Assessing competition in the hip implant industry in the light of recent policy guidance

Charlotte Davies and Stephen Davies

Social Science & Medicine, 2021, vol. 287, issue C

Abstract: NHS procurement is a highly topical area, attracting a great deal of recent policy focus. The pivotal report by Lord Carter of Coles (2016) highlighted unwarranted variation, estimating it to be worth approximately £5bn in efficiency savings. In relation to hip replacement surgery, recent procurement policy guidance has recommended the use of cemented hip implants for all patients aged 68 years and over in England and Wales. Previous work established that the hip implant supplying market was very concentrated, with only a few large suppliers, especially for cemented implants. The advocated major shift towards cemented implants would almost certainly increase further the market share of the dominant manufacturer of cemented sector thus raising potential competition and welfare issues.

Keywords: Competition; Total hip replacement surgery; Procurement; Implant; NHS; Concentration; Innovation (search for similar items in EconPapers)
Date: 2021
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DOI: 10.1016/j.socscimed.2021.114055

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