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82GS Bupa Fin. 35

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BUPA Finance PLC Bupa Finance Plc Announces 2023 Half Year Results (1959I)

03/08/2023 7:04am

UK Regulatory


Bupa Fin. 35 (LSE:82GS)
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TIDM82GS

RNS Number : 1959I

BUPA Finance PLC

03 August 2023

Bupa Finance plc (Bupa Finance)

HALF YEAR STATEMENT FOR THE SIX MONTHS TO 30 JUNE 2023

Financial headlines(1)

 
      --        Revenue(2) of GBP7.4bn was up 9% (HY 2022: GBP6.8bn) at Constant 
                 Exchange Rates (CER) with period-on-period growth across all 
                 lines of business and Market Units driven by: 
                  *    Customer volume growth with insurance customers 
                       increasing by over four million, provision customers 
                       increasing by one million and occupancy rates in aged 
                       care 4ppt higher period-on-period; and 
 
 
                  *    The impact of pricing action, as we seek to balance 
                       continued high inflation, remaining competitive for 
                       customers and maintaining discipline in our 
                       underwriting of insurance risk. 
          This half year report for 2023 marks our first set of results 
           reporting on the new IFRS 17 accounting standard for insurance 
           contracts which does not impact the overall economics of our 
           business or strategy, but does change the presentation of 
           our results and specifically the following: 
      --  Under the new accounting rules, we are no longer able to hold 
           certain provisions(3) in Australia related to the COVID-19 
           pandemic. The absence of these provisions has led to significant 
           fluctuations in both our restated H1 2022 and H1 2023 reported 
           profits. 
                Underlying profit(4) before taxation of GBP321m was down 15% 
                 at CER (HY 2022: GBP379m). This was principally driven by 
                 Australian health insurance where: 
                  *    In the first half of 2022 we experienced lower claims 
                       frequency and higher margins due to the impact of 
                       COVID-19; and 
 
 
                  *    In the first half of 2023, costs associated with 
                       returning claims savings to customers increased to 
                       GBP231m (HY 2022: GBP109m). 
 
 
                 Profits in our other Market Units grew significantly driven 
                 by higher investment returns, customer volume growth and the 
                 impact of premium rate changes in the Chile Isapre business 
                 reducing losses. 
          Statutory profit before taxation of GBP310m increased by 8% 
           at AER (HY 2022: GBP286m) with the reduction in underlying 
           profit offset by favourable movements in non-underlying items. 
          Solvency II capital coverage ratio remains strong at 171%(5) 
           (FY 2022: 181%) with leverage (excluding IFRS 16 lease liabilities) 
           of 20.1% (FY 2022: 19.4%). 
 

Business context

 
  Our performance is driven by continued good customer volume 
   growth in health insurance, increased activity in health 
   provision and higher occupancy rates in aged care leading 
   to period-on-period revenue growth in all lines of business. 
  The announcement of a further return of GBP175m (A$320m) 
   claims savings to Australian Health insurance customers in 
   June takes the total financial impact of claims savings returned 
   in H1 2023 to GBP231m (HY 2022: GBP109m). 
  The global macro-economic, political and regulatory environment 
   within which we operate remains uncertain, with high and 
   more persistent levels of inflation than expected. Interest 
   rates have risen in response as central banks have sought 
   to tackle inflation. Through these challenging times we are 
   committed to keeping our pricing as competitive as possible 
   for our customers, maintaining a tight focus on efficiencies 
   across the Group. 
 

Iñaki Ereño, Bupa Group CEO, commented:

"These results reflect continuing good organic growth across our health insurance businesses, increased activity in our health provision businesses to meet growing customer demand and improving occupancy rates in aged care. We continue to be encouraged by the overall performance of the Group as we become an increasingly digital business while navigating market challenges.

"We are confident for the future and there is positive momentum behind our strategy and our ambition to be the world's most customer-centric healthcare company. We are seeing the results of our 3x6 strategy which continues to inspire our people in the delivery of great customer service alongside high standards of care. There is much to do, but we are well positioned to meet our customers' healthcare needs. We also remain focused on our purpose, as we support wider communities where we can while tackling environmental issues."

Market performance (all at CER)

 
      --  Bupa Asia Pacific: Revenue increased by 1% to GBP2,773m. 
           Excluding the financial impact of returning claims savings 
           to customers, revenues increased by 5% to GBP3,004m. This 
           was driven by pricing action, customer growth in Australian 
           health insurance, higher occupancy in aged care and revenue 
           growth in our Hong Kong(6) business with higher volumes in 
           health services. On a reported basis, underlying profit reduced 
           by 84% to GBP40m as an increase in revenues was offset by 
           a margin reduction in Australia Health insurance, following 
           higher claims frequency and the cost of returning COVID-19 
           claims savings to customers. 
      --  Europe and Latin America: Revenue grew by 16% to GBP2,552m 
           with every business unit delivering growth period-on-period 
           driven by customer growth and pricing to keep pace with rates 
           of inflation. Underlying profit increased by 107% to GBP145m 
           in the year, driven by revenue growth and higher investment 
           returns. In Bupa Chile, the regulator-approved GES(7) pricing 
           increases in the Isapre business in October 2022 significantly 
           reduced reported losses. However, the outlook for this business 
           remains uncertain as regulatory interventions and legislative 
           and judicial decisions remain unclear around the Isapre insurance 
           sector (see note on Chile in the Financial Review section 
           for further detail). 
      --  Bupa Global and UK: Revenue grew by 10% to GBP2,063m driven 
           by higher customer volumes in insurance. Underlying profit 
           increased by 112% to GBP142m driven by revenue growth and 
           higher investment returns in UK Insurance and continued delivery 
           of the turnaround in Bupa Global, our international private 
           medical insurance (IPMI) business. UK Insurance profit was 
           temporarily increased by the release of the return of premium 
           provision (GBP59m) in response to deferred claims costs, a 
           significant proportion of which are now expected to arise 
           later in 2023 and into 2024 following evidence of increased 
           deferred claims in the first half of 2023. UK Dental underlying 
           losses also reduced as delivery of the turnaround strategy 
           commenced. 
      --  Other businesses: Our businesses in Saudi Arabia and India 
           have delivered significant growth, with underlying profit 
           increasing by 112% to GBP43m largely driven by increased customer 
           volumes in both businesses. 
 

Financial position

 
      --  Solvency II capital coverage ratio remained strong at 171% 
           (FY 2022: 181%). 
      --  Leverage ratio is 28.0% (FY 2022: 27.3%) when including IFRS 
           16 lease liabilities. Excluding these liabilities, the leverage 
           ratio is 20.1% (FY 2022: 19.4%). In the first half of the 
           year, we repaid GBP250m of maturing Tier 2 debt, drawing down 
           on our revolving credit facility to finance the repayment. 
      --  Net cash generated from operating activities increased by 
           GBP208m period-on-period to GBP875m, driven by higher revenue 
           and profitability across market units partly offset by higher 
           claims frequency in Australia. 
 

Other highlights

 
      --  We launched Viva, a package of Group-wide health and well-being 
           initiatives which will give all of Bupa's workforce access 
           to health benefits by the end of 2023. Viva amounts to GBP26m 
           of extra investment in our people's health each year and will 
           help us to both recruit new employees and retain existing 
           employees. 
      --  We scaled up our Healthy Cities programme to help us reach 
           our goal of supporting one million people each year, an initiative 
           that aims to improve peoples' health through the regeneration 
           and restoration of nature. 
      --  We held our first Bupa Healthcare Symposium in May, a major 
           clinical conference for leaders across the healthcare sector 
           to discuss the challenges and opportunities we face together. 
      --  We hosted our Bupa eco-Disruptive Live event in July, an immersive 
           experience showcasing our sustainability strategy alongside 
           many of the start-ups from our eco-Disruptive programme (which 
           is now in its third year) who are working to tackle the threat 
           of climate change. 
          Following the devastating earthquake in Türkiye in February, 
           we approved a funding package of GBP3m for humanitarian aid 
           and healthcare through our local business, Bupa Acibadem Sigorta. 
          Our LUX MED team in Poland are maintaining their support for 
           Ukrainian refugees who have been forced to flee the war. To 
           date, we have provided 388,000 free treatments to over 217,000 
           people and have employed 271 healthcare workers from Ukraine. 
 

Note on Chile

 
  As stated in the Full Year results for 2022, the Isapre insurance 
   industry in Chile continues to be negatively impacted by 
   judicial and regulatory action. 
  The Chilean Supreme Court has significantly shifted its interpretation 
   of Isapre pricing in recent years, with the cumulative effect 
   of restricting the previously permitted, and generally accepted, 
   pricing/rate-setting approach. In December 2022, the Supreme 
   Court issued a ruling which requires Isapres to use a statutory 
   risk factor table with retrospective effect - meaning product 
   coverage is not matched by the ability to increase rates 
   to reflect the cost of such coverage. The situation remains 
   as described in the Full Year results for 2022, other than 
   that the date by which the relevant regulator has to implement 
   it has been extended from May 2023 to November 2023. 
  The potential short- and long-term implications for Isapre 
   Cruz Blanca are highly uncertain. Further details regarding 
   the potential retrospective financial implications of these 
   developments are included in the Financial Review. 
 

Enquiries

Media

Mark Street (External Communications): mark.street@bupa.com

Duncan West (External Communications): duncan.west@bupa.com

Investors

Gareth Evans (Treasury): ir@bupa.com

About Bupa Finance plc

Bupa Finance plc (the Company) is a company incorporated in England and Wales. The Condensed Consolidated Half Year Financial Statements comprise the financial results and position of the Company and its subsidiary companies (together referred to as the Group). The immediate and ultimate parent of the Company is The British United Provident Association Limited (the Parent), which is also the ultimate parent company of the Bupa Group (Bupa).

Bupa's purpose is helping people live longer, healthier, happier lives and making a better world. We are an international healthcare company serving over 43 million(8) customers worldwide. With no shareholders, Bupa Group reinvests profits into providing more and better healthcare for the benefit of current and future customers.

We directly employ around 82,000 people, principally in the UK, Australia, Spain, Chile, Poland, New Zealand, Hong Kong, Türkiye, Brazil, Mexico, the US, Middle East and Ireland. We also have associate businesses in Saudi Arabia and India.

 
 
 

Disclaimer: Cautionary statement concerning forward-looking statements

This document may contain certain 'forward-looking statements'. Forward-looking statements often use words such as 'intend', 'aim', 'project', 'anticipate', 'estimate', 'plan', 'believe', 'expect', 'forecasts', 'may', 'could', 'should', 'will', 'continue' or other words of similar meaning. Statements that are not historical facts, including statements about the beliefs and expectations of The British United Provident Association Limited (Bupa) and Bupa's directors or management, are forward-looking statements. In particular, but not exclusively, these may relate to Bupa's plans, current goals and expectations relating to future financial condition, performance and results.

By their nature, forward-looking statements involve risk and uncertainty because they relate to events and depend upon future circumstances that may or may not occur, many of which are beyond Bupa's control and all of which are solely based on Bupa's current beliefs and expectations about future events. These circumstances include, among others, global economic and business conditions, market-related risks such as fluctuations in interest rates and exchange rates, the policies and actions of governmental and regulatory authorities, risks arising out of health crises and pandemics, the impact of competition, the timing, impact and other uncertainties of future mergers or combinations within relevant industries. Such forward-looking statements involve known and unknown risks, uncertainties and other factors, which may cause the actual future condition, results, performance or achievements of Bupa or its industry to be materially different to those expressed or implied by such forward-looking statements. Recipients should not place reliance on, and are cautioned against relying on, any forward-looking statements. Except as required by any laws and regulations,, Bupa expressly disclaims any obligations or undertakings to release publicly any updates or revisions to any forward-looking statements to reflect any change in the expectations of Bupa with regard thereto or any change in events, conditions or circumstances on which any such statement is based.

Forward-looking statements in this document are current only as of the date on which such statements are made. No statement in this document is intended to be a profit forecast. Neither the content of Bupa's website nor the content of any other website accessible from hyperlinks on Bupa's website is incorporated into, or forms part of, this document.

Bupa Group CEO's review

These results reflect continuing good organic growth across many of our health insurance businesses, increased activity in our health provision businesses to meet growing customer demand and improving occupancy rates in aged care. We continue to be encouraged by the overall performance of the Group as we transform our businesses while navigating market challenges.

The macro-economic environment over the past year has presented challenges for all businesses. As an international healthcare company, we face into this from a position of strength with customer demand for our services growing. Our size enables us to be more competitive on costs and our increasing vertical integration across funding and provision affords us more control over the expense base.

We are committed to serving our customers across health insurance, provision and aged care, and we have made great progress since we launched the 3x6 strategy in March 2021. The strategy is inspiring our people to prioritise customer experience alongside high standards of care as well as transforming the organisation. In this way, we are 'running' and 'changing' Bupa at the same time.

We are continuing to drive strong customer growth in our health insurance businesses across all of our Market Units. We're responding to increasing demand for high quality healthcare services and meeting changing customer needs by continuing to progress digital access to healthcare via Blua and our other digital health solutions. For example, we have over one million customers in the UK holding a digital account with us, giving them access to our healthcare apps.

In our health provision businesses, we are seeing the benefit of increasing customer demand for healthcare services. Occupancy rates have increased across all our aged care businesses as numbers continue to improve following the impact of the pandemic.

Our people are at the heart of our 3x6 strategy. This year we launched Viva, a package of health and wellbeing initiatives to help our employees worldwide. Viva represents the doubling of our spend on medical benefits and GBP26m of extra investment each year in our people's health. By the end of this year, all 82,000 of our people globally will have improved health benefits, with the vast majority using Bupa products.

Outlook

Our outlook on the economic backdrop for the business is broadly unchanged since the full year results for 2022. We continue to see high levels of inflation increasing costs for our business and for our customers. The labour market in certain sectors continues to be a challenge impacting some aged care and provision businesses.

We are encouraged by the positive overall performance across the Group and how our businesses are transforming against the strategic mandates they are given as part of our portfolio management strategy. Bupa Global continues to deliver strong growth in profitability. In UK Dental, actions are well underway to exit loss-making practices and management are making good progress on their new strategy.

As stated in the Business Risk section, changes in governmental and regulatory policy continue to be one of our top risks given the nature of our businesses. This risk is present in Chile, where the Isapre insurance industry continues to be negatively impacted by political uncertainty, potential changes in law and regulatory and judicial action. This results in Contingent Liabilities being present as at 30 June 2023, as summarised in the Financial Review. The situation remains highly uncertain with a broad range of possible outcomes from these exposures, which, depending on the outcome of the current uncertainty, could result in material liabilities arising and material ongoing losses within the Isapre business.

We are confident for the future and there is positive momentum behind our 3x6 strategy and our ambition to be the world's most customer-centric healthcare company. There is much to do, but we are well positioned to meet customer healthcare needs with an ever-increasing focus on health and wellbeing in society at large.

FINANCIAL REVIEW

Summary

 
                         HY 2023   HY 2022   % growth/   HY 2022   % growth/ 
                                     (AER)   (decline)     (CER)   (decline) 
Revenue                 GBP7.4bn  GBP6.7bn         10%  GBP6.8bn          9% 
----------------------  --------  --------  ----------  -------- 
Underlying profit        GBP321m   GBP378m       (15)%   GBP379m       (15)% 
----------------------  --------  --------  ----------  -------- 
Cash generated from      GBP875m   GBP667m         31%       n/a         n/a 
 operating activities 
----------------------  --------  --------  ----------  -------- 
Statutory Profit         GBP310m   GBP286m          8%       n/a         n/a 
 before tax 
----------------------  --------  --------  ----------  -------- 
Leverage (excl. 
 IFRS 16)                  20.1%     19.5%   (0.6)ppts       n/a         n/a 
----------------------  --------  --------  ----------  -------- 
Leverage (incl. 
 IFRS 16)                  28.0%     26.8%   (1.2)ppts       n/a         n/a 
----------------------  --------  --------  ----------  -------- 
Solvency                    171%      181%    (10)ppts       n/a         n/a 
----------------------  --------  --------  ----------  -------- 
 

Revenue (CER)

Group revenue was up 9% as a result of customer growth in insurance, increased activity in health provision and higher occupancy in aged care. This was partially offset by a significant increase in the cost of returning claims savings to customers in Australian health insurance taking the total cost of the return in the first half of 2023 to GBP231m (HY 2022: GBP109m). Pricing action drove revenue growth across all lines of business as we seek to balance continued high inflation, remaining competitive for customers and maintaining discipline in our underwriting of insurance risk

Revenue in health insurance grew by 8% with customer growth of 9%(9) period-on-period. Our businesses in the Europe and Latin America and Bupa Global and UK Market Units were the key drivers of growth while good growth in APAC was offset by the increased financial impact of returning of claims savings to customers under our COVID-19 customer support programme.

Our health provision businesses saw revenue growth of 12% driven by higher levels of activity and pricing action.

In aged care, revenue was up 8% as occupancy rates increased. All of our businesses in the UK, Spain, Australia and New Zealand contributed to the improvement.

Underlying profit (CER)

Group underlying profit decreased 15% to GBP321m (HY 2022: GBP379m). This was principally driven by Australian health insurance where in the first half of 2022 we experienced lower claims frequency and higher margins due to the impact of COVID-19. In the first half of 2023, costs associated with returning claims savings to customers increased to GBP231m (HY 2022: GBP109m). Profits in our other Market Units grew significantly driven by higher investment returns and customer volume growth. In part the impact of the return of premium release in UK insurance also contributed to the increase, along with premium rate changes in the Isapre business reducing losses.

Health insurance underlying profit decreased as growth in revenues and investment returns across all Market Units were offset by lower margins in Australian health insurance as claims frequency increased following lower claims frequency in H1 2022 due to the impact of COVID-19. Margins across our Europe and Latin America Market Unit improved, driven in part by the impact of premium rate changes in the Isapre business. In Bupa Global and UK, UK Insurance profit was temporarily increased by the release of the return of premium provision (GBP59m) in response to deferred claims costs, a significant proportion of which are now expected to arise later in 2023 and into 2024 following evidence of increased deferred claims in the first half of 2023.

Profitability grew strongly in health provision due to a favourable CPI update on our public private health partnership in Spain, improved margins and customer growth, except in Chile where provision volumes are lower as a result of challenges in the Isapre business.

Aged care returned to profitability in the period driven by increasing levels of occupancy. Price increases and higher government funding were broadly offset by the impact of higher operating expenses and staffing costs.

Group functions costs increased to GBP(49)m (HY 2022: GBP(32)m) mainly driven by higher interest rates on variable rate debt, an increase in centrally funded investments into ESG initiatives and higher staff costs.

Statutory profit

Statutory profit before taxation was GBP310m up 8% at AER (HY 2022: GBP286m), as the lower underlying result was offset by the movement in non-underlying items which totalled an GBP11m cost at HY 2023, compared with a GBP92m cost at HY 2022.

The key drivers of the movement in non-underlying items at HY 2023 were short-term fluctuations on investment returns where we reported a gain of GBP6m (HY 2022: GBP44m loss). Our return-seeking asset portfolio delivered a positive return in H1 2023, with higher yields seen on floating rate assets and relatively stable valuations on longer-dated funds with the adverse impact from higher yields being offset by tighter credit spreads. This compares to material mark-to-market losses we saw across the portfolio in H1 2022 following general market volatility and inflationary pressure which led to a significant increase in both interest rates and credit spreads in the period. We also reported a gain on realised and unrealised foreign exchange in the period of GBP12m (HY 2022: GBP18m loss).

Also included is a GBP16m (HY 2022: GBP17m) amortisation charge on intangible assets in Bupa Villages and Aged Care Australia following the government announcement to deregulate bed licences from 2024; and other items of (GBP(11)m) (HY 2022: GBP(10)m) which primarily relates to restructuring.

 
                                                       HY 2023  HY 2022 
                                                         GBPm     GBPm 
Bupa Asia Pacific at CER                                 40       254 
-----------------------------------------------------  ------- 
Europe and Latin America at CER                          145      70 
-----------------------------------------------------  ------- 
Bupa Global and UK at CER                                142      67 
-----------------------------------------------------  ------- 
Other businesses at CER                                  43       20 
-----------------------------------------------------  ------- 
Group functions                                         (49)     (32) 
-----------------------------------------------------  ------- 
Consolidated underlying profit before taxation 
 at CER                                                  321      379 
-----------------------------------------------------  ------- 
Foreign exchange re-translation on 2022 results 
 (CER/AER)                                                -       (1) 
-----------------------------------------------------  ------- 
Consolidated underlying profit before taxation 
 at AER                                                  321      378 
-----------------------------------------------------  ------- 
Short-term fluctuation on investment returns 
 inc. Mark to Market                                      6      (44) 
-----------------------------------------------------  ------- 
Net loss on disposal of businesses and transaction 
 costs on business combinations                          (2)      (2) 
-----------------------------------------------------  ------- 
Net property revaluation loss                             -       (1) 
-----------------------------------------------------  ------- 
Realised and unrealised foreign exchange gain/(loss)     12      (18) 
-----------------------------------------------------  ------- 
Amortisation of bed licences                            (16)     (17) 
-----------------------------------------------------  ------- 
Other non-underlying items                              (11)     (10) 
-----------------------------------------------------  ------- 
Total non-underlying items                              (11)     (92) 
-----------------------------------------------------  ------- 
Statutory profit before taxation at AER                  310      286 
-----------------------------------------------------  ------- 
 

IFRS 17 Insurance Contracts

The IFRS 17 Insurance Contracts standard was issued in May 2017 as a replacement for IFRS 4 Insurance Contracts, with effect for annual accounting periods beginning on or after 1 January 2023. In applying the new standard, the Group is applying the simplified Premium Allocation Approach leading to revenue recognition that is consistent with that used under IFRS 4. The Group's net assets at transition on 1 January 2022 were reduced by GBP56m. This is due to the derecognition of deferred acquisition costs assets and the recognition of the loss component on onerous contracts, offset by the derecognition of both deferred claims liabilities and the premium deferral provision in our Australian insurance business, as these are not included under IFRS 17. The change to IFRS 17 results in a restatement of our reported Half Year 2022 underlying profit from GBP280m to GBP363m(10) . This increase is mainly driven by the derecognition of the deferred claims liability and premium rate increase deferral provisions. Beyond this, the impact of IFRS 17 is small, with other factors driving the restatement of profits including the change from deferring acquisition costs to expensing up front and the recognition of losses on onerous contracts up front. See note 1.4 of the accounts for further detail on the impacts of IFRS 17.

Insurance service result

Following the transition to IFRS 17 we are required to report an insurance service result which comprises: insurance revenue, less insurance service expenses. This result excludes financial income and expenses. For HY 2023 the Group insurance service result was GBP176m (HY 2022: GBP315m) driving a combined operating ratio of 97% (HY 2022: 93%). The reduction in the insurance service result is driven by higher revenues across all market units, offset by lower margins in Australian health insurance due to higher claims frequency and increased cost of returning claims savings to customers. Margins across our Europe and Latin America market improved, driven in part by the impact of the GES price increase. In Bupa Global and UK, UK Insurance profit was temporarily increased by the release of the return of premium provision (GBP59m) in response to deferred claims costs, a significant proportion of which are now expected to arise later in 2023 and into 2024 following evidence of increased deferred claims in the first half of 2023.

Taxation

The Group's effective taxation rate for the period was 22% (HY 2022: 33%; FY 2022: (48)%), which is in line with the current UK corporation taxation rate of 23.5%.

The Group operates in the UK where new tax legislation to implement a global minimum top-up tax has been substantively enacted. Since the newly enacted tax legislation in the UK is effective only from 1 January 2024, there is no current tax impact in the period (HY 2022: GBPnil). The Group has applied a temporary mandatory relief from deferred tax accounting for the impacts of the top-up tax, and instead accounts for it as a current tax when it is incurred. If the top-up tax had applied in 2023, the impact would not have been material for the Group.

Cash flow

Net cash generated from operating activities increased by GBP208m period-on-period to GBP875m driven by higher revenue and profitability across Market Units partially offset by higher claims frequency in Australia. Net cash flow from investing activities reduced by GBP234m to GBP503m driven by lower cash invested into financial assets versus the same period last year due to higher claims volumes in APAC coupled with higher cash balances in ELA. Higher cash repatriations reduced cash used in financing activities by GBP4m to GBP170m.

Funding

We manage our funding prudently to ensure a strong platform for continued growth. Bupa's policy is to maintain investment grade access to both the senior and subordinated bond markets. Fitch and Moody's reviewed Bupa's credit ratings during 2022 with Moody's changing the outlook for Bupa's ratings to stable from negative. There have been no rating changes in 2023.

We continue to hold a good level of Group liquidity. At 30 June 2023, our GBP900m Revolving Credit Facility was drawn by GBP381m (FY 2022: GBP70m). We used the facility in the first half of the year to repay a subordinated bond on its scheduled maturity date. Coverage of financial covenants within the facility remains strong.

We focus on managing our leverage in line with our credit rating objectives. Leverage excluding IFRS 16 leases at 30 June 2023 was 20.1% ( FY 2022: 19.4%; HY 2022: 19.5%) and was 28.0% (FY 2022: 27.3%; HY 2022: 26.8% ) when IFRS 16 lease liabilities are included.

Chile - Isapre Cruz Blanca contingent liabilities

As disclosed in the 2022 Annual Report and Accounts, the Isapre insurance industry in Chile continues to be negatively impacted by judicial and regulatory action. We continue to recognise a material contingent liability as a result of the December 2022 Supreme Court ruling in Chile. The method of implementation of the statutory risk factor table following the Supreme Court decision of December 2022 remains unclear. Given the continuing uncertainty, Cruz Blanca is unable to reliably estimate the value of any such future retrospective payments, therefore, no IFRS provision has been recognised as at 30 June 2023.

There are a wide range of possible outcomes, however, in contrast to the requirements of IFRS, under Solvency II the Group is required to include a value for contingent liabilities, even if the amount of the obligation cannot be measured with sufficient reliability. The Group has included an allowance of GBP160m (FY 2022: GBP100m) for this contingent liability for retrospective payments within the Solvency II regulatory balance sheet. As previously stated, the final impact is likely to differ materially from this value and this is a calculation for Solvency II purposes and not a pre-estimate of all actual or potential losses relating to Isapre Cruz Blanca. Any retrospective payments finally determined to be due in respect of historic policies as a result of this ruling would be liabilities for Isapre Cruz Blanca.

In addition, the regulator approved Garantias Explicitas en Salud (GES) pricing increases, in place since October 2022, are subject to judicialisation. A ruling is expected later in the year which could lead to liabilities for retrospective payments. The situation is uncertain and any potential financial impact is contingent on the future outcome of the judicialisation.

See the Commitments and Contingencies note (Note 19) within the financial statements for further details.

Solvency

Our solvency coverage ratio of 171%(11) remains strong and is above our target working range of 140-170%.

The Group holds capital to cover its Solvency Capital Requirement (SCR), calculated on a Standard Formula basis, considering all our risks, including those related to non-insurance businesses. As at 30 June 2023, the estimated SCR of GBP2.7bn was GBP0.05bn higher and Own Funds of GBP4.6bn was GBP0.3bn lower when compared to 31 December 2022.

Our surplus capital was estimated to be GBP1.9bn, compared to GBP2.2bn at 31 December 2022, representing a solvency coverage ratio of 171%(11) (FY 2022: 181%). Our business continued to generate capital through our underlying profitability. This capital generation was more than offset by the GBP250m repayment of Tier 2 subordinated debt, capital expenditure, and debt financing costs.

We perform an analysis of the relative sensitivity of our estimated solvency coverage ratio to changes in market conditions and underwriting performance. Each sensitivity is an independent stress of a single risk and before any management actions. The selected sensitivities do not represent our expectations for future market and business conditions. A movement in values of properties that we own continues to be the most sensitive item, with a 10% decrease having a 11 percentage point reduction to the solvency coverage ratio.

Our capital position is resilient in the face of the individual risks, illustrating the strength of our balance sheet.

 
                                                  Solvency II 
Risk Sensitivities                               coverage ratio 
Solvency coverage ratio(11)                          171% 
---------------------------------------------- 
Property values -10%                                 160% 
---------------------------------------------- 
Loss ratio worsening by 2%(12)                       163% 
---------------------------------------------- 
Sterling depreciates by 20%                          165% 
---------------------------------------------- 
Group Specific Parameter (GSP) +0.2%(13)             169% 
---------------------------------------------- 
Credit spreads +100bps (no credit transition)        170% 
---------------------------------------------- 
Interest rate -100bps                                170% 
---------------------------------------------- 
Pension risk +10%                                    171% 
---------------------------------------------- 
Equity markets -20%                                  171% 
---------------------------------------------- 
 

We include a GSP in respect of the insurance risk parameter in the Standard Formula. We apply a premium recognition adjustment to the GSP loss ratio data to allow for the distorting impact of the COVID-19 pandemic.

MARKET UNIT PERFORMANCE

Bupa Asia Pacific

 
                Revenue    Underlying profit 
HY 2023         GBP2,773m  GBP40m 
HY 2022 (AER)   GBP2,759m  GBP257m 
% growth        1%         (84)% 
 
HY 2022 (CER)   GBP2,741m  GBP254m 
% growth        1%         (84)% 
 

(Commentary on a CER basis)

Excluding the impact of returning claims savings to Australian insurance customers, revenue increased 5%, primarily driven by Australian health insurance, an increase in Australia and New Zealand aged care occupancy, and revenue growth in Hong Kong due to higher volumes in health services. On a reported basis, revenue grew by 1% including a GBP231m reduction in revenue as a result of returning claims savings to customers (HY 2022: GBP109m).

Reported profit reduced as a result of returning COVID-19 claim savings to Australian health insurance customers and lower claims frequency in H1 2022 due to COVID-19.

We have continued to support our customers and, in June, announced the return of GBP175m (A$320m) to Australian health insurance customers under our COVID-19 customer support programme, taking the total support delivered to customers since the start of the pandemic to GBP0.7bn (A$1.27bn). The June cashback was on top of the six-month premium rate deferral from 1 April 2023 to 1 October 2023 that was announced earlier in the year. The customer support programme and the implementation of IFRS 17 has introduced significant fluctuations into our profits as we return claims savings to our customers.

Excluding the impact of returning claims savings, Australian health insurance, revenues increased by 6% as a result of strong growth in domestic and international customer numbers and the November 2022 premium rate increase. On a reported basis the combined operating ratio (COR) increased to 100% (HY 2022: 86%) as the cost of returning COVID-19 claim savings to customers increased and claims frequency was higher. Health Insurance has continued to deliver strong growth across all service propositions, including Blua (virtual GP consultations for international members), Healthcare Programmes (including rehabilitation and chemotherapy in the home) and Bupa Telehealth. We continue to negotiate with hospitals on new contracts, amidst increased indexation pressures from hospitals, including signing a two-year agreement with St John of God Health Care to deliver Bupa customers greater choice and access to services and to limit out of pocket costs.

Australian Health Services revenue was marginally lower due to a temporary policy change affecting the Bupa Medical Visa Services business which impacted assessment volumes, coupled with the closure of a small number of Australian dental clinics over the past year. Overall, underlying profit increased driven by dental. A new Microvascular Health Assessment, a first in the Australian optometry industry, was launched in Bupa Optical and Hearing, involving artificial intelligence assessing cardiovascular disease risk during a standard eye test.

In Australian Villages and Aged Care, revenue grew due to an increase in occupancy as the sector recovers from the impact of the COVID-19 pandemic. We are working through the implications of a revised funding model, following an announcement in October 2022 by the Australian Federal Government, with the objective of improving levels of care for residents and addressing funding shortfalls in the sector. Underlying losses reduced due to the benefit of higher revenue and lower operating costs, despite homes in regional areas continuing to face significant workforce challenges. Closing occupancy was 87% (HY 2022: 83%).

In New Zealand Villages and Aged Care, revenue increased due to higher occupancy, daily bed rate increases and additional government funding to support aged care nurse pay parity within the hospital sector. Closing occupancy was 91% (HY 2022: 85%).

In Hong Kong, revenue increased due to volume growth in Health Services and re-pricing in Insurance. Underlying losses increased due to higher insurance claims following the relaxing of COVID-19 mandates. This impact was partially offset by strong demand in Hong Kong Health Services for provision services, with the number of customers in the first half of the year increasing by over 200,000 relative to last year, and increased investment returns.

Europe and Latin America

 
  Revenue  Underlying profit 
 
 
 HY 2023         GBP2,552m  GBP145m 
 HY 2022 (AER)   GBP2,108m  GBP66m 
 % growth        21%        118% 
 
 HY 2022 (CER)   GBP2,195m  GBP70m 
 % growth        16%        107% 
 

(Commentary on a CER basis)

Revenue in our Europe and Latin America Market Unit grew by 16% to GBP2,552m as a result of strong customer growth and the impact of pricing action to keep pace with the impact of inflation. Underlying profit increased by 107% to GBP145m at CER driven by the increase in revenues whilst margins improved.

Sanitas Seguros, our health insurance business in Spain, delivered strong revenue growth driven by increased organic customer volumes and the impact of a new strategic alliance with Generali. Underlying profits increased significantly driven by a stable COR, combined with higher revenues and investment returns. The COR for the half year was 93% (HY 2022: 93%). Other business highlights include the acquisition of the health business of Asefa Seguros in June, which increased our health insurance portfolio by 37,000 customers. We also continued to expand digital services and, in June, we reached an average of 71,000 video consultations per month (compared to an average of 66,000 per month in June 2022).

Our dental business in Spain saw increased revenue and underlying profit, driven by higher customer volumes.

In our hospitals business in Spain, revenue increased due to higher levels of activity and favourable CPI update on our public private health partnership. Underlying profit increased due to higher revenues and improved margins. We launched our new physiotherapy model, new clinical units and also announced plans for a new hospital in Madrid.

In Sanitas Mayores, our aged care business in Spain, revenue and underlying performance improved through higher occupancy levels and price increases. Closing occupancy rates increased to 95% (HY 2022: 91%).

In Bupa Chile, we returned to profitability in the first half of the year, due to operating efficiencies and revenue growth driven by regulator-approved price increases relating to a component of Isapre premiums (Garantias Explicitas en Salud or GES) which cover the treatments and medical conditions which Chilean regulation stipulates as mandatory minimum cover by Isapres. This component has been applied at a rate which has resulted in significantly reduced losses in Isapre Cruz Blanca. However, the GES increase is the subject of a Supreme Court action. The outcome of this is uncertain and, in a worst case, could mean the GES increase is cancelled with effect to the date the increase was first put in place (October 2022). Furthermore, Isapre pricing continues to be based on risk factor tables in line with the prior period. In December 2022, the Supreme Court issued a ruling which requires Isapres to use an alternative statutory risk factor table with retrospective effect. The method of implementation of the statutory risk factor table following the Supreme Court decision remains unclear. The deadline for such implementation has been extended to November 2023 and may be extended further. As detailed above in the financial review, contingent liabilities exist in relation to both the risk factor tables and GES uncertainties.

In Poland, LUX MED revenue increased and underlying profit was up as result of strong performance in health provision. Through the period, we have maintained our support for Ukrainian refugees who have been forced to flee the war.

Bupa Acıbadem Sigorta, our health insurance business in Türkiye, delivered substantial revenue growth, driven by organic growth in customers and pricing increases to keep pace with higher rates of inflation. The business moved to profitability in the period due to an improved COR and higher investment returns. The economy is classified as being a hyperinflationary environment, leading to the application of IAS 29. A net monetary loss of GBP5m has been recorded outside of underlying profit for the period. Following the devastating earthquake in Türkiye in February, we approved a funding package of GBP3m for humanitarian aid and healthcare through our local business, Bupa Acibadem Sigorta.

Care Plus in Brazil delivered strong revenue growth in all lines of business. Underlying profits reduced for the period driven by a provision release for onerous contracts impacting the half year 2022 comparator.

Bupa Mexico delivered strong revenue and profit growth due to higher renewal rates in our insurance business combined with good performance from Bité Hospital which we acquired in the last quarter of 2022.

Bupa Global Latin America revenue increased due to higher volumes in the domestic health insurance market in Ecuador and higher price increases across the region. Underlying profits increased driven by higher revenue, investment returns and improved COR. In the period, we finalised an important alliance with Mapfre to jointly develop and offer new health products. The alliance commenced business in Peru and will gradually expand to other countries in Latin America.

Bupa Global and UK

 
                Revenue                 Underlying profit 
HY 2023         GBP2,063m               GBP142m 
HY 2022 (AER)   GBP1,861m               GBP67m 
% growth        11%                     111% 
 
HY 2022 (CER)   GBP1,874m               GBP67m 
% growth        10%                     112% 
 

(Commentary on a CER basis)

We achieved good revenue growth in our Bupa Global and UK Market Unit of 10% to GBP2,063m driven by an increase in the number of UK Insurance and Bupa Global customers, improved occupancy rates in UK Care Services and increased customer activity in Health Services. Underlying profit grew by 112% due to the strong performance in UK Insurance and Bupa Global.

In UK Insurance, underlying profit increased through higher investment returns and strong revenue growth, as we grew by over 250,000 net customers across medical insurance, health trusts, dental insurance and cash plan in the first half of 2023. The UK Insurance profit was temporarily increased by the release of the return of premium provision (GBP59m) in response to deferred claims costs, a significant proportion of which are now expected to arise later in 2023 and into 2024 following evidence of increased deferred claims in the first half of 2023.

We launched the Workplace Mental Health Advantage, a new proposition for corporates focused on early intervention and supporting their workforce to maintain good mental health. We continue to expand our digital services, passing a significant milestone with over one million customers holding a digital account, and we delivered record numbers of digital primary care appointments through our Blua Health app.

In Bupa Global, our IPMI business, revenue and profit improved driven by increased customer volumes in our continuing businesses and strong corporate revenue performance. Under the new regional commercial structure, we continue to make strong progress against targets to deliver long-term sustainable growth. We are achieving this by responding to the distinct needs of our customers and people across global locations, with a focus on maximising efficiency in our operating model, improving systems and digital support for our customers.

The combined operating ratio (COR) for Bupa Insurance Limited, the UK based insurance entity that underwrites both domestic and international insurance, was 93% (HY 2022: 95%).

UK Dental Care's underlying losses reduced as delivery of the turnaround strategy has commenced. This included the decision in March to close, sell or merge 85 of our 475 dental practices in the UK and Ireland, due to the national shortage of dentists to deliver NHS care and heightened operational challenges due to macro-economic pressures, rising inflation and energy costs. Bupa Dental Care is seeking to be an employer of choice, launching Viva, our new market-leading health benefits proposition, for UK frontline colleagues and clinicians(14) .

UK Care Services, our aged care business, delivered good growth in revenue and occupancy has reached 89% so far in 2023 (HY 2022: 84%), which is higher than pre-pandemic levels (2019 average: 87%). We are working with local authorities to ensure fee increases match cost increases. Underlying profits increased, however our business continues to be impacted by sector-wide staffing challenges, high energy costs and other inflationary pressures. Digital transformation continues to progress at pace with electronic care planning in place in almost all care homes and a pilot for a new electronic medications management system underway.

Health Services delivered good growth in revenue and underlying losses reduced, driven by higher customer numbers in Clinics and the Cromwell Hospital and strong growth across all product and service lines. We opened five new clinics and nine partner centres as we ended our franchise agreement with Spire Healthcare. The Cromwell Hospital opened a new walk-in urgent care centre providing fast treatment for injuries and illnesses.

Other businesses

 
  Revenue  Underlying profit 
 
 
HY 2023         GBP4m  GBP43m 
HY 2022 (AER)   GBP3m  GBP20m 
% growth        30%    113% 
 
HY 2022 (CER)   GBP3m  GBP20m 
% growth        23%    112% 
 

Underlying profit growth was very strong in the first half of 2023 driven by an increase in profits from Bupa Arabia. Customer growth was substantial across the associate businesses.

BUSINESS RISKS

We described our main risks in the Risk section of the Annual Report and Accounts 2022, which are available on www.bupa.com. While economic volatility, information security and strategic workforce challenges remain heightened, the principal risks and themes previously identified at the 2022 year-end remain.

Strategic and financial risks and risks impacting our ability to deliver for our customers:

The macroeconomic environment is challenging in most markets we operate in. In particular, in many markets we are seeing heightened inflationary pressures and rising interest rates.

Heightened inflation, particularly in the UK, is likely to impact our businesses in a variety of ways, including: increased costs, higher interest rates impacting households, reduced personal expenditure and affordability issues, and changes in government funding levels. In all businesses we are taking actions to mitigate the impacts, including pricing action and cost control measures.

In many markets, we continue to see strategic challenges associated with workforce availability, particularly medical professionals, which may impact our ability to deliver services.

Governmental and regulatory policy risks:

Changes in governmental and regulatory policy has consistently been one of our top risks given the nature of our businesses and this remains true. The situation affecting our Isapre business in Chile demonstrates that future legislation, regulation and government decisions could have a material impact on the Group. We continue to engage governments and regulators in the markets we operate in to understand and influence potential changes to ensure we are able to continue to deliver quality and value for our customers.

Operational risks:

Information Security and Privacy remain key risks for the Group. Our focus on information security, technology and operational resilience in recent years is supported by significant investment to uplift capability and capacity in this area across the Group.

Social and environmental risks:

Climate change remains one of the major risks we face as a society and is a key area of focus for us as Sustainability is a core pillar of our 3x6 strategy. We closely manage our environmental impacts and promote positive environmental practices. A key focus is our commitment to become a net zero business by 2040 across all our operations and throughout our value chain, underpinned by our 1.5 degree aligned science-based targets.

We have identified our key climate-related risks over the short, medium and long term and these are set out in the Annual Report and Accounts 2022.

Our approach to risk management:

We have a well-established process for identifying and managing all business risks, including all types of operational risk such as information security and privacy. Monitoring and managing our risks is key to ensuring that we achieve our strategic objectives in the long-term, meeting the evolving expectations of our customers, people, bondholders and regulators. Internal controls, particularly regarding customer conduct and information security and privacy, and operational resilience continue to be key areas of focus.

BUPA AROUND THE WORLD

Bupa Asia Pacific

 
      --  Bupa Health Insurance Australia, with 4.2m customers, is a 
           leading health insurance provider in Australia and also offers 
           health insurance for overseas workers and visitors. 
          Bupa Health Services in Australia is a health provision business, 
           comprising dental, optical, audiology, medical assessment 
           services, and healthcare for the Australian Defence Force. 
      --  Bupa Villages and Aged Care Australia cares for around 5,200 
           residents across 59 homes. It also operates 1 retirement village 
           in Australia. 
      --  Bupa Villages and Aged Care New Zealand cares for around 3,300 
           residents across 44 care homes. It also operates 37 retirement 
           villages. 
      --  Bupa Hong Kong comprises a health insurance business with 
           419,000 customers and a Health Services business operating 
           78 medical centres providing healthcare services to around 
           689,000 customers. 
 

Europe and Latin America

 
          Sanitas Seguros is the second largest health insurance provider 
           in Spain with more than 2.2m customers. 
      --  Sanitas Dental provides dental services through 205 centres 
           and third-party networks in Spain. 
      --  Sanitas Hospitales and New Services comprises four private 
           hospitals and 47 medical, health and wellness clinics. 
      --  Sanitas Mayores cares for around 5,700 people in 43 care homes, 
           operates four day-care centres and has professional home care 
           services with digital medical support for seniors in Spain. 
      --  LUX MED is a leading private healthcare business in Poland, 
           operating in health funding and provision through 15 hospitals 
           and 270 private clinics with around 6.1m customers and 279,000 
           insurance customers. 
      --  Bupa Chile is a leading health funding and provision business 
           serving more than 789,000 customers through the Isapre business 
           and Bupa Chile Seguros and offering provision services to 
           around 1.7m customers across four hospitals and 37 medical 
           clinics. 
      --  Bupa Acıbadem Sigorta is Turkey's second largest health 
           insurer, with products for corporate and individual customers, 
           and has 1.4m customers. 
      --  Care Plus is a leading health insurance company in Brazil, 
           with around 198,000 funding customers and 216,000 provision 
           related customers, concentrated in São Paulo. 
      --  Bupa Mexico is a health insurer offering international and 
           local private medical insurance to individuals and corporates 
           in Mexico, with more than 467,000 customers. During 2022, 
           we acquired Bite Medica, our first hospital in Mexico. 
      --  Bupa Global Latin America provides international health insurance 
           and local health insurance in Latin America to more than 85,000 
           customers. It is headquartered in Miami and has operations 
           in Ecuador, Dominican Republic, Guatemala, Panama, and Bolivia. 
 

Bupa Global and UK

 
          Bupa UK Insurance is a leading health insurer with 3.3m customers 
           across medical insurance, health trusts, dental insurance 
           and cash plans. 
      --  Bupa Global serves over 364,000 IPMI customers and administers 
           medical assistance for individuals, small businesses and corporate 
           customers. 
      --  Bupa Dental Care is a leading provider of private dentistry, 
           providing dental services through over 441 centres across 
           the UK and the Republic of Ireland. 
      --  Bupa Care Services cares for around 6,400 residents in 120 
           care homes and 10 Richmond care villages. 
      --  Bupa Health Services comprises 46 health clinics, and the 
           Cromwell Hospital. 
 

Other businesses

 
  We also have associate health insurance businesses in Saudi 
   Arabia (Bupa Arabia) and India (Niva Bupa) and an interest 
   in MyClinic in Saudi Arabia. 
 

Bupa Finance plc

(Company Number 2779134)

Condensed Consolidated Half Year Financial Statements (unaudited)

Six months ended 30 June 2023

Bupa Finance plc

Condensed Consolidated Income Statement

for six months ended 30 June 2023 (unaudited)

 
                                                                                                              For year 
                                                                         For six months                       ended 31 
                                                For six                        ended 30                       December 
                                           months ended                       June 2022                           2022 
                                           30 June 2023                 restated(1),(2)                restated(1),(2) 
                   Note                            GBPm                            GBPm                           GBPm 
-----------------  ----  ------------------------------  ------------------------------  ----------------------------- 
 
Insurance revenue  2,13                           5,234                           4,809                         10,033 
Insurance service 
 expenses           13                          (5,051)                         (4,480)                        (9,339) 
-----------------  ----  ------------------------------  ------------------------------  ----------------------------- 
Insurance service 
 result 
 before 
 reinsurance 
 contracts 
 held               13                              183                             329                            694 
Net expense from 
 reinsurance 
 contracts held     13                              (7)                            (14)                           (22) 
-----------------  ----  ------------------------------  ------------------------------  ----------------------------- 
Insurance service 
 result                                             176                             315                            672 
-----------------  ----  ------------------------------  ------------------------------  ----------------------------- 
 
Care, health and 
 other customer 
 contract revenue   3                             2,130                           1,893                          3,967 
Other revenue(1)    3                                37                              40                             81 
-----------------  ----  ------------------------------  ------------------------------  ----------------------------- 
Total 
 non-insurance 
 revenue            3                             2,167                           1,933                          4,048 
-----------------  ----  ------------------------------  ------------------------------  ----------------------------- 
 
Share of 
 post-taxation 
 results 
 of 
 equity-accounted 
 investments(1)                                      44                              17                             44 
Impairment of 
 goodwill and 
 intangible 
 assets             7                                 -                               -                          (894) 
Other operating 
 expenses(1)                                    (2,138)                         (1,927)                        (4,093) 
Other income and 
 charges(2)         4                                13                               9                           (11) 
-----------------  ----  ------------------------------  ------------------------------  ----------------------------- 
Total other 
 expenses, income 
 and charges                                    (2,081)                         (1,901)                        (4,954) 
-----------------  ----  ------------------------------  ------------------------------  ----------------------------- 
 
Profit/(loss) 
 before financial 
 income and 
 expense                                            262                             347                          (234) 
 
Financial income 
and expense 
Financial 
 income(2)          5                               158                              22                            158 
Financial expense   5                              (91)                            (82)                          (174) 
Financial 
 (expense)/income 
 from insurance 
 contracts 
 held                                               (8)                              22                             16 
Net monetary 
 loss(1)           1.5                              (4)                            (18)                           (25) 
Net impairment on 
 financial 
 assets                                             (7)                             (5)                           (10) 
-----------------  ----  ------------------------------  ------------------------------  ----------------------------- 
Net financial 
 income/(expense)                                    48                            (61)                           (35) 
-----------------  ----  ------------------------------  ------------------------------  ----------------------------- 
 
Profit/(loss) 
 before taxation 
 expense                                            310                             286                          (269) 
 
Taxation expense    6                              (68)                            (93)                          (130) 
 
Profit/(loss) for 
 the period                                         242                             193                          (399) 
-----------------  ----  ------------------------------  ------------------------------  ----------------------------- 
 
Attributable to: 
Shareholder of 
 Bupa Finance 
 plc                                                240                             192                          (402) 
Non-controlling 
 interests                                            2                               1                              3 
-----------------  ----  ------------------------------  ------------------------------  ----------------------------- 
Profit/(loss) for 
 the period                                         242                             193                          (399) 
-----------------  ----  ------------------------------  ------------------------------  ----------------------------- 
 
 
1.  Amounts have been restated for the adoption of IFRS 17. 
     Refer to Note 1.4.1. 
2.  Surplus on fair value of investment property has been reclassified 
     from financial income and expense and is now presented within 
     other income and charges (see Note 4 and 5). 
 

Notes 1-19 form part of these Condensed Consolidated Financial Statements.

Bupa Finance plc

Condensed Consolidated Statement of Comprehensive Income

for six months ended 30 June 2023 (unaudited)

 
                                                                                                              For year 
                                                                         For six months                       ended 31 
                                                 For six                       ended 30                       December 
                                            months ended                      June 2022                           2022 
                                            30 June 2023                    restated(1)                    restated(1) 
                     Note                           GBPm                           GBPm                           GBPm 
-------------------  ----  -----------------------------  -----------------------------  ----------------------------- 
Profit/(loss) for 
 the period(1)                                       242                            193                          (399) 
-------------------  ----  -----------------------------  -----------------------------  ----------------------------- 
 
Other comprehensive 
income/(expense) 
 
Items that will not 
be reclassified 
to the Income 
Statement 
Unrealised 
 gain/(loss) on 
 revaluation 
 of property                                           -                             11                           (44) 
Remeasurement gain 
 on pension 
 schemes              10                               -                              -                              3 
Taxation credit on 
 income and 
 expenses 
 recognised 
 directly 
 in other 
 comprehensive 
 income                                                -                              1                             12 
 
Items that may be 
reclassified 
subsequently to the 
Income 
Statement 
Foreign exchange 
 translation 
 differences on 
 goodwill             7                             (92)                             98                            112 
Other foreign 
 exchange 
 translation 
 differences(1)                                    (260)                            275                            332 
Net gain/(loss) on 
 hedge of 
 net investment in 
 overseas 
 subsidiaries                                         81                           (61)                           (80) 
Share of other 
 comprehensive 
 (expense)/income 
 of 
 equity-accounted 
 investments                                         (1)                            (5)                              2 
Change in fair 
 value of financial 
 investments 
 through other 
 comprehensive 
 income                                              (1)                            (6)                            (4) 
Change in ECL of 
financial 
investments through 
other comprehensive 
income                                                 1                              -                              - 
Release of foreign 
 exchange 
 translation 
 reserve on closure 
 of subsidiaries                                       -                              4                              4 
Taxation credit on 
income and 
expenses recognised 
directly 
in other 
comprehensive 
income                                                 -                              3                              - 
-------------------  ----  -----------------------------  -----------------------------  ----------------------------- 
Total other 
 comprehensive 
 (expense)/income                                  (272)                            320                            337 
-------------------  ----  -----------------------------  -----------------------------  ----------------------------- 
Comprehensive 
 (expense)/income 
 for the period                                     (30)                            513                           (62) 
-------------------  ----  -----------------------------  -----------------------------  ----------------------------- 
 
Attributable to: 
Shareholder of Bupa 
 Finance 
 plc(1)                                             (31)                            512                           (67) 
Non-controlling 
 interests                                             1                              1                              5 
-------------------  ----  -----------------------------  -----------------------------  ----------------------------- 
Comprehensive 
 (expense)/income 
 for the period                                     (30)                            513                           (62) 
-------------------  ----  -----------------------------  -----------------------------  ----------------------------- 
 
 
1.  Amounts have been restated for the adoption of IFRS 17. 
     Refer to Note 1.4.1. 
 

Notes 1-19 form part of these Condensed Consolidated Financial Statements.

Bupa Finance plc

Condensed Consolidated Statement of Financial Position

as at 30 June 2023 (unaudited)

 
                                                                         At 31 December                      At 30 June 
                                             At 30 June                            2022                            2022 
                                                   2023                     restated(1)                     restated(1) 
                   Note                            GBPm                            GBPm                            GBPm 
-----------------  ----  ------------------------------  ------------------------------  ------------------------------ 
Assets 
Goodwill and 
 intangible 
 assets             7                             2,633                           2,740                           3,606 
Property, plant 
 and equipment      8                             3,613                           3,691                           3,832 
Investment 
 property           9                               717                             750                             700 
Equity-accounted 
 investments(1)                                     972                             997                             951 
Post-employment 
 benefit 
 net assets         10                                2                               2                               2 
Deferred taxation 
 assets(1)                                          172                             127                              99 
Restricted assets   11                              126                             119                             129 
Financial 
 investments        12                            4,007                           3,716                           3,736 
Derivative assets                                    58                              28                              25 
Reinsurance 
 contract 
 assets(1)          13                               30                              21                              14 
Current taxation 
 assets                                               9                              23                              16 
Inventories                                          89                              91                              91 
Trade and other 
 receivables(1)                                   1,084                             938                             787 
Assets held for 
 sale               14                               24                              32                              22 
Cash and cash 
 equivalents        15                            1,548                           1,403                           1,553 
-----------------  ----  ------------------------------  ------------------------------  ------------------------------ 
Total assets                                     15,084                          14,678                          15,563 
-----------------  ----  ------------------------------  ------------------------------  ------------------------------ 
 
Liabilities 
Subordinated 
 liabilities        16                            (746)                           (998)                           (997) 
Other 
 interest-bearing 
 liabilities        16                            (951)                           (648)                           (824) 
Post-employment 
 benefit 
 net liabilities    10                              (9)                             (7)                             (9) 
Lease liabilities                                 (928)                           (926)                           (922) 
Deferred taxation 
 liabilities(1)                                   (112)                           (112)                           (142) 
Derivative 
 liabilities                                       (83)                           (137)                           (113) 
Provisions for 
 liabilities 
 and charges(1)                                   (294)                           (287)                           (280) 
Insurance 
 contract 
 liabilities(1)     13                          (2,916)                         (2,378)                         (2,634) 
Current taxation 
 liabilities                                       (52)                            (34)                            (61) 
Trade and other 
 payables(1)                                    (2,246)                         (2,308)                         (2,083) 
Liabilities 
 associated with 
 assets held for 
 sale               14                                -                             (1)                             (1) 
-----------------  ----  ------------------------------  ------------------------------  ------------------------------ 
Total liabilities                               (8,337)                         (7,836)                         (8,066) 
-----------------  ----  ------------------------------  ------------------------------  ------------------------------ 
 
Net assets                                        6,747                           6,842                           7,497 
-----------------  ----  ------------------------------  ------------------------------  ------------------------------ 
 
Equity 
Share capital                                       200                             200                             200 
Foreign exchange 
 translation 
 reserve(1)                                         178                             437                             396 
Property 
 revaluation 
 reserve                                            618                             634                             677 
Income and 
 expenditure 
 reserve(1)                                       5,435                           5,254                           5,910 
-----------------  ----  ------------------------------  ------------------------------  ------------------------------ 
Equity 
 attributable to 
 shareholder of 
 Bupa Finance 
 plc                                              6,431                           6,525                           7,183 
Restricted Tier 1 
 notes              17                              297                             297                             297 
Non-controlling 
 interests                                           19                              20                              17 
-----------------  ----  ------------------------------  ------------------------------  ------------------------------ 
Total equity                                      6,747                           6,842                           7,497 
-----------------  ----  ------------------------------  ------------------------------  ------------------------------ 
 
 
1.  Amounts have been restated for the adoption of IFRS 17. 
     Refer to Note 1.4.1. 
 

Notes 1-19 form part of these Condensed Consolidated Financial Statements.

Bupa Finance plc

Condensed Consolidated Statement of Cash Flows

for six months ended 30 June 2023 (unaudited)

 
                                                 For six                For six months                         For year 
                                            months ended                      ended 30                ended 31 December 
                                                 30 June                     June 2022                             2022 
                                                    2023               restated(1),(2)                      restated(1) 
                       Note                         GBPm                          GBPm                             GBPm 
---------------------  ----  ---------------------------  ----------------------------  ------------------------------- 
Cash flow from 
operating activities 
Profit/(loss) before 
 taxation 
 expense(1)                                          310                           286                            (269) 
Adjustments for: 
Net financial 
 (income)/expense(1), 
 (2)                                                (60)                            65                               26 
Net monetary loss(1)                                   4                            18                               25 
Depreciation, 
 amortisation 
 and impairment                                      238                           251                            1,522 
Other non-cash 
 items(1),(2)                                       (51)                          (35)                             (49) 
Changes in working 
capital 
and provisions: 
Increase in insurance 
 contract 
 liabilities                                         629                           377                              131 
Increase in 
 reinsurance contract 
 assets                                             (10)                             7                              (1) 
Funded pension scheme 
 employer 
 contributions                                         -                             -                              (1) 
Increase in trade and 
 other 
 receivables, and 
 other assets                                       (68)                          (93)                            (191) 
(Decrease)/increase 
 in trade 
 and other payables, 
 and other 
 liabilities(1)                                     (37)                         (105)                               73 
---------------------  ----  ---------------------------  ----------------------------  ------------------------------- 
Cash generated from 
 operations                                          955                           771                            1,266 
---------------------  ----  ---------------------------  ----------------------------  ------------------------------- 
Income taxation paid                                (79)                         (104)                            (232) 
(Increase)/decrease 
 in cash 
 held in restricted 
 assets(3)              11                           (1)                             -                                5 
---------------------  ----  ---------------------------  ----------------------------  ------------------------------- 
Net cash generated 
 from operating 
 activities                                          875                           667                            1,039 
---------------------  ----  ---------------------------  ----------------------------  ------------------------------- 
Cash flow from 
investing activities 
Acquisition of 
 subsidiaries 
 and businesses, net 
 of cash 
 acquired                                           (25)                          (12)                             (29) 
Investment in 
 equity-accounted 
 investments                                         (9)                           (8)                             (14) 
Dividends received 
 from associates                                       -                            56                               42 
Disposal of 
 subsidiaries and 
 other businesses, 
 net of cash 
 disposed of                                           8                           (7)                                3 
Purchase of 
 intangible assets      7                           (51)                          (41)                            (111) 
Purchase of property, 
 plant 
 and equipment                                      (95)                          (71)                            (208) 
Proceeds from sale of 
 property, 
 plant and equipment                                   4                             6                                7 
Purchase of 
 investment property    9                           (13)                          (12)                             (29) 
Disposal of 
 investment property    9                              -                             1                                1 
Purchases of 
 financial 
 investments, 
 excluding deposits 
 with credit 
 institutions                                    (1,042)                         (908)                          (1,720) 
Proceeds from sale 
 and maturities 
 of financial 
 investments, 
 excluding 
 deposits with credit 
 institutions                                        790                           471                            1,222 
Net investments into 
 deposits 
 with credit 
 institutions                                      (150)                         (242)                            (119) 
Interest received                                     80                            30                               82 
---------------------  ----  ---------------------------  ----------------------------  ------------------------------- 
Net cash used in 
 investing 
 activities                                        (503)                         (737)                            (873) 
---------------------  ----  ---------------------------  ----------------------------  ------------------------------- 
Cash flow from 
financing activities 
Payment of Restricted 
 Tier 
 1 coupon               17                           (6)                           (6)                             (12) 
Proceeds from issue 
 of interest-bearing 
 liabilities and 
 drawdowns on 
 other borrowings                                    317                           106                               51 
Repayment of 
 interest-bearing 
 liabilities and 
 other borrowings                                  (262)                          (87)                            (194) 
Principal repayment 
 of lease 
 liabilities                                        (69)                          (60)                            (135) 
Payment of interest 
 on lease 
 liabilities                                        (24)                          (22)                             (46) 
Interest paid                                       (56)                          (48)                             (64) 
Net payments on 
 settlement 
 of hedging 
 instruments                                        (10)                          (41)                             (57) 
Dividends paid                                      (58)                          (15)                             (89) 
Dividends paid to 
 non-controlling 
 interests                                           (2)                           (1)                              (2) 
---------------------  ----  ---------------------------  ----------------------------  ------------------------------- 
Net cash used in 
 financing 
 activities                                        (170)                         (174)                            (548) 
---------------------  ----  ---------------------------  ----------------------------  ------------------------------- 
Net 
 increase/(decrease) 
 in 
 cash and cash 
 equivalents                                         202                         (244)                            (382) 
Cash and cash 
 equivalents at 
 beginning of 
 period(3),                                        1,479                         1,850                            1,850 
Effect of exchange 
 rate changes                                       (52)                            29                               11 
---------------------  ----  ---------------------------  ----------------------------  ------------------------------- 
Cash and cash 
 equivalents 
 at end of period(3),   15                         1,629                         1,635                            1,479 
---------------------  ----  ---------------------------  ----------------------------  ------------------------------- 
 
 
1.  Amounts have been restated for the adoption of IFRS 17. 
     Refer to Note 1.4.1. 
2.  Amounts have been restated for the reclassification of surplus 
     on fair value of investment property from financial income 
     and expense to other income and charges (see Note 5). 
3.  Amounts have been restated for IFRIC Agenda Decision Demand 
     Deposits with Restrictions on Use arising from a Contract 
     with a Third Party. Refer to Note 1.4.1. 
4   Includes restricted cash of GBP84m (HY 2022: GBP83m; FY 
     2022: GBP78m) which is considered cash and cash equivalents 
     along with bank overdrafts of GBP3m (HY 2022: GBP1m; FY 
     2022: GBP2m) which are not considered a component of cash 
     and cash equivalents within Note 15. 
 

Notes 1-19 form part of these Condensed Consolidated Financial Statements.

Bupa Finance plc

Condensed Consolidated Statement of Changes in Equity

for six months ended 30 June 2023 (unaudited)

 
                                                                                                    Total 
                                                                                             attributable 
                                           Foreign                                         to shareholder 
                                          exchange          Property            Income            of Bupa     Restricted 
                             Share     translation       revaluation   and expenditure            Finance           Tier   Non-controlling         Total 
                           Capital         reserve           reserve           reserve                plc        1 notes         interests        equity 
For six months 
ended 30 June 
2023               Note       GBPm            GBPm              GBPm              GBPm               GBPm           GBPm              GBPm          GBPm 
Balance as at 1 
 January 2023                  200             437               634             5,254              6,525            297                20         6,842 
 
Profit for the 
 period                          -               -                 -               240                240              -                 2           242 
 
Other comprehensive 
income/(expense) 
Realised 
 revaluation 
 profit on 
 disposal 
 of property                     -               -               (1)                 1                  -              -                 -             - 
Foreign exchange 
 translation 
 differences 
 on goodwill        7            -            (92)                 -                 -               (92)              -                 -          (92) 
Other foreign 
 exchange 
 translation 
 differences                     -           (248)              (15)                 4              (259)              -               (1)         (260) 
Net gain on hedge 
 of net 
 investment 
 in overseas 
 subsidiaries                    -              81                 -                 -                 81              -                 -            81 
Share of other 
 comprehensive 
 expense 
 of equity 
 accounted 
 investments                     -               -                 -               (1)                (1)              -                 -           (1) 
Change in fair 
 value of 
 financial 
 investments 
 through 
 other 
 comprehensive 
 income                          -               -                 -               (1)                (1)              -                 -           (1) 
Change in ECL of 
 financial 
 investments 
 through other 
 comprehensive 
 income                          -               -                 -                 1                  1              -                 -             1 
Other 
 comprehensive 
 expense for the 
 period, net of 
 taxation                        -           (259)              (16)                 4              (271)              -               (1)         (272) 
Total 
 comprehensive 
 (expense)/income 
 for the period                  -           (259)              (16)               244               (31)              -                 1          (30) 
Payment of 
 Restricted 
 Tier 1 coupon, 
 net of taxation    17           -               -                 -               (5)                (5)              -                 -           (5) 
Dividends to 
 equity 
 holders of the 
 company                         -               -                 -              (58)               (58)              -                 -          (58) 
Dividends paid 
 to 
 non-controlling 
 interests                       -               -                 -                 -                  -              -               (2)           (2) 
-----------------  ----  ---------  --------------  ----------------  ----------------  -----------------  -------------  ----------------  ------------ 
Balance as at 
 30 June 2023                  200             178               618             5,435              6,431            297                19         6,747 
-----------------  ----  ---------  --------------  ----------------  ----------------  -----------------  -------------  ----------------  ------------ 
 

Notes 1-19 form part of these Condensed Consolidated Financial Statements.

 
                                                                                                  Total 
                                                                                           attributable 
                                           Foreign                                       to shareholder 
                                          exchange         Property           Income            of Bupa     Restricted 
                             Share     translation      revaluation  and expenditure            Finance           Tier  Non-controlling       Total 
                           Capital      reserve(1)          reserve       reserve(1)             plc(1)        1 notes        interests   equity(1) 
For year ended 
 31 December 2022  Note       GBPm            GBPm             GBPm             GBPm               GBPm           GBPm             GBPm        GBPm 
Balance as at 1 
 January 2022, as 
 previously 
 reported                      200              92              655            5,800              6,747            297               17       7,061 
Initial 
 application 
 of IFRS 17        1.4           -             (1)                -             (55)               (56)              -                -        (56) 
-----------------  ----  ---------  --------------  ---------------  ---------------  -----------------  -------------  ---------------  ---------- 
Balance as at 
 1 January 2022, 
 as restated                   200              91              655            5,745              6,691            297               17       7,005 
 
(Loss)/profit 
 for the year(1)                 -               -                -            (402)              (402)              -                3       (399) 
 
Other comprehensive 
income/(expense) 
Unrealised loss 
 on revaluation 
 of property                     -               -             (44)                -               (44)              -                -        (44) 
Realised 
 revaluation 
 profit on 
 disposal 
 of property                     -               -              (6)                6                  -              -                -           - 
Remeasurement 
 gain 
 on pension 
 schemes            10           -               -                -                3                  3              -                -           3 
Foreign exchange 
 translation 
 differences 
 on goodwill        7            -             112                -                -                112              -                -         112 
Other foreign 
 exchange 
 translation 
 differences(1)                  -             310               17                3                330              -                2         332 
Net loss on hedge 
 of net 
 investment 
 in overseas 
 subsidiaries                    -            (80)                -                -               (80)              -                -        (80) 
Share of other 
 comprehensive 
 income 
 of equity 
 accounted 
 investments                     -               -                -                2                  2              -                -           2 
Change in fair 
 value of 
 financial 
 investments 
 through 
 other 
 comprehensive 
 income                          -               -                -              (4)                (4)              -                -         (4) 
Release of 
 foreign 
 exchange 
 translation 
 reserve on 
 closure 
 of subsidiaries                 -               4                -                -                  4              -                -           4 
Taxation credit 
 on income and 
 expense 
 recognised 
 directly 
 in other 
 comprehensive 
 income                          -               -               12                -                 12              -                -          12 
-----------------  ----  ---------  --------------  ---------------  ---------------  -----------------  -------------  ---------------  ---------- 
Other 
 comprehensive 
 income/(expense) 
 for the year, 
 net 
 of taxation                     -             346             (21)               10                335              -                2         337 
Total 
 comprehensive 
 income/(expense) 
 for the year                    -             346             (21)            (392)               (67)              -                5        (62) 
Payment of 
 Restricted 
 Tier 1 coupon, 
 net of taxation    17           -               -                -             (10)               (10)              -                -        (10) 
Dividends to 
 equity 
 holders of the 
 company                         -               -                -             (89)               (89)              -                -        (89) 
Dividends paid 
 to 
 non-controlling 
 interests                       -               -                -                -                  -              -              (2)         (2) 
-----------------  ----  ---------  --------------  ---------------  ---------------  -----------------  -------------  ---------------  ---------- 
Balance as at 
 31 December 
 2022, 
 as restated                   200             437              634            5,254              6,525            297               20       6,842 
-----------------  ----  ---------  --------------  ---------------  ---------------  -----------------  -------------  ---------------  ---------- 
 
 
1.  Amounts have been restated for the adoption of IFRS 17. 
     Refer to Note 1.4.1. 
 

Notes 1-19 form part of these Condensed Consolidated Financial Statements.

 
                                                                                                    Total 
                                                                                             attributable 
                                            Foreign                                        to shareholder 
                                           exchange          Property            Income           of Bupa     Restricted 
                             Share      translation       revaluation   and expenditure           Finance           Tier      Non-controlling          Total 
                           Capital       reserve(1)           reserve        reserve(1)            plc(1)        1 notes            interests      equity(1) 
For six months 
ended 
30 June 2022       Note       GBPm             GBPm              GBPm              GBPm              GBPm           GBPm                 GBPm           GBPm 
Balance as at 1 
 January 2022, as 
 previously 
 reported                      200               92               655             5,800             6,747            297                   17          7,061 
Initial 
 application 
 of IFRS 17        1.4           -              (1)                 -              (55)              (56)              -                    -           (56) 
-----------------  ----  ---------  ---------------  ----------------  ----------------  ----------------  -------------  -------------------  ------------- 
Balance as at 1 
 January 2022, as 
 restated                      200               91               655             5,745             6,691            297                   17          7,005 
-----------------  ----  ---------  ---------------  ----------------  ----------------  ----------------  -------------  -------------------  ------------- 
 
Profit for the 
 period(1)                       -                -                 -               192               192              -                    1            193 
 
Other comprehensive 
income/(expense) 
Unrealised gain 
 on revaluation 
 of 
 property                        -                -                11                 -                11              -                    -             11 
Realised 
 revaluation 
 profit on 
 disposal 
 of property                     -                -               (2)                 2                 -              -                    -              - 
Foreign exchange 
 translation 
 differences 
 on goodwill        7            -               98                 -                 -                98              -                    -             98 
Other foreign 
 exchange 
 translation 
 differences(1)                  -              262                12                 1               275              -                    -            275 
Net loss on hedge 
 of net 
 investment 
 in overseas 
 subsidiary 
 companies                       -             (61)                 -                 -              (61)              -                    -           (61) 
Share of other 
 comprehensive 
 expense of 
 equity 
 accounted 
 investments                     -                -                 -               (5)               (5)              -                    -            (5) 
Change in fair 
 value 
 of financial 
 investments 
 through other 
 comprehensive 
 income                          -                -                 -               (6)               (6)              -                    -            (6) 
Release of 
 foreign 
 exchange 
 translation 
 reserve on 
 closure 
 of subsidiary                   -                4                 -                 -                 4                                   -              4 
Taxation credit 
 on income and 
 expense 
 recognised 
 directly 
 in other 
 comprehensive 
 income                          -                2                 1                 1                 4              -                    -              4 
-----------------  ----  ---------  ---------------  ----------------  ----------------  ----------------  -------------  -------------------  ------------- 
Other 
 comprehensive 
 income/(expense) 
 for the period, 
 net of taxation                 -              305                22               (7)               320              -                    -            320 
Total 
 comprehensive 
 income for the 
 period                          -              305                22               185               512              -                    1            513 
Payment of 
 Restricted 
 Tier 1 coupon, 
 net 
 of taxation        17           -                -                 -               (5)               (5)              -                    -            (5) 
Dividends to 
 equity 
 holders of the 
 company                         -                -                 -              (15)              (15)              -                    -           (15) 
Dividends paid to 
 non-controlling 
 interests                       -                -                 -                 -                 -              -                  (1)            (1) 
-----------------  ----  ---------  ---------------  ----------------  ----------------  ----------------  -------------  -------------------  ------------- 
Balance as at 30 
 June 2022, as 
 restated                      200              396               677             5,910             7,183            297                   17          7,497 
-----------------  ----  ---------  ---------------  ----------------  ----------------  ----------------  -------------  -------------------  ------------- 
 
 
1.  Amounts have been restated for the adoption of IFRS 17. 
     Refer to Note 1.4.1. 
 

Notes 1-19 form part of these Condensed Consolidated Financial Statements.

Bupa Finance plc

Notes to the Condensed Consolidated Financial Statements

for six months ended 30 June 2023 (unaudited)

   1   Basis of preparation 
   1.1   Basis of preparation 

Bupa Finance plc (the 'Company'), a company incorporated in England and Wales and domiciled in the United Kingdom, together with its subsidiaries (collectively the 'Group') is an international healthcare business, providing health insurance, treatment in clinics, dental centres and hospitals, and operating care homes. The immediate and ultimate parent of the Company is The British United Provident Association Limited (the 'Parent' or 'Bupa' and together with its subsidiaries, the 'Bupa Group').

The Condensed Consolidated Half Year Financial Statements of the Company as at and for the six months ended 30 June 2023 comprise those of the Company and its subsidiary companies.

The interim financial statements have been prepared in accordance with UK-adopted International Accounting Standard 34 Interim Financial Reporting and the Disclosure Guidance and Transparency Rules sourcebook of the United Kingdom's Financial Conduct Authority. The interim financial statements should be read in conjunction with the annual financial statements for the year ended 31 December 2022, which have been prepared in accordance with UK-adopted international accounting standards, in conformity with the requirements of the Companies Act 2006. The interim financial statements have been prepared on the basis of the accounting policies set out in the annual financial statements for the year ended 31 December 2022 updated for the application of new and amended accounting standards as set out in Note 1.4.

The interim financial statements were approved by the Board of Directors of Bupa Finance plc on 2 August 2023.

The financial information contained in these interim financial statements does not constitute statutory accounts of Bupa Finance plc within the meaning of Section 434 of the Companies Act 2006. The comparative figures for the financial year ended 31 December 2022 are not the Company's statutory accounts for that financial year. Those accounts have been reported on by the Company's auditor and delivered to the Registrar of Companies. The report of the auditor was (i) unqualified, (ii) did not include a reference to any matters to which the auditor drew attention by way of emphasis without qualifying their report, and (iii) did not contain a statement under section 498 (2) or (3) of the Companies Act 2006.

   1.2   Going concern 

Following a detailed assessment of the Group's going concern status based on its current position and forecast results, along with scenario-based stress testing and reverse stress testing, the Directors have concluded that the Group has adequate resources to operate for at least the next 12 months from the approval of these financial statements. This assessment considered forecast and reasonably possible adverse changes to the Group's regulatory solvency, liquidity, access to funding and trading profitability over the next 12 months.

The assessment identified the risks and uncertainties most likely to impact the Group and considered the impact to the Group's businesses under a number of reasonably plausible severe scenarios as well as consideration of contingent liabilities. This included an updated 2023 review of potential adverse outcomes on the Isapre industry in Chile, as described in Note 19, including a wide range of outcomes given the inherent political and regulatory uncertainty surrounding the implementation of the Supreme Court judgement. Other scenarios considered included a worsening of the global inflationary outlook driven by strong wage inflation leading to a wage-price inflation spiral and subsequent recession, and a variety of local scenarios developed by each business unit with the majority focusing on strategic workforce-related risks impacting either the availability or cost of staff. Under each such scenario, significant short-term reductions in planned profitability and liquidity may arise, however the Group is expected to remain a going concern. The Group has access to a GBP900m revolving credit facility ('RCF') as described in Note 16. The Group expects to remain compliant with the RCF's covenants under stressed scenarios and may further draw down on the RCF in order to meet liquidity needs. Additional management actions would allow downside impacts to be further mitigated by reducing expenditure, obtaining additional funding or divesting investments or businesses.

Details of the Group's business activities, together with the factors likely to affect its future development, performance and position are set out in the Half Year 2023 Results Announcement. The financial position of the Group, its cash flows, liquidity position and borrowing facilities are described in the Financial Review of the Half Year 2023 Results Announcement.

   1.3   Accounting estimates and judgements 

The preparation of financial statements requires the use of certain accounting estimates and assumptions that affect the reported assets, liabilities, income and expenses. It also requires management to exercise judgement in applying the Group's accounting policies.

The areas involving a higher degree of judgement or complexity, or where estimates are significant to the Condensed Consolidated Financial Statements, are set out below. These have been updated to include ongoing judgements following the implementation of IFRS 17 Insurance Contracts. Details of judgements applied in the initial application of the standard have been included in Note 1.4 below. Changes in these estimates could lead to a material adjustment to the carrying value of the assets and liabilities in the next financial year. Further detail is in the related notes.

 
Area              Details                                                       Note 
----------------  ------------------------------------------------------------  ---- 
                  Goodwill and intangible assets are recognised on 
                   acquired businesses based on fair values at the 
                   date of acquisition. Goodwill and intangible assets 
                   with indefinite lives are tested for impairment 
                   on an annual basis, or when there are indicators 
                   of impairment. Other intangible assets are tested 
                   for impairment when there are indicators of impairment. 
 
                   As at 30 June 2023, all CGUs and intangible assets 
                   were reviewed for indicators of impairment. Following 
                   the impairment at 31 December 2022, a full assessment 
                   was performed on Bupa Dental Care UK, the results 
                   of which are included in Note 7. 
 
                   Sources of estimation uncertainty 
                   Impairment tests include a number of sources of 
                   estimation uncertainty as the key assumptions used 
                   when modelling the recoverable amount include estimating 
                   the discount rate, terminal growth rate and the 
                   forecast cash flows. Estimation uncertainties within 
                   these cash flows vary by CGU. For provision business 
                   this includes the number of customers, available 
                   clinician hours, fee rates and operating expenses. 
 
                   Key estimation uncertainty in the period has been 
                   driven by economic volatility including the associated 
                   inflationary 
                   pressures across Bupa's key markets. This has primarily 
                   impacted the determination of appropriate discount 
                   rates. 
                   In addition, there is increased uncertainty in 
                   the underlying cash flow forecasts driven by this 
                   economic uncertainty. 
 
                   Accounting judgements 
                   Judgement has been applied to determine whether 
                   there is an indication of impairment to intangible 
                   assets and goodwill or an indication that impairments 
                   should be reversed for intangible assets. In making 
                   these judgements, the Group has considered current 
                   trading and future plans associated with each of 
                   the assets, along with external market factors, 
Goodwill           in order to assess whether a full valuation is 
 and intangible    required to assess for impairments or reversal 
 assets            of impairments.                                               7 
----------------  ------------------------------------------------------------  ---- 
                  The Group has a significant portfolio of care home, 
                   hospital and office properties. These are subject 
                   to periodic and at least triennial valuations performed 
                   by external independent valuers, with directors' 
                   valuations performed in intervening years. In addition, 
                   the Group has a significant portfolio of investment 
                   properties, primarily retirement villages in New 
                   Zealand. These properties are revalued annually. 
 
                   Sources of estimation uncertainty 
                   Significant assumptions for freehold properties 
                   are normalised earnings, average occupancy and 
                   capitalisation rates, whereas for investment property 
                   key assumptions are discount and capital growth 
                   rates. 
 
                   Accounting judgements 
                   In valuing care home property, a judgement is made 
                   on the highest and best use of the property. In 
                   the majority of cases this leads to the property 
                   being valued as part of a group of assets making 
                   up a going concern business using market-based 
                   assumptions. The business is valued on a fair maintainable 
                   trade basis with the fair value thus calculated 
                   being allocated to plant and equipment and bed 
                   licences where applicable at net book value (as 
Property           a proxy for fair value), with the residual value 
 valuations        being allocated to property.                                 8,9 
----------------  ------------------------------------------------------------  ---- 
                  Accounting Judgements 
                   Premium allocation approach (PAA) 
                   The Group exercises judgement in determining whether 
                   the PAA eligibility criteria are met at initial 
                   recognition. For a small number of insurance contracts, 
                   which have a coverage period that is greater than 
                   12 months, the Group elects to apply the PAA, if 
                   at the inception of the contract the Group reasonably 
                   expects that it will provide a liability for remaining 
Insurance          coverage that would not differ materially from 
 contracts         the General Measurement Model.                                13 
                  Sources of estimation uncertainty 
                   Best estimate of claims provisioning 
                   Estimates included in the insurance contract liabilities 
                   include expected claims payments and expenses required 
                   to settle existing insurance contract obligations. 
                   The key assumptions used in the calculation of 
                   the liability for incurred claims include claims 
                   development, claims costs inflation, medical trends 
                   and seasonality. 
                  The Group has circumstances arising in the ordinary 
                   course of business, including losses which might 
                   arise from litigation, disputes, and interpretation 
                   of tax law or local regulations. Judgement is exercised 
                   in determining whether the circumstances should 
                   give rise to the recognition of provisions or contingent 
                   liabilities. In the case of material contingent 
                   liabilities further judgment is required in arriving 
                   at appropriate disclosure of such matters. 
 
                   Accounting judgement 
                   Significant judgment has been applied in assessing 
Provisions         whether a contingent liability or provision exists 
 and               as a result of the ruling issued by the Supreme 
 contingent        Court in Chile that obliges Isapres to make use 
 liability         of a specific table of risk factors.                          19 
----------------  ------------------------------------------------------------  ---- 
 
   1.4   New and amended accounting standards 

Except for the changes detailed below, the interim financial statements have been prepared on the basis of the accounting policies set out in the annual financial statements for the year ended 31 December 2022.

   1.4.1   New and amended standards adopted by the Group 

IFRS 17 Insurance Contracts

IFRS 17 sets out the principles for the recognition, measurement and presentation of insurance contracts and supersedes IFRS 4 Insurance Contracts. The Group has adopted IFRS 17 Insurance Contracts in these financial statements on a fully retrospective basis for the majority of the Group's business. The Group has used the fair value approach for a small legacy portfolio of individual health contracts in Brazil, as set out below.

Significant judgements on implementation of IFRS 17

On implementation of IFRS 17, significant judgements include the level of aggregation and the determination of the unit of account, the application of premium allocation approach (PAA), and the determination of which expenses are directly attributable to insurance contracts and the identification of onerous contracts. The key considerations made by the Group on application of IFRS 17 are set out below.

Refer to Note 1.3 for significant judgements and estimates relating to the application of IFRS 17 that are reassessed each reporting period.

Insurance contract classification

As a result of the Standard's specificity regarding the contracts that it is applicable to, the Group has reviewed contracts issued to customers by non-insurance businesses to ensure that no additional business has fallen within the scope of IFRS 17. This concluded that no additional contracts should be brought into scope on adoption of IFRS 17.

Level of aggregation

IFRS 17 defines a portfolio of insurance contracts as 'Insurance contracts subject to similar risks and managed together'. As the Group essentially sells one 'health insurance' product line, where cash flows are generally expected to respond similarly in direction and timing to changes in assumptions, and the Group manages the insurance business at geographic 'Business Unit' level, the Group has defined portfolios as insurance Business Units at a minimum, with further disaggregation if there are business lines which are managed separately and have different risk profiles. Portfolios are further divided into groups of contracts for the identification of onerous contracts.

There is a presumption under the PAA that no contracts are onerous unless there are facts and circumstances that indicate otherwise. However, the requirement to identify onerous contracts means that business is generally accounted for at a level lower than portfolios, being profitability groupings. This is the basis on which the standard requires various assessments to be made, e.g. PAA eligibility.

Contract boundary and PAA

IFRS 17 requires a current measurement model for insurance contracts where estimates are remeasured each reporting period. Under the general measurement model (GMM), contracts are measured using the building blocks of discounted probability-weighted cash flows, an explicit risk adjustment, and a contractual service margin (CSM) representing the unearned profit of the contract which is recognised as revenue over the coverage period. An optional, simplified PAA is permitted for eligible short-duration contracts.

In applying the standard, the Group has reviewed its insurance and reinsurance contracts and considered the contract boundary for each type of policy. The majority of policies have a coverage period of one year or less. As a result, the Group has taken the available policy choice to apply the PAA to these contracts. This approach leads to simplified measurement and presentation relative to the GMM.

The Group has a small number of policy groups with a coverage period of greater than a year. For these groups of contracts, the Group has assessed whether the measurement of the liability for remaining coverage (LFRC) under the PAA is expected to differ materially from that under the GMM. This required the use of a GMM and materiality thresholds determined by management for these policies, as well as the selection of reasonably expected scenarios against which eligibility is assessed. The majority of contracts are eligible for the PAA measurement model either automatically or through this assessment.

Liability for incurred claims

The liability for incurred claims (LFIC) is consistent under the GMM and the PAA. The LFIC is made up of the best estimate outstanding claims provision, expenses already incurred but not yet paid in relation to claims and the cost of handling incurred claims at the reporting date.

Liability for remaining coverage

The liability for remaining coverage (LFRC) under the PAA is valued at initial recognition based on premium received, less any directly attributable acquisition costs deferred. In subsequent periods, the LFRC is amortised to recognise the revenue and insurance expenses (insurance acquisition cash flows) on a passage of time basis over the coverage period. This is recognised on a straight line basis as the expected pattern of the release of risk during the coverage period does not differ significantly over the passage of time. If certain acquisition cash flows paid on new contracts are allocated to future renewals, outside the boundary of the current contract, the deferred portion is recognised in the carrying amount of the related portfolio of the insurance contract issued. Deferred acquisition costs relating to groups of contracts within their coverage period and insurance receivables are included within the LFRC,

For groups of contracts where all contracts have a coverage period of one year or less, the Group has taken the policy decision available to expense insurance acquisition cash flows as incurred. Where the contracts within a group have a coverage period that is greater than one year, this policy choice is not available and these amounts are deferred.

Under the PAA, a risk adjustment is recognised on all LFIC balances and on LFRC balances for onerous contracts issued. The Group has taken the decision to use a confidence level technique to estimate the risk adjustment.

Discounting

Discounting is optional for the LFRC carrying amount if the time between providing each part of the coverage and the related premium due date is one year or less and is optional for the LFIC if claims are expected to be paid in one year or less from the date the claims are incurred.

The Group does not apply discounting to the majority of policies. However, at transition, Bupa Acıbadem Sigorta has applied discounting to both the LFRC and LFIC due to the high interest rate and high inflation environment in Türkiye and Bupa Global have applied discounting to LFIC as a proportion of claims are settled in a period in excess of one year. In addition, the LFRC for the legacy individual health policies in Brazil has been discounted due to the long-term nature of these contracts as detailed below. Where discounting is applied, the Group policy is to use European Insurance and Occupational Pensions Authority (EIOPA) specified discount rates.

Onerous contracts

To identify potentially onerous contracts, the Group has considered information reviewed by senior management in monitoring financial performance. The Group assumes that no PAA contracts are onerous at initial recognition. Where facts and circumstances are identified that may indicate an onerous contract exists, detailed testing is performed. The loss component is valued by comparing the carrying amount of the LFRC to the estimated fulfilment cash flows which include an assessment of the risk adjustment using a confidence level approach. In subsequent periods, the loss component is reassessed and any movements are recognised within the Condensed Consolidated Income Statement.

Key estimation uncertainty is driven by the future cash flows which are uncertain due to their timing, size and, or probability. The underlying cash flows are determined by forecasting future claims based on internal and external historical claims and other experience data and updated to reflect current expectations of future events and current conditions at the reporting date.

Legacy individual health policies in Brazil

The Group has a small legacy portfolio of individual health contracts in Brazil. On transition to IFRS 17, the contract boundary of the policies has been deemed to be the lifetime of the policyholders due to mandatory renewal clauses included in the policies. These contracts are onerous and a GMM valuation has been used to calculate the loss component of GBP47m at transition on 1 January 2022. The loss component has been discounted due to the long-term nature of these contracts. IFRS 17 has been implemented for these contracts using the fair value approach.

Insurance service expenses

Judgement is exercised in determining which expenses are directly attributable to insurance contracts, and therefore included within insurance service expenses. The Group classifies the majority of expenses incurred by Insurance entities within insurance service expenses, except for those not directly attributable to insurance contracts.

Return of COVID-19 claims savings

In Australia Health Insurance, premium rate increase deferrals have been implemented to return claims savings to customers. The reduced premium received from customers is recognised on a passage of time basis over the policy coverage period.

In addition, Australia Health Insurance have announced cash payments to customers. A provision is recognised at the point the Group formally announces the cash payments and insurance revenue recognised within the Condensed Consolidated Income Statement is reduced accordingly. The provision is subsequently utilised on payment to the eligible customers. As the payment reflects a distinct promise associated with the return of COVID-19 savings to customers, the provision is reflected as a non-distinct investment component.

Restatements

The Group's net assets at transition on 1 January 2022 were reduced by GBP56m. The primary adjustments impacting net assets were:

 
-  the write off of deferred acquisition costs (DAC) assets 
-  the recognition of the loss component on onerous contracts 
    in excess of the unexpired risk reserve (URR) held under 
    IFRS 4 
-  in the Group's Australian insurance business, the derecognition 
    of the deferred claims liabilities which cannot be held 
    under IFRS 17 and the change in recognition of premium deferrals. 
 

Other adjustments include changes to the net monetary loss recognised under IAS 29 Financial Reporting in Hyperinflationary Economies as a result of IFRS 17 deeming all components of an insurance contract to be monetary items. Taxation has been restated to reflect the taxation impact of the above adjustments. Any deferred taxation assets recognised on the adoption of IFRS 17 should unwind through the Condensed Consolidated Income Statement in future periods, as and when taxation deductions are taken, alongside the associated impact to current taxation.

Restatement of the legacy individual health portfolio in Brazil, adopted using the alternate fair value approach, is not shown separately due to the low value of that portfolio.

 
                                                                               Total 
1 January 2022                                                                  GBPm 
----------------------------------------------------------  ------------------------ 
Net assets under IFRS 4                                                        7,061 
  Derecognition of DAC                                                         (136) 
  Recognition of loss component for onerous contracts 
   in excess of URR                                                             (76) 
  Derecognition of deferred claims liabilities and change 
   in recognition of premium deferrals                                           163 
  Other adjustments                                                             (15) 
  Taxation adjustments                                                             8 
----------------------------------------------------------  ------------------------ 
Net assets under IFRS 17                                                       7,005 
----------------------------------------------------------  ------------------------ 
 
 
                               As published          Reclassification               Measurement                Restated 
1 January 2022                         GBPm                      GBPm                      GBPm                    GBPm 
-----------------  ------------------------  ------------------------  ------------------------  ---------------------- 
Equity-accounted 
 investments                            905                         -                      (20)                     885 
Assets arising 
 from insurance 
 business                             1,380                   (1,244)                     (136)                       - 
Deferred taxation 
 assets                                  89                         -                      (25)                      64 
Reinsurance 
 contract assets                          -                        18                         -                      18 
Trade and other 
 receivables                            618                       (2)                         -                     616 
Deferred taxation 
 liabilities                          (177)                         -                        33                   (144) 
Provisions 
 arising from 
 insurance 
 contracts                          (3,237)                     3,237                         -                       - 
Provisions for 
 liabilities 
 and charges                          (270)                         5                         -                   (265) 
Insurance 
 contract 
 liabilities                              -                   (2,283)                        92                 (2,191) 
Other liabilities 
 arising 
 from insurance 
 business                             (213)                       213                         -                       - 
Trade and other 
 payables                           (2,170)                        56                         -                 (2,114) 
-----------------  ------------------------  ------------------------  ------------------------  ---------------------- 
Total net asset 
 restatement                                                        -                      (56) 
-----------------  ------------------------  ------------------------  ------------------------  ---------------------- 
 

The 30 June 2022 and 31 December 2022 comparatives have also been restated for the impact of applying IFRS 17. The impact on profit for the period and net assets are set out in the tables below.

 
                                                                                 Total 
30 June 2022                                                                      GBPm 
----------------------------------------------------------  -------------------------- 
Profit after tax under IFRS 4                                                      129 
  Derecognition of DAC                                                            (28) 
  Recognition of loss component for onerous contracts 
   in excess of URR                                                                  7 
  Derecognition of deferred claims liabilities and change 
   in recognition of premium deferrals                                             122 
  Other adjustments                                                                (4) 
  Taxation adjustments                                                            (33) 
----------------------------------------------------------  -------------------------- 
Profit after tax under IFRS 17                                                     193 
----------------------------------------------------------  -------------------------- 
 
 
                               As published          Reclassification               Measurement                Restated 
30 June 2022                           GBPm                      GBPm                      GBPm                    GBPm 
-----------------  ------------------------  ------------------------  ------------------------  ---------------------- 
Equity-accounted 
 investments                            985                         -                      (34)                     951 
Assets arising 
 from insurance 
 business                             2,122                   (1,950)                     (172)                       - 
Deferred taxation 
 assets                                 167                         -                      (68)                      99 
Reinsurance 
 contract assets                          -                        14                         -                      14 
Trade and other 
 receivables                            788                       (1)                         -                     787 
Deferred taxation 
 liabilities                          (185)                         -                        43                   (142) 
Provisions 
 arising from 
 insurance 
 contracts                          (4,407)                     4,407                         -                       - 
Provisions for 
 liabilities 
 and charges                          (372)                        92                         -                   (280) 
Insurance 
 contract 
 liabilities                              -                   (2,863)                       229                 (2,634) 
Other liabilities 
 arising 
 from insurance 
 business                             (229)                       229                         -                       - 
Trade and other 
 payables                           (2,155)                        72                         -                 (2,083) 
-----------------  ------------------------  ------------------------  ------------------------  ---------------------- 
Total net asset 
 restatement                                                        -                       (2) 
-----------------  ------------------------  ------------------------  ------------------------  ---------------------- 
 
 
                                                                                 Total 
31 December 2022                                                                  GBPm 
----------------------------------------------------------  -------------------------- 
Loss after tax under IFRS 4                                                      (418) 
  Derecognition of DAC                                                            (19) 
  Recognition of loss component for onerous contracts 
   in excess of URR                                                               (11) 
  Derecognition of deferred claims liabilities and change 
   in recognition of premium deferrals                                              81 
  Other adjustments                                                               (14) 
  Taxation adjustments                                                            (18) 
----------------------------------------------------------  -------------------------- 
Loss after tax under IFRS 17                                                     (399) 
----------------------------------------------------------  -------------------------- 
 
 
                               As published          Reclassification               Measurement                Restated 
31 December 2022                       GBPm                      GBPm                      GBPm                    GBPm 
-----------------  ------------------------  ------------------------  ------------------------  ---------------------- 
Equity-accounted 
 investments                          1,032                         -                      (35)                     997 
Assets arising 
 from insurance 
 business                             1,626                   (1,470)                     (156)                       - 
Deferred taxation 
 assets                                 146                         -                      (19)                     127 
Reinsurance 
 contract assets                          -                        21                         -                      21 
Trade and other 
 receivables                            939                       (1)                         -                     938 
Deferred taxation 
 liabilities                          (121)                         -                         9                   (112) 
Provisions 
 arising from 
 insurance 
 contracts                          (3,709)                     3,709                         -                       - 
Provisions for 
 liabilities 
 and charges                          (290)                         3                         -                   (287) 
Insurance 
 contract 
 liabilities                              -                   (2,528)                       150                 (2,378) 
Other liabilities 
 arising 
 from insurance 
 business                             (221)                       221                         -                       - 
Trade and other 
 payables                           (2,353)                        45                         -                 (2,308) 
-----------------  ------------------------  ------------------------  ------------------------  ---------------------- 
Total net asset 
 restatement                                                        -                      (51) 
-----------------  ------------------------  ------------------------  ------------------------  ---------------------- 
 

IAS 1 amendments

The Group has adopted Disclosure of Accounting Policies (Amendments to IAS 1 and IFRS Practice Statement 2) from 1 January 2023. The amendments aim to help improve accounting policy disclosures for the primary users of financial statements. Entities must disclose material accounting policies, rather than the previous requirement to disclose significant accounting policies, and the concept of materiality in the context of accounting policies is further defined. The accounting policy disclosures provided for IFRS 17 above are in line with the new requirements and all material accounting policies will be disclosed in the annual financial statements for the year ended 31 December 2023.

IAS 8 amendments

The Group has adopted Definition of Accounting Estimates (Amendments to IAS 8) from 1 January 2023. The amendments introduce the definition of accounting estimates and include further amendments to help entities distinguish changes in accounting estimates from changes in accounting policies. On adoption there was no impact on the Group. Any future changes in accounting estimate or changes in accounting policy will be assessed under the new requirements.

Deferred Tax related to Assets and Liabilities arising from a Single Transaction (Amendments to IAS 12)

The Group has adopted Deferred Tax related to Assets and Liabilities arising from a Single Transaction (Amendments to IAS 12) from 1 January 2023. The amendments remove a previous deferred tax recognition exemption for transactions that give rise to equal taxable and deductible temporary differences on initial recognition. A lessee's recognition of assets and liabilities on inception of a lease is potentially such a transaction, depending on applicable tax law. The Group previously accounted for deferred tax on leases on a net basis in certain jurisdictions. As a result of adopting the amendments, in these jurisdictions the Group recognised separate deferred taxation assets on the lease liabilities and deferred taxation liabilities on the right-of-use assets of GBP16m each at 31 December 2022 (1 January 2022: GBP15m, 30 June 2022: GBP15m). As these balances qualify for offset, there was no impact on the Consolidated Statement of Financial Position.

International Tax Reform-Pillar Two Model Rules (Amendments to IAS 12)

The Group has adopted International Tax Reform-Pillar Two Model Rules (Amendments to IAS 12) from 1 January 2023. Pillar Two seeks to establish a 15% global minimum tax rate for multinational enterprises. On 20 June 2023, Finance (No.2) Bill 2023, which implements a domestic top-up tax and a multinational top-up tax in the UK effective for accounting periods starting on or after 31 December 2023, was substantively enacted. If the top-up tax had applied in 2023, the impact would not have been material for the Group. The IAS 12 amendments provide a temporary mandatory exception from deferred tax accounting for the Pillar Two top-up tax, which the Group has applied. The amendments also require additional qualitative and quantitative disclosures about the actual and potential impact of Pillar Two taxes. The Group will first provide these disclosures in its Consolidated Financial Statements for the year ended 31 December 2023.

IFRS Interpretations Committee decision Demand Deposits with Restrictions on Use arising from a Contract with a Third Party (IAS 7 Statement of Cash Flows)

In March 2022, the IFRS Interpretations Committee (IFRS IC) published its final agenda decision Demand Deposits with Restrictions on Use arising from a Contract with a Third Party (IAS 7 Statement of Cash Flows). This agenda decision considered whether an entity should include a demand deposit as a component of cash and cash equivalents in its statement of cash flows and financial position when the demand deposit is subject to contractual restrictions on use agreed with a third party.

The IFRS IC concluded that restrictions on the use of a demand deposit arising from a contract with a third party do not result in the deposit no longer being cash unless those restrictions result in the deposit no longer meeting the definition of cash. A deposit still meeting this definition would be presented as part of cash and cash equivalents on the statement of financial position, although it could be presented separately if relevant to an understanding of an entity's financial position. Such a deposit would also be considered part of cash and cash equivalents on the statement of cash flows.

The Group has reviewed the nature of its restricted assets and concluded that certain amounts should be considered part of cash and cash equivalents on the Consolidated Statement of Cash Flows. The Consolidated Statement of Cash Flows for the six months ended 30 June 2022 has therefore been restated, resulting in an increase in cash and cash equivalents at the beginning of the period of GBP112m, an increase in cash and cash equivalents at the end of the period of GBP83m and a reduction in decrease in cash held in restricted assets of GBP29m. This restatement had no impact on the Consolidated Statement of Financial Position. All restricted assets continue to be presented separately on the face of the Consolidated Statement of Financial Position. The agenda decision was previously implemented in the Group's annual financial statements for the year ended 31 December 2022 and no restatement of comparative amounts for that period is required.

Other

A number of amended standards became applicable for the current reporting period. The Group did not have to change its accounting policies or make retrospective adjustments as a result of adopting these amended standards.

   1.4.2   Impact of standards issued but not yet applied by the Group 

Non-current Liabilities with Covenants (Amendments to IAS 1)

In October 2022 the International Accounting Standards Board (IASB) issued Non-current Liabilities with Covenants (Amendments to IAS 1). The amendments clarify that the need to comply with covenants beyond the reporting date does not prevent a liability from being classified as non-current. Entities must disclose any such liability balances along with the presence and nature of relevant covenants and additionally disclose if the covenants are likely to be breached within the following twelve months. The amendments are effective from 1 January 2024. The application of these amendments is currently being evaluated by the Group. The amendments may impact the classification of certain liabilities as current or non-current and require additional disclosure, but are expected to have no other impact on recognition or measurement.

   1.5   Foreign exchange 

The following significant exchange rates applied during the period:

 
                                         Average rate                                                           Closing rate 
             ---------------------------------------------------------------------  --------------------------------------------------------------------- 
                           30 June              31 December                30 June                30 June              31 December                30 June 
                              2023                     2022                   2022                   2023                     2022                   2022 
-----------  ---------------------  -----------------------  ---------------------  ---------------------  -----------------------  --------------------- 
Australian 
 dollar                       1.83                     1.78                   1.80                   1.91                     1.77                   1.77 
Brazilian 
 real                         6.25                     6.38                   6.59                   6.09                     6.38                   6.37 
Chilean 
 peso                       994.36                 1,076.32               1,071.81               1,017.72                 1,023.92               1,117.88 
Danish 
 krone                        8.50                     8.73                   8.83                   8.66                     8.39                   8.64 
Euro                          1.14                     1.17                   1.19                   1.16                     1.13                   1.16 
Hong Kong 
 dollar                       9.67                     9.68                  10.16                   9.95                     9.42                   9.55 
Mexican 
 peso                        22.40                    24.88                  26.32                  21.78                    23.54                  24.54 
New Zealand 
 dollar                       1.98                     1.94                   1.96                   2.07                     1.91                   1.95 
Polish 
 zloty                        5.28                     5.50                   5.51                   5.16                     5.28                   5.46 
Saudi riyal                   4.63                     4.64                   4.87                   4.76                     4.54                   4.57 
Turkish 
 lira(1)                     33.04                    22.58                  20.32                  33.04                    22.58                  20.32 
US dollar                     1.23                     1.24                   1.30                   1.27                     1.21                   1.22 
-----------  ---------------------  -----------------------  ---------------------  ---------------------  -----------------------  --------------------- 
 
 
1.  Closing rate of Turkish lira applied to average rate following 
     the application of IAS 29. 
 

Türkiye is a hyperinflationary economy and IAS 29 Financial Reporting in Hyperinflationary Economies has been applied from June 2022 onwards. As a consequence, the results and balances for the Group's Turkish operations have been adjusted for changes in the general purchasing power of the Turkish lira. In order to make this adjustment the Group refers to the CPI index published by the Turkish Statistical Institute. The value of CPI at 30 June 2023 was 1,351.59 (HY 2022: 977.88; FY 2022: 1,128.40) and the movement in CPI for the period ended 30 June 2023 was 223.19 (HY 2022: 290.93; FY 2022: 441.45), an increase of 19.8% (HY 2022: 42.4%; FY 2022: 64.3%). The introduction of IFRS 17 has impacted the application of IAS 29 in prior periods as it deems all components of an insurance contract to be monetary items, whereas under IFRS 4, the unearned premium provision and deferred acquisition costs were deemed to be non-monetary items. This has led to the restatement of the monetary loss and the net impact to profit before taxation for HY 2022 and FY 2022.

A loss of GBP4m (HY 2022 (restated): GBP18m; FY 2022 (restated): GBP25m) arising from the devaluation of net monetary assets has been recognised within net financial expense in the Condensed Consolidated Income Statement. This includes the impact of indexing amounts in the Condensed Consolidated Income Statement for the application of IAS 29, reducing profit before taxation by GBP5m for the period (HY 2022 (restated): GBP18m; FY 2022 (restated): GBP29m).

For segmental reporting purposes, the net impact of applying hyperinflationary accounting has been excluded from underlying profit and included within realised and unrealised FX gain/loss as this is how the Group measures performance of the business.

All Turkish lira amounts are translated to the Group's presentation currency of sterling, using the closing exchange rate in effect on 30 June 2023 of 33.04 (HY 2022: 20.32; FY 2022: 22.58). The impact of this adjustment is recorded within other foreign exchange translation differences in the Condensed Consolidated Statement of Comprehensive Income and within the foreign exchange translation reserve in the Condensed Consolidated Statement of Financial Position. The Group recognises the remaining exchange difference arising on consolidation within other foreign exchange translation differences through other comprehensive income in the foreign exchange translation reserve.

   2   Operating segments 

The Group operates in three Market Units, Bupa Asia Pacific; Europe and Latin America; and Bupa Global and UK. Management monitors the operating results of the Market Units separately to assess performance and make decisions about the allocation of resources. The Group's associate investments, Bupa Arabia and Niva Bupa are reported within Other businesses.

 
Reportable        Services and Products 
 Segments 
----------------  ------------------------------------------------------------ 
Bupa Asia         Bupa Health Insurance: Health insurance, international 
 Pacific           health cover in Australia. 
                   Bupa Health Services: Health provision business, 
                   comprising dental, optical, audiology, medical assessment 
                   services, and healthcare for the Australian Defence 
                   Force. 
                   Bupa Villages and Aged Care Australia: Nursing, 
                   residential, respite care and residential villages. 
                   Bupa Villages and Aged Care New Zealand: Nursing, 
                   residential, respite care and residential villages. 
                   Bupa Hong Kong: Domestic health insurance, primary 
                   healthcare and day care clinics including diagnostics. 
----------------  ------------------------------------------------------------ 
Europe and        Sanitas Seguros: Health insurance and related products 
 Latin America     in Spain. 
                   Sanitas Dental: Insurance and dental services through 
                   clinics and third-party networks in Spain. 
                   Sanitas Hospitales and New Services: Management 
                   and operation of hospitals, rehabilitation centres 
                   and health clinics in Spain. 
                   Sanitas Mayores: Nursing, residential and respite 
                   care in care homes and day centres in Spain. 
                   LUX MED: Medical subscriptions, health insurance, 
                   and the management and operation of diagnostics, 
                   health clinics and hospitals in Poland. 
                   Bupa Acıbadem Sigorta: Domestic health insurance 
                   in Türkiye. 
                   Bupa Chile: Domestic health funding and the management 
                   and operation of health clinics and hospitals in 
                   Chile. 
                   Care Plus: Domestic health insurance in Brazil. 
                   Bupa Mexico: Health insurance and the management 
                   and operation of a hospital in Mexico. 
                   Bupa Global Latin America: International health 
                   insurance. 
----------------  ------------------------------------------------------------ 
Bupa Global       Bupa UK Insurance: Domestic health insurance, and 
 and UK            administration services for Bupa health trusts. 
                   Bupa Dental Care UK: Dental services and related 
                   products. 
                   Bupa Care Services: Nursing, residential, respite 
                   care and care villages. 
                   Bupa Health Services: Clinical services, health 
                   assessment related products and management and operation 
                   of a private hospital. 
                   Bupa Global: International health insurance to individuals, 
                   small businesses and corporate customers. 
                   Associate: Highway to Health (United States of America) 
                   (operating as GeoBlue). 
----------------  ------------------------------------------------------------ 
Other businesses  Associates: Bupa Arabia (Kingdom of Saudi Arabia) 
                   and Niva Bupa (India): Health insurance. 
----------------  ------------------------------------------------------------ 
 

A key performance measure of operating segments utilised by the Group is underlying profit. Underlying profit is used to distinguish underlying profit from other constituents of the IFRS reported profit before taxation not directly related to the trading performance of the business. This measurement basis has been updated in 2023 to maintain consistency with the metric used internally for managing the business.

The following changes have been made to the metric:

 
-  Investment property returns have been included within underlying 
    profit. 
-  Financial investment returns have been included in Market 
    Unit underlying profit to better reflect expected financial 
    asset returns. This includes the actual returns on cash, 
    cash-like instruments and assets where returns do not fluctuate 
    with market movements. Expected returns are used for return-seeking 
    asset portfolios. Short-term fluctuations on investment 
    returns are removed from underlying profit as they are not 
    related to underlying trading performance. 
 

Presentational updates have been made to show revenue before IAS 29 adjustments, which reflects the view that is presented to management. In addition, Group investment funding costs, which principally include investment in ESG initiatives, have been presented separately.

The segmental tables have been restated to reflect the revised definition of underlying profit. A reconciliation between the old and new definition of underlying profit, including the impacts of IFRS 17, is included under the tables for HY 2022 and FY 2022.

Underlying profit

The following items are excluded from underlying profit:

 
-  Impairment of intangible assets and goodwill arising on 
    business combinations - these impairments are considered 
    to be one-off and not reflective of the in-year trading 
    performance of the business. 
-  Short-term fluctuations on investment return - underlying 
    profit includes an expected long-term investment return 
    over the period for return-seeking financial assets. Any 
    variance between the total investment return (including 
    realised and unrealised gains) and the expected return over 
    the period is not included in underlying profit. These fluctuations 
    are not related to underlying trading performance. 
-  Net gains/losses on disposal of businesses and transaction 
    costs on business combinations - gains/losses on disposal 
    of businesses that are material and one-off in nature to 
    the reportable segment are not considered part of the continuing 
    business. Transaction costs that relate to material acquisitions 
    or disposals are not related to the ongoing trading performance 
    of the business. 
-  Net property revaluation gains/losses - short-term fluctuations 
    which would distort underlying trading performance. This 
    includes deficit on the revaluation of freehold properties 
    and property impairment losses. 
-  Realised and unrealised foreign exchange gains/losses - 
    fluctuations outside of management control, which would 
    distort underlying trading performance. This includes the 
    net impact of applying hyperinflationary accounting. 
-  Amortisation of bed licences - following the Australian 
    Government's announcement of the deregulation of bed licences 
    from 1 July 2024, their amortisation term was reviewed and 
    updated from having an indefinite useful life to amortising 
    over the period to 1 July 2024. The impact of this is not 
    considered reflective of the trading performance of the 
    business. 
-  Other Market Unit/Group non-underlying items - includes 
    items that are considered material to the reportable segment 
    or Group and are not reflective of ongoing trading performance. 
    This includes items such as restructuring costs and profit 
    or loss amounts related to changes to strategic investments. 
 

The total underlying profit of the reportable segments is reconciled below to the profit before taxation expense in the Condensed Consolidated Income Statement.

 
                                       Europe            Bupa 
                         Bupa             and          Global 
                         Asia           Latin             and             Other           Group 
                      Pacific         America              UK        businesses       Functions        Adjustments(1)       Total 
For six months 
ended 
30 June 2023             GBPm            GBPm            GBPm              GBPm            GBPm                  GBPm        GBPm 
---------------  ------------  --------------  --------------  ----------------  --------------  --------------------  ---------- 
Revenues 
Insurance 
 revenue                2,132           1,667           1,426                 -               -                     9       5,234 
Inter-Market 
 Unit revenue            (29)               -              29                 -               -                     -           - 
---------------  ------------  --------------  --------------  ----------------  --------------  --------------------  ---------- 
Insurance 
 revenue for 
 reportable 
 segments               2,103           1,667           1,455                 -               -                     9       5,234 
 
Care, health 
 and other 
 customer 
 contract 
 revenue                  644             880             606                 -               -                     -       2,130 
Other revenue              26               5               2                 4               -                     -          37 
Non-insurance 
 revenue 
 for reportable 
 segments                 670             885             608                 4               -                     -       2,167 
 
Total revenue 
 reportable 
 for segments           2,773           2,552           2,063                 4               -                     9       7,401 
---------------  ------------  --------------  --------------  ----------------  --------------  --------------------  ---------- 
 
Segmental 
result 
Underlying 
 profit for 
 reportable 
 segments                  40             145             142                43             (3)                     -         367 
Borrowing costs             -               -               -                 -            (38)                     -        (38) 
Group 
 investment 
 funding                    -               -               -                 -             (8)                     -         (8) 
---------------  ------------  --------------  --------------  ----------------  --------------  --------------------  ---------- 
Consolidated 
 underlying 
 profit before 
 taxation 
 expense                   40             145             142                43            (49)                     -         321 
 
Non-underlying 
items: 
Short-term 
 fluctuation 
 on investment 
 returns                    4               -               4                 -             (2)                     -           6 
Net loss on 
 disposal 
 of businesses 
 and 
 transaction 
 costs on 
 business 
 combinations             (1)               -             (1)                 -               -                     -         (2) 
Realised and 
 unrealised 
 FX (loss)/gain             -             (1)              13                 2               3                   (5)          12 
Amortisation of 
 bed licenses            (16)               -               -                 -               -                     -        (16) 
Other 
 non-underlying 
 items(2)                   -             (4)             (7)                 -               -                     -        (11) 
---------------  ------------  --------------  --------------  ----------------  --------------  --------------------  ---------- 
Total 
 non-underlying 
 items                                                                                                                       (11) 
---------------  ------------  --------------  --------------  ----------------  --------------  --------------------  ---------- 
Consolidated 
 profit 
 before 
 taxation 
 expense                                                                                                                      310 
---------------  ------------  --------------  --------------  ----------------  --------------  --------------------  ---------- 
 
 
1.  Adjustments include impacts of applying IAS 29. 
2.  Other non-underlying items includes GBP4m and GBP7m relating 
     to restructuring costs in Europe and Latin America and Bupa 
     Global and UK. 
 
 
                                      Europe            Bupa 
                        Bupa             and          Global 
                        Asia           Latin             and            Other          Group 
                     Pacific         America              UK       businesses      Functions      Adjustments(2)         Total 
For six months 
ended 
30 June 2022 
(restated)(1)           GBPm            GBPm            GBPm             GBPm           GBPm                GBPm          GBPm 
---------------  -----------  --------------  --------------  ---------------  -------------  ------------------  ------------ 
Revenues 
Insurance 
 revenue               2,136           1,393           1,269                -              -                  11         4,809 
Inter-Market 
 Unit revenue           (27)               -              27                -              -                   -             - 
---------------  -----------  --------------  --------------  ---------------  -------------  ------------------  ------------ 
Insurance 
 revenue for 
 reportable 
 segments              2,109           1,393           1,296                -              -                  11         4,809 
 
Care, health 
 and other 
 customer 
 contract 
 revenue                 620             709             564                -              -                   -         1,893 
Other 
 revenue(1)               30               6               1                3              -                   -            40 
Non-insurance 
 revenue 
 for reportable 
 segments                650             715             565                3              -                   -         1,933 
 
Total revenue 
 reportable 
 for segments          2,759           2,108           1,861                3              -                  11         6,742 
---------------  -----------  --------------  --------------  ---------------  -------------  ------------------  ------------ 
 
Segmental 
result 
Underlying 
 profit for 
 reportable 
 segments(1)             257              66              67               20            (1)                   -           409 
Borrowing costs            -               -               -                -           (31)                   -          (31) 
Consolidated 
 underlying 
 profit before 
 taxation 
 expense                 257              66              67               20           (32)                   -           378 
 
Non-underlying 
items: 
Short-term 
 fluctuation 
 on investment 
 returns                (11)               -            (34)                -              1                   -          (44) 
Net gain/(loss) 
 on disposal 
 of businesses 
 and 
 transaction 
 costs on 
 business 
 combinations              4             (2)               -              (4)              -                   -           (2) 
Net property 
 revaluation 
 loss                      -               -             (1)                -              -                   -           (1) 
Realised and 
 unrealised 
 FX gain/(loss)            -               3             (3)                -            (1)                (17)          (18) 
Amortisation of 
 bed licenses           (17)               -               -                -              -                   -          (17) 
Other 
 non-underlying 
 items(3)                  -            (10)               -                -              -                   -          (10) 
---------------  -----------  --------------  --------------  ---------------  -------------  ------------------  ------------ 
Total 
 non-underlying 
 items                                                                                                                    (92) 
---------------  -----------  --------------  --------------  ---------------  -------------  ------------------  ------------ 
Consolidated 
 profit 
 before 
 taxation 
 expense                                                                                                                   286 
---------------  -----------  --------------  --------------  ---------------  -------------  ------------------  ------------ 
 
 
1.  Amounts have been restated for the adoption of IFRS 17 (refer 
     to Note 1.4.1) and to reflect the revised definition of 
     underlying profit. 
2.  Adjustments include impacts of applying IAS 29. 
3.  Europe and Latin America segment includes GBP10m restructuring 
     costs. 
 
 
Consolidated 
 underlying 
 profit 
 before 
 taxation 
 expense               257             66              67                 20           (32)                -           378 
-------------  -----------  -------------  --------------  -----------------  -------------  ---------------  ------------ 
 
Impact of 
 applying 
 IFRS 
 17                  (118)             15               8                 10              2                -          (83) 
Net gains on 
 investment 
 property             (12)              -               -                  -              -                -          (12) 
Investment 
 returns                 4           (24)             (1)                  -             18                -           (3) 
-------------  -----------  -------------  --------------  -----------------  -------------  ---------------  ------------ 
Underlying 
 profit by 
 reportable 
 segments as 
 previously 
 reported              131             57              74                 30           (12)                -           280 
-------------  -----------  -------------  --------------  -----------------  -------------  ---------------  ------------ 
 
 
                                        Europe            Bupa 
                          Bupa             and          Global 
                          Asia           Latin             and            Other          Group 
                       Pacific         America              UK       businesses      Functions      Adjustments(2)         Total 
For year ended 
31 December 
2022 
(restated)(1)             GBPm            GBPm            GBPm             GBPm           GBPm                GBPm          GBPm 
----------------  ------------  --------------  --------------  ---------------  -------------  ------------------  ------------ 
Revenues 
Insurance 
 revenue                 4,431           2,926           2,647                -              -                  29        10,033 
Inter-Market 
 Unit revenue             (57)               -              57                -              -                   -             - 
----------------  ------------  --------------  --------------  ---------------  -------------  ------------------  ------------ 
Insurance 
 revenue for 
 reportable 
 segments                4,374           2,926           2,704                -              -                  29        10,033 
 
Care, health and 
 other 
 customer 
 contract 
 revenue                 1,282           1,550           1,135                -              -                   -         3,967 
Other revenue(1)            60              11               3                7              -                   -            81 
Non-insurance 
 revenue 
 for reportable 
 segments                1,342           1,561           1,138                7              -                   -         4,048 
 
Total revenue 
 reportable 
 for segments            5,716           4,487           3,842                7              -                  29        14,081 
----------------  ------------  --------------  --------------  ---------------  -------------  ------------------  ------------ 
 
Segmental result 
Underlying 
 profit for 
 reportable 
 segments(1)               424             300              47               49            (6)                   -           814 
Borrowing costs              -               -               -                -           (66)                   -          (66) 
Consolidated 
 underlying 
 profit before 
 taxation 
 expense                   424             300              47               49           (72)                   -           748 
 
Non-underlying 
items: 
Impairments of 
 intangible 
 assets and 
 goodwill 
 arising 
 on business 
 combinations(3)         (108)           (161)           (619)                -              -                   -         (888) 
Short-term 
 fluctuation 
 on investment 
 returns                     6               -            (34)                -              6                   -          (22) 
Net gain/(loss) 
 on disposal 
 of businesses 
 and transaction 
 costs on 
 business 
 combinations                4             (3)             (1)              (4)              -                   -           (4) 
Net property 
 revaluation 
 (loss)/gain               (6)               5            (32)                -              -                   -          (33) 
Realised and 
 unrealised 
 FX gain/(loss)              -               5               8                -              1                (29)          (15) 
Amortisation of 
 bed licenses             (34)               -               -                -              -                   -          (34) 
Other 
 non-underlying 
 items                     (4)            (16)             (1)                -              -                   -          (21) 
----------------  ------------  --------------  --------------  ---------------  -------------  ------------------  ------------ 
Total 
 non-underlying 
 items                                                                                                                   (1,017) 
----------------  ------------  --------------  --------------  ---------------  -------------  ------------------  ------------ 
Consolidated 
 profit 
 before taxation 
 expense                                                                                                                   (269) 
----------------  ------------  --------------  --------------  ---------------  -------------  ------------------  ------------ 
 
 
1.  Amounts have been restated for the adoption of IFRS 17 (refer 
     to Note 1.4.1) and to reflect the revised definition of 
     underlying profit. 
2.  Adjustments include impacts of applying IAS 29. 
3.  Includes impairments recognised within Bupa Asia Pacific 
     (Bupa Villages and Aged Care Australia), Europe and Latin 
     America (Bupa Chile) and 
     Bupa Global and UK (Bupa Dental Care UK and Bupa Care Services). 
4.  Europe and Latin America segment includes GBP16m restructuring 
     costs. 
 
 
Consolidated 
 underlying 
 profit 
 before 
 taxation 
 expense                424            300             47                 49           (72)                -          748 
-------------  ------------  -------------  -------------  -----------------  -------------  ---------------  ----------- 
 
Impact of 
 applying 
 IFRS 
 17                    (59)             11              6                  9           (13)                -         (46) 
Net gains on 
 investment 
 property              (28)              -              -                  -              -                -         (28) 
Investment 
 returns                (6)           (52)           (14)                  -             91                -           19 
-------------  ------------  -------------  -------------  -----------------  -------------  ---------------  ----------- 
Underlying 
 profit by 
 reportable 
 segments as 
 previously 
 reported               331            259             39                 58              6                -          693 
-------------  ------------  -------------  -------------  -----------------  -------------  ---------------  ----------- 
 
   3   Non-insurance revenue 

Non-insurance revenue has been analysed at Business Unit level reflecting the nature of services provided by each geography that is reported internally to management.

 
                                        Care, health 
                                           and other 
                                   customer contract                                               Total non-insurance 
                                             revenue                    Other revenue                         revenues 
For six months                                  GBPm                             GBPm                             GBPm 
ended 30 June 
2023 
-------------------  -------------------------------  -------------------------------  ------------------------------- 
Bupa Health 
 Insurance                                         5                                1                                6 
Bupa Health 
 Services                                        295                                -                              295 
Bupa Villages and 
 Aged Care 
 Australia                                       165                               16                              181 
Bupa Villages and 
 Aged Care 
 New Zealand                                      77                                9                               86 
Bupa Hong Kong                                   102                                -                              102 
-------------------  -------------------------------  -------------------------------  ------------------------------- 
Bupa Asia Pacific                                644                               26                              670 
-------------------  -------------------------------  -------------------------------  ------------------------------- 
 
Sanitas Seguros                                    7                                1                                8 
Sanitas Dental                                    72                                3                               75 
Sanitas Hospitales 
 and New 
 Services                                        132                                -                              132 
Sanitas Mayores                                   80                                -                               80 
LUX MED                                          371                                -                              371 
Bupa Acıbadem 
 Sigorta                                           -                                1                                1 
Bupa Chile                                       207                                -                              207 
Care Plus                                          3                                -                                3 
Bupa Mexico                                        8                                -                                8 
Europe and Latin 
 America                                         880                                5                              885 
-------------------  -------------------------------  -------------------------------  ------------------------------- 
 
Bupa UK Insurance                                 12                                1                               13 
Bupa Dental Care UK                              265                                -                              265 
Bupa Care Services                               228                                -                              228 
Bupa Health 
 Services                                        101                                1                              102 
Bupa Global and UK                               606                                2                              608 
-------------------  -------------------------------  -------------------------------  ------------------------------- 
 
Other                                              -                                4                                4 
-------------------  -------------------------------  -------------------------------  ------------------------------- 
Other businesses                                   -                                4                                4 
-------------------  -------------------------------  -------------------------------  ------------------------------- 
 
Consolidated 
 non-insurance 
 revenues                                      2,130                               37                            2,167 
-------------------  -------------------------------  -------------------------------  ------------------------------- 
 
 
                                        Care, health 
                                           and other                                               Total non-insurance 
                                   customer contract                    Other revenue                         revenues 
                                             revenue                      restated(1)                      restated(1) 
For six months 
ended 30 June 
2022                                            GBPm                             GBPm                             GBPm 
-------------------  -------------------------------  -------------------------------  ------------------------------- 
Bupa Health 
 Insurance                                         2                                2                                4 
Bupa Health 
 Services                                        306                                -                              306 
Bupa Villages and 
 Aged Care 
 Australia                                       153                               19                              172 
Bupa Villages and 
 Aged Care 
 New Zealand                                      72                                8                               80 
Bupa Hong Kong                                    87                                1                               88 
-------------------  -------------------------------  -------------------------------  ------------------------------- 
Bupa Asia Pacific                                620                               30                              650 
-------------------  -------------------------------  -------------------------------  ------------------------------- 
 
Sanitas Seguros                                    5                                1                                6 
Sanitas Dental                                    62                                2                               64 
Sanitas Hospitales 
 and New 
 Services                                         94                                1                               95 
Sanitas Mayores                                   70                                -                               70 
LUX MED                                          266                                -                              266 
Bupa Acıbadem 
 Sigorta(1)                                        -                                2                                2 
Bupa Chile                                       198                                -                              198 
Care Plus                                          2                                -                                2 
Bupa Mexico                                        5                                -                                5 
Bupa Global Latin 
 America                                           7                                -                                7 
-------------------  -------------------------------  -------------------------------  ------------------------------- 
Europe and Latin 
 America                                         709                                6                              715 
-------------------  -------------------------------  -------------------------------  ------------------------------- 
 
Bupa UK 
 Insurance(1)                                     10                                -                               10 
Bupa Dental Care UK                              243                                -                              243 
Bupa Care Services                               212                                -                              212 
Bupa Health 
 Services                                         99                                1                              100 
Bupa Global and UK                               564                                1                              565 
-------------------  -------------------------------  -------------------------------  ------------------------------- 
 
Other                                              -                                3                                3 
-------------------  -------------------------------  -------------------------------  ------------------------------- 
Other businesses                                   -                                3                                3 
-------------------  -------------------------------  -------------------------------  ------------------------------- 
 
Consolidated 
 non-insurance 
 revenues                                      1,893                               40                            1,933 
-------------------  -------------------------------  -------------------------------  ------------------------------- 
 
 
1.  Amounts have been restated for the adoption of IFRS 17. 
     Refer to Note 1.4.1. 
 
 
                                        Care, health 
                                           and other                                               Total non-insurance 
                                   customer contract                    Other revenue                         revenues 
                                             revenue                      restated(1)                      restated(1) 
For year ended 31 
December 
2022                                            GBPm                             GBPm                             GBPm 
-------------------  -------------------------------  -------------------------------  ------------------------------- 
Bupa Health 
 Insurance                                         7                                2                                9 
Bupa Health 
 Services                                        614                                1                              615 
Bupa Villages and 
 Aged Care 
 Australia                                       318                               37                              355 
Bupa Villages and 
 Aged Care 
 New Zealand                                     148                               17                              165 
Bupa Hong Kong                                   195                                3                              198 
-------------------  -------------------------------  -------------------------------  ------------------------------- 
Bupa Asia Pacific                              1,282                               60                            1,342 
-------------------  -------------------------------  -------------------------------  ------------------------------- 
 
Sanitas Seguros(1)                                10                                2                               12 
Sanitas Dental                                   119                                4                              123 
Sanitas Hospitales 
 and New 
 Services                                        305                                1                              306 
Sanitas Mayores                                  145                                -                              145 
LUX MED                                          568                                -                              568 
Bupa Acıbadem 
 Sigorta(1)                                        -                                2                                2 
Bupa Chile                                       388                                1                              389 
Care Plus                                          4                                -                                4 
Bupa Mexico                                       11                                -                               11 
Bupa Global Latin 
 America                                           -                                1                                1 
-------------------  -------------------------------  -------------------------------  ------------------------------- 
Europe and Latin 
 America                                       1,550                               11                            1,561 
-------------------  -------------------------------  -------------------------------  ------------------------------- 
 
Bupa UK 
 Insurance(1)                                     21                                2                               23 
Bupa Dental Care UK                              487                                -                              487 
Bupa Care Services                               431                                -                              431 
Bupa Health 
 Services                                        196                                1                              197 
Bupa Global and UK                             1,135                                3                            1,138 
-------------------  -------------------------------  -------------------------------  ------------------------------- 
 
Other                                              -                                7                                7 
-------------------  -------------------------------  -------------------------------  ------------------------------- 
Other businesses                                   -                                7                                7 
-------------------  -------------------------------  -------------------------------  ------------------------------- 
 
Consolidated 
 non-insurance 
 revenues                                      3,967                               81                            4,048 
-------------------  -------------------------------  -------------------------------  ------------------------------- 
 
 
1.  Amounts have been restated for the adoption of IFRS 17. 
     Refer to Note 1.4.1. 
 
   4   Other income and charges 
 
                                                                                                              For year 
                                                                        For six months                        ended 31 
                                               For six                        ended 30                        December 
                                          months ended                       June 2022                            2022 
                                          30 June 2023                     restated(1)                     restated(1) 
                                                  GBPm                            GBPm                            GBPm 
----------------------  ------------------------------  ------------------------------  ------------------------------ 
Net loss on disposal 
 and restructuring 
 of businesses                                     (2)                             (2)                             (4) 
Loss on revaluation of 
 property                                            -                             (1)                            (33) 
Net gain/(loss) on 
 disposal of 
 property, plant and 
 equipment                                           3                               -                             (2) 
Surplus on fair value 
 of investment 
 property(1)                                        12                              12                              28 
----------------------  ------------------------------  ------------------------------  ------------------------------ 
Total other income and 
 charges                                            13                               9                            (11) 
----------------------  ------------------------------  ------------------------------  ------------------------------ 
 
 
1.  Surplus on fair value of investment property has been reclassified 
     from financial income and expense (see Note 5). 
 
   5   Financial income and expense 

Financial income

 
                                                                                                              For year 
                                                                         For six months                       ended 31 
                                                 For six                       ended 30                       December 
                                            months ended                      June 2022                           2022 
                                            30 June 2023                    restated(1)                    restated(1) 
                                                    GBPm                           GBPm                           GBPm 
-------------------------  -----------------------------  -----------------------------  ----------------------------- 
Interest income: 
Investments at fair value 
 through 
 profit or loss                                       25                             26                             61 
Investments at fair value 
 through 
 other comprehensive 
 income                                                5                              1                              1 
Investments at amortised 
 cost                                                 86                             17                             72 
Net realised gain/(loss): 
Net realised gain/(loss) 
 on investments 
 at fair value through 
 profit 
 or loss                                               7                              8                           (13) 
Net realised gain on 
financial 
investments at fair value 
through 
other comprehensive 
income                                                 -                              1                              - 
Net movement in fair 
value: 
Investments at fair value 
 through 
 profit or loss                                       19                           (46)                            (5) 
Net foreign exchange 
 translation 
 gain                                                 16                             15                             42 
Total financial income                               158                             22                            158 
-------------------------  -----------------------------  -----------------------------  ----------------------------- 
 
 
1.  Surplus on fair value of investment property has been reclassified 
     and is now presented within other income and charges (see 
     Note 4). 
 

Financial expense

 
                                                                                                              For year 
                                                   For six                For six months                      ended 31 
                                              months ended                      ended 30                      December 
                                              30 June 2023                     June 2022                       2022(1) 
                                                      GBPm                          GBPm                          GBPm 
----------------------------  ----------------------------  ----------------------------  ---------------------------- 
Interest expense on 
 financial 
 liabilities at amortised 
 cost                                                   54                            42                            99 
Finance charges in respect 
 of 
 leases and restoration 
 provisions                                             25                            23                            46 
Other financial expense(1)                              12                            17                            29 
Total financial expense                                 91                            82                           174 
----------------------------  ----------------------------  ----------------------------  ---------------------------- 
 
 
1.  For year ended 31 December 2022, other financial expense 
     includes GBP6m loss recognised following the early redemption 
     of GBP47m of inflation-linked senior unsecured bonds, originally 
     due to mature on 30 June 2033. 
 

Other financial expenses for the six months ended 30 June 2023 include GBP10m (HY 2022: GBP10m; FY 2022: GBP20m) of imputed financial expenses in relation to interest-free refundable accommodation deposits received by the Group in respect of payment for aged care units in Bupa Villages and Aged Care Australia.

   6   Taxation expense 

The Group's effective taxation rate for the period was 22% (HY 2022 (restated): 33%; FY 2022 (restated): -48%), which is broadly in line with the current UK corporation taxation rate of 23.5%.

The Group operates in the UK where new tax legislation to implement a global minimum top-up tax has been substantively enacted. Since the newly enacted tax legislation in the UK is effective only from 1 January 2024, there is no current tax impact in the period (HY 2022: GBPnil). The Group has applied a temporary mandatory relief from deferred tax accounting for the impacts of the top-up tax, and instead accounts for it as a current tax when it is incurred. If the top-up tax had applied in 2023, the impact would not have been material for the Group.

   7   Goodwill and intangible assets 
 
                                                Computer                                       Customer 
                          Goodwill              software     Brands/trademarks            relationships          Other(1)                 Total 
At 30 June 
2023                          GBPm                  GBPm                  GBPm                     GBPm              GBPm                  GBPm 
-------------  -------------------  --------------------  --------------------  -----------------------  ----------------  -------------------- 
 
Net book 
 value at 
 beginning of 
 period                      1,981                   339                   120                      187               113                 2,740 
Assets 
 arising on 
 business 
 combinations                    5                     1                     -                       15                10                    31 
Additions                        -                    51                     -                        -                 -                    51 
Amortisation 
 for 
 period                          -                  (38)                   (4)                     (16)              (20)                  (78) 
Other                            -                   (1)                     -                        -                 -                   (1) 
Foreign 
 exchange                     (92)                   (9)                     -                      (1)               (8)                 (110) 
Net book 
 value at 
 end of 
 period                      1,894                   343                   116                      185                95                 2,633 
-------------  -------------------  --------------------  --------------------  -----------------------  ----------------  -------------------- 
 
 
                                                 Computer                                      Customer 
                           Goodwill              software     Brands/trademarks           relationships          Other(1)                 Total 
At 31 
December 2022                  GBPm                  GBPm                  GBPm                    GBPm              GBPm                  GBPm 
-------------  --------------------  --------------------  --------------------  ----------------------  ----------------  -------------------- 
 
Net book 
 value at 
 beginning of 
 period                       2,466                   291                   134                     482               145                 3,518 
Assets 
 arising on 
 business 
 combinations                    14                     2                     3                       2                 -                    21 
Additions                         -                   111                     -                       -                 -                   111 
Disposals                       (2)                   (1)                     -                       -                 -                   (3) 
Amortisation 
 for 
 period                           -                  (72)                   (8)                    (53)              (42)                 (175) 
Impairment 
 loss                         (609)                   (6)                  (22)                   (255)               (2)                 (894) 
Other                             -                   (1)                     -                       -                 -                   (1) 
Foreign 
 exchange                       112                    15                    13                      11                12                   163 
Net book 
 value at 
 end of 
 period                       1,981                   339                   120                     187               113                 2,740 
-------------  --------------------  --------------------  --------------------  ----------------------  ----------------  -------------------- 
 
 
                                                 Computer                                      Customer 
                           Goodwill              software     Brands/trademarks           relationships          Other(1)                 Total 
At 30 June 
2022                           GBPm                  GBPm                  GBPm                    GBPm              GBPm                  GBPm 
-------------  --------------------  --------------------  --------------------  ----------------------  ----------------  -------------------- 
 
Net book 
 value at 
 beginning of 
 period                       2,466                   291                   134                     482               145                 3,518 
Assets 
 arising on 
 business 
 combinations                     3                     2                     -                       1                 -                     6 
Additions                         -                    41                     -                       -                 -                    41 
Disposals                       (1)                   (1)                     -                       -                 -                   (2) 
Amortisation 
 for 
 period                           -                  (36)                   (4)                    (27)              (21)                  (88) 
Foreign 
 exchange                        98                    10                     5                       8                10                   131 
Net book 
 value at 
 end of 
 period                       2,566                   307                   135                     464               134                 3,606 
-------------  --------------------  --------------------  --------------------  ----------------------  ----------------  -------------------- 
 
 
1.  Predominantly comprises bed licences, distribution networks 
     and licences to operate care homes. 
 

Goodwill and intangible assets of GBP2,633m (HY 2022: GBP3,606m; FY 2022: GBP2,740m) include GBP396m (HY 2022: GBP733m; FY 2022: GBP420m) attributable to other intangible assets arising on business combinations, comprising brands/trademarks, customer relationships and other in the above table.

Computer software assets with a net book value of GBP343m (HY 2022: GBP307m; FY 2022: GBP339m) include GBP255m (HY 2022: GBP219m; FY 2022: GBP245m) attributable to capitalised internal development costs. The cost attributable to these assets is GBP551m (HY 2022: GBP477m; FY 2022: GBP526m). GBP47m of costs (HY 2022: GBP36m; FY 2022: GBP93m) were capitalised in the period.

Goodwill by CGU is as follows:

 
                                       At 30 June                     At 31 December                         At 30 June 
                                             2023                               2022                               2022 
                                             GBPm                               GBPm                               GBPm 
--------------  ---------------------------------  ---------------------------------  --------------------------------- 
Bupa Asia 
Pacific 
Bupa Australia 
 Health 
 Insurance                                    801                                863                                867 
Bupa Health 
 Services 
 Australia                                    278                                299                                303 
Bupa Villages 
 and Aged Care 
 Australia                                      -                                  -                                104 
Hong Kong                                     122                                129                                127 
Europe and 
Latin America 
Bupa Chile                                      -                                  -                                135 
LUX MED                                       271                                265                                249 
Sanitas 
 Seguros                                       53                                 49                                 47 
Sanitas 
 Mayores                                       21                                 22                                 21 
Bupa 
 Acıbadem 
 Sigorta                                       44                                 53                                 50 
Care Plus                                      30                                 29                                 29 
Other                                          11                                 10                                  6 
Bupa Global 
and UK 
Bupa Care 
 Services                                       -                                  -                                 90 
Bupa Dental 
 Care UK                                      191                                191                                467 
Bupa Global                                    68                                 68                                 68 
Other                                           4                                  3                                  3 
--------------  ---------------------------------  ---------------------------------  --------------------------------- 
Total                                       1,894                              1,981                              2,566 
--------------  ---------------------------------  ---------------------------------  --------------------------------- 
 

Impairment testing of goodwill and indefinite life intangible assets

Goodwill and intangible assets with an indefinite useful life are tested at least annually for impairment in accordance with IAS 36 Impairment of Assets and IAS 38 Intangible Assets. As at 30 June 2023, all CGUs and intangible assets were reviewed for indicators of impairment. Where impairment indicators were identified an impairment test was carried out by comparing the net carrying value with the recoverable amount, using value in use calculations and based on the latest cash flow forecasts for CGUs as at 30 June 2023. Following the impairment recognised at 31 December 2022 in Bupa Dental Care UK, a full impairment test has been performed for the Bupa Dental Care UK CGU.

Key judgements in performing this testing are the assumptions underlying the five-year cash flow forecasts of the businesses. For Bupa Dental Care UK, the cash flows are driven by number of customers, available clinician hours, fee rates and operating expenses. The tests have not indicated that an impairment of goodwill is required, with the headroom increasing in the period. Sensitivities have been provided below showing the impact of a reasonably probable change to the discount rate, terminal growth rate or cash flows, none of which would give rise to an impairment.

 
                                                                                        Reduction 
                                                                   Reduction          in headroom            Reduction 
                                                                 in headroom            from 0.5%          in headroom 
                                                                   from 0.5%            reduction             from 10% 
                                               Terminal             increase          in terminal            reduction 
                                     Discount    growth          in discount               growth              in cash 
                         Headroom        rate      rate                 rate                 rate                flows 
                             GBPm           %         %                 GBPm                 GBPm                 GBPm 
------------  -------------------  ----------  --------  -------------------  -------------------  ------------------- 
Bupa Dental 
 Care 
 UK                            33        10.3       2.1                   14                   18                   10 
------------  -------------------  ----------  --------  -------------------  -------------------  ------------------- 
 
   8   Property, plant and equipment 
 
                                             At 30 June                 At 31 December                      At 30 June 
                                                   2023                           2022                            2022 
                                                   GBPm                           GBPm                            GBPm 
-----------------------  ------------------------------  -----------------------------  ------------------------------ 
Net book value at 
 beginning of 
 period                                           3,691                          3,793                           3,793 
Assets arising on 
 business combinations                                1                              9                               4 
Additions                                           145                            262                             100 
Transfer to assets held 
 for sale                                           (2)                           (35)                            (14) 
Disposals                                           (4)                           (12)                             (9) 
Revaluations                                          -                           (77)                              10 
Remeasurements                                       35                             58                              24 
Depreciation charge for 
 the period                                       (157)                          (329)                           (163) 
Impairment loss                                       -                          (124)                               - 
Other                                                 -                              1                               - 
Foreign exchange                                   (96)                            145                              87 
-----------------------  ------------------------------  -----------------------------  ------------------------------ 
Net book value at end 
 of period                                        3,613                          3,691                           3,832 
-----------------------  ------------------------------  -----------------------------  ------------------------------ 
 

Property, plant and equipment are the physical assets or rights to use leased assets, which are utilised by the Group to carry out business activities and generate revenues and profits. The majority of assets held relate to care homes, hospital properties, equipment and office buildings. Leased right-of-use assets relate primarily to property leases.

Freehold properties are initially measured at cost and subsequently at revalued amount less accumulated depreciation and impairment losses. These properties are subject to external valuations at least every three years. In years where a full external valuation is not completed, a directors' valuation is conducted based on significant underlying assumptions such as cash flows and other market variables. An internal review of the significant underlying assumptions is conducted during interim periods. Consideration is also given to whether there are any factors which indicate a full out-of-cycle external revaluation is required. Care homes, clinics and hospital freehold property valuations are either determined based on a capitalisation of earnings approach where each facility's normalised earnings are calculated based on what a reasonably efficient operator could be expected to achieve and is divided by an appropriate capitalisation rate to determine a value in use, or based on discounted future cash flow projections where the discount rate is determined according to the time value of money, the level of risk of the industry and the corresponding premium risk. All other properties are valued by external valuers, based on observable market values of similar properties.

No external valuations were performed as at 30 June 2023. An internal review of the significant underlying assumptions underpinning the property valuations as at 30 June 2023 resulted in no uplifts or write-downs in respect of owned property (HY 2022: uplifts of GBP10m, FY 2022: write-downs of GBP77m).

Impairment testing of tangible assets

Right-of-use assets have been reviewed for indicators of impairment as at 30 June 2023. Where impairment indicators were identified an impairment test was carried out by comparing the net carrying value with the recoverable amount, using the higher of fair value or the value in use based on the latest cash flow forecasts for CGUs as at 30 June 2023.

No impairments have been identified as at 30 June 2023 (HY 2022: GBPnil; FY 2022: GBP124m).

   9   Investment property 
 
                                            At 30 June                  At 31 December                      At 30 June 
                                                  2023                            2022                            2022 
                                                  GBPm                            GBPm                            GBPm 
-----------------------  -----------------------------  ------------------------------  ------------------------------ 
At beginning of period                             750                             666                             666 
Additions                                           13                              29                              12 
Disposals                                            -                             (1)                             (1) 
Increase in fair value                              12                              29                              12 
Foreign exchange                                  (58)                              27                              11 
-----------------------  -----------------------------  ------------------------------  ------------------------------ 
At end of period                                   717                             750                             700 
-----------------------  -----------------------------  ------------------------------  ------------------------------ 
 

Investment properties are physical assets that are not occupied by the Group and are leased to third parties to generate rental income.

Investment properties are initially measured at cost and subsequently at fair value, determined individually, on a basis appropriate to the purpose for which the property is intended and with market transactions for similar properties in the same location. Where no active market exists, as is the case for retirement villages where each village is unique due to building configuration and location, these properties are valued using discounted cash flow projections. Investment property is revalued externally at least annually, with any gain or loss arising from a change in fair value recognised in the Condensed Consolidated Income Statement within other income and charges.

The carrying value of investment properties primarily consists of the Group's portfolio of retirement villages in Australia and New Zealand of GBP704m (HY 2022: GBP689m, FY 2022: GBP736m). At 30 June 2023 the properties were valued by management using internally prepared discounted cash flow projections, supported by the terms of any existing lease and other contracts. Discount rates are used to reflect current market assessments of the uncertainty in the amount or timing of the cash flows.

   10   Post-employment benefits 

The Group operates several defined benefit and defined contribution pension schemes for the benefit of employees and Directors.

The defined benefit pension schemes provide benefits based on final pensionable salary. The Group's net obligation in respect of the defined benefit pension is calculated separately for each scheme and represents the present value of the defined benefit obligation less the fair value of any scheme assets. The discount rate used is the yield at the reporting date on high-quality corporate bonds denominated in the currency in which the benefit will be paid and taking account of the maturities of the defined benefit obligations. When the calculation results in a benefit to the Group, the recognised asset is limited to the present value of any future refunds from the scheme or reductions in future contributions to the scheme.

Amount recognised in the Condensed Consolidated Income Statement

The total amount charged to the Condensed Consolidated Income Statement amounted to GBP2m (HY 2022 and FY 2022: GBPnil).

Amount recognised directly in other comprehensive income

The amounts credited directly to equity are:

 
                                                                        For six months                        For year 
                                               For six                        ended 30                        ended 31 
                                          months ended                       June 2022                        December 
                                          30 June 2023                                                            2022 
                                                  GBPm                            GBPm                            GBPm 
----------------------  ------------------------------  ------------------------------  ------------------------------ 
Actual return less 
 expected return 
 on assets                                           -                               -                              23 
Gain arising from 
 changes to 
 financial assumptions                               -                               -                            (26) 
Loss arising from 
 changes to 
 experience 
 assumptions                                         -                               -                               1 
Gain arising from 
 changes to 
 demographic 
 assumptions                                         -                               -                             (1) 
----------------------  ------------------------------  ------------------------------  ------------------------------ 
Total remeasurement 
 gains credited 
 directly to equity                                  -                               -                             (3) 
----------------------  ------------------------------  ------------------------------  ------------------------------ 
 

Assets and liabilities of schemes

The assets and liabilities in respect of the defined benefit pension schemes are as follows:

 
                                            At 30 June                  At 31 December                      At 30 June 
                                                  2023                            2022                            2022 
                                                  GBPm                            GBPm                            GBPm 
----------------------  ------------------------------  ------------------------------  ------------------------------ 
Present value of 
 funded obligations                               (54)                            (54)                            (82) 
Fair value of scheme 
 assets                                             49                              49                              75 
----------------------  ------------------------------  ------------------------------  ------------------------------ 
Net assets of funded 
 schemes                                           (5)                             (5)                             (7) 
Present value of                                   (2)                                                               - 
unfunded obligations                                                                 - 
----------------------  ------------------------------  ------------------------------  ------------------------------ 
Net recognised 
 liabilities                                       (7)                             (5)                             (7) 
----------------------  ------------------------------  ------------------------------  ------------------------------ 
 
Represented on the Condensed Consolidated 
 Statement of Financial Position: 
Net liabilities                                    (9)                             (7)                             (9) 
Net assets                                           2                               2                               2 
----------------------  ------------------------------  ------------------------------  ------------------------------ 
Net recognised 
 liabilities                                       (7)                             (5)                             (7) 
----------------------  ------------------------------  ------------------------------  ------------------------------ 
 
   11   Restricted assets 
 
                                                At 30 June                At 31 December                    At 30 June 
                                                      2023                          2022                          2022 
                                                      GBPm                          GBPm                          GBPm 
----------------------------  ----------------------------  ----------------------------  ---------------------------- 
Non-current restricted 
 assets                                                 41                            40                            46 
Current restricted assets                               85                            79                            83 
----------------------------  ----------------------------  ----------------------------  ---------------------------- 
Total restricted assets                                126                           119                           129 
----------------------------  ----------------------------  ----------------------------  ---------------------------- 
 

Restricted assets are amounts held in respect of specific obligations and potential liabilities and may be used only to discharge those obligations and potential liabilities if and when they crystallise. The non-current restricted assets balance of GBP41m (HY 2022: GBP46m; FY 2022: GBP40m) consists of cash deposits held to secure a charge over certain unfunded pension scheme obligations (held in the Parent company). Included in current restricted assets is GBP82m (HY 2022: GBP77m; FY 2022: GBP74m) in respect of claims funds held on behalf of corporate customers.

   12   Financial investments 

The Group generates cash from its underwriting, trading and financing activities and invests the surplus cash in financial investments. These include government bonds, corporate bonds, pooled investment funds and deposits with credit institutions.

Classification

All financial investments are initially recognised at fair value, which includes transaction costs for financial investments not classified at fair value through profit or loss. Financial investments are recorded using trade date accounting at initial recognition.

Financial investments are derecognised when the rights to receive cash flows from the financial investments have expired or where the Group has transferred substantially all risks and rewards of ownership.

The Group has classified its financial investments into the following categories: at fair value through pro t or loss, at fair value through other comprehensive income (FVOCI) and at amortised cost.

Impairment

Under IFRS 9, impairment provisions for expected credit losses (ECL) are recognised for financial investments measured at amortised cost and FVOCI. An allowance for either a 12-month or lifetime ECL is required, depending on whether there has been a significant increase in credit risk since initial recognition. For trade receivables, lifetime ECL is always applied. An assumption can be made that the credit risk on a financial instrument has not increased significantly since initial recognition if the financial instrument is determined to have low credit risk at the reporting date (e.g. it is investment grade). The Group applies a 12-month ECL allowance to all assets other than trade receivables, as no significant increases in credit risk since initial recognition have been identified.

The measurement of ECL should reflect a probability-weighted outcome, the time value of money and the best available forward-looking information.

Financial investments are analysed as follows:

 
                             At 30 June                          At 31 December 
                                2023                                  2022                            At 30 June 2022 
--------------  ------------------------------------  ------------------------------------  ------------------------------------ 
                         Carrying               Fair           Carrying                              Carrying 
                            value              value              value         Fair value              value         Fair value 
                             GBPm               GBPm               GBPm               GBPm               GBPm               GBPm 
--------------  -----------------  -----------------  -----------------  -----------------  -----------------  ----------------- 
Fair value 
through 
profit or loss 
Corporate debt 
 securities 
 and secured 
 loans                        308                308                301                301                307                307 
Government 
 debt 
 securities                    40                 40                 41                 41                 45                 45 
Pooled 
 investment 
 funds                        482                482                459                459                463                463 
Deposits with 
 credit 
 institutions                  29                 29                  4                  4                  7                  7 
Other loans                     6                  6                  7                  7                  7                  7 
Equities                       30                 30                 32                 32                 14                 14 
 
Fair value 
through 
other 
comprehensive 
income 
Corporate debt 
 securities 
 and secured 
 loans                         33                 33                 41                 41                 49                 49 
Government 
 debt 
 securities                    44                 44                 19                 19                 30                 30 
 
Amortised cost 
Corporate debt 
 securities 
 and secured 
 loans                      1,234              1,232              1,114              1,110              1,130              1,127 
Government 
 debt 
 securities                   496                497                468                468                342                344 
Deposits with 
 credit 
 institutions               1,305              1,305              1,230              1,230              1,342              1,339 
Total 
 financial 
 investments                4,007              4,006              3,716              3,712              3,736              3,732 
--------------  -----------------  -----------------  -----------------  -----------------  -----------------  ----------------- 
Non-current                   821                822                756                752                845                842 
Current                     3,186              3,184              2,960              2,960              2,891              2,890 
--------------  -----------------  -----------------  -----------------  -----------------  -----------------  ----------------- 
 

Fair value of financial investments

An asset's fair value is the price at which an orderly transaction to sell or transfer the asset would take place between market conditions at the measurement date under current market conditions (i.e. an exit price at the measurement date from the perspective of the market participant that holds the asset). The objective of a fair value measurement is to estimate this price.

The fair values of quoted investments in active markets are based on current bid prices. The fair values of unlisted securities and quoted investments for which there is no active market are established by using valuation techniques supported by market transactions and observable market data provided by independent third parties. These may include reference to the current fair value of other investments that are substantially the same and discounted cash flow analysis.

The fair values of financial investments are determined using different valuation inputs categorised into a three-level hierarchy. The different levels are defined by reference to the lowest level input that is significant to the fair value measurement, as follows:

 
--  Level 1: quoted prices (unadjusted) in active markets for 
     identical assets or liabilities; 
--  Level 2: inputs other than quoted prices included within 
     Level 1 that are observable for the asset or liability, either 
     directly (i.e. as prices) or indirectly (i.e. derived from 
     prices); and 
--  Level 3: inputs for the asset or liability that are not based 
     on observable market data (unobservable inputs). 
 

An analysis of financial investment fair values by hierarchy level is as follows:

 
                                    Level 1                      Level 2                      Level 3                        Total 
                                       GBPm                         GBPm                         GBPm                         GBPm 
--------------  ---------------------------  ---------------------------  ---------------------------  --------------------------- 
At 30 June 
2023 
Fair value 
through profit 
or loss 
Corporate debt 
 securities 
 and secured 
 loans                                   14                          293                            1                          308 
Government 
 debt 
 securities                              22                           18                            -                           40 
Pooled 
 investment 
 funds                                   79                          382                           21                          482 
Deposits with 
 credit 
 institutions                            29                            -                            -                           29 
Other loans                               -                            -                            6                            6 
Equities                                  -                            -                           30                           30 
 
Fair value 
through other 
comprehensive 
income 
Corporate debt 
 securities 
 and secured 
 loans                                   33                            -                            -                           33 
Government 
 debt 
 securities                              44                            -                            -                           44 
 
Amortised cost 
Corporate debt 
 securities 
 and secured 
 loans                                  469                          763                            -                        1,232 
Government 
 debt 
 securities                             292                          205                            -                          497 
Deposits with 
 credit 
 institutions                             -                        1,305                            -                        1,305 
Total 
 financial 
 investments                            982                        2,966                           58                        4,006 
--------------  ---------------------------  ---------------------------  ---------------------------  --------------------------- 
 
 
                                    Level 1                      Level 2                      Level 3                        Total 
                                       GBPm                         GBPm                         GBPm                         GBPm 
--------------  ---------------------------  ---------------------------  ---------------------------  --------------------------- 
At 31 December 
2022 
Fair value 
through profit 
or loss 
Corporate debt 
 securities 
 and secured 
 loans                                   21                          279                            1                          301 
Government 
 debt 
 securities                              22                           19                            -                           41 
Pooled 
 investment 
 funds                                   89                          347                           23                          459 
Deposits with 
 credit 
 institutions                             4                            -                            -                            4 
Other loans                               -                            -                            7                            7 
Equities                                  -                            -                           32                           32 
 
Fair value 
through other 
comprehensive 
income 
Corporate debt 
 securities 
 and secured 
 loans                                   38                            3                            -                           41 
Government 
 debt 
 securities                              19                            -                            -                           19 
 
Amortised cost 
Corporate debt 
 securities 
 and secured 
 loans                                  488                          622                            -                        1,110 
Government 
 debt 
 securities                             290                          178                            -                          468 
Deposits with 
 credit 
 institutions                             -                        1,230                            -                        1,230 
Total 
 financial 
 investments                            971                        2,678                           63                        3,712 
--------------  ---------------------------  ---------------------------  ---------------------------  --------------------------- 
 
 
                                    Level 1                      Level 2                      Level 3                        Total 
                                       GBPm                         GBPm                         GBPm                         GBPm 
--------------  ---------------------------  ---------------------------  ---------------------------  --------------------------- 
At 30 June 
2022 
Fair value 
through profit 
or loss 
Corporate debt 
 securities 
 and secured 
 loans                                   26                          280                            1                          307 
Government 
 debt 
 securities                              27                           18                            -                           45 
Pooled 
 investment 
 funds                                  115                          326                           22                          463 
Deposits with 
 credit 
 institutions                             7                            -                            -                            7 
Other loans                               -                            -                            7                            7 
Equities                                  -                            -                           14                           14 
 
Fair value 
through other 
comprehensive 
income 
Corporate debt 
 securities 
 and secured 
 loans                                   45                            4                            -                           49 
Government 
 debt 
 securities                              30                            -                            -                           30 
 
Amortised cost 
Corporate debt 
 securities 
 and secured 
 loans                                  527                          600                            -                        1,127 
Government 
 debt 
 securities                             171                          173                            -                          344 
Deposits with 
 credit 
 institutions                             -                        1,339                            -                        1,339 
Total 
 financial 
 investments                            948                        2,740                           44                        3,732 
--------------  ---------------------------  ---------------------------  ---------------------------  --------------------------- 
 

Transfers between fair value hierarchy levels

The Group's policy is to determine whether transfers have occurred between fair value hierarchy levels at the end of a reporting period. Classification is reassessed based on the lowest level input that is significant to the fair value measurement as a whole.

There were no transfers between fair value hierarchy levels in the period (HY 2022: GBPnil; FY 2022: GBPnil).

The Group currently holds Level 3 financial investments totalling GBP58m (HY 2022: GBP44m; FY 2022: GBP63m). The majority of Level 3 investments are unlisted equities and pooled investment funds valued at recent subscription values and conversion prices, which are considered to be unobservable inputs. Changes to the valuation assumptions which are reasonably possible could result in a change in fair value of plus or minus GBP3m.

The table below shows movement in the Level 3 assets measured at fair value:

 
                                             At 30 June                 At 31 December                      At 30 June 
                                                   2023                           2022                            2022 
                                                   GBPm                           GBPm                            GBPm 
-----------------------  ------------------------------  -----------------------------  ------------------------------ 
Balance at beginning of 
 period                                              63                             34                              34 
Additions                                             -                              4                               3 
Disposals                                             -                              -                             (1) 
Net (decrease)/increase 
 in fair 
 value(1)                                           (2)                             24                               7 
Foreign exchange                                    (3)                              1                               1 
-----------------------  ------------------------------  -----------------------------  ------------------------------ 
Balance at end of 
 period                                              58                             63                              44 
-----------------------  ------------------------------  -----------------------------  ------------------------------ 
 
 
1.  All gains and losses are recognised in net financial income/(expense) 
     in the Condensed Consolidated Income Statement. 
 
   13   Insurance contracts 

The Group applies the premium allocation approach (PAA) for the measurement for the majority of insurance contracts. The majority of the Group's contracts automatically qualify as the coverage period of each contract in the group is one year or less. For the remaining contracts it is reasonably expected that using the PAA would produce a measurement of the liability for remaining coverage (LFRC) that would not differ materially from the one that would be produced applying the general measurement model (GMM). The Group has one legacy portfolio with a contract boundary of greater than one year where the contracts are onerous and a GMM valuation has been used.

On initial recognition of each group of insurance contracts, the carrying amount of the LFRC is measured at the premiums received less any directly attributable acquisition costs deferred. Revenue is released on a pattern of time basis over the coverage period. The Groups default policy is not to adjust the LFRC to reflect the time value of money and the effect of financial risk, as the Group expects on initial recognition of each group of contracts that the time between providing each part of the services and the related premium due date is no more than one year. However, businesses can seek approval to apply discounting in exceptional circumstances. Acquisition costs are expensed as they are incurred for all contracts with a coverage period of one year or less.

The liability for incurred claims (LFIC) represents the estimated liability arising from claims episodes in current and preceding financial years which have not yet given rise to claims paid. A claims episode is an insured medical service that the Group has an obligation to fund which could be consultation fees, diagnostic investigations, hospitalisation or treatment costs. The liability includes an allowance for claims management and handling expenses.

The Group recognises the LFIC of a group of insurance contracts as the present value of the expected cash flows required to settle the obligation with an adjustment for non-financial risk. The Group does not adjust the future cash flows for the time value of money and the effect of financial risk for portfolios in which incurred claims are expected to be paid within one year of occurrence except for in exceptional circumstances.

The LFIC across the group is set in line with Bupa's Claims Reserving standards, at a level to achieve an appropriate probability of sufficiency and is estimated based on current information. The ultimate liability may vary as a result of subsequent information and events. A risk adjustment is added that reflects the compensation the Group requires for bearing the uncertainty about the amount and timing of the cash flows from non-financial risk as the Group fulfils insurance contracts. The Group has estimated the risk adjustment using a confidence level approach at the 85th percentile (HY 2022 and FY 2022: 85th percentile).

Bupa Acıbadem Sigorta has applied discounting to both the LFRC and LFIC due to the high interest rate and high inflation environment in Türkiye and Bupa Global has applied discounting to LFIC as a proportion of claims are settled over a period that is greater than one year. In addition, the LFRC for the legacy individual health policies in Brazil has been discounted due to the long-term nature of these contracts.

In circumstances where a return of premiums is due to policyholders, a provision is established within the LFIC. A provision for the return of premiums was established in 2020 in respect of Bupa Insurance Limited following the commitment to pass back to eligible customers any exceptional financial benefits experienced by the UK PMI business that ultimately arose as a result of the COVID-19 pandemic. As a result of a step-change in claims, the estimate of deferred claims rebound has been reassessed and has resulted in the return of premium provision being released in full during the first half of 2023 such that there is no provision remaining at 30 June 2023 (FY 2022: GBP59m; HY 2022: GBP60m).

The LFIC also includes a provision of GBP175m (HY 2022: GBP86m; FY 2022: GBP87m) for cash payments to Australian health insurance customers under the COVID-19 customer support programme. A provision is recognised at the point the Group formally announces the payment and insurance revenue recognised within the Condensed Consolidated Income Statement are reduced accordingly. The provision is subsequently utilised on payment to the eligible customers. As the cash payments reflect a distinct promise associated with the return of COVID-19 claims savings to customers, the provision is reflected as a non-distinct investment component. A deferred tax asset of GBP55m has been recognised in relation to the HY 2023 provision.

   13.1   Insurance contracts roll forward 
 
                                 Liability for                                    Liability for 
                               remaining coverage                                incurred claims                                   Total 
                                                                              Estimates 
                                                                             of present 
                                                                               value of 
For six months               Excluding                                           future 
ended                   loss component           Loss component              cash flows          Risk adjustment 
30 June 2023                      GBPm                     GBPm                    GBPm                     GBPm                    GBPm 
--------------  ----------------------  -----------------------  ----------------------  -----------------------  ---------------------- 
Insurance 
 contract 
 liabilities 
 at 1 January                    1,081                      100                   1,176                       21                   2,378 
Insurance 
 revenue                       (5,234)                        -                       -                        -                 (5,234) 
Insurance 
 service 
 expenses                            -                     (26)                   5,074                        3                   5,051 
--------------  ----------------------  -----------------------  ----------------------  -----------------------  ---------------------- 
  Incurred 
   claims and 
   other 
   expenses                          -                        -                   4,919                       15                   4,934 
  Losses on 
   onerous 
   contracts 
   and 
   reversals 
   of those 
   losses                            -                     (26)                       -                        -                    (26) 
  Changes to 
   liabilities 
   for 
   incurred 
   claims 
   relating to 
   past 
   service                           -                        -                     155                     (12)                     143 
--------------  ----------------------  -----------------------  ----------------------  -----------------------  ---------------------- 
Insurance 
 service 
 result                        (5,234)                     (26)                   5,074                        3                   (183) 
Foreign 
 exchange                         (36)                      (3)                    (59)                      (1)                    (99) 
Finance 
 expense from 
 insurance 
 contracts 
 issued                              -                        6                       2                        -                       8 
--------------  ----------------------  -----------------------  ----------------------  -----------------------  ---------------------- 
Total changes 
 in statement 
 of 
 comprehensive 
 income                        (5,270)                     (23)                   5,017                        2                   (274) 
--------------  ----------------------  -----------------------  ----------------------  -----------------------  ---------------------- 
Other 
 movements                           2                        -                       6                        -                       8 
Non-distinct 
 investment 
 component                       (175)                        -                     175                        -                       - 
 
Cash flows 
Premiums 
 received                        5,737                        1                       -                        -                   5,738 
Claims and 
 other 
 expenses 
 paid                                -                        -                 (4,934)                        -                 (4,934) 
Total cash 
 flows                           5,737                        1                 (4,934)                        -                     804 
--------------  ----------------------  -----------------------  ----------------------  -----------------------  ---------------------- 
Insurance 
 contract 
 liabilities 
 at 30 June                      1,375                       78                   1,440                       23                   2,916 
--------------  ----------------------  -----------------------  ----------------------  -----------------------  ---------------------- 
 

Included within the loss component is GBP49m (HY 2022: GBP45m; FY 2022: GBP45m) related to insurance contracts measured on a GMM basis.

 
                           Liability for remaining                          Liability for incurred 
                                   coverage                                         claims                                       Total 
                                                                             Estimates 
                                                                            of present 
                                                                              value of 
For year ended               Excluding                                          future 
31 December             loss component          Loss component              cash flows         Risk adjustment 
2022                              GBPm                    GBPm                    GBPm                    GBPm                    GBPm 
--------------  ----------------------  ----------------------  ----------------------  ----------------------  ---------------------- 
Insurance 
 contract 
 liabilities 
 at 1 January                      985                      94                   1,098                      14                   2,191 
Insurance 
 revenue                      (10,033)                       -                       -                       -                (10,033) 
Insurance 
 service 
 expenses                            -                       8                   9,326                       5                   9,339 
--------------  ----------------------  ----------------------  ----------------------  ----------------------  ---------------------- 
  Incurred 
   claims and 
   other 
   expenses                          -                       -                   9,302                       -                   9,302 
  Losses on 
   onerous 
   contracts 
   and 
   reversals 
   of those 
   losses                            -                       8                       -                       -                       8 
  Changes to 
   liabilities 
   for 
   incurred 
   claims 
   relating to 
   past 
   service                           -                       -                      24                       5                      29 
--------------  ----------------------  ----------------------  ----------------------  ----------------------  ---------------------- 
Insurance 
 service 
 result                       (10,033)                       8                   9,326                       5                   (694) 
Foreign 
 exchange                           20                      10                      62                       2                      94 
Finance income 
 from 
 insurance 
 contracts 
 issued                              -                    (16)                       -                       -                    (16) 
--------------  ----------------------  ----------------------  ----------------------  ----------------------  ---------------------- 
Total changes 
 in statement 
 of 
 comprehensive 
 income                       (10,013)                       2                   9,388                       7                   (616) 
--------------  ----------------------  ----------------------  ----------------------  ----------------------  ---------------------- 
Other 
 movements                           -                       -                    (38)                       -                    (38) 
Non-distinct 
 investment 
 component                        (87)                       -                      87                       -                       - 
 
Cash flows 
Premiums 
 received                       10,196                       4                       -                       -                  10,200 
Claims and 
 other 
 expenses 
 paid                                -                       -                 (9,359)                       -                 (9,359) 
Total cash 
 flows                          10,196                       4                 (9,359)                       -                     841 
--------------  ----------------------  ----------------------  ----------------------  ----------------------  ---------------------- 
Insurance 
 contract 
 liabilities 
 at 31 
 December                        1,081                     100                   1,176                      21                   2,378 
--------------  ----------------------  ----------------------  ----------------------  ----------------------  ---------------------- 
 
 
                            Liability for remaining                          Liability for incurred 
                                    coverage                                          claims                                       Total 
                                                                              Estimates 
                                                                             of present 
                                                                               value of 
For six months               Excluding                                           future 
ended                   loss component           Loss component              cash flows          Risk adjustment 
30 June 2022                      GBPm                     GBPm                    GBPm                     GBPm                    GBPm 
--------------  ----------------------  -----------------------  ----------------------  -----------------------  ---------------------- 
Insurance 
 contract 
 liabilities 
 at 1 January                      985                       94                   1,098                       14                   2,191 
Insurance 
 revenue                       (4,809)                        -                       -                        -                 (4,809) 
Insurance 
 service 
 expenses                            -                        4                   4,474                        2                   4,480 
--------------  ----------------------  -----------------------  ----------------------  -----------------------  ---------------------- 
  Incurred 
   claims and 
   other 
   expenses                          -                        -                   4,368                        3                   4,371 
  Losses on 
   onerous 
   contracts 
   and 
   reversals 
   of those 
   losses                            -                        4                       -                        -                       4 
  Changes to 
   liabilities 
   for 
   incurred 
   claims 
   relating to 
   past 
   service                           -                        -                     106                      (1)                     105 
--------------  ----------------------  -----------------------  ----------------------  -----------------------  ---------------------- 
Insurance 
 service 
 result                        (4,809)                        4                   4,474                        2                   (329) 
Foreign 
 exchange                           46                       10                      44                        -                     100 
Finance income 
 from 
 insurance 
 contracts 
 issued                              -                     (22)                       -                        -                    (22) 
--------------  ----------------------  -----------------------  ----------------------  -----------------------  ---------------------- 
Total changes 
 in statement 
 of 
 comprehensive 
 income                        (4,763)                      (8)                   4,518                        2                   (251) 
--------------  ----------------------  -----------------------  ----------------------  -----------------------  ---------------------- 
Other 
 movements                           -                        -                    (38)                        -                    (38) 
Non-distinct 
 investment 
 component                        (86)                        -                      86                        -                       - 
 
Cash flows 
Premiums 
 received                        5,117                        3                       -                        -                   5,120 
Claims and 
 other 
 expenses 
 paid                                -                        -                 (4,388)                        -                 (4,388) 
Total cash 
 flows                           5,117                        3                 (4,388)                        -                     732 
Insurance 
 contract 
 liabilities 
 at 30 June                      1,253                       89                   1,276                       16                   2,634 
--------------  ----------------------  -----------------------  ----------------------  -----------------------  ---------------------- 
 
   13.2   Reinsurance contracts roll forward 
 
                                             Asset for              Amount recoverable 
For six months ended 30                      remaining                     on incurred 
June                                          coverage                          claims                           Total 
2023                                              GBPm                            GBPm                            GBPm 
Reinsurance contract 
 assets 
 at 1 January                                     (18)                              39                              21 
-----------------------  -----------------------------  ------------------------------  ------------------------------ 
Allocation of 
 reinsurance premiums                             (73)                               -                            (73) 
Amounts recoverable 
from reinsurers 
for incurred claims: 
  Amounts recoverable 
   for incurred 
   claims and other 
   expenses                                          -                              53                              53 
  Changes to amounts 
   recoverable 
   for incurred claims 
   relating 
   to past service                                   -                              13                              13 
Net expense from 
 reinsurance 
 contracts held                                   (73)                              66                             (7) 
-----------------------  -----------------------------  ------------------------------  ------------------------------ 
Foreign exchange                                     -                             (1)                             (1) 
 
Cash flows 
Premiums paid                                       71                               -                              71 
Recoveries from 
 reinsurance                                         -                            (54)                            (54) 
-----------------------  -----------------------------  ------------------------------  ------------------------------ 
Total cash flows                                    71                            (54)                              17 
Reinsurance contract 
 assets 
 at 30 June                                       (20)                              50                              30 
-----------------------  -----------------------------  ------------------------------  ------------------------------ 
 

A risk adjustment is estimated on the amount recoverable on incurred claims using a confidence level approach at the 85th percentile (HY 2022 and FY 2022: 85th percentile). As this totals less than GBP1m, this has not been separately presented.

 
                                              Asset for              Amount recoverable 
                                              remaining                     on incurred 
For year ended 31                              coverage                          claims                          Total 
December 2022                                      GBPm                            GBPm                           GBPm 
Reinsurance contract 
 assets 
 at 1 January                                      (17)                              35                             18 
------------------------  -----------------------------  ------------------------------  ----------------------------- 
Allocation of 
 reinsurance premiums                             (116)                               -                          (116) 
Amounts recoverable from 
reinsurers 
for incurred claims: 
  Amounts recoverable 
   for incurred 
   claims and other 
   expenses                                           -                              94                             94 
Net expense from 
 reinsurance 
 contracts held                                   (116)                              94                           (22) 
------------------------  -----------------------------  ------------------------------  ----------------------------- 
Foreign exchange                                      2                             (1)                              1 
 
Cash flows 
Premiums paid                                       113                               -                            113 
Recoveries from 
 reinsurance                                          -                            (89)                           (89) 
------------------------  -----------------------------  ------------------------------  ----------------------------- 
Total cash flows                                    113                            (89)                             24 
Reinsurance contract 
 assets 
 at 31 December                                    (18)                              39                             21 
------------------------  -----------------------------  ------------------------------  ----------------------------- 
 
 
                                               Asset for             Amount recoverable 
For six months ended 30                        remaining                    on incurred 
June                                            coverage                         claims                          Total 
2022                                                GBPm                           GBPm                           GBPm 
Reinsurance contract 
 assets 
 at 1 January                                       (17)                             35                             18 
-------------------------  -----------------------------  -----------------------------  ----------------------------- 
Allocation of reinsurance 
 premiums                                           (57)                              -                           (57) 
Amounts recoverable from 
reinsurers 
for incurred claims: 
  Amounts recoverable for 
   incurred 
   claims and other 
   expenses                                            -                             43                             43 
Net expense from 
 reinsurance 
 contracts held                                     (57)                             43                           (14) 
-------------------------  -----------------------------  -----------------------------  ----------------------------- 
Foreign exchange                                       -                              1                              1 
 
Cash flows 
Premiums paid                                         44                              -                             44 
Recoveries from 
 reinsurance                                           -                           (35)                           (35) 
-------------------------  -----------------------------  -----------------------------  ----------------------------- 
Total cash flows                                      44                           (35)                              9 
Reinsurance contract 
 assets 
 at 30 June                                         (30)                             44                             14 
-------------------------  -----------------------------  -----------------------------  ----------------------------- 
 
   14   Assets and liabilities held for sale 
 
                                  At 30 June  At 31 December  At 30 June 
                                        2023            2022        2022 
                                        GBPm            GBPm        GBPm 
--------------------------------  ----------  --------------  ---------- 
Assets held for sale 
Property, plant and equipment             22              31          21 
Investment property                        1               1           1 
Inventories                                1               -           - 
Total assets held for sale                24              32          22 
--------------------------------  ----------  --------------  ---------- 
 
Liabilities associated with 
 assets held for sale 
Provisions for liabilities and 
 charges                                   -             (1)         (1) 
Total liabilities held for sale            -             (1)         (1) 
--------------------------------  ----------  --------------  ---------- 
 
Net assets held for sale                  24              31          21 
--------------------------------  ----------  --------------  ---------- 
 

Net assets held for sale as at 30 June 2023 predominantly comprise a number of care homes within Bupa UK Care Services, Bupa Villages and Aged Care Australia and Bupa Villages and Aged Care New Zealand, an office within Care Plus in Brazil, as well as a number of dental practices within Bupa Dental Care UK.

Net assets held for sale as at 31 December 2022 predominantly comprised a number of care homes within Bupa UK Care Services, Bupa Villages and Aged Care Australia and Bupa Villages and Aged Care New Zealand and an office within Care Plus in Brazil. As at 30 June 2022, net assets held for sale comprised a number of care homes within Bupa Villages and Aged Care Australia and Bupa Villages and Aged Care New Zealand and an office within Care Plus in Brazil.

   15   Cash and cash equivalents 
 
                                  At 30 June  At 31 December  At 30 June 
                                        2023            2022        2022 
                                        GBPm            GBPm        GBPm 
--------------------------------  ----------  --------------  ---------- 
Cash at bank and in hand               1,202           1,141       1,256 
Short-term deposits                      346             262         297 
--------------------------------  ----------  --------------  ---------- 
Total cash and cash equivalents        1,548           1,403       1,553 
--------------------------------  ----------  --------------  ---------- 
 

Cash and cash equivalents comprise cash balances, call deposits and other short-term highly liquid investments (including money market funds) with original maturities of three months or less, which are subject to an insignificant risk of change in value.

Bank overdrafts of GBP3m (HY 2022: GBP1m; FY 2022: GBP2m) that are repayable on demand are reported within other interest-bearing liabilities (Note 16) in the Condensed Consolidated Statement of Financial Position. Demand deposits with restrictions on use set by a third party that fundamentally change their nature are reported within restricted assets in the Condensed Consolidated Statement of Financial Position. Both of these are considered components of cash and cash equivalents for the purpose of the Condensed Consolidated Statement of Cash Flows.

   16   Borrowings 
 
                                     At 30 June  At 31 December  At 30 June 
                                           2023            2022        2022 
                                           GBPm            GBPm        GBPm 
-----------------------------------  ----------  --------------  ---------- 
Subordinated liabilities 
Subordinated unguaranteed bonds             746             998         997 
-----------------------------------  ----------  --------------  ---------- 
Total subordinated liabilities              746             998         997 
-----------------------------------  ----------  --------------  ---------- 
 
Other interest-bearing liabilities 
Senior unsecured bonds                      599             600         599 
Fair value adjustment in respect 
 of hedged interest rate risk              (63)            (60)        (41) 
Bank loans and overdrafts                   415             108         266 
-----------------------------------  ----------  --------------  ---------- 
Total other interest-bearing 
 liabilities                                951             648         824 
-----------------------------------  ----------  --------------  ---------- 
 
Total borrowings                          1,697           1,646       1,821 
-----------------------------------  ----------  --------------  ---------- 
Non-current                                 985           1,287       1,305 
Current                                     712             359         516 
-----------------------------------  ----------  --------------  ---------- 
 

Subordinated unguaranteed bonds

On 25 April 2023, the Company redeemed the outstanding maturing GBP250m of the GBP500m 5% fixed rate subordinated notes.

Other interest-bearing liabilities

The Group maintains a GBP900m revolving credit facility in the name of the Company, which matures in December 2027, with a one year extension option. The facility was drawn down by GBP380m as at 30 June 2023 (HY 2022: GBP230m; FY 2022: GBP70m). Bank loans and overdrafts bear interest at commercial rates linked to SONIA for sterling or equivalent for other currencies.

Fair value of financial liabilities

The fair value of a financial liability is defined as the amount for which the liability could be exchanged in an arm's-length transaction between informed and willing parties. Fair values of subordinated liabilities and senior unsecured bonds are calculated based on quoted prices. The fair values of quoted liabilities in active markets are based on current offer prices. The fair values of financial liabilities for which there is no active market are established using valuation techniques. These may include reference to the current fair value of other instruments that are substantially the same and discounted cash flow analysis.

Financial liabilities are categorised into a three-level hierarchy. A description of the different levels is detailed in Note 12.

An analysis of borrowings by fair value classification is as follows:

 
                                             At 31 December 
                      At 30 June 2023              2022             At 30 June 2022 
                   ---------------------  ---------------------  --------------------- 
                    Level  Level           Level  Level           Level  Level 
                        1      2   Total       1      2   Total       1      2   Total 
                     GBPm   GBPm    GBPm    GBPm   GBPm    GBPm    GBPm   GBPm    GBPm 
-----------------  ------  -----  ------  ------  -----  ------  ------  -----  ------ 
Subordinated 
 liabilities          632      -     632     906      -     906     942      -     942 
Senior unsecured 
 bonds                540      -     540     545      -     545     565      -     565 
Bank loans 
 and overdrafts         -    415     415       2    106     108       -    266     266 
-----------------  ------  -----  ------  ------  -----  ------  ------  -----  ------ 
Total fair 
 value              1,172    415   1,587   1,453    106   1,559   1,507    266   1,773 
-----------------  ------  -----  ------  ------  -----  ------  ------  -----  ------ 
 

The Group does not have any Level 3 financial liabilities.

   17   Restricted Tier 1 (RT1) notes 

On 24 September 2021, the Company issued GBP300m of RT1 notes with a fixed coupon of 4.000% paid semi-annually in arrears. Transaction costs of GBP3m were recognised in respect of the issue. The total coupon paid during the period was GBP6m (HY 2022: GBP6m; FY 2022: GBP12m).

The RT1 notes are perpetual with no fixed maturity or redemption date. The notes have a first call date of 24 March 2032 and interest is payable at the sole and absolute discretion of the Company, with cancelled interest providing no rights to the holder of the notes nor being considered a default. The RT1 notes are therefore treated as equity. The notes are convertible to share capital of the Company on the occurrence of certain trigger events.

   18   Business combinations and disposals 

In June 2023, the Group acquired the insurance and medical business of Asefa, S.A. Seguros y Reaseguros, an insurance company specialising in the construction industry that operates in Spain, for a consideration of GBP24m. Intangible assets consisting of customer relationships, distribution networks and computer software totalling GBP26m, other net assets of GBP(7)m and resulting goodwill of GBP5m were recognised on acquisition.

During the period, the Group completed the sale of care homes and retirement village in Bupa Villages and Aged Care New Zealand for a consideration of GBP6m and the sale of a care home within Bupa UK Care Services for a consideration of GBP3m. Other minor disposals in the period included dental clinics in Australia and closure of clinics in China.

There was a settlement of deferred and contingent consideration of GBP1m during the period in respect of prior period acquisitions.

   19   Commitments and contingencies 

Capital commitments

Capital expenditure for the Group contracted at 30 June 2023 but for which no provision has been made in the Condensed Consolidated Financial Statements amounted to GBP32m (HY 2022: GBP54m; FY 2022: GBP40m). Of this, GBP31m (HY 2022: GBP53m; FY 2022: GBP40m) relates to aged care facility and retirement village project commitments in Australia and New Zealand and care homes in the UK; specifically GBP23m (HY 2022: GBP27m; FY 2022: GBP21m) in relation to property, plant and equipment and GBP8m (HY 2022: GBP26m; FY 2022: GBP19m) in relation to investment property.

Contingent assets

The Group currently has no contingent assets.

Contingent liabilities

The Group has contingent liabilities arising in the ordinary course of business. These include losses which might arise from litigation, consumer matters, other disputes, regulatory compliance (including data protection) and interpretation of law (including employment law and tax law). It is not considered that the ultimate outcome of any contingent liabilities other than the items below relating to Isapre Cruz Blanca could have a significant adverse impact on the financial condition of the Group.

As disclosed in the 2022 Annual Report and Accounts, the negative impact of judicial and regulatory action on the Isapre insurance industry in Chile continues. The method of implementation of the statutory risk factor table following the Supreme Court decision of December 2022 remains unclear. The deadline for such implementation has been extended from May 2023 to November 2023 and may be extended further. The Chilean government proposed a new draft law to address the uncertainty in May. This is going through the legislative process and is subject to debate, amendment and other material changes, and even rejection. As part of this process, the local regulator, the Superintendent of Health (SIS), presented to the Senate's Health Committee. As part of this presentation, the SIS shared a draft methodology to illustrate the application of the new draft law. In summary terms, for the period of May 2020 to November 2022 this showed a negative financial impact of the draft law on the Isapre sector of CLP 929bn (GBP913m) and on Isapre Cruz Blanca of CLP 233bn (GBP229m). The value calculated using this basis will increase as time passes. This calculation was shared for illustrative purposes only, is not binding and may be revised. The topic of the timing of payments (if due) was not discussed. The current status of the new draft law is that it is being discussed by the Senate's Health Committee.

Given the continuing uncertainty, Isapre Cruz Blanca consider there to be a wide range of possible outcomes and resultant future cash outflows and is unable to reliably estimate the value of any such future retrospective payments, therefore, no IFRS provision has been recognised as at 30 June 2023.

There continues to be a broad range of possible outcomes, however, in contrast to the requirements of IFRS, under Solvency II the Group is required to include a value for contingent liabilities, even if the amount of the obligation cannot be measured with sufficient reliability. As at 30 June 2023, the Group included an allowance of GBP160m (FY 2022: GBP100m) for this contingent liability for retrospective payments within the Solvency II regulatory balance sheet. As previously stated, the final impact is likely to differ materially from this value and this is a calculation for Solvency II purposes and not a pre-estimate of all actual or potential losses relating to Isapre Cruz Blanca. Any retrospective payments finally determined to be due in respect of historic policies as a result of this ruling would be liabilities for Isapre Cruz Blanca.

In addition to the above Supreme Court decision, the regulator-approved Garantias Explicitas en Salud (GES) pricing increases, in place since October 2022, are subject to judicialisation. The annualised impact to revenue of these price increases is approximately GBP90m. A ruling is expected later in the year which could lead to liabilities for retrospective payments. The situation is uncertain and any potential financial impact is contingent on the future outcome of the judicialisation. Therefore, no IFRS provision has been recognised as at 30 June 2023.

Bupa Finance plc

Statement of Directors' responsibilities for six months ended 30 June 2023

We confirm that to the best of our knowledge:

 
--  The condensed set of financial statements have been prepared 
     in accordance with UK-adopted International Accounting Standard 
     34 Interim Financial Reporting and the Disclosure Guidance 
     and Transparency Rules sourcebook of the United Kingdom's 
     Financial Conduct Authority. 
--  The interim management report includes a fair review of 
     the information voluntarily provided in accordance with 
     the requirements of: 
 

(a) DTR 4.2.7R of the Disclosure Guidance and Transparency Rules, being an indication of important events that have occurred during the first six months of the financial year and their impact on the condensed set of financial statements; and a description of the principal risks and uncertainties for the remaining six months of the financial year.

(b) DTR 4.2.8R of the Disclosure Guidance and Transparency Rules, being related party transactions that have taken place in the first six months of the current financial year and that have materially affected the financial position or performance of the Group during that period; and any changes in the related party transactions described in the last annual report that could do so.

The Directors of Bupa Finance plc are listed in the Directors' Report for the year ended 31 December 2022. There have been no changes in Directors since the publication of the Company's Annual Report and Accounts for the year ended 31 December 2022.

By order of the Board

James Lenton Clare Binmore

Director Director

2 August 2023

Independent review report to Bupa Finance plc

Report on the condensed consolidated interim financial statements

Our conclusion

We have reviewed Bupa Finance plc's condensed consolidated interim financial statements (the "interim financial statements") in the Condensed Consolidated Half Year Financial Statements of Bupa Finance plc for the 6 month period ended 30 June 2023 (the "period").

Based on our review, nothing has come to our attention that causes us to believe that the interim financial statements are not prepared, in all material respects, in accordance with UK adopted International Accounting Standard 34, 'Interim Financial Reporting' and the Disclosure Guidance and Transparency Rules sourcebook of the United Kingdom's Financial Conduct Authority as if the company were required to comply with these rules.

The interim financial statements comprise:

   --       the Condensed Consolidated Statement of Financial Position as at 30 June 2023; 
   --       the Condensed Consolidated Income Statement for the period then ended; 
   --       the Condensed Consolidated Statement of Comprehensive Income for the period then ended; 
   --       the Condensed Consolidated Statement of Cash Flows for the period then ended; 
   --       the Condensed Consolidated Statement of Changes in Equity for the period then ended; and 
   --       the explanatory notes to the interim financial statements. 

The interim financial statements included in the Condensed Consolidated Half Year Financial Statements of Bupa Finance plc have been prepared in accordance with UK adopted International Accounting Standard 34, 'Interim Financial Reporting' and the Disclosure Guidance and Transparency Rules sourcebook of the United Kingdom's Financial Conduct Authority as if the company were required to comply with these rules.

Basis for conclusion

We conducted our review in accordance with International Standard on Review Engagements (UK) 2410, 'Review of Interim Financial Information Performed by the Independent Auditor of the Entity' issued by the Financial Reporting Council for use in the United Kingdom ("ISRE (UK) 2410"). A review of interim financial information consists of making enquiries, primarily of persons responsible for financial and accounting matters, and applying analytical and other review procedures.

A review is substantially less in scope than an audit conducted in accordance with International Standards on Auditing (UK) and, consequently, does not enable us to obtain assurance that we would become aware of all significant matters that might be identified in an audit. Accordingly, we do not express an audit opinion.

We have read the other information contained in the Condensed Consolidated Half Year Financial Statements and considered whether it contains any apparent misstatements or material inconsistencies with the information in the interim financial statements.

Conclusions relating to going concern

Based on our review procedures, which are less extensive than those performed in an audit as described in the Basis for conclusion section of this report, nothing has come to our attention to suggest that the directors have inappropriately adopted the going concern basis of accounting or that the directors have identified material uncertainties relating to going concern that are not appropriately disclosed. This conclusion is based on the review procedures performed in accordance with ISRE (UK) 2410. However, future events or conditions may cause the group to cease to continue as a going concern.

Responsibilities for the interim financial statements and the review

Our responsibilities and those of the directors

The Condensed Consolidated Half Year Financial Statements, including the interim financial statements, is the responsibility of, and has been approved by the directors. The directors are responsible for preparing the Condensed Consolidated Half Year Financial Statements in accordance with the Disclosure Guidance and Transparency Rules sourcebook of the United Kingdom's Financial Conduct Authority as if the company were required to comply with these rules. In preparing the Condensed Consolidated Half Year Financial Statements, including the interim financial statements, the directors are responsible for assessing the group's ability to continue as a going concern, disclosing, as applicable, matters related to going concern and using the going concern basis of accounting unless the directors either intend to liquidate the group or to cease operations, or have no realistic alternative but to do so.

Our responsibility is to express a conclusion on the interim financial statements in the Condensed Consolidated Half Year Financial Statements based on our review. Our conclusion, including our Conclusions relating to going concern, is based on procedures that are less extensive than audit procedures, as described in the Basis for conclusion paragraph of this report. This report, including the conclusion, has been prepared for and only for the company for the purpose of complying with the Disclosure Guidance and Transparency Rules sourcebook of the United Kingdom's Financial Conduct Authority as if the company were required to comply with these rules and for no other purpose. We do not, in giving this conclusion, accept or assume responsibility for any other purpose or to any other person to whom this report is shown or into whose hands it may come save where expressly agreed by our prior consent in writing.

PricewaterhouseCoopers LLP

Chartered Accountants

London

2 August 2023

 
 1    All financial results and prior period comparators have 
       been restated for the new accounting standard for insurance 
       contracts, IFRS 17 and the updated definition of underlying 
       profit. See notes 1 and 2 for further details. 
 2    Revenues from associate businesses are excluded from reported 
       figures. Customer numbers include 100% of our associate 
       figures. Economic post-tax profits include the associate 
       contribution in line with our shareholding. 
     --------------------------------------------------------------- 
 3    Relates to deferred claims liability and premium increase 
       deferral. 
     --------------------------------------------------------------- 
 4    Underlying profit is a non-GAAP financial measure. This 
       means it is not comparable to other companies. Underlying 
       profit reflects our trading performance and excludes a 
       number of items included in statutory profit before taxation, 
       to facilitate period-on-period comparison. A reconciliation 
       to statutory profit before taxation can be found in the 
       notes to the financial statements. 
     --------------------------------------------------------------- 
 5    The HY 2023 Solvency II capital coverage ratio is an estimate 
       and unaudited. 
     --------------------------------------------------------------- 
 6    Refers to Hong Kong SAR (Special Administrative Region) 
       across the statement 
     --------------------------------------------------------------- 
 7    Garantías Explícitas en Salud 
     --------------------------------------------------------------- 
 8    Our total customers as reported in 2022 Annual Report. 
     --------------------------------------------------------------- 
 9    Excludes insurance customers from the associate businesses. 
     --------------------------------------------------------------- 
 10   HY 2022 reported underlying profit of GBP378m also includes 
       GBP15m impact from the change to the underlying profit 
       definition, our non-GAAP measure of trading profit. Other 
       and FX balances net to nil 
     --------------------------------------------------------------- 
 11   The HY 2023 Solvency II capital coverage ratio is an estimate 
       and unaudited. 
     --------------------------------------------------------------- 
 12   Calculated as the impact on Own Funds using the retrospective 
       12-month net earned premium. 
     --------------------------------------------------------------- 
 13   Group Specific Parameter (GSP) is substituted for the 
       insurance premium risk parameter in the standard formula, 
       reflecting the Group's own loss experience. 
     --------------------------------------------------------------- 
 14   Viva is our new employee health and wellbeing programme 
       that will provide healthcare benefits to 100% of Bupa's 
       employees globally by the end of 2023. 
     --------------------------------------------------------------- 
 

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