For-profit health care services in United Kingdom

You've come to the right place to understand health care services in United Kingdom. Here is how we can help you:
  • Detailed research report on health care services in United Kingdom with marketshare and growth rates for 18 sectors (HBI Intelligence)
  • Database of the top 482+ 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 2020)
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    Irina Stamate-Rocha, Principal, Patron Capital Advisors
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    Laurent Ganem, CEO, G Square Capital
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Country Report
United Kingdom Country

Updated: May 2020

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.

864 news stories on United Kingdom.

Interview: Justin Ash, CEO, Spire Healthcare 17h ago

COVID-19 transformed how private hospitals in the UK operate perhaps more than anywhere else, with groups like Spire becoming majority-funded by the NHS for the first time ever. But where does that leave its private business going forward and what has the expe...

Spire's payor mix turned on its head in Q2 6d ago

UK hospital group Spire Healthcare became a majority NHS-funded provider for the first time ever during the first half of 2020 as it became an extension of the public health system, its H1 2020 results reveal. What are the implications and how do you value a c...

Interview: Stuart Quin, CEO, Medica Group 2w ago

What is the outlook for the UK teleradiology sector, with the largest player Medica's elective volumes still less than half of pre-COVID levels? We talk to CEO Stuart Quin about the group's recent H1 results and its strategy around specialist reporting, AI solut...

UK care homes show resilience, but in urgent need of preventative and crisis funding 2w ago

According to a new report the UK care home sector is showing some resilience despite COVID-19, with occupancy steadily improving as confidence improves in the sector and care homes better prepared for an imminent risk of resurgence. Despite this, thousands rem...

Optegra sales process begins 3w ago

Multiple sources tell HBI that UK, Czechia and Poland-based ophthalmology platform Optegra is for sale. We take a look at the detailed figures behind the prospective sale, speculate as to price and buyers, and speak to an operator source about his view of the ...

NHS England trims operator list as PMI drives private pay recovery 3w ago

We reveal which UK private hospital operators are still in NHS England's new national agreement and which left it on Tuesday, September 8. Private medical insurers (PMI) are 'busting' to get policyholders treated after delays but operators face a delicate balanc...

Medipass sells to infra minus its healthcare services 3w ago

Gruppo KOS has sold managed equipment services provider Medipass to Deutsche Bank's asset management arm DWS, which closed a €2.5bn infrastructure fund last year. The deal will see KOS keep Medipass' only healthcare services assets - its Indian subsidiaries - ...

XenZone lists on AIM and rebrands as Kooth 4w ago

Digital mental health group XenZone has listed on the small-cap AIM exchange, raising £16m. Its CEO tells HBI that the company is targeting entry to the US and Europe. It has also rebranded as Kooth, its main brand name....

Sonic Healthcare 'reviewing its Irish operations' 1mo ago

Global lab company Sonic Healthcare is reportedly reviewing its Irish operations as litigation claims related to Ireland’s CervicalCheck scandal mount and the subsidiary posts falling profits. HBI examines the role of the private sector in the screening scan...

Database of 482 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 482 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 2020 – 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.