The other main dynamic of the UK care market is the ability of operators to charge premium fees for superior products and services (the private pay element), with these generally being reviewed annually. Fees for residents on state funding are also reviewed annually. Whilst these reviews are constrained by budgetary and market pressures, operators are generally able to obtain fee increases which are at or in excess of inflation.

Wie könnte man "dynamic" in diesem Kontext übersetzen?