Cosmetic Surgery Review reports

An interim report into the cosmetic surgery sector supports the call for measures to curb aggressive sales techniques and improve information and education for those considering aesthetic procedures. Responses to the Cosmetic Surgery Review call for evidence were published at the end of last year. The call for evidence was issued to enable the public, cosmetic interventions industry and patient groups to contribute to NHS Medical Director Sir Bruce Keogh’s review of the regulation of cosmetic interventions. Key messages from respondents on the future for cosmetic interventions were that: the current regulatory framework was inconsistent and did not reflect the many changes and innovations in such a fast-growing and dynamic sector training requirements were felt by many to be disproportionately weak compared to the potential risks of a procedure and more specialised training was welcomed dermal fillers and intense pulsed light and laser procedures were highlighted by many as an area where there was insufficient legislation to protect the public respondents were concerned about the lack of data being collected on implants, procedures, adverse incidents and outcomes the Review was timely and an important part of restoring public trust in the cosmetic interventions sector following the issues with PIP breast implants Suggestions that respondents wanted to see implemented included: banning free consultations for cosmetic surgery so that people don’t feel obliged to go through with surgical procedures ensuring consultations are with a medical professional, not a sales adviser imposing tighter restrictions on advertising including banning two-for-one, time limited deals and cosmetic surgery as competition prizes requiring a two-stage written consent for surgery so people have time to reflect before making a decision providing better information for patients including photos of expected bruising and scarring, and more detail on the risks associated with surgery.

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Modest surplus for Fairfield

Guy Pilkington Memorial Home Ltd, the charity owner of the Fairfield Independent Hospital in St Helens which provides treatment for acute surgical and medical patients, for the year ended 31 December 2011 produced what the Chairman describes as a modest surplus’ of £205,000 down from £248,000 in 2010. The first half of the year the chairman says was particularly difficult with reduced referrals and lower theatre utilisation. Insured patients were increased from some insurers and decreased from others and self pay patients increased over the year. The hospital has marketed itself more throughout the North West and and the Isle of Man by contacting GPs and advertising to the public. The second half of the year was better which enabled the surplus. Total incoming resources were up slightly to £9.4m (2010: £9.3m) but total costs were also marginally up £9.2m (2010: £9m) leaving net incoming resources of £206,000 lower than the £249,000 in 2010. Total funds at the year-end were £8.4m (2010: £8.2m). Net debt fell from £872,000 to £148,000.

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Legally speaking – Integration is here to stay

Integration has been buzzword of the moment for some time. The government used the Health and Social Care Act to impose new duties on commissioners and regulators to promote integration of services. It also established local authority Health & Wellbeing Boards to jointly assess needs for health and social care services and encourage integration. This gave integration a place at the heart of the new health and social care landscape. However doubts have recently been expressed as to how much impact the new emphasis on integration would have. Sceptics pointed out that there is no clear definition of integration and that the legal duties are to promote and encourage, not to actually achieve change – what are the success measures? And earlier this month the press reported that Sir David Nicholson, Chief Executive of the NHS, had made negative comments about the prospects of integration achieving savings for the NHS. Might integration prove to be a case of emperors’ new clothes, a concept that would quietly be shifted to the side-lines in the face of other priorities?

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Advantage bought by Interserve Interserve has acquired Advantage Healthcare, a leading UK provider of healthcare at home services for a cash considera

The acquisition expands Interserve's public sector service proposition in the UK, widening Interserve’s access to the £10bn community healthcare market through offering a range of healthcare services at home.

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SE Health continues to thrive

South East Health Ltd, the urgent care and out-of-hours primary care service for East Sussex, Brighton & Hove, Kent and Swale, in its annual report for the year ended 31 March 2012 reported an increase in turnover from £24.8m in 2011 to £33.8m for the period. Cost of sales was £28.5m (2011: £21.5m) and administrative expenses £4.4m (2011: £3.5m). After factoring in other income’ of £0.3m, profit before tax was £358,000 (2011: £189,312). The directors say: It is clear that the changes in contract funding and configuration in the NHS will put increased pressure on our margins going forward.’

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Oasis Dentistry in bidding war

Four private equity organisations are through to the second round of an auction process to by dental chain Oasis Healthcare, it has been reported. The Sunday Telegraph claimed last month that three organisations are CapVest, Bridgepoint Capital and Canada’s Omers Private Equity with the fourth, as yet, unknown.

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Turnstone returns a profit post merger

Turnstone Equityco 1 Ltd, the market leading provider of NHS and private dental services in the UK, has filed its first accounts for the period 18 January 2011 to 31 March 2012 Turnstone Equity is the holding company for the merged Integrated Dental Holdings (IDH)/Associated Dental Practices (ADP) dentistry business, acquired by the US based private equity company The Carlyle Group in May 2011. As such the accounts which reflect 11 months of trading have no comparatives from the previous year. Turnover was £309.9m but with cost of sales of £164.2m, admin expenses of £140.1m and loss on disposal of assets of £3.5m (five practices following and Office of Fair Trading review of the acquisitions of IDH and ADP), profit before interest and tax was £3.8m (including £1.8m of other operating income’). However adding together IDH and ADP the group seems to have increased its EBITDA from £44.4m in the full year to March 2011 to £52m (excluding £7.7m of exceptional integration costs) for 11 months to March 2012. Philip Blackburn, consultant at Laing & Buisson said: The IDH Group’s underlying operating performance was solid following its expansion, as its dominant NHS business delivered stable and reliable returns. Bottom line profits, however, were absorbed by interest on high levels of acquisitive debt. As the group is currently heavily dependent on NHS revenues, some 88% of all business, a tight fiscal environment for public healthcare, and the introduction of new NHS dentistry contracts going forward, which focus on outcomes rather than agreed volumes, mean the group may face less predictable conditions going forward.’

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Cigna launches corporate PMI plans

Cigna UK HealthCare Benefits (UKHB), the private medical insurance provider has launched an extended medical plan range for the corporate market. CompanyHealth builds on Cigna’s existing comprehensive medical plan and now includes additional cancer cover options: Premier Cover which extends to palliation ie relieving care. Active Cover which includes active and evidence based treatment for primary and secondary cancer. Core Cover which steps in where NHS cover ends.

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