Private Healthcare Self-Pay UK Market Report: Fourth Edition

1.1 Recent trends in private healthcare
1.2 Provider market shares
1.3 Recent trends in the insured market
1.4 Private practice fee income
1.4.1 The regional picture
1.5 Overview of the UK self-pay market
1.6 The cosmetic surgery market
1.6.1 Cosmetic surgery key findings
1.6.2 Cosmetic surgery growth drivers
1.6.3 Hair restoration surgery
1.6.4 International medical travel
1.6.5 Marketing cosmetic surgery
1.6.7 The gender difference

2.1 The role of the private medical insurers
2.2 The role of the NHS
2.3 Moves by major acute providers and others
2.4 The role of third-party administrators
2.5 The role of finance providers
2.6 Regulation and oversight
2.6.1 Care Quality Commission developments for independent acute hospitals and clinics
2.6.1.1 The CQC and the cosmetic market
2.6.1.2 CQC review of cosmetic providers 2019

3.1 Survey feedback and responses: SurveyMonkey®
3.1.1 What percentage of your total admissions (inpatient and day case)   is self-pay?
3.1.2 Movement in the percentage of self-pay admissions over the last  12 months
3.1.3 What factors have affected the number of self-pay admissions in the last 12 months?
3.1.4 What are the five most popular self-pay procedures at your organization in terms of volume?
3.1.5 If you offer a fixed-price surgery scheme, what does the price include?
3.1.6 What percentage of patients have needs or risk factors that lead you to charge something different to the published fixed price?
3.1.7 What do you think the impact of PHIN has been on informing and influencing patient choice?
3.1.8 What do you think the impact of PHIN has been on driving quality and outcomes of care?
3.1.9 How do you think PHIN’s work will affect your business and the self-pay market in the future?
3.1.10 What proportion of your marketing budget do you intend to allocate to the promotion of self-pay surgery?
3.1.11 In marketing self-pay surgery, which of the following marketing and promotional activities are you likely to use in the next 12 months?
3.1.12 Which of the following marketing and promotional activities do you feel are the most successful in attracting self-pay patients?
Select  the  three most effective activities:
3.1.13 Prospects for the self-pay market over the next three years
3.1.14 What do you think will be the most important factors affecting the self-pay market over the next three years?
3.1.15 In which age group do you think there will be the most demand for self-pay?
3.2 Research outputs: Google Trends (UK) research
3.2.1 Cataract surgery
3.2.2 Hip replacement
3.2.3 Knee replacement
3.2.4 Hernia repair
3.2.5 MRI Scanning

4.1 Clinical drivers
4.2 Private medical insurance
4.3 Affordability
4.4 The  NHS
4.5 The wider economy
4.6 Customer  focus
4.7 Other factors
4.8 Quality

5.1 Pricing  for self-pay procedures
5.1.1 Prostate surgery
5.1.2 Hip replacement
5.1.3 Shoulder surgery
5.2 Calculating the percentage difference for average treatment prices
5.3 NHS pricing for self-pay procedures
5.4 Pricing for cosmetic surgery procedures

6.1 Comparison of fixed price schemes from major providers
6.1.1 Nuffield Health
6.1.2 Circle Health
6.1.3 Spire Healthcare
6.1.4 Ramsay Healthcare
6.2 Third-party administrators
6.3 Online third-party administrators and treatment sourcing services
6.4 Comparison of finance schemes from major providers for self-pay and cosmetic surgery patients

7.1 PHIN’s perspective

8.1 The views of influencers and opinion leaders
8.2 New players attracted to the self-pay market
8.2.1 Online and app-based services
8.2.2 Private GP services
8.3 The role of clinical innovation
8.4 Demographics
8.5 The role of effective marketing and engagement
8.6 Quality as a driver

Figure ES1 Privately funded therapeutic chemotherapy January 2016?June 2021
Figure ES2  Google Trend searches for private healthcare and the cost of private treatment during Covid-19 calendar year 2021
Figure ES3 Estimated private volumes January 2016?June 2021
Figure ES4 Discharges by the organization, London compared to other regions
Figure 1.1  Market shares (%) of the UK private acute medical care hospital market  (independent sector hospitals and clinics + NHS private patient revenues)by provider 2019
Figure 1.2  Private practice fee gross income by specialty 2018, 2019, and  (where available) 2020
Figure 1.3  Fee ranges by specialty,
Figure 1.4  Initial consultation fees by region
Figure 1.5 Geographical heat map depicting self-pay volumes across the UK  September 2020?September 2021
Figure 1.6  BAAPS Annual Audit results, male vs female procedures, 2020
Figure 1.7 Annual growth in plastic surgery procedures reported by BAAPS members,   2004–2020
Figure 2.1  NHS diagnostic waits by test and commissioning region, December 2021
Figure 2.2 RTT waits by specialty, December 2021
Figure 2.3 RTT overall performance and trajectory 2007?December 2021
Figure 3.1  What percentage of your total admissions (inpatient + day case) is self-pay?
Figure 3.2  Over the past 12 months, has the percentage of self-pay admissions:
Figure 3.3  What factors have affected the number of self-pay admissions in the last  12 months?
Figure 3.4  Top five self-pay procedures by volume
Figure 3.5  Inclusive components of fixed price surgery scheme
Figure 3.6  Percentage of patients with needs or risk factors requiring a change to the  published fixed price
Figure 3.7  The impact of PHIN on informing and influencing patient choice
Figure 3.8  The impact of PHIN on driving quality and outcomes of care
Figure 3.9  The impact of PHIN on your business and the self-pay market in the future
Figure 3.10  Proportion of marketing budget allocated to the promotion of self-pay surgery
Figure 3.11  Marketing and promotional activities likely to be used in the next 12 months
Figure 3.12  The three most effective marketing and promotional activities
Figure 3.13  View of prospects for the self-pay market over the next three years
Figure 3.14  Most important factors affecting the self-pay market over the next three years
Figure 3.15  Demand for self-pay by age group
Figure 3.16  Cataract surgery searches January 2021?December 2021
Figure 3.17  Five-year trend for cataract surgery searches
Figure 3.18  Hip replacement searches January 2021?December 2021
Figure 3.19 Five-year trend for hip replacement searches
Figure 3.20  Knee replacement searches January 2021?December 2021
Figure 3.21  Five-year relative searches for knee replacement
Figure 3.22  Hernia repair searches January 2021?December 2021
Figure 3.23  Five-year relative searches for hernia repair
Figure 3.24  MRI scan searches January 2021?December 2021
Figure 3.25  Five-year relative search terms relating to MRI scan
Figure 7.1 Visits to Private Healthcare UK website December 2019?January 2022
Figure 7.2  The consumer journey
Figure 7.3  Word cloud of themes, words, and phrases from the patient perspective
Figure 3.15  Demand for self-pay by age group
Figure 3.16  Cataract surgery searches January 2021?December 2021
Figure 3.17  Five-year trend for cataract surgery searches
Figure 3.18  Hip replacement searches January 2021?December 2021
Figure 3.19 Five-year trend for hip replacement searches
Figure 3.20  Knee replacement searches January 2021?December 2021
Figure 3.21  Five-year relative searches for knee replacement
Figure 3.22  Hernia repair searches January 2021?December 2021
Figure 3.23  Five-year relative searches for hernia repair
Figure 3.24  MRI scan searches January 2021?December 2021
Figure 3.25  Five-year relative search terms relating to MRI scan
Figure 7.1 Visits to Private Healthcare UK website December 2019?January 2022
Figure 7.2  The consumer journey
Figure 7.3  Word cloud of themes, words, and phrases from the patient perspective

Table ES1 Private Healthcare UK web visitors by television region 2020, 2021, and 2022  to date
Table 1.1  Private acute medical care hospital market value in the UK, 2003?2019 and  2020 projections
Table 1.2  Independent acute medical hospitals and clinics UK market value, and revenues   by the purchaser, 2003?2019 and 2020 projections
Table 1.3  Independent acute medical hospitals and clinics UK market value, and  revenues by the purchaser, 2003 to 2019 and 2020 projections
Table 1.4  Initial consultation fees, £, by specialty and volume of consultants
Table 1.5  Initial consultation fees by region
Table 1.6  Activity by sector and funding source
Table 1.7  Private self-pay spending on acute medical care services in independent sector hospitals and clinics in UK, including non-cosmetic and cosmetic split, 2003-2020
Table 1.8 Privately funded self-pay activity by consultant specialty across the five major  UK regions, July 2020?June 2021
Table 1.9  BAAPS Annual Audit results, 2020
Table 2.1  NHS private patient revenues and real growth, by UK region, 2015/16?2019/20
Table 3.1  Google Trends UK search term growth highlights
Table 5.1  Prostate (TURP) prices (GBP) across the UK, 2020
Table 5.2  Topline comparison of UK total hip replacement prices, 2021
Table 5.3  Shoulder replacement surgery prices, 2021
Table 5.4 Breast enlargement price comparison
Table 5.5 Liposuction price comparison
Table 6.1  Comparison of fixed price schemes from major providers
Table 6.2  Comparison of finance schemes for major providers
Table 6.3  Comparison of finance schemes for main cosmetic surgery providers
Table 7.1 Web traffic analysis from Private Healthcare UK 2019/20 and 2021/22
Table 8.1  Care Quality Commission ratings by provider group, February 2022