The Private Healthcare UK Self-Pay Market Study 2013

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1 The Private Healthcare UK Self-Pay Market Study 2013 REPORT OVERVIEW Intuition Communication Ltd 2013

2 This 150 page report from Intuition Communication, publishers of Private Healthcare UK, is the first in-depth analysis of the growing self-pay market for elective surgery in the UK. This latest research highlights the factors behind the growth of the self-pay market for elective surgery, examines the offerings of the major healthcare providers, and includes an in-depth analysis of pricing in the self-pay market. In conducting the research, we set out to understand better the drivers behind self-pay surgery and to gauge the views of those in the market about the prospects for the next three to five years. During the preparation of this report, the Competition Commission published its provisional findings into the private healthcare market and we were able to review and consider those findings in the light of our own research. We talked to senior industry figures about their view of the market sector, carried out an online survey of participants in the private healthcare sector, including hospital managers, clinicians and senior decision makers. We also carried out a detailed analysis of over 7,800 prices for the most common procedures offered on a fixed price basis in the UK s private hospitals. How to purchase You can purchase the full report online at at a price of 450. A preferential discounted price of 350 is available to clients of Intuition Communication Ltd. Who to contact For further information about the Private Healthcare UK Self-Pay Market Study 2013 report, contact: Call: Sarah Ward Operations Manager Write: sarahward@privatehealth.co.uk Intuition Communication Ltd 3 Churchgates, Wilderness, Berkhamsted, Herts HP4 2UB PRIVATE HEALTHCARE UK SELF PAY MARKET STUDY 2013: REPORT OVERVIEW 2

3 Report index Introduction Executive Summary The research in context Recent trends in private healthcare Recent trends in the insured versus non-insured market The here and now The role of the private medical insurers The role of the NHS Moves by major acute providers and others Private medical insurers The role of third party administrators Survey analysis Respondents roles Current throughput of self-pay patients Factors affecting self-pay admissions over the past 12 months? Most popular self-pay procedures Financing and packaging of self-pay procedures Marketing to the self-pay patient Anticipated trends and changes in self-pay surgery Additional comments received via the online survey The opinion leaders view: feedback from the in-depth interviews Clinical drivers Private medical insurance Affordability The NHS Other factors Price comparisons for self-pay Pricing for self-pay procedures The major provider schemes and finance options for self-pay Comparison of self-pay schemes from major providers PRIVATE HEALTHCARE UK SELF PAY MARKET STUDY 2013: REPORT OVERVIEW 3

4 Comparison of finance schemes from major providers for self-pay patients The patient perspective The future of self-pay The views of influencers and opinion leaders New players attracted to the self-pay market The role of clinical innovation Demographics The role of effective marketing and engagement Quality as a driver References and acknowledgements Appendix: Detailed price comparisons Diagnostic imaging Surgical operations and procedures Tests and investigations PRIVATE HEALTHCARE UK SELF PAY MARKET STUDY 2013: REPORT OVERVIEW 4

5 Example of pricing analysis The full report contains detailed analysis of over 7,800 published prices for private treatment in the UK. The following table provides an example of one of the pricing analyses in the full report. Lowest Price Highest Price Median price point National 7,610 Aspen Hollyhouse 14,980 Spire Norwich Average price Providers 10,340 10, By Region South East 8,200 BMI Coombe Wing London (within M25) 9,323 Aspen Parkside 12,704 Spire Thames Valley 12,600 King Edward VII 10,170 10, ,600 10, Wales & South West 8,700 BMI Bath Clinic 12,327 Spire Bristol 10,340 10, Midland & East 7,610 Aspen Hollyhouse 14,980 Spire Norwich 10,340 10, Scotland & North/NE 7,662 Aspen Claremont 12,145 Nuffield York 10,340 10, North West 8,900 BMI Gisburne Park BMI The Beardwood BMI The Lancaster By Group BMI 8,200 BMI Coombe Wing Spire 8,990 Spire Hull and East Riding Ramsay 8,995 Oaks - Ramsay Health Care UK Nuffield 9,130 Nuffield Glasgow 11,515 Spire Fylde Coast 11,000 BMI Three Shires 14,980 Spire Norwich 10,340 Bromley Private Patient Unit - Ramsay Health Care UK 13,820 Nuffield Cambridge 10,185 9, ,500 9, ,530 10, ,340 10, ,388 11, PRIVATE HEALTHCARE UK SELF PAY MARKET STUDY 2013: REPORT OVERVIEW 5

6 Aspen 7,610 Aspen Hollyhouse HCA 11,434 The Wellington The Princess Grace The Lister 9,323 Aspen Parkside 11,434 The Wellington The Princess Grace The Lister 7,662 8, ,434 11,434 6 PRIVATE HEALTHCARE UK SELF PAY MARKET STUDY 2013: REPORT OVERVIEW 6

7 Scope of pricing analysis The report incorporates pricing analysis for the following imaging techniques, procedures, tests and investigations: Diagnostic imaging Chest X-ray CT scan: one body part MRI scan: one body area Ultrasound of abdomen Ultrasound of breast Ultrasound of pelvis Ultrasound of urinary tract Ultrasound: one area X-ray: one view X-ray: two views Surgical operations and procedures Breast reconstruction surgery Bunion surgery Bursitis - injection treatment Bursitis - injection treatment under X-ray control Carpal tunnel release Cataract surgery Circumcision (adult) Circumcision (child) Colonoscopy Coronary angiogram Dilatation and curettage (D & C) Epidural injection Examination of oesophagus and stomach by endoscope (Gastroscopy) Examination of the bladder by camera (Cystoscopy) Examination of the colon by camera (Sigmoidoscopy) Examination of the uterus by camera (Hysteroscopy) PRIVATE HEALTHCARE UK SELF PAY MARKET STUDY 2013: REPORT OVERVIEW 7

8 Facet joint injection Gall bladder removal (Cholecystectomy) Hysterectomy (abdominal) Hysterectomy (vaginal) Insertion of grommets Intravitreal injection for AMD - Lucentis Keyhole investigation of the knee (Arthroscopy) Knee ligament surgery (cruciate ligament repair) Obesity surgery - gastric bypass Obesity surgery - gastric band Prostate resection (using laser) Prostate surgery (TURP) Removal of ganglion cyst Removal of haemorrhoids Removal of mole or simple skin lesion Removal of tonsils (adult) Removal of tonsils (child) Repair of inguinal hernia Repair of inguinal hernia (keyhole surgery) Repair of prolapsed vaginal wall Repair of torn cartilage in knee (Meniscectomy) Reversal of vasectomy Rotator cuff repair Shoulder keyhole surgery Shoulder replacement Shoulder surgery (bursa and collar bone) Shoulder surgery (bursa) Skin excision of malignant lesion Surgery for slipped disc Tooth extraction - wisdom tooth Total hip replacement Total knee replacement PRIVATE HEALTHCARE UK SELF PAY MARKET STUDY 2013: REPORT OVERVIEW 8

9 Varicose veins surgery (both legs) Varicose veins surgery (one leg) Varicose veins surgery - VNUS closure (both legs) Varicose veins ablation (both legs) Varicose veins ablation (one leg) Vasectomy - male sterilisation Tests and investigations Blood test: full blood count Blood test: liver function profile Blood test: urea and electrolytes Electrocardiogram (ECG) PRIVATE HEALTHCARE UK SELF PAY MARKET STUDY 2013: REPORT OVERVIEW 9

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