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Detailed research report on health care services in United Kingdom with marketshare and growth rates for 18 sectors (HBI Intelligence)
Database of the top 519+ 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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Country ReportUnited 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.
Private equity has reportedly rekindled interest in UK-Australia teleradiology group Everlight Radiology, over a year after owner ICG kickstarted a sales process before COVID hit. But with UK competitor Medica revealing a 20% drop in revenue for the year becau...
Demand for aesthetic surgical procedures and cosmetic dentistry is on the rise, fuelled by both a Zoom meeting culture where everyone is aware of their appearance on camera, and the lockdown enabling otherwise undisguisable procedures to remain hidden during r...
PE firm Waterland is buying UK mental health and adult specialist care operator The Priory Group from American Acadia Healthcare for €1.2bn and will merge it with existing portfolio company German rehab chain Median to create a c.€2bn revenue group, the si...
Digital coaching group Liva Healthcare has raised €24.5m, led by Verlinvest, as it targets expansion into Germany and Benelux states. CEO Andre Sode tells HBI that providers using the tool can better monitor up to five times more patients annually....
Vaccine teams started working en masse in UK care homes this week, providers tell HBI. The new move is expected to greatly accelerate the vaccination programme - one of the first of its kind in the world - as residents until now have had to leave facilities to...
In many markets there is a growing, perhaps even an insatiable demand for unskilled homecare. Is it a sector where it is possible to make money, and how? Is reimbursement sufficient? How do you attract and retain staff? And what effect is COVID having on the m...
With increasingly strained public health systems firmly in the spotlight during COVID, and a reliance on for-profit providers to step into the breach and help, relations between for-profit groups and governments have been cordial recently - or at least thawing...
There is a crisis in access to treatment in the UK as private and NHS waiting lists soar, said panellists at the 'State of the Region: The UK' at HBI 2020. ...
Database of 519 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 519 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.
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