New joints: private providers and rising demand in the English National Health Service

Document type
Working Paper
Institute for Fiscal Studies
Date of publication
26 August 2016
IFS working paper; W16/15
Health Services
Social welfare
Material type

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This paper considers how demand for elective surgery is affected by the entry of private providers into the market for publicly funded health care in England. For elective hip replacements, demand shifts account for at least 7% of public procedures conducted by private hospitals.

Exploiting rarely used clinical audit data, this paper shows that these additional procedures are not substitutions from privately funded procedures, and represent new surgeries, at least within a given year.