Public service and private profit: a mixed methods study of cataract surgery in England
Rattachement africain : gb, dk, qa. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
This paper explores changes in the commissioning, contracting and provision of NHS-funded cataract surgery in England over the last decade, focusing on the growing role of independent sector providers (ISPs). In recent years, there has been a dramatic rise in NHS-funded cataract surgery (from almost 417,000 cases in 2018/19 to about 650,000 in 2023/24) with the ISP share increasing from 22 to 57 per cent. A mixed-methods approach was employed, combining quantitative analysis of over 4.6 million NHS-funded hospital admissions for cataract surgery (2013-2024) and qualitative interviews with senior NHS and ISP stakeholders. Interviews were analysed using reflexive thematic analysis. The shift to ISPs was largely unplanned, driven by long NHS waiting lists, favourable payment tariffs, and low barriers to entry for new providers. ISPs' involvement has contributed to reduced waiting times and improved productivity, potentially due to specialised infrastructure and incentive structures. However, concerns exist about contract management, service quality, and value for money. The study highlights the need for improved service commissioning, tariff reform, stronger contractual oversight, and effective monitoring to ensure quality and value. These findings have broader implications for healthcare systems balancing competition, patient choice, and public-private delivery models in elective care.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Public service and private profit: a mixed methods study of cataract surgery in England
- Date Crossref
- 13/05/2026
- Éditeur
- Cambridge University Press (CUP)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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University of Manchester Manchester Centre for Health Economics pays non établi dans la noticeUniversité ou école supérieure
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University of Birmingham Health Services Management Centre pays non établi dans la noticeUniversité ou école supérieure
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University of Southern Denmark Danish Centre for Health Economics pays non établi dans la noticeUniversité ou école supérieure
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Primary Health Care pays non établi dans la noticeOrganisme public
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London School of Economics and Political Science Health Policy pays non établi dans la noticeUniversité ou école supérieure
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University of York pays non établi dans la noticeUniversité ou école supérieure
Manchester Centre for Health Economics — University of Manchester, Health Services Management Centre — University of Birmingham et Danish Centre for Health Economics — University of Southern Denmark, avec 3 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.