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Cost of medical insurance

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WRITTEN QUESTION TO THE MINISTER FOR HEALTH AND SOCIAL SERVICES BY DEPUTY M.R. HIGGINS OF ST. HELIER

ANSWER TO BE TABLED ON TUESDAY 29th MAY 2012

Question

Will the Minister produce a table or tables showing :

  1. the cost of medical insurance for each of the main divisions of the hospital for each year since 2006 to the present;
  2. the average cost of medical insurance for each grade of personnel in each division for each year since 2006 to the present time; and,
  3. give an explanation of any variances in the cost of cover?

Answer

  1. Cost of Medical Insurance by Hospital Division

Division

2006 2007 2008 2009 2010 2011

Ambulatory Care

44,301   53,002   40,145   57,520   82,833   132,736

Clinical Support

26,581   20,101   23,658   23,378   29,366   35,918

Emergency Care

16,241   16,761   17,010   19,265   75,232   62,304

Hospital Mgmt & Admin

474,612   544,531   606,536   605,785   -   -

Inpatients

222,675   298,406   285,892   379,832   997,629   711,287

Theatres & Anaesthetics

13,479   19,777   19,874   18,782   45,127   52,667

Women & Children

2,891   7,048   4,060   7,660   21,930   20,640

Total

800,780 959,625 997,174 1,112,220 1,252,116 1,015,551

  1. Average Cost of Medical Insurance Per Consultant by Hospital Division

Division

2006 2007 2008 2009 2010 2011

Ambulatory Care

4,397   4,816   4,097   4,320   4,808   4,565

Clinical Support

3,385   3,879   3,349   3,008   3,668   3,801

Emergency Care

5,794   8,625   8,355   5,594   7,725   5,411

Inpatients

35,058   27,771   36,120   30,603   34,796   34,513

Theatres & Anaesthetics

3,644   3,692   3,097   3,161   2,906   3,609

Women & Children

2,453   2,348   2,030   2,553   2,810   2,270

Total

54,730 51,132 57,049 49,240 56,713 54,168

Average Cost of Medical Insurance for Other Grades of Medical Staff

 

2006 2007 2008 2009 2010 2011

All Other Medical Staff

8,030

9,735

10,433

10,810

12,377

9,483

  1. Explanation Of Variances:
  1. In 2010 the department changed the way that it coded medical insurance. Up to 2009 insurance paid for other medical staff was coded to Hospital Management and Administration. From 2010 the department has coded this insurance to each division.
  2. During 2011 the department retendered its contract for medical insurance. As a result from July 2011 the department changed its insurance provider which explains the major part of the reduction in spend on medical insurance in 2011.
  3. Inpatients include specialty consultant insurance for Obstetrics & Gynaecology in addition to Orthopaedic & Trauma which have seen significant increases in premiums since 2009.
  4. Consultants pay medical insurance in full and make a recharge for the public element of their insurance. If a claim is not made or is made in a subsequent financial year by the consultant there will be a distorting effect on consultant average cost of medical insurance year on year.
  5. Vacancies and changes in practices may affect the average cost of consultant insurances.