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The pre-made templates include a 4 bed ward (6 x 14 I think) and a small single room (4x6). Both come in a standard ward and HDU (High Risk but not ICU cases) variety.
Ward space tends to be at a premium, as you can easily have 10 cases pre or post op, plus admissions for supportive care. I almost always personally use block wards, but a complete individual room system is very doable.
I'd rather my money was spent on being healthy, than making a building (and someone's wallet) shiny. But there you go.
It's kinda like a value-added service. There are citizens with money who can and will pay for that sort of thing. Might as well provide it, take the money, and use the extra cash to cover costs (and ultimately pay *even less* per capita in tax dollars than we already do, which compared to the US is a pittance for comparable care).
Not bashing on the US or anything (though, any American will know this is just in keeping with our long-standing tradition of taking jibes at each other...).
As a separate thing, you could pay for private medical care, which did get you more time with your chosen consultant (attending in US) and let you be treated sooner, but didn't automatically come with a private room - what happened was the private doctors paid to kind of rent beds to put their own patients in - the fee set to cover all the hospital facilities you would use while there. Not only did the hospital make a bit of extra money allowing private doctors to do this, but often the private doctors who wanted to have special new equipment and machinery would pay a lot towards those machines which were then available for the whole hospital to use.
At a certain era this went out of favor politically, and NHS hospitals refused to be associated with private practice. Then some totally private hospitals sprang up, which we still have. Run by companies like Bupa. However, they usually offer only elective or cosmetic treatments, since if we collapse in the street of an emergency, someone will call an NHS ambulance and the NHS ambulance will only take you to an NHS hospital. So the private hospitals never bothered with emergency rooms. This means that if something goes wrong with an operation in a private hospital they usually have to send you in an ambulance to an NHS hospital to put it right. This is why private medicine is not as well respected in England as it is in many other countries.
Or have an infectious disease that requires you be isolated in your own room.