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 503+ 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
  • “Extremely useful view of what is happening in European healthcare”
    Laurent Ganem, CEO, G Square Capital
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    Nancy Hollendoner, Industry Consultant, Senior Adviser to Hawkpoint Partners

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.

839 news stories on United Kingdom.

Elderly care post-Covid: HBI Big Picture Seminar 43h ago

How has Covid affected the elderly care sector across EMEA? To find out, HBI-365, the new global digital platform, brought together a panel of three: Fredrik Gren, CEO and president, Ambea, a sophisticated and large Pan-Scandinavian care group, Alexei Sidnev, ...

HBI Exclusive interview: NMC Health's acting CEO Michael Davis on the future of the business 3d ago

NMC acting CEO Michael Davis speaks publicly for the first time about the future of under-fire NMC Health. In this exclusive interview, we ask about a possible sale of all or part of the business, and whether and how NMC might recover from its present position...

Could Synlab's UK success open the outsourcing floodgates? 2w ago

UK lab group Viapath has been nationalised, after Guy's and St Thomas' and King's College Hospital NHS Foundation Trusts bought out its private sector partner Serco following the loss of a £2.25bn outsourcing contract in which Synlab remains the preferred bidder...

Who might buy NMC's hospital business? 2w ago

NMC Health's administrators are making it clear that a wholesale selloff of the UAE's largest healthcare company is not viable. Could any of MENA's largest hospital operators - Mediclinic, VPS, and Aster DM - take over the hospital business? And who will be fight...

Babylon admits data breach 3w ago

Telehealth company Babylon has admitted a data breach, after a patient using its UK-based app GP at Hand was able to see recordings of other patient's consultations....

European dentistry reopens 4w ago

European dental markets are reopening for business as R numbers drop below 1 across the continent. HBI reviews what the current position is in these key markets and talks to operators in these markets to assess demand....

PATRIZIA deal suggests healthcare real estate remains resilient, despite COVID 4w ago

Global real-estate investor PATRIZIA AG has acquired a portfolio of seven healthcare assets in Germany specialising in assisted living and specialist care in a sale & leaseback deal. Is this a good time to be investing in this sector in the light of the corona...

How cancer care is changing across Europe 4w ago

Oncology patients are among the most vulnerable in the current pandemic. Will that lead to more outmigration of therapies and increased use of hypofractionation? HBI speaks to operators in the France, Germany and the UK. ...

Unprecedented European NHS rationing post-COVID could spur self-pay 4w ago

NHS systems across Europe are likely to ration care at unprecedented levels in the aftermath of COVID-19 because of infection control measures. This may funnel more work to private hospitals, but it is not clear whether they will be in better shape to pick up ...

Database of 503 United Kingdom service providers

HBI has built a unique database of the Top 3,700 operators globally in health care services. As part of this we have identified the top 503 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.