Looking After You

Spire Healthcare Group plc Annual Report 2020

Our year in review

In 2020 Spire Healthcare came together with the NHS and the rest of the independent sector to support the UK’s COVID-19 response. An unprecedented agreement between the public and private sectors saved lives, supported the nation’s healthcare infrastructure and protected Spire’s liquidity.

Garry Watts

More than most, Spire Healthcare has been at the frontline, supporting public health in the UK, and I couldn’t be prouder of the critical role our people have played during the national COVID-19 pandemic.

Justin Ash
Chief Executive Officer

Financial highlights



2019: £980.8 million

Conversion of EBITDA to cash


2019: 109%

Private revenue growth


2019: £670.6 million 

Net debt / EBITDA


2019: 2.99x

Case studies: our response to the COVID-19 pandemic

Spire Norwich Hospital

When we joined forces with the Norfolk and Norwich University Hospital NHS Foundation Trust (NNUH) to deliver specialist treatments to NHS patients throughout the coronavirus pandemic, the most important thing was to quickly establish an excellent service relationship.

Spire Manchester Hospital

It was in March, in the early stage of COVID-19, that one of the senior managers from the Trust came in to look around our hospital. We were told that they had a group of extremely vulnerable patients who they needed to keep safe.

Spire Clare Park Hospital

"It has been an absolute pleasure working alongside you throughout this challenging time. Your skillset has been a great addition to our COVID team. Thank you for being a positive influence on the theatre team. I look forward to working with you again. Keep up the excellent work." - NHS Trust Team Leader.

Spire Leeds Hospital

The level of investment in the hospital and the rebalancing of our teams meant we had a lot more people in place – putting us in a good position to deal with the demands of the COVID-19 pandemic.