I am a private surgeon, but I also work in the NHS. It is a question I am asked often: which is better? The honest answer is that they are not really in competition. The two systems support each other, and each has real strengths. Here is how they compare.
What the NHS does well
The NHS performs a large range of hip and knee operations, and it also handles the most complex cases, including sarcomas, cancers, and trauma. Just as importantly, it is where the next generation of surgeons is trained. It is the backbone of orthopaedic care in this country.
What private care adds
Private care does not replace the NHS. It adds choice and convenience on top of the same clinical expertise.
- You choose where and when. Your operation fits around your life, not a waiting list.
- Access to the latest technology. Including robotic joint replacement.
- Consultant-delivered care from start to finish. The benefit patients say they value most.
NHS and private, side by side
| Feature | NHS | Private |
|---|---|---|
| Range of surgery | Very wide, including complex cases | Routine hip and knee replacement |
| Complex cases | Sarcoma, cancer, trauma | Referred to NHS where needed |
| Timing | Based on waiting list | You choose |
| Technology | Varies by site | Latest, including robotic surgery |
| Continuity | Team-based | Same consultant throughout |
Neither system is simply better. The NHS does a vast range of work, including complex cancer and trauma surgery, and trains every surgeon. Private care adds choice of timing and location, the latest technology, and consultant-delivered care from start to finish. Many surgeons, including Mr Kumar, work in both.
Frequently asked questions
Is private joint surgery better than the NHS?
Both deliver high-quality care. Private surgery offers choice of timing and location, the latest technology such as robotic surgery, and consultant-delivered care from start to finish. The NHS handles a wider range including complex cases, and trains surgeons.
What are the benefits of private joint surgery?
You can choose where and when to have your operation, access the latest technology including robotic surgery, and receive consultant-delivered care throughout your pathway.
Does the same surgeon work in both systems?
Many consultants, including Mr Kumar, work in both the NHS and private practice. The two systems support each other.