PMID: 2493874Jan 28, 1989Paper

Role of the private sector in elective surgery in England and Wales, 1986

BMJ : British Medical Journal
J P NichollB Williams

Abstract

From a sample of 19,000 treatment episodes at 183 of the 193 independent hospitals with operating facilities in England and Wales that were open in 1986 it is estimated that 287,000 residents of England and Wales had elective surgery as inpatients in 1986 (an increase of 77% since 1981) and 72,000 as day cases. From 1985 Hospital In-Patient Enquiry data it was estimated that a further 36,000 similar elective inpatient treatments were undertaken in NHS pay beds (a decrease of 38%) and 21,000 as day cases. Overall, an estimated 16.7% of all residents of England and Wales who had non-abortion elective surgery as inpatients were treated in the private sector, as were 10.5% of all day cases. An estimated 28% of all total hip joint replacements were done privately, and in both the North West and South West Thames regions the proportion of inpatients treated privately for elective surgery was 31%. It is concluded that mainly for reasons of available manpower private sector activity may not be able to grow much more without arresting or reversing the growth of the NHS, in which case some method of calculating NHS resource allocation which takes account of the local strength of the private sector will be needed.

References

Jan 28, 1989·BMJ : British Medical Journal·J P NichollB T Williams
Jan 1, 1988·International Journal of Nursing Studies·K J ThomasB T Williams

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Citations

Apr 18, 2001·BJOG : an International Journal of Obstetrics and Gynaecology·J C Redburn, M F Murphy
Sep 1, 1996·The British Journal of Ophthalmology·H S JonesA R Fielder
Jan 28, 1989·BMJ : British Medical Journal·J P NichollB T Williams
Feb 18, 1989·BMJ : British Medical Journal·A J Byrne
Mar 25, 1989·BMJ : British Medical Journal·J O Drife, C A Macafee
Apr 21, 1990·BMJ : British Medical Journal·J C Ford
Mar 6, 1993·BMJ : British Medical Journal·M McKeeB Tennison
Mar 31, 2000·BMJ : British Medical Journal·B WilliamsL Rushton
Feb 1, 1994·Journal of Epidemiology and Community Health·D J HunterN A Black
Apr 1, 1994·Journal of Epidemiology and Community Health·M H WilliamsJ A Gray
Jun 1, 1995·Journal of Epidemiology and Community Health·N Black
Dec 1, 1993·The British Journal of Surgery·A NarayanL K Sharma
Apr 1, 1994·Clinical Otolaryngology and Allied Sciences·A R Maw, R Bawden
Jan 1, 1995·International Journal of Technology Assessment in Health Care·N BlackA B Flood

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