A sixth of hospitals in England have expanded private patient options this year, the BMJ finds.

A BMJ investigation shows that NHS hospital trusts in England are increasingly turning to income from private patients to generate additional funding, as cost pressures tighten restrictions on some services in the NHS. Just a week after NHS England warned that the NHSmight face a funding gap of £30bn (€35bn; $45bn) by 2020, the BMJ has shown that one in six hospitals have introduced new private treatment options this year. A growing number of hospitals are introducing a new category of private patient, known as the “self funded” patient. Tariffs for this new category are based on estimates of what it costs the NHS to treat these patients and are considerably lower than the traditional rates charged to private patients. John Appleby, chief economist at the healthcare think tank the King’s Fund, described the difference between the two categories as immaterial and the new category as a euphemism. “It is essentially paying privately to get some healthcare provided by the NHS. It is a private scheme.” The BMJ investigation, which obtained data from 134 acute hospital trusts in England through requests made under freedom of information legislation, found that: • 119 trusts (89%) now offer private or “self funded” services