Spire Healthcare Share Discussion Threads

[rogerrail] 25/3/2020 22:39

Montyin the long run , they wont only come back, but there will be a tide of NHS patients overflowing to private hospitals.

[montyhedge] 24/3/2020 20:35

Spire got to be careful, they have done this deal with NHS fair enough.Friend of mine private with Spire, told don't know when procedure to take place, because NHS taking priority, so if they start delaying private paying patients, that won't go down well in the long run.

[buywell3] 24/3/2020 01:38

IMO it is the creation of new ICU's that the NHS needs as patient numbers rocket over coming weeks

Ventilators and Hemodynamic Monitors required to treat Covid-19 patients that show pneumonia, sepsis and septic shock symptoms require such treatment.

IMO the NHS will provide the money for SPIRE to gear up such facilities

ICU's and staff in Italy and New York City are overwhelmed at this present time.

The NHS and UK will soon follow their lead IMO









New York Gov. Andrew Cuomo announced an emergency order Monday mandating that all hospitals in the state increase their capacities by 50% in order to handle the surge of coronavirus patients.
As cases of COVID-19 skyrocketed to nearly 21,000, making New York the state with the most diagnoses of the virus, Cuomo said hospitals are required to increase capacity by 50% and asked that they try to double it. State health officials report that 2,635 people are hospitalized and 621 of them are in the intensive care unit.
New York state has 53,000 beds and about 3,000 ICU beds. Health officials estimate that the state will need 110,000 beds and 18,000 to 37,000 ICU beds.

[sikhthetech] 23/3/2020 11:46

Tony Bourne is a non-exec director of both Spire and TLY. I think there could be services which TLY can provide to patients at Spire.


Anthony (Tony) Bourne, Non-Executive Director
Tony Bourne is currently a non-executive director of Barchester, one of the UKs largest operators of residential care homes and Spire Healthcare Group plc, one of the largest private healthcare groups in the UK, a London Stock Exchange-listed company and a constituent of the FTSE 250 Index. Tony is also Chairman of CW+ (formerly Chelsea and Westminster Health Charity), one of the largest NHS charities. He was previously Chief Executive of the British Medical Association from the beginning of 2005 until late 2013.

Tony worked in investment banking for over 25 years including as a partner at Hawkpoint and as global head of the equities division and a member of the managing board of Paribas. Tony has also previously served as a non-executive director of Southern Housing Group from 2004 to 2013 and Scope, which focuses on cerebral palsy and is one of the UKs largest charities.

Tony has been a non-executive director of Totally since October 2015.

[rogerrail] 23/3/2020 08:28

Nevertheless I think all shareholders need to support the company as it strives to help the country through these difficult times.

[buywell3] 23/3/2020 01:07

Yes it will help , but when will this be over ?

A new vaccine will take min 9 months , 3 for animal toxicology and pre clinical testing , 6 for human trials , and that is extra quick


Then the question is will it work and will Covid-19 mutate in the meantime ?

If it does , then there is a possibility that the vaccine will not work on a mutated coronavirus.

Covid-19 has according to some , been reported to have mutated already albeit 'not much'

My point is

Nobody knows how long Covid-19 is going to be around for

Some have already said it might be here to stay like several other virus types from animals that are currently doing the rounds, and the common cold and flu types.


London Hospitals now being overwhelmed by Covid-19 cases

Italy is showing what is coming if this is not handled right

Most Italians dying have pneumonia , which the Mayo clinic have as a leading cause of sepsis , sepsis leads to septic shock , this has a kill factor of 40%


See my recent posts on Lidco thread LID by multibagger


Nearly twice as many men as women are dying and China has just released data showing smokers are most likely to die

In Italy many more elderly men smoke than women


Fags should be taxed at 500% , and vaping also has caused lung damage which has also not helped those that vape in relation to Covid-19 bad case complications.

Vaping should also have 500% tax

Smokers and Vapers are now taking up IMO most of the ICU bed spaces



dyor

[rogerrail] 22/3/2020 18:51

That's good news for the country, the company it's employees and for shareholders. It will help save lives and secures much needed cash flow for the business, and revenue from assets that would otherwise not be used will cover overheads as well as operating costs. Out patient and GP work will no doubt still continue and if the business only breaks even during this difficult time that is good enough for me and should more than underscore the current very low share price Pent up demand for elective care will be significant and when this is over will return double fold and more than compensate for the lost profit.

[eeza] 21/3/2020 23:05

"The NHS has struck a deal with private hospitals to acquire thousands of extra beds, ventilators and medical staff to fight the coronavirus outbreak."

"Under the terms of the deal, the private sector will be reimbursed at cost, meaning no profit will be made for doing so."

"Shortly after the NHS announcement, Spire Healthcare released a statement confirming it had signed up to assist NHS England for a minimum of 14 weeks.

The independent UK hospital group said it would spend the first week preparing staff and facilities before making all its 35 hospitals in England available to the NHS from 30 March.

It added that it would be suspending all non-urgent elective surgery for patients over the age of 70 and vulnerable patients from 5:00 GMT on 20 March."

[jsc1000] 21/3/2020 19:32

Latest update.
see below latest letter from Justin Ash, CEO Spire Helathcare.
Looks like this will happen immediately and not April 15 as previously thought.
Government only covering 'costs' so profits will be hit as profitable insured and self pay work pushed out.

Dear colleagues and consultant partners,

I am writing to share details with you about how we are going to be supporting the NHS in the weeks and months ahead as we do everything we can during this time. We are both proud and pleased to announce that we have reached an agreement to fully support NHS England, starting immediately for a minimum of 14 weeks - which is around the end of June.

Given the nature and impact of COVID-19 on the NHS, there are no clear timescales as to when business will return to normal and after the initial 14 weeks, we may continue to support the NHS on a rolling basis with one months’ notice.

The rest of the independent sector will also be supporting the NHS in England and discussions about how we can support the health services in Wales and Scotland are also ongoing. I would like to be clear, the agreement is based purely on how we can support the NHS and simply ensure that our costs for doing so are covered.

Healthcare is an essential service and every one of our colleagues will be classified as a key worker during this time because every one of you will have a key part to play. For many of you this will mean you are asked to do a different job, work in a different location or work different hours. But please be assured that whatever you are doing, you will absolutely be living our purpose of making a positive difference to our patients’ lives when it matters most.

In terms of what our support will entail, from next week each of our hospitals in England will be made available to the NHS. Throughout this period we will progressively stop seeing private patients and conducting NHS electives. By 15 April, all normal elective care – private and NHS - will stop but where patients are already in a time-critical pathway, we will of course work with the local trust to agree the best place to ensure their care continues. The pace of the switch of ending elective care and focusing entirely on NHS support will vary by hospital. Training and preparations will begin in each hospital next week.

The situation with COVID-19 is clearly developing rapidly and this is reflected in the demands on different parts of the NHS in different places around the country at different times, and will also reflect the type of support we can provide. Local relationships between each of our hospitals and their local trusts will be absolutely critical to make sure that we are giving the most effective support. Each Spire hospital will be working in partnership with local NHS to determine the best overall plan in order to maximize total capacity. Working collaboratively it will be critical to retain total flexibility on resources, people and equipment whilst running our hospitals effectively and in line with our Purpose and Values.

Given the impact of COVID-19 already in London, we will be starting our preparations immediately so that our hospitals can be ready to accept patients as quickly as possible in the days ahead. Across the rest of our hospitals in London we need to be ready to act quickly and are taking a number of actions this week to prepare.

Spire GP services are not included in the arrangement and we are pleased that we have been making excellent progress to be able to use video consultation which will help to protect patients.

We will be working hard to keep you well informed as well as our patients.

For our Consultants, we recognise that this has a direct impact on you in a number of different ways. Our Group Medical Director Fergus Macpherson is actively engaging with our MAC Chairs and we have developed emergency practising privileges that can be issued as required. Please speak to your Hospital Director if there is any support that you can give, particularly with RMO cover as we move to a 24/7 operation.

I have recorded a video message which you can listen to by clicking here for all of our teams and I ask that you all take just five minutes to watch this as it captures what we are going to be doing and the ask of our people. You will also receive a separate message from our Group HR Director Shelley Thomas outlining a number of ways in which we will be supporting you as we know the impact of COVID-19 impacts both our work and personal lives.

I am sure you agree that this is the right thing to do and I am confident that you will all rise to the challenge and ask of us as we do what we can in this extraordinary time.
Justin Ash
Chief Executive Officer

[buywell3] 20/3/2020 23:26

--------- Intensive Care Units (ICU's) and the lack of -----------------





London Hospitals are now having problems with a lack of ICU's

IMO the NHS will have to create temp new ones like China did and Italy/Spain are doing now

Covid-19 cases in the UK have thus far been behind that of many EU countries
Italy and Spain for example have a much more dire need of ICU's than the UK at the present time.

IMO Covid-19 will demonstrate that the NHS along with all other Health Service providers worldwide are NOT equipped to deal with a coronavirus pandemic such as Covid-19 in terms of not having sufficient ICU's , beds, and equipment that such ICU's need .


IMO this pandemic will FORCE Health Service providers to rethink how ICU's need to function in the wake of this pandemic .


That is to say that they need to consider building NEW ICU facilities in places far enough away from existing Hospitals such that they can continue to function without affecting existing ICU's that currently exist in Hospitals.

If this is done other operations for other Illnesses can continue instead of being cancelled or halted/suspended due to compromised/infected/full Hospital wards and equipment.

Isolation is the key

Covid-19 will not be the last coronavirus IMO

dyor

[rogerrail] 20/3/2020 16:31

Analysts at broker Liberum said it was "hard to say how this will impact Spire at the moment" but it is "likely that Spire will be heavily utilised one way or the other and hence we would not expect any major near term negatives from a balance sheet perspective while longer term it should benefit from such cooperation

[rogerrail] 20/3/2020 15:05

Drove past local Spire hospital this morning and carpark was full, looked like business as usual.

[jsc1000] 19/3/2020 20:33

I work as a surgeon in Spire hospitals.
As a result of the covid virus the hospitals are suffering vast numbers of surgery cancellations to the extent that the hospital is virtually empty. The flagship hospital at Spire bushey which is the groups most profitable hospital has been empty all week with similar stories from around the country. Furthermore today all non urgent and lifestyle surgery has been cancelled for the foreseeable future including cosmetic surgery, bariatric surgery, upper GI surgery, dental surgery etc. This will be a massive hit which has not come out yet in the news. Furthermore, there will be a complete shutdown of all elective surgery from 15 April .The government will requisition all ventilators for the NHS and so hardly any surgery will be carried out. If the NHS purchases hospital space within the private sector this will not happen for very many months since the ventialtors will be required for NHS use. This is going to hit the Spire group very hard and the Spire share price is likely to crash furthersin ce already the hospitals are empty !

[rogerrail] 19/3/2020 15:44

Reports yesterday were that gov had authorised spend of £2.4m per day for up to 8000 spare beds, thats £300 per day per bed. NHS ban on non essential ops should also generate more business for private sector.

[boonkoh] 19/3/2020 13:47

Debt covenant at 3x EBITDA at the end of Dec 2019. Covenant breach will be at 4x EBITDA. Looks likely if all operations suspended from mid April for a few months.Only saviour would be if NHS bulk buys beds and facilities for next few months at a good rate to keep the business going.

[bucko1066] 19/3/2020 10:36

BUZZ – European MedTech: JPM warns further profit warnings not priced in19 March 2020 10:20* JP Morgan says recent experience in hearings aids suggests that further profit warnings by European medical devices and services companies are not yet priced in* It says it sees the stocks of Smith & Nephew , Philips , Siemens Healthineers and Elekta most at risk* "While the sector has generally exhibited its defensive properties, it has clearly not been immune to the wider market sell-off: the sector is -24% vs E300 -32%," it says* JPM says the weakest two stocks in its universe YTD are Fresenius SE and Spire , both of which run hospitals, have relatively high debt and have financial statements that are materially impacted by IFRS 16

[mongrels3] 19/3/2020 08:56

Spire raised to buy today by Peel Hunt. I've bought 8,000 more this morning. Gambling really, but let's see!

[rogerrail] 18/3/2020 15:34

Far from it, you really should keep up! Today's RNS:Sir Simon Stevens, NHS Chief Executive, has written to the CEOs of all NHS trusts, foundation trusts, CCGs, GPs and providers of community health services clarifying arrangements between the NHS and independent sector and Spire Healthcare welcomes this development.For clarity, in his letter, Sir Simon Stevens says:NHS trusts should "postpone all non-urgent elective operations from 15(th) April at the latest, for a period of at least three months. However, you also have full local discretion to wind down elective activity over the next 30 days as you see best.""In the interim, providers should continue to use all available capacity for elective operations including the independent sector, before COVID constraints curtail such work."and continues to say:"Nationally we are now in the process of block-buying capacity in independent hospitals. This should be completed within a fortnight. Their staff and facilities will then be flexibly available to you for urgent surgery, as well as for repurposing their beds, operating theatres and recovery facilities to provide respiratory support for COVID-19 patients. "Spire Healthcare confirms that it continues to provide both planned NHS and private care in its hospitals until the point when focus switches to supporting the Government's efforts in combatting this disease. Spire Healthcare remains fully committed to using the resources at its disposal to help the NHS.We will update the market when further information is available

[mj19] 18/3/2020 13:13

Nationalisation that's the end of SPI then

[buywell3] 17/3/2020 23:40

Spain nationalizes private hospitals to combat coronavirus outbreak




UK to do same soon IMO

Desperate times call for desperate measures

dyor

[buywell3] 16/3/2020 23:23

If the UK follows Spain then a state of emergency will soon be called

Spain is now taking over private Hospitals for general use as current ICU facilities become full.


Covid-19 won't be the last coronavirus , there will be more to follow


This current run through will be a lessons learnt for the NHS , and other Health Services as well as governments and the WHO.


Infections of Hospital staff and contamination of beds/wards and Hospital premises by infected patients will be a problem that needs to be addressed as will GP's and their surgeries and staff.


As the Broadband roll out continues, one can see a Personal Health Home Terminal coming , IMO the new Health secretary has one in mind as I key.

A PHHT , which will connect and identify the caller by a finger print and retina scan.

This will also be able to take pulse and temp and blood pressure readings

Later versions will also be able to carry out several blood tests

The AI software on the PHHT will guide the caller through a number of questions to arrive at the problem of what is wrong with the caller and if further action is required.

This will take the form of a visit by area mobile health technicians.


Patients will ONLY be taken to Hospitals for admission after the AI PHHT , a medical version of Amazons Alexa if you will , has screened the caller.

The days of A&E drop ins and GP's and their surgeries are IMO numbered.

The days of further pandemics are to come.

Change is needed


dyor

[napoleon 14th] 15/3/2020 16:54

ould be a buy (or buy back for me) for the bold.
It's a full 33% down.