What is the current demand like for planned hospital care in the UK?

Written in association with: Mr Yuvraj Agrawal
Published:
Edited by: Conor Lynch

Top Doctors recently had the chance to speak to highly established and well-regarded consultant hip and knee orthopaedic surgeon, Mr Yuvraj Agrawal. In this article, Mr Agrawal talks to us about the latest current demand for planned hospital care in the UK, as well as the current state of clinical procedures in private healthcare across the country.

What is the current demand like for planned hospital care?

The demand for planned hospital care in the UK has reached unprecedented levels, with the waiting list for such care surging to a record high of 7.4 million in April of this year. This escalation is attributed to various factors, including increased demand for elective joint replacements.

 

As a result, private providers have become more involved in addressing the growing waiting lists, offering new care arrangements for patients. However, discussions about the role of private providers in supporting the healthcare system are ongoing, reflecting concerns about maintaining quality care.

 

What impact has the pandemic had on private healthcare?

The COVID-19 pandemic has significantly impacted elective care in private healthcare. During the first year of the pandemic (2020/21), total elective inpatient admissions witnessed a drastic decline of 30 per cent compared to the previous year (2019/20). While activity started to recover in 2021/22, the total number of admissions remained nine per cent lower than pre-pandemic levels.

 

What is the current state of clinical procedures in private healthcare?

For most common procedures, privately provided care constitutes around 10 per cent or less of the total, dropping even lower to three per cent for certain procedures. However, for elective joint replacements, there is an equal division between private providers and publicly funded healthcare services.

 

While half of these procedures (51 per cent) are provided by private providers, only a quarter were paid for privately. Overall, most of the care is either funded by or provided by the NHS as opposed to the private sector. 

 

While the private sector has shown resilience in recovering from the pandemic's impact on elective care, discussions about its role in supporting the healthcare system continues. As demand for elective joint replacements and other planned care persists, private providers will likely play a significant role in addressing waiting lists.

 

As we navigate the path to recovery, understanding the division of care between private providers is crucial in ensuring quality healthcare for patients in need of elective procedures.

 

If you’re looking to discuss your symptoms in your knee or hip joint with advice from a leading expert, arrange a consultation with Mr Yuvraj Agrawal via his Top Doctors profile today

By Mr Yuvraj Agrawal
Orthopaedic surgery

Mr Yuvraj Agrawal is a highly skilled Consultant Orthopaedic Surgeon with practice in Birmingham, Solihull and Droitwich. He specialises in hip and knee surgery, including hip replacement, knee replacement and revision joint replacement (redo surgery). In addition to hip arthritis and knee arthritis, he is also an expert in the treatment and management of other causes of hip pain and knee pain. Alongside his NHS work at the Royal Orthopaedic Hospital, Mr Agrawal sees patients at Birmingham Hip & Knee Clinic at The Droitwich Spa Hospital; Birmingham Hip & Knee Clinic at Spire Parkway Hospital and at the Woodland Suite (Private wing) at the Royal Orthopaedic Hospital.

Mr Agrawal is one of the leading surgeons at the Royal Orthopaedic Hospital, which is one of only four specialist orthopaedic hospitals in the country and has an international reputation as a centre of excellence.

Mr Agrawal qualified from Nepal and completed his basic and specialist training in Trauma and Orthopaedics in Leeds, Manchester and Sheffield. He went on to accomplish two additional fellowships: an advanced fellowship in Orthopaedic Trauma at the Queen’s Medical Centre in Nottingham and an Adult Joint Reconstruction fellowship at the University of British Columbia in Vancouver, Canada. In addition, he was awarded travelling fellowships to Massachusetts General Hospital, Boston, USA and Bedford Orthopaedic Centre, Mhthata, South Africa which helped him further his experience.

Further to his quality orthopaedic practice, Mr Agrawal has extensive academic experience, taking an active role in numerous research projects. He is the author of several papers published in peer-reviewed journals as well as a textbook chapter. He is an active member of the British Hip Society (BHS) and British Association for the Surgery of the Knee (BASK). He currently serves as a Regional Surgical Adviser for The Royal College of Surgeons of Edinburgh. Mr Agrawal is also a dedicated teacher and regularly instructs at specialists courses for medical students and trainee orthopaedic surgeons.

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