Surge in Private Health Insurance: Navigating NHS Strains and Shifting Healthcare Dynamics

The health strategist

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for continuous health transformation
and digital health – for all


Joaquim Cardoso MSc.

Servant Leader,
Chief Research & Strategy Officer (CRSO),
Editor in Chief and Senior Advisor


This is an Executive Summary of the article “NHS strains set to drive private health insurance growth”, written by John Aglionby, and published on the Financial Times.


What is the message?


The demand for private medical insurance in the UK is anticipated to surge in the coming year due to ongoing challenges in the National Health Service (NHS), including 

  • the junior doctors’ industrial action and 
  • persistently high waiting lists. 

Despite economic uncertainties, the private health insurance sector has witnessed substantial growth, with record payouts reaching nearly £3bn in 2022. 


This executive summary analyzes the driving factors behind the increased demand, outlines key industry trends, and discusses the potential implications for both private insurers and the public healthcare system.

There were 12,000 more admissions paid for with private medical insurance in the second quarter of 2023 compared with the same period in 2022 © Albert Shakirov/Alamy

Key Points and Arguments:


Record Payouts: 

In 2022, private medical insurance payouts reached an all-time high of £3bn, highlighting the increasing reliance on private healthcare services.


Steady Growth: 


Independent research suggests a high single-digit annual growth rate in the number of Britons with medical insurance, indicating a sustained demand for private health coverage.


Market Dynamics: 


Despite the current cost of living crisis, private medical insurers report taking on record numbers of customers, reflecting a positive market environment.


Increased Admissions: 


The second quarter of 2023 saw a 9% increase (12,000 more admissions) paid for with private medical insurance compared to the same period in 2022.


Provider Optimism: 


Industry figures, including major insurers like Aviva, report robust premium sales, with nearly nine in 10 companies across the sector expressing a positive outlook.


Examples and Arguments:


Aviva’s Performance: 


Aviva, a major health insurance provider, reported a substantial 23% increase in premium sales for “protection and health” in the third quarter of the previous year.


PHIN Data: 


The Private Healthcare Information Network (PHIN) reveals a surge in the number of individuals using insurance for treatment in 2023, with a notable uptick in admissions covered by private medical insurance.


Consumer Trends: 


Statista Consumer Insights notes a significant increase in individuals opting for personal cover, indicating a shift in consumer behavior towards seeking additional healthcare protection.


Conclusions and Recommendations:


Communication Strategies: 


As the private health insurance market expands, providers need to focus on effective communication to articulate coverage details, ensuring customers understand what is and is not covered.


Policy Considerations: 


Policymakers should closely monitor the impact of private health insurance growth on the overall healthcare system, considering potential implications for resource allocation and equitable access to medical services.


In summary: 


The surge in private health insurance demand signals a significant shift in how individuals access healthcare services, driven by concerns about NHS capacity and waiting times. 


It is crucial for both insurers and policymakers to navigate this evolving landscape collaboratively to ensure the sustainability and inclusivity of the healthcare system.

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