Annual report and accounts 2024

It has been a year of good progress across the group. Our strategy is helping us to meet the changing demands for healthcare, as we expand our reach beyond our hospitals and clinics to help meet Britain’s healthcare needs. We continued to grow and cared for over 1.3 million patients in 2024. The business delivered a good financial performance in a dynamic macroeconomic environment, and we expect to make further good progress in 2025 by making further savings across the business.

Our model for success

Delivering sustainable shareholder value

• Building scale and access
• Investing in growth and high-return sectors
• Focusing on efficiency and expertise
• Driving quality and patient experience

Delivering societal value

• Helping to create a healthier and more productive Britain
• Providing the highest quality care
• Boosting the UK economy
• Supporting communities, global and local

Our strategy helps us to meet more of Britain’s healthcare needs. It is a strategy that works by focusing on quality and safety, champions sustainability throughout the organisation, recognises the vital role our colleagues play, helps us to expand into new areas of healthcare to meet more people’s needs, and delivers a strong financial performance for our shareholders while generating value for all our stakeholders.

View our strategy

We are becoming an integrated healthcare provider, looking after people’s health and wellbeing with a range of private GP, occupational health, musculoskeletal and, mental health and NHS talking therapies services. We are seeking new ways to tackle the causes of ill health and low productivity, supporting choice, and partnering with the NHS while offering synergies to our hospital business.

In 2022, we acquired The Doctors Clinic Group, which now provides occupational health and private GP services under Spire Occupational Health and London Doctors Clinic brands. In 2023, we acquired Vita Health Group, a market-leading provider of NHS talking therapies, musculoskeletal and dermatology services, as well as corporate and occupational health services. In 2024 we opened three new clinics in Wales, Norwich and Harrogate, and started offering online mental health services under Spire Mental Health. In early 2025, we acquired Acorn Occupational Health, contributing further to the reach of our occupational health offering.

These services comprise the primary care services section of our business, complementing the hospitals business.

Read more here

There are three elements to the strategy:

• Respect the environment - We are committed to minimising the environmental impact of our operations and maintaining the group’s resilience to environmental risks and impacts
• Engage our people and communities - We are a people business. By hiring talented people and providing an environment in which to grow and develop their careers, our patients and the communities with whom we interact, and society at large, will benefit
• Operate responsibly - We aim to operate to the highest standards in everything we do, ensuring honesty, integrity, proper governance and compliance at all times. We promote an ethical culture across the group

View our sustainability report