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Private Healthcare

Published by: Key Note Publications Ltd

Published: Jun. 1, 2009 - 143 Pages


Table of Contents


Foreword

Executive Summary

Market Definition



REPORT COVERAGE



MARKET SECTORS

Long-Term Care

Acute Care

Psychiatric Care

Private Medical Insurance

Primary Care



MARKET TRENDS

An Improved NHS Poses Challenges for Private Healthcare

UK Recession Presents a Threat to Growth

NHS Outsourcing Underpins the Market

Demographic Trends Provide Opportunities in Elderly Care

Private Sector Becomes More Cost-Conscious



ECONOMIC TRENDS

Population

GDP

Inflation

Unemployment

Household Disposable Income



MARKET POSITION

The UK

Overseas

Market Size



THE TOTAL MARKET



BY MARKET SECTOR

Long-Term Care

Acute Care

Psychiatric Care

Private Medical Insurance

Primary Care

Industry Background



RECENT HISTORY



NUMBER OF COMPANIES



EMPLOYMENT



REGIONAL VARIATIONS IN THE MARKETPLACE



DISTRIBUTION

[©Long-Term Care

Acute Care



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

Commercial Occupational Health Providers Association

English Community Care Association

Federation of Independent Practitioner Organisations

General Medical Council

Independent Healthcare Advisory Services

National Pharmacy Association

Royal College of Nursing

Competitor Analysis



THE MARKETPLACE



MARKET LEADERS

Atos Origin IT Services UK Ltd

AXA PPP Healthcare Ltd

Barchester Healthcare Ltd

BUPA Care Homes (CFG) PLC

BUPA Insurance Ltd

Capita Health Solutions Ltd

Care UK PLC

Craegmoor Ltd

Four Seasons Health Care Ltd

HCA International

Netcare Healthcare UK Ltd

Nuffield Health

Partnerships in Care Ltd

Priory Group (Priory Investments Holdings Ltd)

Ramsay Health Care UK Operations Ltd

Southern Cross Healthcare Group PLC

Spire Healthcare Ltd

St Andrews Healthcare



OUTSIDE SUPPLIERS

Pharmaceutical Companies

Medical Laboratory, Device and Equipment Companies



MARKETING ACTIVITY

Main Media Advertising

Strengths, Weaknesses, Opportunities and Threats



STRENGTHS



WEAKNESSES



OPPORTUNITIES



THREATS

Buying Behaviour



OVERVIEW



SUMMARY OF RESULTS

Uptake of Private Medical Insurance

Use of Healthcare Services

Attitudes and Concerns Towards Healthcare



DEMOGRAPHIC ANALYSIS

Uptake of Private Medical Insurance

Use of Healthcare Services

Attitudes and Concerns Towards Healthcare

Current Issues



NHS FUNDING AND PRIVATE ACUTE CARE

Independent Sector Treatment Centres

Patient Choice



SELF-PAY AND THE PRIVATE SECTOR

Growth in Cosmetic Treatment

Top-Ups



COMPETITIVE STRATEGIES IN PRIVATE MEDICAL INSURANCE



MENTAL HEALTH OUTSOURCING — ISSUES FOR THE PRIVATE SECTOR



DEMOGRAPHIC TRENDS IN LONG-TERM CARE FOR THE ELDERLY

Government Response



THE FUTURE PERFORMANCE OF THE NHS

The Global Market



PER CAPITA EXPENDITURE



EXPENDITURE BREAKDOWN



MAJOR TRENDS

An Improving Global Health Economy?

Demographic Shifts in the Disease Burden



THE FUTURE

Forecasts



INTRODUCTION

The Economy



FORECASTS 2009 TO 2013

By Market Sector



MARKET GROWTH



FUTURE TRENDS

NHS to Compete Effectively With Private Healthcare

Private Healthcare Must Differentiate Itself

Aging Population Could Provide Opportunities

Company Profiles



INTRODUCTION



DEFINITIONS

Turnover (Sales)

Pre-Tax Profits

Profit Margin

Average Remuneration

Sales per Employee



FURTHER INFORMATION



AXA PPP HEALTHCARE LTD

Previous Name(s) and Date(s) of Change

Principal Activities

SIC Code

Structure

Brand Information

Recent Developments



FINANCIAL PROFILE

Sales

Profits

Employees

Balance Sheet/Ratios



BUPA CARE HOMES (CFG) PLC

Previous Name(s) and Date(s) of Change

Principal Activities

SIC Codes

Structure

Brand Information

Recent Developments



FINANCIAL PROFILE

Sales

Profits

Employees

Balance Sheet/Ratios



BUPA INSURANCE LTD

Previous Name(s) and Date(s) of Change

Principal Activities

SIC Code

Structure

Brand Information

Recent Developments



FINANCIAL PROFILE

Sales

Profits

Employees

Balance Sheet/Ratios



CAPITA HEALTH SOLUTIONS LTD

Previous Name(s) and Date(s) of Change

Principal Activities

SIC Code

Structure

Brand Information

Recent Developments



FINANCIAL PROFILE

Sales

Profits

Employees

Balance Sheet/Ratios



CARE PRINCIPLES LTD

Previous Name(s) and Date(s) of Change

Principal Activities

SIC Code

Structure

Brand Information

Recent Developments



FINANCIAL PROFILE

Sales

Profits

Employees

Balance Sheet/Ratios



CARE UK PLC

Previous Name(s) and Date(s) of Change

Principal Activities

SIC Codes

Structure

Brand Information

Recent Developments



FINANCIAL PROFILE

Sales

Profits

Employees

Balance Sheet/Ratios



CRAEGMOOR HEALTHCARE COMPANY LTD

Previous Name(s) and Date(s) of Change

Principal Activities

SIC Codes

Structure

Brand Information

Recent Developments



FINANCIAL PROFILE

Sales

Profits

Employees

Balance Sheet/Ratios



NUFFIELD HEALTH

Previous Name(s) and Date(s) of Change

Principal Activities

SIC Codes

Structure

Brand Information

Recent Developments



FINANCIAL PROFILE

Sales

Profits

Employees

Balance Sheet/Ratios



PARTNERSHIPS IN CARE LTD

Previous Name(s) and Date(s) of Change

Principal Activities

SIC Code

Structure

Brand Information

Recent Developments



FINANCIAL PROFILE

Sales

Profits

Employees

Balance Sheet/Ratios



RAMSAY HEALTH CARE UK OPERATIONS LTD

Previous Name(s) and Date(s) of Change

Principal Activities

SIC Code

Structure

Brand Information

Recent Developments



FINANCIAL PROFILE

Sales

Profits

Employees

Balance Sheet/Ratios



ST ANDREW'S HEALTHCARE

Previous Name(s) and Date(s) of Change

Principal Activities

SIC Codes

Structure

Brand Information

Recent Developments



FINANCIAL PROFILE

Sales

Profits

Employees

Balance Sheet/Ratios

Further Sources

Associations

Publications

General Sources

Government Publications

Other Sources

Key Note Sources

Private Healthcare



MARKET DEFINITION



FACTORS AFFECTING THE MARKET



MARKET TRENDS



THE FUTURE

Understanding TGI Data

Number, Profile, Penetration

Social Grade

Standard Region

Key Note Research

The Key Note Range of Reports

Abstract

This Key Note Market Report examines the UK private healthcare market. Private healthcare has so far withstood the economic downturn, and, in 2008, the market grew by 5.6% to reach an estimated value of £25.81bn at current prices. Between 2004 and 2008, the value of the market increased by 29.1%, with the growth being driven by increased NHS and public outsourcing towards the private sector.

For the purposes of this report, private healthcare is split into the following sectors: long-term care (for the elderly and physically disabled); acute care; psychiatric care; private medical insurance (PMI); and primary care. These sectors are mainly funded by the NHS and local authorities, and, therefore, a large proportion of the market is dependent on government investment. This has largely been sustained, if not increased, during the 2004 to 2008 review period.

The acute care and PMI sectors are under some threat due to the recession in the UK. Acute care is currently buoyed up by government outsourcing to the private sector, but aside from this driver, self-pay revenue in acute care is currently falling, despite growing demand for non-traditional treatment such as cosmetic surgery and weight-loss surgery. PMI is already a mature market, and is experiencing falling membership rates in individual PMI. The current recession may make this subsector, along with company-paid PMI, even more vulnerable in 2009.

The market is currently facing new challenges due to the improvements that are taking place in the NHS, with many hospitals now having reduced waiting times. Some experts believe that consumers are now being deterred from using private healthcare since they recognise that NHS treatment is becoming faster and better quality. In addition, consumers are now able to take advantage of the private sector through the NHS by using the extended patient choice scheme. This came into force in April 2008, and enables patients to choose where they wish to be treated when referred to a specialist.

The future for the private healthcare market does not appear to be under threat in the long term, as it is likely that NHS performance will fluctuate and demand for more individualised and privileged treatment will remain a priority for many people. However, a period of more modest growth in all sectors is emerging, where cost-effectiveness, in comparison with public provision, will be the key to survival. Key Note forecasts that the value of the market will increase to £32.62bn in 2013 — a growth of 63.2% compared with 2004.



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