Healthcare Market Review 2005

This Market Review analyses the healthcare market in the UK, which can be divided broadly into public healthcare (the NHS, which comprises hospital and community health services [HCHS] and family health services [FHS]), private healthcare (and private medical insurance [PMI]), and other healthcare services (covering complementary and alternative medicine [CAM] and palliative and hospice care). It is estimated that, in 2005, the total UK healthcare market will be worth £111.42bn, an increase of 8.9% on 2004.

Since its inception in 1948, the UK healthcare market has been dominated by the significant, comprehensive NHS. When the NHS was established with the remit to provide healthcare based on need rather than the ability to pay, there was no conception of how much costs would rise as the boundaries of healthcare expanded, along with the increasing number of elderly people in the population. In spite of the problems in funding and delivery, the British public remain fiercely protective of the NHS and politicians are aware that any significant erosion of the central principles of the NHS will have a huge political cost. At the same time, governments have had to grapple with the key issues of limited resources, prioritisation of care and, most importantly, how best to deliver healthcare in the most cost-effective and efficient way without compromising the principles of the NHS.

It is estimated that, in 2005, the NHS will account for 80.7% of total UK expenditure on healthcare services. The NHS is organised into two main service delivery organisations: HCHS, which are responsible for hospital-based services; and FHS, which are responsible for frontline community-based primary care. HCHS account for the bulk of NHS expenditure. Within FHS, the highest proportion of expenditure is on pharmaceutical services (PHS).

In the UK, the private healthcare sector has evolved in the shadow of the significant public sector, largely through supplying solutions to the problems in the NHS. As a result, much of the private-sector provision is traditionally for routine elective procedures, which are likely to have longer waiting lists on the NHS. The private sector has also developed niche markets, such as cosmetic surgery, abortion services and fertility treatment, which are either limited or unavailable on the NHS. More recently, the private sector and the NHS have been working in partnership, supplying services to reduce waiting lists for the NHS or running services for the NHS directly, such as long-term care, certain psychiatric care services and specialist diagnostic services. Primary care services, particularly occupational health, are also a relatively small, but emerging, market in the private healthcare sector.

In 2005, we estimate that private healthcare services (excluding PMI) accounted for 15.3% of healthcare expenditure in the UK. By far the largest private sector market was that of long-term care. PMI remains the principal source of funding for the private healthcare sector, although the NHS has become a significant commissioner of private-sector services and many private patients are opting for self-pay fixed-price schemes.

CAM comprises a significantly diverse range of therapies and treatments, of which some, such as chiropractic and osteopathy, have achieved statutory recognition and regulation. Others have little or no regulation outside the voluntary self-regulation of a large number of different trade organisations. A number of the more popular complementary therapies, including osteopathy, chiropractic, acupuncture, reflexology and aromatherapy, are becoming increasingly integrated into mainstream care. Homeopathy is available in a number of NHS hospitals, in spite of the scepticism of many healthcare professionals.

Palliative and hospice care, although a comparatively small sector of the market in terms of expenditure, is also hugely influential. Largely run by charities and voluntary organisations, the palliative and hospice care sector has had funding problems, coupled with increasing demand for services. However, there has been increasing recognition from the public sector in terms of funding and the development of more integrated partnerships in care with, or actually within, the NHS. In particular, the palliative care sector has been developing more flexible community-based services, with the emphasis on home and respite care.

Healthcare services in the UK are under increasing pressure from a demographically ageing population. In addition, medicine is a technology-driven market, with new treatments and procedures continually expanding the scope of care. The Government has been trying to contain costs and improve efficiency in the public sector through significant increases in funding, coupled with the use of increasingly tough targets. In addition, the Government has recently been introducing reforms aimed at the decentralisation of decision making, and the reduction of bureaucracy and administrative costs.

The private sector has responded to funding pressures and the drive for cost efficiency by adding value to services, which broadens the scope of these services. The result has been a significant rise in acquisition and merger activities within the private sector, creating large companies that operate across the continuum of healthcare, with greater flexibility and economies of scale. At the other end of the spectrum, conditions have become increasingly difficult for small, independent operators.

Although the problems facing healthcare in the UK are complex, intractable and significant, there is immense political and public will for great improvements in the delivery of healthcare in the UK. The stakes are particularly high for a government that has been pouring unprecedented amounts of funding into the health sector, and for a public that are still looking for significant signs of improvement.

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Executive Summary

1. Market Overview

REPORT COVERAGE
Public Healthcare
The National Health Service
Private Healthcare
Private Medical Insurance
Other Healthcare Services

REPORT BACKGROUND
Devolution and Healthcare

ECONOMIC TRENDS
Population
Table 1.1: UK Resident Population Estimates by Sex (000), Mid-Years 2000-2004
Gross Domestic Product
Table 1.2: UK Gross Domestic Product at Current and Annual Prices (£m), 2000-2004
Inflation
Table 1.3: UK Rate of Inflation (%), 2000-2004
Unemployment
Table 1.4: Actual Number of Unemployed Persons (million), 2000-2004
Household Disposable Income
Table 1.5: Household Disposable Income Per Capita (£), 2000-2004

MARKET SIZE
The Total Market
Table 1.6: The Total UK Healthcare Market by Sector by Value (£m,) 2001-2005
Figure 1.1: The Total UK Healthcare Market by Value (£m), 2001-2005
The National Health Service
Table 1.7: Total UK Expenditure on the National Health Service by Sector by Value (£m), 2001-2005
Private Healthcare
Table 1.8: The Total UK Private Healthcare Market (Including Private Medical Insurance) by Sector by Value (£m), 2001-2005
Other Healthcare Services
Table 1.9: The Total UK Other Healthcare Services Market by Sector by Value (£m), 2001-2005

MARKET SEGMENTATION
The National Health Service
Hospital and Community Health Services
Family Health Services
Private Healthcare
Private Medical Insurance
Complementary and Alternative Medicine
Palliative and Hospice Care

INDUSTRY STRUCTURE
Employment
Table 1.10: Profile of NHS Employees in the UK, 1999-2003
Distribution

MARKET POSITION

KEY TRENDS
Demographics
Population
Table 1.11: UK Resident Population Estimates and Projections (000 and %), Mid-Years 1971-2026
Figure 1.2: UK Resident Population Estimates and Projections for Those Aged Under 18 and of Pensionable Age (000), Mid-Years 2001-2026
Births
Table 1.12: Number of Births in the UK (000), 1970-2003
Legal Abortions
Table 1.13: Actual Number of Legal Abortions in the UK (number and %), 1986-2003
Infant Mortality
Table 1.14: Infant† Mortality Per 1,000 Live Births in the UK, 1950-2002
Public Health
Cause of Death
Table 1.15: Number of Deaths in the UK by Major Cause (number and %), 2002 and 2003
Infectious Disease
Table 1.16: Notified Cases of Infectious Diseases in the UK (number and %), 2002 and 2003
Back Pain

LEGISLATION
Scotland

KEY TRADE ASSOCIATIONS
The National Health Service
The British Medical Association
English Community Care Association
The Federation of Ophthalmic and Dispensing Opticians
General Dental Council
General Medical Council
General Optical Council
National Pharmacy Association
Royal College of Nursing
Royal Pharmaceutical Society of Great Britain
Private Medical Insurance
Association of British Insurers
Complementary and Alternative Healthcare
Aromatherapy Consortium
British Acupuncture Council
The British Herbal Medicines Association
Faculty of Homeopathy
General Chiropractic Council
General Osteopathic Council
Palliative and Hospice Care
Association of Children's Hospices
Help the Hospices
The National Council for Palliative Care
Scottish Partnership for Palliative Care

2. PEST Analysis

POLITICAL FACTORS
Re-Election of the Labour Government
The NHS Plan
Key Targets
Acute Trusts
Primary Care Trusts
Ambulance Trusts
Selected Others
Restructuring of Primary Care
Staff Shortages
Waiting Lists
Reform of the Ambulance Service
Long-Term Care and the Elderly
Tougher Healthcare Targets

ECONOMIC FACTORS
Funding Shortfalls and Budget Changes
NHS Funding
Funding Crisis

SOCIAL FACTORS
Demographic Trends
Care in the Community
Obesity
Severe Acute Respiratory Syndrome, Bird Flu and the Risk of Travel
Treatment of the Terminally Ill
Smoking Trends
Tuberculosis
Protection From Poor Doctors

TECHNOLOGICAL FACTORS
Technological Advances in Medical Treatment
Digital Technology
Drug Resistance
Measles, Mumps and Rubella

3. Primary Research

INTRODUCTION

CONSUMER PROFILE
Table 3.1: Summary of Consumer Profile (% of respondents), 2005
Thinking About the Last 12 Months, Which, if Any, of These Statements Apply to You?
Took Out/Renewed Private Medical Insurance
Table 3.2: Penetration of Taking Out/Renewing Private Medical Insurance in the Last 12 Months (% of respondents), 2005
Had NHS Surgery
Table 3.3: Penetration of Having NHS Surgery in the Last 12 Months (% of respondents), 2005
Had Cosmetic Surgery
Table 3.4: Penetration of Having Cosmetic Surgery in the Last 12 Months (% of respondents), 2005
Consulted a General Practitioner
Table 3.5: Penetration of Consulting a General Practitioner in the Last 12 Months (% of respondents), 2005
Called a General Practitioner Out of Hours
Table 3.6: Penetration of Calling a General Practitioner Out of Hours in the Last 12 Months (% of respondents), 2005
Consulted NHS Direct
Table 3.7: Penetration of Consulting NHS Direct in the Last 12 Months (% of respondents), 2005
Visited a Hospital Casualty Department
Table 3.8: Penetration of Visiting a Hospital Casualty Department in the Last 12 Months (% of respondents), 2005
Was Referred to a Specialist/Consultant
Table 3.9: Penetration of Being Referred to a Specialist/Consultant in the Last 12 Months (% of respondents), 2005
Used Over-the-Counter Medicines
Table 3.10: Penetration of Using Over-the-Counter Medicines in the Last 12 Months (% of respondents), 2005
Used Herbal/Alternative Remedies
Table 3.11: Penetration of Using Herbal/Alternative Remedies in the Last 12 Months (% of respondents), 2005
Regularly Took Vitamins/Minerals/Supplements
Table 3.12: Penetration of Regularly Taking Vitamins/Minerals/Supplements in the Last 12 Months (% of respondents), 2005
Visited a Dentist
Table 3.13: Penetration of Visiting a Dentist in the Last 12 Months (% of respondents), 2005
Had a Routine Eye Examination
Table 3.14: Penetration of Having a Routine Eye Examination in the Last 12 Months (% of respondents), 2005
Consulted an Osteopath
Table 3.15: Penetration of Consulting an Osteopath in the Last 12 Months (% of respondents), 2005
Consulted a Chiropractor
Table 3.16: Penetration of Consulting a Chiropractor in the Last 12 Months (% of respondents), 2005
Had Physiotherapy
Table 3.17: Penetration of Having Physiotherapy in the Last 12 Months (% of respondents), 2005
None of the Above
Table 3.18: Penetration of None of the Above in the Last 12 Months (% of respondents), 2005

CONSUMER ATTITUDES
Table 3.19: Summary of Consumer Attitudes Towards Healthcare (% of respondents), 2005
Which Three of the Following Actions Do You Consider Most Necessary to Improve the Health Service?'
Recruiting More Healthcare Professionals
Table 3.20: Recruiting More Healthcare Professionals (% of respondents), 2005
Monitoring Their Performance
Table 3.21: Monitoring Their (Healthcare Professionals) Performance (% of respondents), 2005
Cutting NHS Waiting Lists
Table 3.22: Cutting NHS Waiting Lists (% of respondents), 2005
Increasing NHS Funding
Table 3.23: Increasing NHS Funding (% of respondents), 2005
Monitoring Hospital Performance
Table 3.24: Monitoring Hospital Performance (% of respondents), 2005
Improving Hospital Cleanliness
Table 3.25: Improving Hospital Cleanliness (% of respondents), 2005
Improving General Practitioner Out-of-Hours Services
Table 3.26: Improving General Practitioner Out-of-Hours Services (% of respondents), 2005
Increasing the Range and Availability of Over-the-Counter Medicines
Table 3.27: Increasing the Range and Availability of Over-the Counter Medicines (% of respondents), 2005
Encouraging Private Healthcare
Table 3.28: Encouraging Private Healthcare (% of respondents), 2005
Changing Government Policy
Table 3.29: Changing Government Policy (% of respondents), 2005
Educating the Public on Health Issues
Table 3.30: Educating the Public on Health Issues (% of respondents), 2005

4. Competitive Structure

THE MARKETPLACE

MARKET LEADERS

Anchor Trust
Company Structure
Financial Results

AXA PPP healthcare Group PLC
Company Structure
Financial Results

Barchester Healthcare Ltd
Company Structure
Financial Results

The British United Provident Association Ltd
Company Structure
Financial Results

FirstAssist
Company Structure
Financial Results

Four Seasons Health Care
Company Structure
Financial Results

General Healthcare Group Ltd
Company Structure
Financial Results

HSA Group Ltd
Company Structure
Financial Results

Norwich Union Healthcare Ltd
Company Structure
Financial Results

Nuffield Hospitals
Company Structure
Financial Results

Western Provident Association Ltd
Company Structure
Financial Results

Other Companies

5. The National Health Service

DEFINITION

KEY TRENDS
NHS Funding and Investment
The NHS Plan
Staff Shortages
Waiting Lists
Day Surgery Inefficiency
Performance Criteria and Foundation Trusts
Antibiotic Resistance and Super Bugs
Litigation and Negligence
Healthcare Commission Report
Demographic Pressures
Chlamydia Screening Programme
Private Finance Initiative

MARKET SIZE
Table 5.1: Total UK Expenditure on the National Health Service (£m), 2001-2005
Figure 5.1: Total UK Expenditure on the National Health Service (£m), 2001-2005

SUPPLY STRUCTURE
Strategic Health Authorities
Primary Care Trusts
NHS Trusts
Monitoring of Standards of Care
The Private Finance Initiative
Organisation of the NHS

FORECASTS
Table 5.2: Forecast Total UK Expenditure on the National Health Service (£m), 2006-2010
Figure 5.2: Forecast Total UK Expenditure on the National Health Service (£m), 2006-2010

6. Hospital and Community Health Services

DEFINITION

KEY TRENDS
Budget Priorities
Patient Trends
Waiting Lists
NHS Beds and Patient Turnover
Hospital Cleanliness and Antibiotic Resistance
Changes to the Ambulance Service

MARKET SIZE
Table 6.1: The Total UK Hospital and Community Health Services Market by Value (£m), 2001-2005
Figure 6.1: The Total UK Hospital and Community Health Services Market by Value (£m), 2001-2005
Table 6.2: Profile of Hospital Activity for England by Number of Episodes and Admissions, 2003/2004

SUPPLY STRUCTURE

BUYING BEHAVIOUR
Table 6.3: Hospital Operations in England by Type (number, days, years and %), 2003/2004
Table 6.4: Hospital Episodes in England by Primary Diagnostic Group (number, days, years and %), 2003/2004

FORECASTS
Table 6.5: The Forecast Total UK Hospital and Community Health Services Market by Value (£m), 2006-2010
Figure 6.2: The Forecast Total UK Hospital and Community Health Services Market by Value (£m), 2006-2010

7. Family Health Services

DEFINITION

KEY TRENDS
Improved Access
NHS Walk-In Centres
Organisation
Restructuring of Primary Care
NHS Local Improvement Finance Trust

MARKET SIZE
Table 7.1: The Total UK Family Health Services Market by Sector by Value (£m), 2001-2005
Figure 7.1: The Total UK Family Health Services Market by Value (£m), 2001-2005

FORECASTS
Table 7.2: The Forecast Total UK Family Health Services Market by Sector by Value (£m), 2006-2010
Figure 7.2: The Forecast Total UK Family Health Services Market by Sector by Value (£m), 2006-2010

PHARMACEUTICAL SERVICES
Definition
Key Trends
The NHS Plan and the Expanding Role of Pharmacists
The Drugs Bill and Price Regulation
Prescription Volume and Charges
Increased Generic Prescribing
Consolidation of Pharmacy Outlets
Proposed Changes to the Pharmacy Contract
Market Size
Table 7.3: The Total UK Pharmaceuticals Services Market by Value (£m), 2001-2005
Table 7.4: Number and Type of Prescriptions Dispensed in England by Diagnostic Group (million and %), Year Ending December 2004
Supply Structure
Table 7.5: Number of Pharmacies Contracted to Health Authorities in England and Wales, 1999/2000-2003/2004
Figure 7.3: Number of Pharmacies Contracted to Health Authorities in England and Wales, 1999/2000-2003/2004

Major Players
Pharmaceutical Companies
AstraZeneca
Eli Lilly and Company Ltd
GlaxoSmithKline
Pfizer Ltd
Shire Pharmaceuticals
Pharmacy Chains
Boots the Chemist
Lloyds Pharmacy
Moss Pharmacy
Buying Behaviour
Advertising and Promotion
Forecasts
Table 7.6: The Forecast Total UK Pharmaceutical Services Market by Value (£m), 2006-2010

GENERAL AND PERSONAL MEDICAL SERVICES
Definition
Key Trends
Access to General Practitioners
New General Practitioner Contracts
Market Size
Table 7.7: The Total UK General and Personal Medical Services Market by Value (£m), 2001-2005
Supply Structure
Table 7.8: Number of General Practitioners Contracted to the NHS in the UK, 2000-2004
Figure 7.4: Number of General Practitioners Contracted to the NHS in the UK, 2000-2004
Table 7.9: Average Number of Patients per General Practitioner in the UK by Country, 2002
Figure 7.5: Average Number of Patients per General Practitioner in the UK by Country, 2002
Buying Behaviour
Forecasts
Table 7.10: The Forecast Total UK General and Personal Medical Services Market by Value (£m), 2006-2010

DENTAL SERVICES
Definition
Key Trends
Preventative Dentistry
Dental Care Plans and Healthcare Insurance
New Contract
Market Size
Table 7.11: The Total UK Dental Services Market by Value (£m), 2001-2005
Supply Structure
Table 7.12: Number of Dentists in the UK by Country (% and number), 2002
Figure 7.6: Dentists in the UK by Country (%), 2002
Table 7.13: Number of Adult Courses of Dental Treatment in the UK (000), 2000-2004
Table 7.14: Number of New Adult Dental Patients in England (000), 2000-2002
Funding for Dental Services
Buying Behaviour
Table 7.15: General Adult Dental Services in England by Type of Treatment (%), 2002/2003
Figure 7.7: General Adult Dental Services in England by Type of Treatment (%), 2002/2003
Forecasts
Table 7.16: The Forecast Total UK Dental Services Market by Value (£m), 2006-2010
GENERAL OPHTHALMIC SERVICES
Definition
Key Trends
Market Size
Table 7.17: The Total UK General Ophthalmic Services Market by Value (£m), 2001-2005
Supply Structure
Table 7.18: The Actual Number of Ophthalmic Practitioners in England and Wales by Type, 1999-2003
Sight Tests and Eye Examinations
Table 7.19: Number of UK NHS Sight Tests and Spectacles Redeemed (000), 2000-2004
Table 7.20: NHS Sight Tests in England and Wales by Type of Practitioner (% of sight tests performed), April-September 2004
Table 7.21: Health Authority-Contracted Opticians by Number of Premises in England and Wales, 1999-2003

Major Players
Boots Opticians Ltd
Dollond & Aitchison Ltd
Specsavers Optical Group
Vision Express
Advertising and Promotion
Main Media Advertising Expenditure
Table 7.22: Main Media Advertising Expenditure on Prescription Frames and Contact Lenses (£000), Year Ending March 2005
Buying Behaviour
Table 7.23: NHS-Paid Sight Tests by Patient Eligibility in England and Wales (% of sight tests), April-September 2004
Table 7.24: Percentage of Spectacles/Appliances for Which Vouchers Were Reimbursed by the NHS by Patient Eligibility (%), April-September 2004
Forecasts
Table 7.25: The Forecast Total UK General Ophthalmic Services Market by Value (£m), 2006-2010

8. Private Healthcare

DEFINITION

MARKET SIZE
Table 8.1: The Total UK Private Healthcare Market by Sector by Value (£m), 2001-2005
Figure 8.1: The Total UK Private Healthcare Market by Value (£m), 2001-2005
FORECASTS
Table 8.2: The Forecast Total UK Private Healthcare Market by Sector by Value (£m), 2006-2010
Figure 8.2: The Forecast Total UK Private Healthcare Market by Value (£m), 2006-2010

LONG-TERM CARE
Key Trends
Funding and Compliance
Market Polarisation
Demographic Trends
Social Trends
Increasing Investment in the Long-Term Care Market
Market Specialisation and Added Value
Market Size
Table 8.3: The Total UK Private Long-Term Care Sector by Subsector by Value (£m), 2001-2005
Supply Structure
Table 8.4: Number of Long-Term Care Places by Subsector, April 2004
Legislation and Funding of Long-Term Care
National Minimum Standards

Major Players
Anchor Trust
BUPA Care Homes
Craegmoor Group Ltd
Four Seasons Health Care
Highfield Care
Southern Cross Healthcare
Westminster Senior Living
Advertising and Promotion
Buying Behaviour
Forecasts
Table 8.5: The Forecast Total UK Private Long-Term Care Sector by Subsector by Value (£m), 2006-2010

ACUTE CARE
Definition
Key Trends
Consolidation in the Marketplace
Cosmetic Surgery
Fertility Treatment
Market Size
Table 8.6: The Total UK Private Acute Care Sector by Value (£m), 2001-2005
Supply Structure
Table 8.7: The Total UK Private Acute Care Sector by Number of Hospitals and Beds, 1999-2004
Table 8.8: Ownership Status of Private Acute Care Providers (% of total beds), 1998 and 2004

Major Players
BMI Healthcare
Nuffield Hospitals
BUPA Hospitals Ltd
Capio Healthcare
HCA International Ltd
Table 8.9: Leading UK Private Acute Care Providers by Number of Hospitals and Beds, 2004
Private Care in the NHS
Advertising and Promotion
Buying Behaviour
Forecasts
Table 8.10: The Forecast Total UK Private Acute Care Sector by Value (£m), 2006-2010

PSYCHIATRIC CARE
Definition
Key Trends
Market Size
Table 8.11: The Total UK Private Psychiatric Care Sector by Value (£m), 2001-2005
Supply Structure
Table 8.12: The Total UK Independent Acute Psychiatric Care Sector by Number of Beds (number and %), 2002 and 2004

Major Players
Table 8.13: Major Players in the UK Independent Acute Psychiatric Care Sector by Number of Hospitals and Beds, 2004
Priory Healthcare Ltd
Partnerships in Care Ltd
St Andrew's Group of Hospitals
Care Principles
Cygnet Healthcare
Advertising and Promotion
Buying Behaviour
Forecasts
Table 8.14: The Forecast Total UK Private Psychiatric Care Sector (£m), 2006-2010

PRIMARY CARE
Definition
Key Trends
Market Size
Table 8.15: The Total UK Private Primary Care Sector by Subsector by Value (£m), 2001-2005
Figure 8.3: The Total UK Private Primary Care Sector by Subsector (%), 2005
Supply Structure
GP Services
Occupational Health Services

Major Players
GP Services and Walk-In Clinics
BMI Health Services
BUPA Occupational Health Ltd
BUPA Wellness
Franbar Holdings Ltd
General Medical Clinics PLC
GP Plus
Advertising and Promotion
Buying Behaviour
Forecasts
Table 8.16: The Forecast Total UK Private Primary Care Sector by Subsector by Value (£m), 2006-2010

9. Private Medical Insurance

DEFINITION

KEY TRENDS

MARKET SIZE
Table 9.1: The Total UK Private Medical Insurance Market by Subscription Income (£m), 2001-2005
Figure 9.1: The Total UK Private Medical Insurance Market by Subscription Income (£m), 2001-2005

SUPPLY STRUCTURE
Number of Subscribers
Table 9.2: Total UK Private Healthcare Policies by Number of Subscribers to Private Medical Insurance and Medical Expenses Schemes (000), 2001-2005
Cost of Claims
Table 9.3: The Total UK Private Medical Insurance Market by Cost of Claims (£m and %), 2001-2005

MAJOR PLAYERS
Table 9.4: Leading Private Medical Insurers by Share of Subscription Income (%), 2003
Figure 9.2: Leading Private Medical Insurers by Share of Subscription Income (%), 2003

British United Provident Association Ltd
AXA PPP healthcare Group PLC
Norwich Union Healthcare
Standard Life Healthcare Ltd
FirstAssist

ADVERTISING AND PROMOTION

BUYING BEHAVIOUR

FORECASTS
Table 9.5: The Forecast Total UK Private Medical Insurance Market by Subscription Income (£m), 2006-2010
Figure 9.3: The Forecast Total UK Private Medical Insurance Market by Subscription Income (£m), 2006-2010

10. Complementary and Alternative Medicine

DEFINITION

KEY TRENDS

MARKET SIZE
Table 10.1: The Total UK Complementary and Alternative Medicine Market by Value (£m), 2001-2005
Figure 10.1: The Total UK Complementary and Alternative Medicine Market by Value (£m), 2001-2005

SUPPLY STRUCTURE
Table 10.2: Number of Complementary and Alternative Medicine Practitioners in the UK, 2005

MAJOR PLAYERS

ADVERTISING AND PROMOTION

BUYING BEHAVIOUR

FORECASTS
Table 10.3: The Forecast Total UK Complementary and Alternative Medicine Market by Value (£m), 2006-2010
Figure 10.2: The Forecast Total UK Complementary and Alternative Medicine Market by Value (£m), 2006-2010

11. Palliative and Hospice Care

DEFINITION

KEY TRENDS
Demographic Trends
Greater Integration
Availability
NICE Guidance
Children's Palliative Care
Palliative Care Funding

MARKET SIZE
Table 11.1: The Total UK Palliative and Hospice Care Market by Value (£m), 2001-2005
Figure 11.1: The Total UK Palliative and Hospice Care Market by Value (£m), 2001-2005

SUPPLY STRUCTURE
Table 11.2: Inpatient Palliative Care Provision in the UK by Number of Units and Beds, 2001-2005
Table 11.3: Number of Palliative Care Support Services in the UK by Type, 2001-2005
Regional Variations
Table 11.4: Inpatient Adult Palliative Care Provision in the UK by Number of Units and Beds by Country (number and %), 2005
Table 11.5: Inpatient Child Palliative Care Provision in the UK by Number of Units and Beds by Country (number and %), 2005
Table 11.6: Palliative Care Support Services in the UK by Type by Country (% and number), 2005

MAJOR PLAYERS
MacMillan Cancer Relief
Marie Curie Cancer Care
The Sue Ryder Foundation

ADVERTISING AND PROMOTION

BUYING BEHAVIOUR
Profile of Use
Table 11.7: Patient Usage of Palliative Care Facilities and Services (number of patients), 2003/2004
Patient Profile
FORECASTS
Table 11.8: The Forecast Total UK Palliative and Hospice Care Market by Value (£m), 2006-2010
Figure 11.2: The Forecast Total UK Palliative and Hospice Care Market by Value (£m), 2006-2010
12. A Global Perspective

OVERVIEW
Table 12.1: Total Healthcare Expenditure as a Percentage of Gross Domestic Product by Country (%), 2003

KEY OVERSEAS MARKETS
France
Germany
Italy
Spain
The US
Japan

13. The Future

INTRODUCTION
The Economy
Table 13.1: Forecast UK Economic Trends (000, % and million), 2005-2009
FORECASTS
Table 13.2: The Forecast Total UK Healthcare Market by Sector by Value (£m), 2006-2010
Figure 13.1: The Forecast Total UK Healthcare Market by Value (£m), 2006-2010

FUTURE TRENDS
Demographics
Antibiotic-Resistant Strains of Bacteria
Staff Shortages
Technological Developments

14. Further Sources

Associations
General Sources
Government Publications
Other Sources
Bonnier Information Sources

- Anchor Trust
- AXA PPP healthcare Group PLC
- Barchester Healthcare Ltd
- The British United Provident Association Ltd
- FirstAssist
- Four Seasons Health Care
- General Healthcare Group Ltd
- HSA Group Ltd
- Norwich Union Healthcare Ltd
- Nuffield Hospitals
- Western Provident Association Ltd
- AstraZeneca
- Eli Lilly and Company Ltd
- GlaxoSmithKline
- Pfizer Ltd
- Shire Pharmaceuticals
- Boots the Chemist
- Lloyds Pharmacy
- Moss Pharmacy
- Boots Opticians Ltd
- Dollond & Aitchison Ltd
- Specsavers Optical Group
- Vision Express
- BUPA Care Homes
- Craegmoor Group Ltd
- Four Seasons Health Care
- Highfield Care
- Southern Cross Healthcare
- Westminster Senior Living
- BMI Healthcare
- Nuffield Hospitals
- BUPA Hospitals Ltd
- Capio Healthcare
- HCA International Ltd
- Priory Healthcare Ltd
- Partnerships in Care Ltd
- St Andrew's Group of Hospitals
- Care Principles
- Cygnet Healthcare
- GP Services and Walk-In Clinics
- BMI Health Services
- BUPA Occupational Health Ltd
- BUPA Wellness
- Franbar Holdings Ltd
- General Medical Clinics PLC
- GP Plus
- British United Provident Association Ltd
- AXA PPP healthcare Group PLC
- Norwich Union Healthcare
- Standard Life Healthcare Ltd
- MacMillan Cancer Relief
- Marie Curie Cancer Care
- The Sue Ryder Foundation