saving Grows in Relative Importance
- Table D: The Average Amounts Adults Are Confident Spending to Purchase Expensive Items (£ and %), February 2006-2007
- 12. Further Sources
- Associations
- General Sources
- Government Publications
- Other Sources
- Bisnode Sources
AbstractExecutive Summary
The UK private healthcare market has emerged and evolved in the shadow of the most comprehensive public healthcare system in the developed world — the NHS. Traditionally, the private sector was formed to complement, rather than compete with, the NHS by allowing patients to avoid waiting lists for elective surgery. Later on, the private sector offered services for those areas with limited or no provision under the NHS, such as abortion, fertility treatments and cosmetic surgery. The majority of this private care was paid for through private medical insurance (PMI) policies taken out by individuals or by companies on behalf of employees. Growth in the industry has traditionally been hampered by public loyalty and affection for the NHS.
However, over the past 2 decades in particular, the NHS has come under increasing pressure through rising demand, fuelled by a demographically ageing population, together with growing costs, driven by technological advancements that expand the scope and range of treatment possibilities. The costs of the NHS have risen far beyond any predictions that might have been made when it was founded in 1948, and successive governments have introduced wide and far-reaching reforms aimed at controlling expenditure and improving efficiency.
One result of these many reforms has been the increasing and evolving partnership of the private sector with the NHS, fostered by the Private Finance Initiative (PFI). The private sector has become a key provider of psychiatric services, counselling, substance-dependency clinics, specialist diagnostic services (such as Magnetic Resonance Imaging [MRI]), drug screening, forensic services and, most recently, of primary-care services and surgical services to the NHS. The private sector has also been moving into the provision of more specialist services, such as cancer and cardiac care, as well as offering intensive care and high-dependency facilities.
Unlike many other European countries, there is no statutory requirement for healthcare insurance and the NHS is funded directly from general taxation, with no provision for opting out. These factors have effectively limited the private sector to those individuals opting for PMI in addition to the NHS, or to those who are willing and able to pay directly for treatment.
The private healthcare market comprises five major market sectors: long-term care, acute care, PMI, psychiatric care and primary care. Long-term care is the largest sector, representing an estimated 47.7% of the total market in 2006. Key Note estimates that, in 2006, the total UK private healthcare market was worth £20.1bn, accounting for 21% of all UK healthcare expenditure.
BUPA is the largest operator in the private healthcare market. The company is both a provider and an insurer in a marketplace that is becoming increasingly competitive and polarised. The private healthcare market is dominated by a number of very large, and increasingly international, players.
Ongoing funding problems in the NHS are likely to continue driving a proliferation in public-private partnerships (PPPs) into new areas. However, funding problems in the long-term care market are likely to significantly hamper growth in this sector, despite the increasing need for services. Key Note forecasts that, between 2007 and 2011, the total UK private healthcare market will grow by between 6.5% and 7.7% year-on-year. The market is currently highly concentrated in London and the southern Home Counties, although this is likely to change as more partnerships evolve.
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