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Healthcare (Industrial Report) - Ireland

Published by: Mintel International Group Ltd.

Published: Aug. 1, 2008 - 93 Pages


Table of Contents


Issues in the Market

Key themes of the report

Definition

Terminology

Abbreviations



Insights and Opportunities

Meeting the needs for those requiring rehab

Demand for health screening grows

Modern illnesses are creating new markets in healthcare

RoI government is supporting private healthcare

Bank of Ireland launches a nursing home lending fund

Movement towards an all-Ireland market



Market in Brief

Irish private healthcare market exceeds €2.5 billion in 2007

RoI health insurance companies are biggest buyers

Over three quarters of the NI private healthcare market is comprised of elderly care

RoI private healthcare market driven by disillusionment with HSE

Smaller private healthcare market in NI

An aging population will drive the market for care facilities

So-called ‘superbugs’ and quality of care boost demand for private facilities



Market Background - Public vs Private

Key points

Public dissatisfaction with public services in RoI

HSE - not the solution?

Two-tier healthcare and its effect on the public system

NTPF provides more opportunities for private practise

NHS provides a comparatively stronger service in NI

Private

Overview of private healthcare in Ireland

Limited private network in NI

Private system more developed in RoI

Tax relief driving up private hospital investment

Co-location will further expand the market

‘‘Supplier-induced demand’’ likely to drive up premiums



Internal Market Background

Key points

Dissatisfaction with the HSE

Waiting and waiting and waiting…

A severed service?

€144 million ‘‘savings’’ in the health sector

Further wave of cuts will see €190 million ‘‘saved’’

How will the private healthcare market in RoI be affected?

While in NI…

Figure 1: Satisfaction levels with the health service NI, 2003-06

Waiting times slashed

Cutbacks planned for the future

The ‘‘post-code’’ lottery

Private maternity services - an area for investment?

How will these changes impact the private healthcare market in NI?

‘Superbugs’ threaten public hospitals

Figure 2: Rate of superbugs mentioned on death certificate, 1997-2007

Staffing shortages affect patient care

NI patients at risk from overworked junior doctors

Staffing shortages in RoI close wards

The effect of staffing shortages on private healthcare

Agenda for Change

Benefits of the Agenda for Change

Impact of the AfC on private healthcare

Governments increase spending on private sector treatment

Priority for Action targets increase spending on the Independent Sector

The NTPF grows to €100 million in 2008

Fertility treatment grow in popularity

Figure 3: Women’s fertility rate by age, 2002

Health insurance

Private health insurance

Health Cash Plans

RoI health insurance market

Figure 4: Estimated division of healthcare, RoI, 2007

Community Rating makes health insurance more affordable

Risk equalisation drives BUPA out of the RoI market

Risk equalisation law

Benefits of the RoI insurance system to private healthcare market

Corporate medical insurance

NI health insurance market

Figure 5: Estimated division of healthcare, NI, 2007

ABC1s raise demand for private healthcare



Broader Market Environment

Key points

RoI economic performance - recession looming?

Figure 6: The economic outlook for the RoI, 2006-08

Unemployment

Lifestyle expectations extend into healthcare

Economic outlook for NI

Figure 7: The economic outlook for NI, 2006-08

Changing demographics increase demand in specific areas of healthcare

Lack of maternity services in NI a concern as baby boom hits

Figure 8: Population change by age group, NI, 2000-20

Ageing population

Figure 9: Table of persons of retirement age and percentage of the overall population, NI, 2004-06

Increased demand for fertility services in RoI as population ages

Figure 10: Population change by age group, RoI, 2000-20

Growing ageing population

Figure 11: Projected number of people aged 65+, RoI, 2004-11

The effect of the growing elderly population on private healthcare

Immigration - a strain on public services?

Figure 12: Net Migration in NI, 2000-06

RoI has fastest rates of immigration in Europe according to CSO

Figure 13: Migration in RoI, 2000-06

Increased instances of critical illness

Figure 14: Instances of all cancer diagnosed by year, 1998-2005

Figure 15: Death caused by all diseases of the circulatory system, 1998-2006

Obesity: a growing problem

A medical problem not a personal issue

A health time bomb in NI

Obesity in RoI kills 2,000 annually

Opportunities to treat obesity in the private sector

Shooting up: increasing drug misuse

Increasing numbers of young people requiring rehab in NI

RoI systems cannot cope with volumes of drug abusers

Figure 16: Number of people receiving treatment for drug abuse, 2001-06, RoI

Rehab opportunities for the private sector

Alcohol misuse

Binge drinking increasing in NI

Figure 17: Percentage of people drinking above recommended levels, 1986-2007

Last orders in RoI?

Figure 18: Percentage of adults who had consumed more than 6 standard drinks on one occasion, 1998-2007

Alcohol rehab opportunities for the private sector



Strengths and Weaknesses

Strengths

Weaknesses



Market Value and Forecast

Key points

Figure 19: Estimated Market Size of Private Healthcare, 2003-12

Figure 20: Indexed trends of private healthcare, 2003-12



Market Segmentation

Key points

Health insurance

Figure 21: Value of the health insurance market, 2003-12

Care for the elderly

Figure 22: Market size, care for the elderly, 2003-12

Government spending on private/independent sector

Figure 23: Government spending on the private/independent sector, 2003-12

The NTPF

The Waiting List Initiative

Impact of recession on the private healthcare market

Elderly care - a growth area



Healthcare Suppliers

Key points

Private hospitals

Figure 24: Profiled private hospitals

NI

Ulster Independent Clinic

North West Independent Clinic

Balmoral Clinic

RoI

Blackrock Clinic

Mater Private Healthcare

Bon Secours Hospitals

Beacon Hospital

Health screening services

Healthy staff are more productive

Charter Medical

Healthwatch

The Well

Care for the elderly

NI moves away from residential care to domiciliary care

Figure 25: Residential accommodation for the elderly by number of beds and type of home, NI, 2003-07

Figure 26: Nursing home beds, NI, 2003-07

Figure 27: Total nursing and residential care home beds for the elderly, 2003-07

RoI undersupply of elderly care

Figure 28: Nursing home statistics, RoI, 2003-07

10,000 more nursing home beds needed



Healthcare Buyers

Key points

Government

RoI

Figure 29: NTPF budget, 2003-08

Figure 30: Number of patients treated on the NTPF by speciality, 2007

NI

Figure 31: Number of inpatient waits completed in the independent sector, Q1-Q4 2007

Figure 32: Total hospital expenditure on alternative offer scheme, 2006/07

Insurance

RoI

Figure 33: Market share: Insurance payouts, €m, 2007, RoI

Rising insurance costs have not dampened the market

VHI

Figure 34: VHI premiums earned and claims incurred, 2000-07

BUPA Ireland/Quinn Healthcare

VIVAS Health

Figure 35: Value of the insurance market, €m, 2003-07

NI

BUPA

Pru Health

Elderly care

Types of elderly care provided in a care home

Paying for residential care - NI

Payment for nursing homes - RoI



Appendix

Figure 36: Residential accommodation for elderly by type of home, 1998-2008

Figure 37: Medical and care establishments for the elderly, NI, 2001

Figure 38: Private patient income by trust, 2006

Figure 39: Average cost of a nursing home by area, RoI

Figure 40: Registered drug addicts in NI, 1998-2006

Figure 41: Financial Profile - Blackrock Clinic, 2002-06

Figure 42: Financial profile- Mater Private Healthcare, 2003 and 2004

Abstract

The private healthcare market in Ireland has seen significant growth in recent years particularly in RoI. A poor public health service dogged with staffing problems, long waiting lists and deaths from hospital-borne illnesses, coupled with a very strong economy has seen demand for private healthcare grow. As we move towards a bleaker economic climate, will the demand for private healthcare remain strong?

Key themes of the report

  • A poor public health system in RoI has driven a buoyant private healthcare market.
  • The private healthcare market in NI is significantly smaller as the result of a comparatively better public service.
  • An aging population will drive the market for care facilities for the elderly.
  • To what extent is the private healthcare system in RoI operating at the expense of the public healthcare system?



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