A report from the Institute for Fiscal Studies and the Nuffield Trust examining the changing relationship between the public and private sector in the provision of NHS funded care in the past decade.
Listen to an audio slideshow with co-authors Sandeepa Arora, Nuffield Trust, and George Stoye, Institute for Fiscal Studies, who outline the key findings from the research.
The report, authored by Sandeepa Arora and Anita Charlesworth of the Nuffield Trust, and Elaine Kelly and George Stoye from the Institute for Fiscal Studies (IFS), examines trends in the public and private sector, in both the financing and delivery of health care.
To explore these issues in more detail, the report examines the changes in the roles of the NHS and the private sector in the funding and provision of two elective in-patient procedures: hip and knee replacements.
The changing pattern of the provision and financing of hip and knee replacements provides a clear example of how the relationship between the NHS and private sector health care providers has altered over the past decade Elaine Kelly, Research Economist, Institute for Fiscal Studies and report co-author
The main findings of the report are:
the economic crisis has had an impact on both public and private spending but thus far the impact has been greater on private spending;
the role of non-NHS providers in delivering NHS-funded care in England increased markedly from 2006 onwards, reflecting Government policy decisions;
the single largest share of secondary care spending on non-NHS providers went to independent sector providers (ISTCs and other private sector providers) and this has grown more quickly over the last five years than spending on services provided by the voluntary sector and local authorities;
primary care trust (PCT) spending on what are defined in the accounts as independent sector providers varies across the country, but it increased in all regions between 2006/07 and 2011/12.
The Nuffield Trust is an independent health charity. We aim to improve the quality of health care in the UK by providing evidence-based research and policy analysis and informing and generating debate.