NHS Finance

07.11.12

NHS spending £1bn a year on patients with private insurance

The NHS is spending nearly £1bn annually on treating patients with private medical insurance, although these patients could claim on their insurance to cover the cost of their care.

A study has illustrated that nearly one in three patients being treated in NHS hospitals is privately insured and could thus have their costs paid by their insurer. However, patients are not claiming on their insurance due to fears that this will increase their premium, that they may have to pay excess charges or that their GP may neglect to enquire as to whether they are insured.

The study was commissioned by Keith Biddlestone, commercial director at HCA International, which owns six private hospitals in London. He stated: “Private healthcare is about choice and many patients choose to move between private and NHS care – but these figures show just how hard private medical insurers rely on the NHS to maintain profitability.”

He underlined the fact that patients are losing out, especially when it comes to cancer care, due to the latest treatments which mainly private hospitals offer, as they should profit from their entitlements as private insurance users.

The report, carried out by private health analysts Laing and Buisson, suggests that the 250,000 operations each year on patients with private medical insurance is costing £359m, with a further £609m being spent on emergency medical or surgical treatment. Despite the fact that the latter treatment is not covered by private medical insurance, any recovery costs could be covered.

The report proposes that the NHS could save the most money in the south east, where there are more patients with private insurance and more NHS hospitals with private patient units. Biddlestone asserted that these private patient units have the potential to free up NHS beds and prevent further expenses. These units are managed by HCA International on behalf of a number of London NHS trusts.

Tell us what you think – have your say below, or email us directly at [email protected]

Image: www.freeimages.co.uk

Comments

Richard Pearson   07/11/2012 at 13:49

I hope there's no implication that having private health insurance should disentitle one from using the NHS if so desired. I see that the i newspaper refers to the NHS as "losing" £1bn in this way which puts a certain slant on the report. Perhaps a comment on the amount of income that the NHS gains from providing private healthcare itself would be useful.

Anne Edwards   08/11/2012 at 10:41

Extraordinary illogical (emotive) angle - so I pay taxes which cover my healthcare costs. If I chose to pay for private health insurance IN ADDITION there is (as above) a presumption that by not using my insurance I am a COST to the NHS if I do not always use it?? Anyone doing this is paying twice NOT 'costing' the NHS......what is much more significant is the (almost complete) inability of the NHS to charge or identify those not entitled to NHS care - a REAL cost to the NHS....

Tim   21/11/2012 at 08:55

Wishful thinking, I'm afraid

David Jones   24/01/2013 at 13:48

I have private insurance through work which I would love to use for my pre existing Chrones however if I want to change jobs and no longer get health insurance and need to come back under the NHS I will lose my consulatnt and have to start from the begining by getting my GP to refer me back to the hospital. So for me its an insurance just in case. The NHS needs to be more flexible.

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