Private Acute Healthcare UK Market Report (9th Edition)


Report
294 Pages
July 2023
Region: United Kingdom
LaingBuisson
ID: 5463676

The ninth edition of the Private Acute Healthcare UK Market Report is vital reading for anyone involved in this highly competitive sector of the UK health economy, be they providers, investors or advisors to the sector.

Despite the challenges posed by the pandemic, the Private Acute Healthcare Central London Market Report presents a market that has bounced back to pre-pandemic levels. This is thanks in part to an increase in self-pay patients. With strong underlying growth predicted for 2022 and beyond, the report raises the question of whether the independent sector is ready to rise to the challenge or will rising costs hinder future growth.

With fierce competition among providers, including new entrants such as Cleveland Clinic London, the report offers valuable insights combined with extensive data analysis into the future of the sector. Findings of the report include:

Analysis of the private acute healthcare Central London market after the peak of the Covid-19 pandemic and how the market has returned to pre-pandemic levels.
The increase in the number of self-pay patients, in part due to increased NHS waiting lists.
Impact of the Covid pandemic on NHS Private Patient Units (PPUs) and their slower recovery compared to the rest of the independent sector.
Highly competitive nature of the market as overall inpatient bed capacity increased by over 10%
The report raises the question of whether the independent sector is ready to shine or will pressures of rising costs hinder future growth.

What the report includes:

Market Overview
Sources of Funding
Independent Providers
NHS Private Patient Units
Outer London
Appendices
- Glossary
- Regulators
- Trade associations
- Provider profiles
- Financial appendix

Who is the report for:

Hospital & Clinic C-Suite Professionals
Specialist Acute Medical Care Providers
Private Medical Insurance Groups
Clinical Commissioning Groups
NHS Foundation Trusts
Investors
Banks
Private Equity
Architects
Property Developers & Consultants
Central & Local Government
Think Tanks
Lawyers
Management Consultants

EXECUTIVE SUMMARY AND HIGHLIGHTS

1. CENTRAL LONDON MARKET

1.1 Scope of the report
1.1.1 Data
1.1.2 Dates
1.1.3 Names
1.2 Size
1.2.1 Revenues
1.2.2 Volumes
1.3 Market structure
1.3.1 Major providers
1.3.1.1 Hospitals
1.3.1.2 Care Quality Commission ratings
1.3.1.3 Clinics
1.3.2 Specialties
1.3.3 Regionality
1.4 Market growth

2. PAYORS

2.1 Overview
2.2 UK Private Medical Insurance (PMI)
2.3 Self-pay
2.4 Overseas/Embassy
2.5 NHS

3. MAJOR PROVIDERS - THE INDEPENDENT SECTOR

3.1 Hospital capacity
3.1.1 Inpatient beds
3.1.2 Intensive/critical care beds
3.1.3 Operating theatres
3.1.4 Equipment
3.1.5 Imaging and diagnostic centres
3.1.6 Consulting rooms
3.1.7 Admissions
3.2 Operating ratios
3.2.1 Revenue per inpatient bed
3.2.2 Inpatients
3.2.3 Revenue per admission
3.2.4 Revenue per operating theatre
3.3 Market shares by specialty
3.3.1 Orthopaedics
3.3.1.1 Hips
3.3.1.2 Knees
3.3.1.3 Spine
3.3.1.4 All orthopaedics
3.3.1.5 Ophthalmology
3.3.2 Cardiology and cardiothoracic surgery
3.3.3 Neurology and neurosurgery
3.3.4 Gynaecology
3.3.5 Obstetrics
3.3.6 Gastroenterology
3.3.7 General surgery
3.3.8 Urology
3.3.9 Cosmetic surgery
3.3.10 Oncology
3.3.11 Imaging
3.4 Financial performance
3.4.1 Revenue growth
3.4.1.1 Revenue, wages and profitability growth
3.4.2 Wages and employee growth
3.4.3 Profitability
3.5 New capacity
3.5.1 Hospitals
3.5.2 Clinics
3.6 Recent acquisitions and deals

4. MAJOR PROVIDERS - NHS PRIVATE PATIENT UNITS

4.1 Market size and structure
4.2 Growth
4.3 PPU as a percentage of total patient income

5. OUTER LONDON MARKET

5.1 Size
5.2 Market structure
5.3 Specialties
5.4 Regionality
5.5 Capacity
5.5.1 Inpatient beds
5.5.2 Operating theatres
5.5.3 Admissions
5.5.4 Revenue per admission
5.6 New capacity
5.6.1 Hospitals
5.6.2 Clinics
5.7 Recent acquisitions and deals
5.8 Beyond Greater London
5.8.1 Hospitals
5.8.2 Clinics

6. MARKET POTENTIAL

APPENDIX 1. GLOSSARY
APPENDIX 2. REGULATORS
APPENDIX 3. TRADE ASSOCIATIONS AND OTHER ORGANISATIONS
APPENDIX 4. PROVIDER PROFILES
APPENDIX 5. FINANCIAL APPENDIX

LIST OF TABLES

Table ES.1 Central London recent growth and latest forecast
Table ES.2 Central London private hospital episodes, 2019 - September 2022
Table ES.3 Central London facility pipeline - planned and recent openings
Table 1.1 All hospital admissions, ranked by total admissions, 2021
Table 1.2 All hospital admissions, alphabetical, 2021
Table 1.3 Central London hospitals, clinics and PPUs, ranked by size, 2021
Table 1.4 Central London hospitals, clinics and PPUs, alphabetical, 2021
Table 1.5 Central London hospitals and clinics, CQC rating, 2023
Table 1.6 Major clinics and outpatient centres in Central London, revenue, 2021
Table 1.7 Central London revenues and admissions by specialty, 2019
Table 1.8 Hospital revenues by London sub-region, 2021
Table 1.9 Ten-year growth in hospital activity, 2012-2021
Table 1.10 Three-year growth in hospital activity, 2019-2021
Table 2.1 Source of funding, 2019-2023
Table 2.1a Source of funding, independent hospitals only, 2019-2023
Table 2.1b Source of funding, PPUs only, 2019-2023
Table 2.2 Split of activity by payor, PMI vs. self-pay, 2018-2022
Table 2.3 Insured admissions by region Q3 2019 and Q3 2022
Table 2.4 Self-pay admissions by region Q3 2019 and Q3 2022
Table 2.5 Central London self-pay activity by main consultant specialty
Table 2.6 Central London self-pay activity by procedure group
Table 2.7 Recent change in embassy revenues, 2021
Table 2.8a Oil price trends, price per barrel, 2019-2022
Table 2.8b Gas price trends, price per therm, 2019-2022
Table 2.9 Revenue from overseas patients, 2021
Table 3.1 Inpatient beds in Central London, by number of beds, 2021
Table 3.2 Level 3 ITU beds in Central London independent hospitals, 2021
Table 3.3 Operating theatres in Central London independent hospitals, 2021
Table 3.4 Equipment in Central London independent hospitals, 2021
Table 3.5 Imaging and diagnostic facilities in Central London, 2021
Table 3.6 Consulting rooms in Central London independent hospitals, 2021
Table 3.7 Independent hospital admissions ranked by number, 2021
Table 3.8 Independent hospital admissions listed alphabetically, 2021
Table 3.9 Top 30 procedures in Central London
Table 3.10 Orthopaedic activity, hips, 2019-2021
Table 3.11 Hip replacements, year-end December 2021
Table 3.12 Orthopaedic activity, knees, 2019-2021
Table 3.13 Knee replacement, year end December 2021
Table 3.14 Knee arthroscopy, year end December 2021
Table 3.15 Epidural injections, year end December 2021
Table 3.16 Orthopaedic activity, 2021
Table 3.17 Cataract surgery, year end December 2021
Table 3.18 Cardiac ablation, year end June 2021
Table 3.19 Diagnostic hysteroscopy, year end December 2021
Table 3.20 Caesarian deliveries, year end December 2021
Table 3.21 Diagnostic upper GI endoscopy, year end December 2021
Table 3.22 Diagnostic bowel colonoscopy, 2021
Table 3.23 Bladder examination, diagnostic endoscopy (cystoscopy), year end December 2021
Table 3.24 Leading cosmetic procedures in central London, 2021
Table 3.25 Breast prosthesis, 2021
Table 3.26 Chemotherapy, 2021
Table 3.27 Radiotherapy, 2021
Table 3.28 CT scans, 2021
Table 3.29 MRI scans, year end December 2021
Table 3.30 Independent hospital revenue growth, 2012-2021
Table 3.31 Wages as a percentage of turnover, £000s, 2012-2021
Table 3.32 Wages and employee growth, 2012-2021
Table 3.33 Wages and employee growth, 2019-2021
Table 3.34 Independent hospital profitability, 2012-2021 (EBITDAR as percentage of revenue)
Table 3.35 Independent hospital profitability, 2019-2021
Table 3.36 Central London facility pipeline - planned and recent openings
Table 4.1 Central London NHS PPUs, 2021
Table 4.2 Central London PPUs, 2021
Table 4.3 PPU hospital admissions, 2021
Table 4.4 Central London NHS PPUs, by overseas revenue, 2021
Table 4.5 NHS PPU revenue growth, 2012-2021
Table 4.6 PPU income as a percentage of total patient income, by NHS Trust, 2021
Table 5.1 Outer London compared to Central London, 2021
Table 5.2 Outer London hospital admissions, ranked by total admissions, 2021
Table 5.3 All Outer London hospital admissions, alphabetical, 2021
Table 5.4 Outer London hospitals CQC ratings, 2022
Table 5.5 Outer London individual hospital revenues, ranked by size, 2021
Table 5.6 Outer London independent hospital revenues by ownership, 2021
Table 5.7 Outer London inpatients, day-cases and admission, 2021
Table 5.8 Outer London hospital revenues by sub-region, 2021
Table 5.9 Outer London Hospital revenues by sub-region split by source of patients, 2021
Table 5.10 Outer London self-pay activity by main consultant specialty
Table 5.11 Central London self-pay activity by procedure group
Table 5.12 Outer London inpatient beds, 2021
Table 5.13 Outer London operating theatres, 2021
Table 5.14 Outer London Independent hospital admissions, 2021

LIST OF FIGURES

Figure 1.1 Number of patients p.a., 2021
Figure 1.2 Central London private acute medical care, hospital revenue, 2021
Figure 1.3 Central London hospital revenue by ownership, 2021
Figure 1.4 Top ten Central London hospitals, 2021
Figure 1.5 Hospital revenues by London sub-region, 2021
Figure 1.6 Ten-year sector growth rates, 2012-2021
Figure 1.7 Three-year sector growth rates, 2019-2021
Figure 1.8 Monthly activities, discharges by organisation GOR region, January 2016 - March 2022
Figure 2.1 Central London insured episodes
Figure 2.2 Self-pay episodes
Figure 2.3 Passenger arrivals from the Middle East at Heathrow
Figure 3.1 Inpatient beds in Central London by segment, 2021
Figure 3.2 Level 3 ITU beds in Central London independent hospitals, 2021
Figure 3.3 Operating theatres in Central London by segment, 2021
Figure 3.4 Top ten Central London hospitals ranked by total admissions, 2021
Figure 3.5 Top ten Central London ranked by number of inpatients, 2021
Figure 3.6 Top ten Central London hospitals ranked by number of day-cases, 2021
Figure 3.7 Top ten hospitals ranked by inpatients as a percentage of total admissions, 2021
Figure 3.8 Independent hospitals only, top ten revenue per inpatient bed, 2021
Figure 3.9 Revenue per inpatient, top ten independent hospitals, 2021
Figure 3.10 Revenue per admission, 2021
Figure 3.11 Revenue per operating theatre, 2021
Figure 3.12 Market share of orthopaedics, 2021
Figure 3.13 Independent hospital growth rates, 2012-2021
Figure 3.14 Recent independent hospital revenue growth, 2019-2021
Figure 3.15 Independent hospital profitability, 2012-2021 (EBITDAR as percentage of revenue)
Figure 3.16 Independent hospital profitability, 2019-2021
Figure 4.1 Central London NHS PPUs, by revenue, 2021
Figure 4.2 NHS PPUs only, revenue per inpatient bed, 2021
Figure 4.3 NHS PPUs only, revenue per admission, 2021
Figure 4.4 NHS PPUs only, revenue per inpatient, 2021
Figure 4.5 PPU revenue growth, 2012-2021
Figure 4.6 PPU revenue growth, 2019-2021
Figure 4.7 PPU income as a percentage total patient income, by NHS Trust
Figure 5.1 Outer London independent and PPU revenues, 2021
Figure 5.2 Outer London independent hospital revenues by ownership, 2021
Figure 5.3 Outer London admissions, inpatients and day-cases, 2021
Figure 5.4 Outer London independent hospital revenues by sub-region, 2021
Figure 5.5 NHS revenue as percentage of total revenue by sub-region, 2021
Figure 5.6 Outer London, private patients only, 2021
Figure 5.7 Outer London admissions per hospital, 2021
Figure 5.8 Top ten Outer London revenue per admission, by hospital, 2021

Companies Mentioned (Partial List)

A selection of companies mentioned in this report includes, but is not limited to:

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Table of Contents

Companies Mentioned (Partial List)

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