Publication Details
Abstract
This article examines the economic mechanisms that shape the competitiveness of private and independent healthcare providers within the healthcare system of the United Kingdom, with particular emphasis on England. The analysis interprets the relationship between the National Health Service (NHS) and the independent sector not simply as competition between the public and private sectors, but as an interconnected system comprising publicly funded demand, patient choice, activity-based payments, transparency of quality and price information, provider regulation, and antitrust oversight. Based on the 2025 NHS–Independent Sector collaboration agreement, the 2026/27 NHS Payment Scheme, and mechanisms for ensuring transparency of information in the private healthcare market through the Private Healthcare Information Network (PHIN), the article identifies the key economic channels through which competition is fostered. For Uzbekistan, the study proposes the gradual establishment, within the state health insurance system, of a mechanism based on the following sequence: “accredited provider – unified base tariff – patient choice – payment for services delivered – quality coefficient – transparent rating.”