What question did this study set out to answer?

This study aims to investigate the changes in commissioning and provision of NHS-funded cataract surgery in England, focusing on the role of independent sector providers.

May 15, 2026Health Economics Policy and LawOpen Access

Public service and private profit: a mixed methods study of cataract surgery in England

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This study aims to investigate the changes in commissioning and provision of NHS-funded cataract surgery in England, focusing on the role of independent sector providers.
Analyzed over 4.6 million NHS-funded hospital admissions for cataract surgery from 2013-2024.
Conducted qualitative interviews with senior stakeholders from NHS and ISPs.
Employed reflexive thematic analysis for qualitative data.
NHS-funded cataract surgeries increased from 417,000 in 2018/19 to 650,000 in 2023/24, with ISPs' share rising from 22% to 57%.
ISPs' involvement correlated with reduced waiting times and improved productivity due to specialized infrastructure and incentive structures.
Concerns remain regarding contract management, service quality, and value for money in this model.

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Implication

Mixed methods study analyzes evolving NHS cataract surgery landscape with rising independent sector involvement, highlighting critical insights.

Cite This Study

Stringer et al. (2026) studied this question.

synapsesocial.com/papers/6a06b888e7dec685947ab0b4 https://doi.org/10.1017/s1744133126100486

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Implication

Mixed methods study analyzes evolving NHS cataract surgery landscape with rising independent sector involvement, highlighting critical insights.

Public service and private profit: a mixed methods study of cataract surgery in England

Key Points

Discussion

Implication

Cite This Study

Public service and private profit: a mixed methods study of cataract surgery in England

Key Points

Discussion

Implication

Cite This Study

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