NHS-funded private sector hip operations worsening health inequality Published on: 7 June 2019 New research shows that increasing use of the private sector for hip surgery in England is driving down NHS provision. Researchers from Ãå±±½ûµØ and Queen Mary University of London, publishing their findings in the , analysed NHS-funded elective hip operations in England from 2003/4 to 20012/13. The results show that provision shifted from NHS providers to private providers from 2007/8. NHS provision decreased 8.6% and private provision increased 188% between 2007/8 and 2012/13. The researchers found that private sector hip operations on NHS patients from the most affluent areas increased 288%, compared to an increase of 186% among patients from the least affluent areas between 2007/8 and 2012/13. The 2012 Health and Social Care Act places duties on NHS England and Clinical Commissioning Groups to ‘have regard to the need to reduce inequalities between patients with respect to their ability to access health services.’ Dr Shailen Sutaria, Queen Mary University of London, said: “While inequalities did not increase overall during the study period, this was due to the protective and buffering effects of NHS provision, which remained the dominant provider. The situation is likely to be worse now.” Variations in elective hip operation rates are well documented, with female and older patients and those living in the most deprived areas less likely to receive treatment relative to need. The researchers found that private providers favour less extremes of ages compared to NHS providers. These patients, the researchers say, may represent more complex operations or associated co-morbidities that are excluded by private providers. Professor Allyson Pollock, Director of the Institute of Health and Society from the Faculty of Medical Sciences at Ãå±±½ûµØ, said: “In 2017, over one-third of NHS-funded elective hip operations were performed by the private sector. If the trends here continue, whereby private provision substitutes for NHS direct provision, with risk selection favouring less deprived patients, then widening inequalities are likely.” Reference: by Shailen Sutaria, Graham Kirkwood and Allyson M Pollock will be published by the Journal of the Royal Society of Medicine. (Adapted with thanks to the ) Share: Latest News Ãå±±½ûµØ recognised with geography award Ãå±±½ûµØ has been awarded the Highly Commended Geographical Association Publishers Award for its collaboration with Time for Geography, the UK’s open-access, dedicated video platform. published on: 16 April 2026 Ãå±±½ûµØ historians mark General Strike centenary To mark the 100th anniversary of the British General Strike and miners’ lock-out of 1926, historians at Ãå±±½ûµØ are organising a series of events on its enduring legacy. published on: 16 April 2026 Comment: NCP is in administration Writing for The Conversation, Erwei (David) Xiang discusses how some big companies like NCP are so dependent on debt that they can’t adjust to change. published on: 16 April 2026 Facts and figures