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Detailed research report on health care services in United Kingdom with marketshare and growth rates for 19 sectors (HBI Intelligence)
Database of the top 610+ private health care operators, including profile and major external investors across 18 sub-sectors from diagnostic labs to domiciliary homecare and from telehealth to hospitals (HBI Intelligence)
Merger and acquisition (M&A) intelligence showing likelihood of sale (HBI Intelligence)
News stories and interviews with operators and investors in United Kingdom (HBI Deals and Insights)
Events that cover health care services globally including United Kingdom (HBI 2024)
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Country ReportUnited Kingdom Country
Updated: October 2023
Executive Summary
Executive Summary
Impact of Covid-19
We are in the process of analyzing the impact of Covid all countries in HBI Intelligence and should have updates on market sizes by the end of May for the 5 largest economies and by the end of June for others. Meanwhile we are covering the impact of Covid in news stories. Recent examples include a detailed examination of the impact on French and German hospitals, an article on labs and imaging and a look at the broad elective sector.
Introduction
The UK has an expensive for-profit health system with high margin Harley Street and expensive hotelier hospital chains working on a fee for service basis. The care sector has been privatised to the extent that nearly all nursing homes are for-profit, and we see similar moves in homecare, long-term adult care and psychiatry.
The NHS has a difficult relationship with the for-profit sector. It’s probably true that the original NHS system is still one of the best when it comes to delivering value for money, but that does not contradict the fact that it faces one of the worst crises in its history. All four health services - oversight was devolved to England, Wales, Scotland and Northern Ireland in 1997 - are struggling to cope with demand every winter and are not even close to solutions for long-term issues like integration and funding. The government is caught in a dilemma between worsening headlines and calls for more cash on one hand and promises to cut the fiscal deficit on the other.
The UK has some of the fewest hospital beds in Europe though AVLOS is low. There are more nurses than the EU but far fewer doctors. There are also not as many as MRIs or CTs in the country as elsewhere in the continent though it uses what it has more intensively. The years since the financial crisis have also seen a dramatic fall in the quantity of social care beds and homecare services as providers have dropped out of the market.
The independent sector has a marginal role in the provision of acute healthcare but is now almost totally dominant in the social care market, where councils now offer very little in-house. T
The PMI market is also stagnating meaning hospitals are looking to self-pay for growth. Social care markets are still highly fragmented though private equity-backed groups such as HC-One and Four Seasons have made inroads in the nursing home sector. In general, NHS organisations are extremely resistant to outsourcing medical services. This has happened in areas such as imaging, teleradiology and dialysis, but much less so in laboratory services.
Below are two example extracts from the sector breakdowns. See the report for full details on each sector. See the table of contents for information on which sectors are represented in the report.
Assisted Living
The for-profit assisted living market was worth around £450m in 2017 according to Nick Sanderson of Audley group, the largest payer with revenue of around £100m. Sanderson says that the not-for-profit sector is considerably larger. For-profit players such as Audley, Richmond Villages and Retirement Villages focus on the wealthy end of the market. Sanderson reckons that only 0.5% of all over 65s in the UK reside in assisted living compared to 12% for Australia and 15% for the USA.
Laboratory Services
The laboratory market in the UK divides into two areas - the supply of tests to the private sector (principally the London Harley Street market and some private hospitals) and secondly deals in which NHS entities outsource or partner with private providers. The NHS spends around £3.2bn on pathology each year and around £250m (€280m) of this is outsourced to the for-profit sector.
Sonic Healthcare subsidiary, Synlab and Viapath (a joint venture between Serco and two NHS England Trusts) also have outsourcing contracts. We expect three out of twelve of these contracts to expire by 2020 and have heard rumours that they may change hands. The total outsourcing market is worth around £250m (€280m) and it is not expected to grow as the number of contracts plateaus.
The Harley Street market is dominated by TDL and is worth a further £250m (€280m). This makes the total for-profit market around £500 (€560m).
See the report for full details on each sector, including further details on the two above. See the table of contents for information on which sectors are represented in the report.
What we offer
- Instant overview of the UK market This report gives you visibility of this fast-growing market detailed profiles of the Top 512 players.
- Ever green! Updated throughout your subscription As part of our HBI intelligence platform this report is updated throughout the period of your subscription. You will also receive additional news stories and interviews on the UK throughout the period.
- Insights on business models The report looks at the main models – private hospitals and lab and dialysis outsourcing.
- Identify national opportunities We assess opportunities at national level. - Size markets This report enables you to swiftly see market sizes and market shares at a sub-sector level
- Save time and money This report will save you time researching this opaque market and enable you to swiftly identify investment opportunities, new partners and markets.
Table of Contents
Table of Contents
UK – National overview
Assisted Living
Data sets Marketshare of major players 2018
Market description and trends.
Dentistry
Data sets For-profit /private market size and growth rates 2016-2020 Marketshare of major players 2018
Market description and trends.
Dialysis
Data sets For-profit /private market size and growth rates 2016-2020 Marketshare of major players 2018
Market description and trends.
Domiciliary Care
Data sets For-profit /private market size and growth rates 2016-2020 Marketshare of major players 2018
Market description and trends.
Fertility
Data sets For-profit /private market size and growth rates 2016-2020 Marketshare of major players 2018
Market description and trends.
Hospital
Data sets For-profit /private market size and growth rates 2016-2020 Marketshare of major players 2018
Market description and trends.
Imaging Services
Data sets For-profit /private market size and growth rates 2016-2020 Marketshare of major players 2018
Market description and trends.
Laboratory Services
Data sets For-profit /private market size and growth rates 2016-2020 Marketshare of major players 2018
Market description and trends.
Medicalised Homecare
Data sets For-profit /private market size and growth rates 2016-2020 Marketshare of major players 2018
Market description and trends.
Nursing Homes
Data sets For-profit /private market size and growth rates 2016-2020 Marketshare of major players 2018
Market description and trends.
Occupational Healthcare
Data sets Marketshare of major players 2018
Market description and trends.
Oncology
Data sets For-profit /private market size and growth rates 2016-2020 Marketshare of major players 2018
Market description and trends.
Ophthalmology
Data sets For-profit /private market size and growth rates 2016-2020 Marketshare of major players 2018
Market description and trends.
Primary Care
Data sets For-profit / market size and growth rates 2016-2020 Marketshare of major players 2018
Market description and trends.
Post-acute Rehabilitation
Data sets For-profit /private market size and growth rates 2016-2020 Marketshare of major players 2018
Market description and trends.
Psychiatry and Mental Health
Data sets For-profit /private market size and growth rates 2016-2020 Marketshare of major players 2018
Market description and trends.
Telehealth primary
Data sets For-profit /private market size and growth rates 2016-2020 Marketshare of major players 2018
Market description and trends.
Teleradiology
Data sets For-profit /private market size and growth rates 2016-2020 Marketshare of major players 2018
United Kingdom News & Interviews
Our indepth stories dig deep and cover profit multiples, revenue, EBITDA and CEO thinking.
Hype over ‘telehealth’ is now largely a thing of the past. But there are ways that digitalisation can radically improve health care provision, and save significant amounts of time for both clinicians and patients. And many of the largest gains don’t requ...
The UK’s data protection regulator, the Information Commissioner’s Office, has published new guidance to provide regulatory certainty on how health and social care organisations keep people properly informed about the use of their personal information....
The UK’s for-profit ophthalmology sector is heating up, with multiple groups likely to come up for sale this year. This is being driven by the long term increase in the amount of cataract surgeries the NHS is outsourcing. Meanwhile deal activity in Germanyâ€...
Spire, the UK’s largest for-profit hospital group by revenue, has apologised for the death of an NHS-funded patient that the company failed to transfer quickly enough to an NHS facility for intensive care....
This infographic showcases Europe's top 5 ophthalmology players by revenue in the reporting period 2018–2022: Veonet Group, Sanoptis, Artemis Augenkliniken, Clinica Baviera, and Optegra....
Log My Care, a digital platform care management platform, has secured £3 million in funding from Mercia Ventures. This new investment boosts the company's total funding to over £7 million, and is not Mercia Ventures’ first investment in the business....
In a significant development for the Northern Irish health tech industry, Belfast-based Neurovalens has obtained medical device clearance from the US Food & Drug Administration (FDA) for their Modius Stress device aimed at treating anxiety....
Who are the biggest dentistry groups in the UK? In this infographic we look at the UK's top 5 for-profit dentistry groups, using 2022 and 2023 revenue figures....
Database of 610 United Kingdom service providers
HBI has built a unique database of the Top 4,000 operators globally in health care services. As part of this we have identified the top 610 operators in United Kingdom.
Profiles include revenue/sales data as well as EBITDA and other profit margins where known. They also cover private equity ownership with dates and mergers and acquisitions.
Mergers & Acquisition (M&A) Intelligence
Our deal pipeline shows how likely all private equity and some privately companies are to sell based on algorithms and journalistic know-how.
HBI 2024 – the only CEO-level conference to cover healthcare services globally
HBI 2020 – the only CEO-level conference to cover healthcare services globally
In 2019 this event brought together 700 delegates from over 40 countries. Over 60% are CEO level and they included 150 specialist investors in health care services.
HBI 2020 sessions include a session dedicated to the UK / Ireland, where an expert panel will discuss the impact of Brexit on the UK private healthcare industry and other threats and opportunities. The panel includes CEOs of hospital and nursing care groups and a Partner from McDermott Will & Emery. The UK is present in many other sessions in the conference, including Occupational Healthcare, Dentistry, Elderly Care, Fertility and Psychiatry sectors, as well as many more. Other sessions outside of the UK look at trends in hospitals and labs as well as investment and merger and acquisition, plus digital health and telehealth.
HBI is now developing an exciting series of digital events - HBI 365.
Contact us in the UK on 0207 183 3779 for more information.
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