Annual report and accounts 2025

Spire’s performance in 2025 was resilient, driven by successful strategic delivery. Our strategy is helping us to meet the changing demands for healthcare, as we expand our reach beyond our hospitals into primary care to become increasingly integrated and meet more of Britain’s healthcare needs. We continued to grow and cared for over 1.36 million people in 2025. The business delivered a resilient financial performance in an uncertain market, and we expect to make further good progress in 2026 by making further savings across the business and further integrating service delivery.

Delivering:

Making a positive difference to people’s lives, through outstanding personalised care.

Transforming for our future:

As we continue to evolve to respond to stakeholder needs, our business is transforming.

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 increasingly integrated healthcare provider, looking after people’s health and wellbeing with a range of private GP, workplace health, musculoskeletal, mental health and NHS talking therapies services. We are providing ways for patients, the NHS and employers to tackle ill health and the causes of low productivity, supporting patient choice, and partnering with the NHS while offering synergies to our hospital business.

Through acquisitions in 2022, 2023 and 2024, we now provide broadening primary care services at almost 100 clinical sites. Our workplace health offering for employers can advise, prevent and treat people and currently has almost 1,400 clients, enhanced by the acquisition in 2025 of Acorn Occupational Health.

Our private GP services care for around 8,000 patients a month in hospitals and clinics under Spire GP and London Doctors Clinic names. Vita Health Group is the leading independent provider of NHS talking therapies. Physiotherapy is offered in a growing number of mixed-use clinics with pathways from GP care and into hospitals. Our physio services were enhanced by the acquisition in 2025 of Physiolistic Limited in the Thames Valley area.

In 2025 we opened five new clinics in Wimbledon, King’s Lynn, Clapham, Guildford and Kingston, increasing capacity.

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