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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
AbstractThe 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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