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Healthcare Market, - Market Review 2003

  • ID: 35075
  • February 2003
  • Region: United Kingdom
  • Key Note Ltd
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The UK healthcare market continues to be dominated by the National Health Service (NHS), the large and comprehensive public sector, which remains the world-leading public healthcare service, according to the World Health Organization (WHO). The NHS is funded by general taxation and National Insurance (NI) contributions. Since its inception in 1948, it has provided comprehensive healthcare services to all UK citizens on the basis of need and not on their ability to pay. Although there is overlap between the different sectors of the healthcare market, the NHS constituted 74.3% of all healthcare spending in the UK in 2002, including private medical insurance. Total expenditure on UK healthcare (public, private and complementary) was worth £69.73bn in 2002. Expenditure on UK medical supplies amounted to £14.29bn.

Of the two main arms of the NHS, hospital and community health services, which consists of hospital-based care and certain community services, was the largest in 2002, with a 70.3% share of NHS services. The other branch of the NHS, responsible for primary care services (family health services), accounted for the remaining 29.7% of expenditure on public healthcare READ MORE >

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TABLE OF CONTENTS:
<BR>
<BR>Executive Summary 1
<BR>
<BR>Table 1: Profile of the UK Healthcare Market† by Sector Share (%), 2002 2
<BR>Table 2: Profile of the UK Medical Supplies Market (%), 2002 3
<BR>
<BR>1. Market Overview 21
<BR>
<BR>INTRODUCTION 21
<BR>MARKET DEFINITION 21
<BR>Public Healthcare 21
<BR>The National Health Service 21
<BR>Hospital and Community Health Services 21
<BR>Family Health Services 21
<BR>Private Healthcare 22
<BR>Private Medical Insurance 22
<BR>Other Healthcare Services 22
<BR>Complementary Medicine 22
<BR>Palliative and Hospice Care 22
<BR>INDUSTRY STRUCTURE 23
<BR>Table 1.1: UK Employee Profile of the National Health Service (number of employees), 2000 23
<BR>TOTAL MARKET SIZE 25
<BR>The National Health Service 25
<BR>Table 1.2: The Total UK Expenditure on the National Health Service by Sector by Value (£m), 1998-2002 25
<BR>Figure 1.1: The Total UK Expenditure on the National Health Service by Sector by Value (£m), 2002 26
<BR>The Private Sector 26
<BR>Table 1.3: The Total UK Private Healthcare Market by Sector by Value (£m), 1998-2002 27
<BR>Figure 1.2: The Total UK Private Healthcare Market by Sector by Value (£m), 2002 28
<BR>Other Healthcare 28
<BR>Table 1.4: The Total UK Other Healthcare Market by Sector by Value (£m), 1998-2002 29
<BR>Figure 1.3: The Total UK Other Healthcare Services Market by Sector by Value (£m), 2002 30
<BR>OUTSIDE SUPPLIERS 30
<BR>Table 1.5: The Total UK Medical Supplies Market by Sector by Value (£m), 1998-2002 31
<BR>Figure 1.4: The Total UK Medical Supplies Market by Sector by Value (£m), 2002 32
<BR>MARKET SEGMENTATION 32
<BR>The National Health Service 32
<BR>Hospital and Community Health Services 33
<BR>Family Health Services 33
<BR>Pharmaceutical Services 33
<BR>Medical Services 33
<BR>Dental Services 33
<BR>Ophthalmic Services 34
<BR>Private Healthcare 34
<BR>Long-Term Care 34
<BR>Acute Care 34
<BR>Psychiatric Care 34
<BR>Primary Care 35
<BR>Private Medical Insurance 35
<BR>Complementary Medicine 35
<BR>Palliative and Hospice Care 35
<BR>KEY TRENDS 36
<BR>Demographics 36
<BR>Table 1.6: The UK Actual, Estimated and Projected Population by Age (million people), 1971-2026 36
<BR>Figure 1.5: The UK Actual, Estimated and Projected Population by Age (million people), 1971-2026 37
<BR>Table 1.7: The UK Actual and Projected Population (million people and %), 1961-2026 38
<BR>Figure 1.6: The UK Actual and Projected Population (million people), 1961-2026 39
<BR>Life Expectancy 39
<BR>Table 1.8: UK Expectation of Life at Birth by Sex (years), 1901, 1961, 1991, 1998, 2001 and 2021 40
<BR>Infant Mortality 40
<BR>Table 1.9: Infant Mortality in the UK per 1,000 Live Births, 1990-2002 40
<BR>Death Rates 41
<BR>Table 1.10: Th UK Death Rate by Sex (per 1,000 people), 1900-2001 42
<BR>Figure 1.7: The UK Death Rate by Sex (per 1,000 people), 1900-2001 43
<BR>PUBLIC HEALTH 43
<BR>Table 1.11: Number of Deaths by Major Causes in England and Wales, 2000 44
<BR>Figure 1.8: Number of Deaths by Major Natural Causes in England and Wales, 2000 45
<BR>Table 1.12: UK Incidence of Notifiable Diseases (number of cases), 1989, 1999 and 2000 46
<BR>Legal Abortions 47
<BR>Table 1.13: Actual Number of Legal Abortions in the UK, 1990-2000 47
<BR>Figure 1.9: Actual Number of Legal Abortions in the UK, 1990-2000 48
<BR>Figure 1.10: Actual Number of Legal Abortions Among Under 15 Year-Olds in the UK, 1990-2000 49
<BR>CHARITIES 49
<BR>PEST ANALYSIS 50
<BR>Political Factors 50
<BR>Funding 50
<BR>National Institute of Clinical Excellence 50
<BR>Nursing and Staff Shortages 50
<BR>Waiting Lists and Cardiac Care 50
<BR>NHS Direct 51
<BR>Devolution 51
<BR>The NHS Plan 51
<BR>National Service Framework for Cancer 52
<BR>National Service Framework for Coronary Heart Disease 52
<BR>Regulatory Impact Unit 52
<BR>Public Private Partnerships 52
<BR>Economic Factors 52
<BR>Economic Status 52
<BR>International Activity 53
<BR>Long-Term Care 53
<BR>Social Factors 53
<BR>Lifestyle 53
<BR>Health Targets 53
<BR>Obesity 54
<BR>Smoking 54
<BR>Drug and Alcohol Abuse 54
<BR>Complementary Healthcare 54
<BR>Technological Factors 55
<BR>MMR 55
<BR>Meningitis C Vaccine 55
<BR>New Surgical Techniques 55
<BR>IT 55
<BR>A GLOBAL PERSPECTIVE 55
<BR>
<BR>2. Key Note Field Research 56
<BR>
<BR>INTRODUCTION 56
<BR>CONSUMER CHARACTERISTICS 56
<BR>Table 2.1: Summary Profile of Consumer Characteristics (% of adults), 2002 57
<BR>Thinking About the Last 12 Months, Which, If Any, of These Statements Apply to You? 57
<BR>Had a Full Medical Check-Up 57
<BR>Table 2.2: Penetration of Having a Full Medical Check-Up by Sex, Age, Social Grade and Region (% of adults), 2002 58
<BR>Stopped/Reduced Smoking 59
<BR>Table 2.3: Penetration of Adults Stopping or Reducing Smoking by Sex, Age, Social Grade and Region (% of adults), 2002 59
<BR>Reduced Alcohol Intake 60
<BR>Table 2.4: Penetration of Reduced Alcohol Intake by Sex, Age, Social Grade and Region (% of adults), 2002 61
<BR>Improved Diet 62
<BR>Table 2.5: Penetration of Improved Diet by Sex, Age, Social Grade and Region (% of adults), 2002 62
<BR>Increased Exercise Levels 63
<BR>Table 2.6: Penetration of Increased Exercise Levels by Sex, Age, Social Grade and Region (% of adults), 2002 64
<BR>Gave Blood 65
<BR>Table 2.7: Penetration of Giving Blood by Sex, Age, Social Grade and Region (% of adults), 2002 65
<BR>Gave Money to Medical Charities 66
<BR>Table 2.8: Penetration of Giving Money to Medical Charities by Sex, Age, Social Grade and Region (% of adults), 2002 67
<BR>Took Out/Renewed Private Medical Insurance 68
<BR>Table 2.9: Penetration of Taking Out/Renewing Private Medical Insurance by Sex, Age, Social Grade and Region (% of adults), 2002 68
<BR>Used Herbal Medicines/Remedies 69
<BR>Table 2.10: Penetration of Herbal Medicines/Remedies by Sex, Age, Social Grade and Region (% of adults), 2002 70
<BR>Waited For an NHS Operation 71
<BR>Table 2.11: Penetration of Waiting For an NHS Operation by Sex, Age, Social Grade and Region (% of adults), 2002 71
<BR>Had Cosmetic Surgery 72
<BR>Table 2.12: Penetration of Cosmetic Surgery by Sex, Age, Social Grade and Region (% of adults), 2002 73
<BR>Had Physiotherapy 74
<BR>Table 2.13: Penetration of Physiotherapy by Sex, Age, Social Grade and Region (% of adults), 2002 75
<BR>None of These 76
<BR>Table 2.14: None of These by Sex, Age, Social Grade and Region (% of adults), 2002 76
<BR>CONSUMER ATTITUDES 77
<BR>Table 2.15: Summary of Consumer Attitudes Towards Healthcare in the UK (% of adults), 2002 78
<BR>Which of the Following Actions Do You Consider to be Necessary to Improve the Healthcare Service? 78
<BR>More NHS Funding 78
<BR>Table 2.16: More NHS Funding by Sex, Age, Social Grade and Region (% of adults), 2002 79
<BR>Recruiting More GPs 80
<BR>Table 2.17: Recruiting More GPs by Sex, Age, Social Grade and Region (% of adults), 2002 80
<BR>Recruiting More Nurses 81
<BR>Table 2.18: Recruiting More Nurses by Sex, Age, Social Grade and Region (% of adults), 2002 82
<BR>Cutting NHS Waiting Lists 83
<BR>Table 2.19: Cutting NHS Waiting Lists by Sex, Age, Social Grade and Region (% of adults), 2002 83
<BR>Better Regulation of GPs 84
<BR>Table 2.20: Better Regulation of GPs by Sex, Age, Social Grade and Region (% of adults), 2002 85
<BR>Monitoring Hospitals' Performance 86
<BR>Table 2.21: Monitoring Hospitals' Performance by Sex, Age, Social Grade and Region (% of adults), 2002 86
<BR>Encouraging More Self-Medication 87
<BR>Table 2.22: Encouraging More Self-Medication by Sex, Age, Social Grade and Region (% of adults), 2002 88
<BR>Encouraging More Private Healthcare 89
<BR>Table 2.23: Encouraging More Private Healthcare by Sex, Age, Social Grade and Region (% of adults), 2002 89
<BR>A Change in Government 90
<BR>Table 2.24: A Change in Government by Sex, Age, Social Grade and Region (% of adults), 2002 91
<BR>Educating the Public on Health Matters 92
<BR>Table 2.25: Educating the Public on Health Matters by Sex, Age, Social Grade and Region (% of adults), 2002 92
<BR>
<BR>3. Competitor Analysis 94
<BR>
<BR>INTRODUCTION 94
<BR>MAJOR PLAYERS 94
<BR>Anchor Trust 94
<BR>Principal Activities 94
<BR>Structure 94
<BR>Financial Results 95
<BR>AXA PPP Healthcare Group PLC 95
<BR>Principal Activities 95
<BR>Structure 95
<BR>Financial Results 96
<BR>The Boots Company PLC 96
<BR>Principal Activities 96
<BR>Structure 96
<BR>Boots Retail 97
<BR>Boots Retail International 97
<BR>Boots Healthcare International 97
<BR>Handbag.com 97
<BR>Financial Results 97
<BR>Bristol Contributory Welfare Association Ltd 98
<BR>Principal Activities 98
<BR>Structure 98
<BR>Financial Results 98
<BR>The British United Provident Association Ltd 98
<BR>Principal Activities 98
<BR>Structure 99
<BR>Financial Results 99
<BR>Capio Healthcare UK Ltd 100
<BR>Principal Activities 100
<BR>Structure 100
<BR>Financial Results 100
<BR>Care UK PLC 100
<BR>Principal Activities 100
<BR>Structure 100
<BR>Financial Results 101
<BR>Four Seasons Health Care Ltd 101
<BR>Principal Activities 101
<BR>Structure 101
<BR>Financial Results 102
<BR>General Healthcare Group Ltd 102
<BR>Principal Activities 102
<BR>Structure 102
<BR>Financial Results 102
<BR>Nestor Healthcare Group PLC 103
<BR>Principal Activities 103
<BR>Structure 103
<BR>Financial Results 103
<BR>Norwich Union Healthcare Ltd 104
<BR>Structure 104
<BR>Principal Activities 104
<BR>Financial Results 104
<BR>Nuffield Nursing Homes Trust 104
<BR>Structure 104
<BR>Principal Activities 105
<BR>Financial Results 105
<BR>Western Provident Association Ltd 105
<BR>Principal Activities 105
<BR>Financial Results 105
<BR>Westminster Health Care Ltd 106
<BR>Structure 106
<BR>Financial Results 106
<BR>
<BR>4. The National Health Service 107
<BR>
<BR>INTRODUCTION 107
<BR>KEY TRENDS 107
<BR>National Health Service Investment 107
<BR>National Health Service Staffing Shortages 107
<BR>Clinical Negligence 109
<BR>The NHS Plan 109
<BR>Failing Hospitals 110
<BR>Bed Blocking Fines 110
<BR>Foundation Hospitals 110
<BR>MARKET SIZE 110
<BR>Table 4.1: The Total UK Expenditure on the National Health Service by Value (£m and %), 1998-2002 110
<BR>Figure 4.1: The Total UK Expenditure on the National Health Service by Value (£m), 1998-2002 111
<BR>INDUSTRY STRUCTURE 111
<BR>NHS Trusts 112
<BR>Primary Care Groups 112
<BR>Monitoring of Standards 112
<BR>The Private Finance Initiative 113
<BR>National Health Service Organisation 113
<BR>Key Trade Associations 114
<BR>British Medical Association 114
<BR>General Medical Council 114
<BR>Royal College of Nursing 114
<BR>FORECASTS 2003 TO 2007 114
<BR>Table 4.2: The Total Forecast UK Expenditure on the National Health Service (£m and %), 2003-2007 114
<BR>
<BR>6. Family Health Services 115
<BR>
<BR>INTRODUCTION 115
<BR>KEY TRENDS 115
<BR>MARKET SIZE 115
<BR>Table 6.1: The Total UK Family Health Services Market by Sector by Value (£m and %), 1998-2002 116
<BR>Figure 6.1: The Total UK Family Health Services Market by Sector by Value (£m), e2002 117
<BR>PHARMACEUTICAL SERVICES 117
<BR>Introduction 117
<BR>Key Trends 118
<BR>Market Size 118
<BR>Table 6.2: The Total UK Pharmaceutical Services Sector by Value (£m and %), 1998-2002 118
<BR>Table 6.3: Number of Prescriptions Dispensed in the UK (million and %), 1998-2002 119
<BR>Figure 6.2: Number of Prescriptions Dispensed in the UK (million), 1998-2002 120
<BR>Industry Structure 120
<BR>Table 6.4: Number of Pharmacies Contracted to Health Authorities in England, Years Ending 31st March 1997-2001 121
<BR>Major Players 121
<BR>Boots the Chemist 121
<BR>Lloyds Pharmacy Ltd 121
<BR>Moss Pharmacy 122
<BR>National Co-operative Chemists 122
<BR>Key Trade Associations 122
<BR>The National Pharmaceutical Association 122
<BR>Royal Pharmaceutical Society of Great Britain 122
<BR>Buying Behaviour 122
<BR>Forecasts 2003 to 2007 123
<BR>Table 6.5: The Total Forecast UK Pharmaceutical Services Market by Value (£m and %), 2003-2007 123
<BR>MEDICAL SERVICES 123
<BR>Introduction 123
<BR>Key Trends 124
<BR>Market Size 124
<BR>Table 6.6: The Total UK Medical Services Market by Value (£m and %), 1998-2002 124
<BR>Industry Structure 124
<BR>Table 6.7: Number of UK General Practitioners Contracted to the National Health Service (number and %), 1998-2002 125
<BR>Table 6.8: Average Number of Patients per GP per Country (number), Year Ending September 2001 125
<BR>Buying Behaviour 126
<BR>Forecasts 2003 to 2007 126
<BR>Table 6.9: The Total Forecast UK Medical Services Market by Value (£m and %), 2003-2007 126
<BR>DENTAL SERVICES 126
<BR>Introduction 126
<BR>Key Trends 126
<BR>Market Size 127
<BR>Table 6.10: The Total UK Dental Services Market by Value (£m and %), 1998-2002 127
<BR>Industry Structure 127
<BR>Table 6.11: Number of Adult Courses of Dental Treatment in the UK (000 and %), 1998-2002 127
<BR>Table 6.12: New Dental Patients in England (000 and %), 1998-2002 128
<BR>Funding for Dental Services 128
<BR>Key Trade Associations 129
<BR>General Dental Council 129
<BR>The General Dental Practitioners' Association 129
<BR>Buying Behaviour 129
<BR>Forecasts 2003 to 2007 129
<BR>Table 6.13: The Total Forecast UK Dental Services Market by Value (£m and %), 2003-2007 129
<BR>OPHTHALMIC SERVICES 130
<BR>Introduction 130
<BR>Key Trends 130
<BR>Market Size 130
<BR>Table 6.14: The Total UK Ophthalmic Services Market by Value (£m and %), 1998-2002 131
<BR>Industry Structure 131
<BR>Table 6.15: The Actual Number of UK Ophthalmic Practitioners Under National Health Service Contract by Type (number), 1998-2002 132
<BR>Sight Tests 132
<BR>Table 6.16: Number of UK National Health Service Sight Tests and Spectacles Redeemed (million, number and %), 1998-2002 133
<BR>Table 6.17: Health Authority Contracted Opticians by Number of Premises in England, 1996-2002 134
<BR>Major Players 134
<BR>Boots Opticians Ltd 135
<BR>Dollond & Aitchison Ltd 135
<BR>Specsavers Optical Group 135
<BR>Vision Express 136
<BR>Key Trade Associations 136
<BR>The Association of British Dispensing Opticians 136
<BR>The Association of Optometrists 136
<BR>The College of Optometrists 136
<BR>The Federation of Ophthalmic and Dispensing Opticians 136
<BR>General Optical Council 137
<BR>The Royal College of Ophthalmologists 137
<BR>Advertising and Promotion 137
<BR>Table 6.18: Main Media Advertising Expenditure by Opticians (£000), Year Ending September 2002 137
<BR>Buying Behaviour 138
<BR>Table 6.19: Penetration of Spectacles and Contact Lenses by Sex, Age, Social Grade and Region (% of adults), 2002 138
<BR>Forecasts 2003 to 2007 139
<BR>Table 6.20: The Total Forecast UK Ophthalmic Services Market by Value (£m and %), 2003-2007 140
<BR>FAMILY HEALTH SERVICES FORECASTS 2003 TO 2007 140
<BR>Table 6.21: The Total Forecast UK Family Health Services Market by Sector by Value (£m and %), 2003-2007 140
<BR>Figure 6.3: The Total UK Family Health Services Market by Value (£m), 1998-2007 141
<BR>
<BR>5. Hospital and Community Health Services 142
<BR>
<BR>INTRODUCTION 142
<BR>KEY TRENDS 142
<BR>MARKET SIZE 143
<BR>Table 5.1: The Total UK Hospital and Community Health Services Market by Value (£m and %), 1998-2002 143
<BR>Table 5.2: Hospital Activity Profile for England by Number of Episodes and Admissions (000), 2001/2002 143
<BR>INDUSTRY STRUCTURE 144
<BR>BUYING BEHAVIOUR 145
<BR>Table 5.3: Hospital Episodes by Main Diagnostic Group (number, days, years and %), 2001/2002 145
<BR>Figure 5.1: Hospital Episodes by Main Diagnostic Group by Number of Finished Episodes, 2001/2002 146
<BR>FORECASTS 2003 TO 2007 146
<BR>Table 5.4: The Total Forecast UK Hospital and Community Health Services Market by Value (£m and %), 2003-2007 147
<BR>Figure 5.2: The Total UK Hospital and Community Health Services Market by Value (£m), 1998-2007 147
<BR>
<BR>7. Private Healthcare 148
<BR>
<BR>INTRODUCTION 148
<BR>Table 7.1: The Total UK Private Healthcare Market by Sector by Value (£m), 1998-2007 149
<BR>Figure 7.1: The Total UK Private Healthcare Market by Sector by Value (£m), 1998-2007 150
<BR>LONG-TERM CARE 150
<BR>Key Trends 150
<BR>Market Size 151
<BR>Table 7.2: The Total UK Private Long-Term Care Market by Sector by Value (£m and %), 1998-2002 152
<BR>Figure 7.2: The Total UK Private Long-Term Care Market by Sector by Value (£m), 2002 153
<BR>Industry Structure 153
<BR>Table 7.3: Nursing and Residential Care Places by Sector (number of places), April 2002 153
<BR>Table 7.4: Structure of the UK Private Long-Term Care Market by Ownership (% of total beds), 2001 154
<BR>Figure 7.3: Structure of the UK Private Long-Term Care Market by Ownership (% of total beds), 2001 155
<BR>Key Trade Associations 155
<BR>The National Care Homes Association 155
<BR>The Registered Nursing Home Association Ltd 156
<BR>Major Players 156
<BR>Table 7.5: Selected Major Private Long-Term Care Companies Ranked by Number of Homes and Places/Beds, 2002 156
<BR>Anchor Trust 156
<BR>BUPA Care Services 156
<BR>Four Seasons Health Care 157
<BR>General Healthcare Group (BMI Healthcare) 157
<BR>Westminster Senior Living 157
<BR>Advertising and Promotion 157
<BR>Buying Behaviour 157
<BR>Forecasts 2003 to 2007 158
<BR>Table 7.6: The Total Forecast UK Private Long-Term Care Market by Sector by Value (£m and %), 2003-2007 159
<BR>ACUTE CARE 159
<BR>Key Trends 159
<BR>Market Size 161
<BR>Table 7.7: The Total UK Private Acute Care Market by Value (£m and %), 1998-2002 161
<BR>Industry Structure 161
<BR>Table 7.8: The Total UK Private Acute Care Market by Number of Hospitals and Beds, 1998-2002 162
<BR>Table 7.9: Ownership Status of Private Acute Care Providers (% of total beds), 1998 and Year Ending June 2002 162
<BR>Figure 7.4: Ownership Status of Private Acute Care Providers (% of total beds), Year Ending June 2002 163
<BR>Private Care in the National Health Service 163
<BR>Key Trade Associations 164
<BR>Major Players 164
<BR>Table 7.10: Leading Private Acute Care Providers by Number of Hospitals and Beds (number), 2002 164
<BR>Table 7.11: Leading Private Acute Care Providers by Acute Care Revenue (£m), 2001 165
<BR>Private Care in the National Health Service 165
<BR>BUPA Hospitals Ltd 165
<BR>Capio Healthcare UK Ltd 165
<BR>HCA International Ltd 166
<BR>Nuffield Hospitals 166
<BR>Buying Behaviour 166
<BR>Forecasts 2003 to 2007 167
<BR>Table 7.12: The Total Forecast UK Private Acute Care Market by Value (£m and %), 2003-2007 167
<BR>PSYCHIATRIC CARE 167
<BR>Introduction 167
<BR>Key Trends 167
<BR>Market Size 168
<BR>Table 7.13: The Total UK Private Psychiatric Care Market by Value (£m and %), 1998-2002 168
<BR>Industry Structure 168
<BR>Table 7.14: The Total UK Independent Acute Care Market by Number of Beds and Percentage Share of the Total Market (number and %), 2002 168
<BR>Major Players 169
<BR>Table 7.15: Leading Players in the UK Psychiatric Care Market by Number of Hospitals and Beds, 2002 169
<BR>Partnerships in Care Ltd 169
<BR>Priory Healthcare Ltd 169
<BR>St. Andrews Group 170
<BR>Advertising and Promotion 170
<BR>Buying Behaviour 170
<BR>Forecasts 2003 to 2007 170
<BR>Table 7.16: The Total Forecast UK Private Psychiatric Care Market by Value (£m and %), 2003-2007 171
<BR>PRIMARY CARE 171
<BR>Key Trends 171
<BR>Market Size 172
<BR>Table 7.17: The Total UK Private Primary Care Market by Sector by Value (£m and %), 1998-2002 172
<BR>Industry Structure 173
<BR>GP Services 173
<BR>Occupational Health Services 173
<BR>Table 7.18: The Total UK Private Primary Care Market by Sector Share (%), 2002 174
<BR>Major Players 174
<BR>AON Health Solutions 175
<BR>BMI Health Services 175
<BR>BUPA Occupational Health Ltd 175
<BR>Previa UK Ltd 175
<BR>Buying Behaviour 176
<BR>Forecasts 2003 to 2007 176
<BR>Table 7.19: The Total Forecast UK Private Primary Care Market by Sector by Value (£m and %), 2003-2007 177
<BR>
<BR>8. Private Medical Insurance 178
<BR>
<BR>INTRODUCTION 178
<BR>KEY TRENDS 178
<BR>MARKET SIZE 179
<BR>Table 8.1: The Total UK Private Medical Insurance Market by Subscription Income (£m and %), 1998-2002 179
<BR>Figure 8.1: The Total UK Private Medical Insurance Market by Subscription Income (£m), 1998-2002 180
<BR>INDUSTRY STRUCTURE 180
<BR>Number of Subscribers 181
<BR>Table 8.2: Total UK Private Healthcare Policies by Number of Subscribers (000 and %), 1998-2002 182
<BR>Cost of Claims 182
<BR>Table 8.3: The Total UK Private Medical Insurance Market by Cost of Claims (£m and %), 1998-2002 182
<BR>MAJOR PLAYERS 183
<BR>AXA PPP Healthcare Group PLC 183
<BR>BUPA Occupational Health Ltd 184
<BR>Norwich Union Healthcare 184
<BR>Royal & SunAlliance 184
<BR>Standard Life Healthcare Ltd 184
<BR>Table 8.4: Leading Private Medical Insurers by Market Share (%), 2001 185
<BR>Key Trade Associations 185
<BR>Association of British Insurers 185
<BR>Advertising and Promotion 185
<BR>Table 8.5: Main Media Advertising Expenditure on Healthcare Insurance (£000), Year Ending September 2002 186
<BR>BUYING BEHAVIOUR 186
<BR>Table 8.6: Purchasers of Private Healthcare Insurance by Source of Payment (% of adults), 2002 187
<BR>FORECASTS 2003 TO 2007 187
<BR>Table 8.7: The Total Forecast UK Private Healthcare Insurance Market by Subscription Income (£m and %), 2003-2007 187
<BR>
<BR>10. Palliative and Hospice Care 188
<BR>
<BR>INTRODUCTION 188
<BR>KEY TRENDS 189
<BR>MARKET SIZE 191
<BR>Table 10.1: The Total UK Hospice and Palliative Care Services Market by Value (£m and %), 1998-2002 191
<BR>INDUSTRY STRUCTURE 191
<BR>Table 10.2: Number of Hospices by UK Provider (number and %), 1997-2001 192
<BR>Figure 10.1: Number of Hospices by UK Provider (number), as of 1st January 2002 193
<BR>Table 10.3: Number of UK Hospice Beds by Provider, 1997-2001 194
<BR>Table 10.4: Specialist Hospices by Number of Units and Beds, 2000 and 2001 194
<BR>Table 10.5: The Total UK Palliative Care Market by Number of Hospices and Beds by Country (number and %), 2001 195
<BR>Figure 10.2: The Total UK Palliative Care Market by Number of Hospices and Beds by Country (number), 2001 195
<BR>Table 10.6: UK Hospital Support and Community-Based Palliative Care Services by Provision Type and Country (number and %), January 2002 196
<BR>Key Trade Associations 196
<BR>Help the Hospices 196
<BR>Hospice Information Service 197
<BR>National Council for Hospice and Specialist Palliative Care Services Action Group 197
<BR>MAJOR PLAYERS 197
<BR>Macmillan Cancer Relief 197
<BR>Marie Curie Cancer Care 198
<BR>The Sue Ryder Foundation 198
<BR>ADVERTISING AND PROMOTION 198
<BR>Table 10.7: Main Media Advertising Expenditure by Charities (£000), Year Ending September 2002 199
<BR>BUYING BEHAVIOUR 199
<BR>Profile of Use 199
<BR>Table 10.8: Profile of Patient Usage of Palliative Care Facilities and Services (number of patients per year), 2001 200
<BR>Patient Profile 200
<BR>FORECASTS 2003 TO 2007 201
<BR>Table 10.9: The Total Forecast UK Hospice and Palliative Care Market by Value (£m and %), 2003-2007 201
<BR>
<BR>9. Complementary Medicine 202
<BR>
<BR>INTRODUCTION 202
<BR>KEY TRENDS 202
<BR>MARKET SIZE 204
<BR>Table 9.1: The Total UK Complementary Healthcare Services Market by Value (£m and %), 1998-2002 204
<BR>INDUSTRY STRUCTURE 204
<BR>Table 9.2: UK Complementary Therapists by Number of Practitioners/Outlets, 2001 206
<BR>MAJOR PLAYERS 206
<BR>The Aromatherapy Organisations Council 206
<BR>The British Acupuncture Council 206
<BR>The British Chiropractic Association 206
<BR>The Complementary Medicine Association 207
<BR>The Faculty of Homeopathy 207
<BR>The General Chiropractic Council 207
<BR>The General Osteopathic Council 207
<BR>The Register of Chinese Herbal Medicine 208
<BR>The Research Council for Complementary Medicine 208
<BR>ADVERTISING AND PROMOTION 208
<BR>BUYING BEHAVIOUR 208
<BR>FORECASTS 2003 TO 2007 209
<BR>Table 19.3: The Total Forecast UK Complementary Healthcare Market by Value (£m and %), 2003-2007 209
<BR>Figure 9.1: The Total UK Complementary Healthcare Market by Value (£m), 1998-2007 210
<BR>
<BR>11. Strengths, Weaknesses, Opportunities and Threats 211
<BR>
<BR>STRENGTHS 211
<BR>WEAKNESSES 211
<BR>OPPORTUNITIES 212
<BR>THREATS 213
<BR>
<BR>12. The Future 214
<BR>
<BR>FUTURE PROSPECTS 214
<BR>Technological Factors 215
<BR>FORECASTS 2003 TO 2007 215
<BR>The National Health Service 215
<BR>Table 12.1: The Total Forecast UK Expenditure on the National Health Service (£m and %), 2003-2007 216
<BR>Figure 12.1: The Total Forecast UK Expenditure on the National Health Service (£m), 2003-2007 216
<BR>The Private Sector 217
<BR>Table 12.2: The Total Forecast UK Private Healthcare Market by Sector by Value (£m and %), 2003-2007 217
<BR>Figure 12.2: The Total Forecast UK Private Healthcare Market by Value (£m), 2003-2007 218
<BR>Private Medical Insurance 218
<BR>Table 12.3: The Total Forecast UK Private Medical Insurance Market by Subscription Income (£m and %), 2003-2007 218
<BR>Figure 12.3: The Total Forecast UK Private Medical Insurance Market by Subscription Income (£m), 2003-2007 219
<BR>Other Healthcare Services 219
<BR>Table 12.4: The Total Forecast UK Other Healthcare Market by Sector by Value (£m and %), 2003-2007 220
<BR>THE TOTAL HEALTHCARE MARKET 220
<BR>Table 12.5: The Total Forecast UK Healthcare Services Market by Value (£m and %), 2003-2007 220
<BR>Figure 12.4: The Total Forecast UK Healthcare Services Market by Value (£m), 2003-2007 221
<BR>OUTSIDE SUPPLIERS 221
<BR>Table 12.6: The Total Forecast UK Medical Suppliers Market by Sector by Value (£m and %), 2003-2007 222
<BR>Figure 12.5: The Total Forecast UK Medical Supplies Market by Sector by Value (£m), 2003-2007 223
<BR>
<BR>13. Further Sources 224
<BR>
<BR>Associations 224
<BR>Publications 227
<BR>General Sources 228
<BR>Bonnier Information Sources 228
<BR>Government Publications 229

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