689:
660:
inadequate." It was the worst rating for 'caring' that the CQC had ever given. The hospital's chief executive challenged 285 facts in the report, 60 of which were found to be duplicates or non-applicable, 48 of which were partially upheld and 111 of which were upheld. CQC accepted that it had made the errors in its report, but pointed out that none of them were of substance to their findings. None of the factual changes agreed by CQC in response to the comments from the Trust were sufficient to lead to a change in the ratings at the subsequent CQC National
Quality Assurance Group.
218:(CQC) over standards of care and hygiene. The CQC report indicated that "Medical services were inadequate because we found poor emotional and physical care which was not safe or caring. This was not reported by leaders of the service to the trust management therefore we judged the leadership to be inadequate." It was the worst rating for 'caring' that the CQC had ever given. Circle Health left the hospital with a £14 million deficit that, because Circle had limited its liability to £5 million, the taxpayer had to pay for.
3288:
149:
612:(NAO) report into the franchise was published, noting the £4.1 million deficit. It found that while Circle had made early improvements in some clinical areas, Circle would have to generate unprecedented levels of savings to pay the deficit and most of the savings were expected in the later years of the ten-year franchise, so the value for money of the project could not easily be assessed for some time. The NAO found that while
343:. Its initial public offering in June 2011 which raised £45M had valued the company at £95.4M. In June 2012 it raised £47.5M through a placing of shares with institutional investors. In December 2013, the company secured £25M of new funding and overhauled its corporate structure to grant its employees and NHS staff working at its sites direct access to its publicly traded shares.
525:, who said: "The fundamental thing is, is it providing a good care to patients on the basis of NHS principles? Yes it is." It reportedly made a profit of £4M in the six-month period to 30 June 2013, up from £2.5M for the same period the previous year. In 2013, when Circle's five-year contract expired, commissioners decided to reconfigure services in the area.
652:
accident and emergency department (ii) potential penalties for failing to reach electronic discharge summary targets which already stood at £138,000 and (iii) potential penalties of a further £150,000 for failing to increase the number of patients discharged at weekends. The union said staff turnover was more than 13 per cent.
442:
However, the
Nuffield Trust found "the company's participative management style – based on devolving power and responsibility to the frontline – important in terms of motivating staff", while the King's Fund found that Circle was "developing the leadership skills and technical expertise for staff to
418:
Initially, the company operated an equity incentive program under which doctors were offered equity in the company in return for a share of the consultants' private work, which was said to be "pivotal in raising capital from third party debt and equity investors". Circle employees were offered shares
1187:
659:
The report was critical of standards of care and hygiene, indicating that "Medical services were inadequate because we found poor emotional and physical care which was not safe or caring. This was not reported by leaders of the service to the trust management therefore we judged the leadership to be
623:
In
December 2013, the company announced that it expected its Hinchingbrooke contract to finish at or near break-even by the end of its financial year. The Care Quality Commission had inspected the hospital and were satisfied. Waiting times in the A&E department were reported to be among the best
580:
in
Cambridgeshire. The hospital's buildings and staff remained part of the NHS, while Circle took over all day-to-day management responsibilities. Dr Stephen Dunn, director of policy and strategy at NHS Midlands and East, described it as "a good solution, focused on local needs." In an opinion piece
532:
In
December 2014, it was announced that six of the eight consultants had left rather than transfer to Circle, while recruitment and retention was a problem for NHS hospitals across the East Midlands. David Eady, President of the British Association of Dermatologists, described dermatology nationally
655:
In
January 2015, Circle announced that because Hinchingbrooke Hospital was "no longer viable under current terms" it wanted to withdraw from operating the hospital under the exit terms of the ten-year contract. Later the same day, the CQC recommended the trust be placed into special measures after
619:
Matters started to deteriorate further. In the 2013 NHS staff survey involving 28 key findings, Hinchingbrooke came out worse than the NHS average on two-thirds of the findings (19 of them), and was in the lowest 20% of trusts in almost half of the findings (13 of them). In
February 2013 The Health
528:
Circle had run outpatient dermatology services for the
Nottingham area since 2008, with a mix of staff seconded from Nottingham University Hospitals NHS Trust and those directly employed. Circle's contract was renewed but the dermatology services were redesigned by Rushcliffe Clinical Commissioning
651:
called for Circle to be 'sacked', noting that papers tabled for the Board meeting in
October – which did not include a financial report – showed the organisation faced (i) potential penalties of up to £200,000 per month for failure to meet targets for patients waiting longer than four hours in the
663:
They had concerns about the trust's leadership because both the Circle management team and the trust board said that the other was responsible for holding the trust's executive team to account. Circle's chief executive Steve Melton said before the report was published: "We understand their report
593:
that these results, along with improved care and reduced waiting times, had shown "the right kind of reform can turn around shoddy government monopolies and transform them into huge success stories". However, during 2012 losses doubled, and Circle obtained a £4M advance on fees to ease cash flow
667:
Just six weeks before it was due to be handed back to the public sector, the hospital asked for a government bailout of nearly £10 million. As Circle Health had negotiated a deal to limit their losses to £5 million, which had already been reached, it was not liable for the expected deficit. The
544:
stated that it was "very concerned by the decline of services in
Nottingham from a centre of excellence to somewhere now unable to offer expert dermatology, dermatological care for patients... and now its failure to deliver teaching to trainees and medical students". An inspection by the CQC in
422:
In 2014, Circle won "Employee-Owned Business of the Year" at the Employee Ownership Association Philip Baxendale awards, while a report by the All-Party Parliamentary Group on Employee Ownership referenced "impressive" productivity statistics from Circle but noted that "the argument that these
588:
Within six months, the hospital deficit had risen to £4.1 million, £2.2 million higher than Circle's financial plan. In a 2012 national survey of NHS patients, Hinchingbrooke Hospital came first for patient satisfaction. The Prime Minister's former special advisor on health commented in the
533:
as "a specialty in crisis" and that "no single region in Britain has enough consultants" to meet Royal College of Physicians recommendations, which meant Circle replaced them initially with locum doctors, for whom Circle had to pay nearly £300,000 per year per consultant.
434:
Minister, described the Circle model as "a third option which goes beyond the monopoly of state provision or the private sector". The journalist Nigel Hawkes' description of Circle as "a John Lewis-style social enterprise co-owned by its employees" was described by Prof
679:
remarked that "What has happened in Hinchingbrooke shows that the responsibility of running a critical public service can never be handed over, and so the insistence on private providers as a potential solution to problems facing Hinchingbrooke was always misguided."
306:
In November 2016, Circle announced that it is it to develop hospitals in China in conjunction with Chinese investors. In April 2019, it opened a £23m hospital in Shanghai. The hospital provides access to multi-disciplinary teams including specialists outside China.
643:
A visit by inspectors from the CQC in the same month highlighted severe issues with patient care: inspectors observed that "staff treat patients in an undignified and emotionally abusive manner" and they spoke to patients who had been "told to soil themselves".
639:
The hospital made an offer in September 2014 to pay local GPs a £50 'administrative fee' for surgery referrals in an email, signed by Hinchingbrooke chief executive Hisham Abdel-Rahman, which was rapidly withdrawn when the company was accused of bribery.
708:
In 2017, an initiative by a rhematology specialist then employed at a Circle treatment centre won The Prince of Wales' Integrated Approaches to Care Nursing Times Award, and in 2018, Circle won Best Healthcare Provider to the NHS at the
468:. In 2017, Circle Bath received a rating of Good from the CQC, and won a Wylde IA Happiest Workplace in the South West competition. Following the agreement with the Competition and Markets Authority, the hospital was bought by the
419:
in the company for free, providing they met performance criteria. Consultant and staff ownership reduced to 25% after paying off £257M in borrowings in 2013, and those shares were bought in 2017 by Toscafund and Penta Capital.
2399:
520:
in Britain, as part of a programme of reforms to the NHS which aimed at introducing choice by increasing the diversification of providers. It was operated by Circle between 2008 and 2019. In 2010, the centre was visited by
2906:
585:, he said that "Without this deal, services might have been cut, the hospital might have had to close, or an £80M subsidy might have been needed to support the existing management." The contract began in February 2012.
253:
The company's plans were ambitious, involving opening 30 private hospitals, and encompassing the possibility of running 30 NHS trusts in time. In October 2009 it was shortlisted to become the first franchisee of an
631:
In April 2014, it was reported that the hospital was likely to record a deficit in the region of £600,000 to £700,000 for the year ending 31 March 2014 and in July 2014 Hinchingbrooke Hospital was referred to the
2800:
286:
As Circle Integrated Care, it has had a prime provider contract to manage musculoskeletal services in Bedfordshire since 2014 and a £74M deal to oversee musculoskeletal services in Greenwich began in April 2017.
620:
Service Journal reported that senior health figures were questioning the viability of using the model more widely in hospitals. They cited austerity and the need to reduce activity in hospitals as key drivers.
2160:
2830:
1339:
381:
322:
in December 2019, resulting in the enlarged company agreeing in June 2020 to divest Circle's hospital near Bath and the new hospital at Birmingham, which had not at that time been put into operation.
384:
profit of £12.3M, up from £6.7M the year before, although the company had an overall loss of £11M as a result of "exceptional costs ... relating to the impairment of intangible assets and goodwill".
965:
548:
In 2018, local commissioners extended Circle's contract after a legal challenge. The following year the centre, which has 700 staff and treats around 250,000 patients annually, was taken over by
536:
In 2015, the operation of dermatology services during the period in which they were run by Circle Health was described as an "unmitigated disaster" in an independent report commissioned by the
199:. The operation of dermatology services during the period in which they were run by Circle Health was described as an "unmitigated disaster" in an independent report commissioned by the local
172:
provider in the United Kingdom, and is the country's biggest private hospital provider. The company was founded in 2004 and rebranded as Circle Health Group in 2019 after acquiring a rival,
1911:
545:
January 2015 had rated the centre as 'good' overall, although the termination of pregnancy service required improvement; a follow-up inspection in May 2016 rated that service as 'good'.
1619:
1646:
893:
439:
as nonsense. McKee pointed out that "staff shares amount to only 49% of the total number of shares, and the staff's decision-making powers are far less than even this suggests".
3229:
3313:
214:
hospital to be operated by a private company. Circle Health withdrew from the hospital, three years into the ten-year contract, shortly after being severely criticised by the
3210:
2606:
1751:
3112:
3254:
2171:
1725:
1261:
2652:
2056:
1549:
3141:
633:
410:-based holding company and healthcare platform, in a deal valued at $ 1.2 billion. In January 2024, it was announced that this transaction had been completed.
2633:
668:
taxpayer therefore had to pay for the deficit following the failed privatisation, which was found to be £14 million at the end of the 2014-15 financial year.
246:". The flattened organisational structure was said to allow quality and efficiency to remain high, through the creation of "clinical units". In January 2010,
2808:
2701:
3308:
2196:
391:
to form the biggest private hospital provider in the UK, which it rebranded as Circle Health Group. The combined group had annual revenues of almost £1
1501:
1111:
839:
616:
had assessed bidders' savings proposals, the relative risks had not been fully considered, which had the potential to encourage over-optimistic bids.
549:
196:
2753:
2536:
3058:
2932:
2377:
696:
Circle operates the Woodlands Hospital in Darlington, County Durham. It was built in 2001 and Circle has run the hospital since the acquisition of
1987:
565:
505:
318:, the biggest private hospital provider in the UK with 54 hospitals; the cost of the acquisition was not disclosed. The deal was called in by the
1671:
3323:
722:
609:
1390:
1696:
541:
2727:
517:
184:
1832:
504:. At a reported cost of £50M, its 120 rehabilitation beds were expected to create 250 jobs. Opening of the facility was delayed by the
319:
1034:
250:, as Prime Minister, said: "Circle's provision of healthcare from the private sector is crucial to a 21st century health service."
3090:
508:, and it was not yet operational when Circle agreed in 2020 to divest it as a condition of the acquisition of the BMI hospitals.
869:
1475:
399:(through its subsidiary MH Services) took a 40% stake in Circle Health Holdings. Centene gained full ownership in July 2021.
1419:
2440:
688:
2282:
Iacobucci, G. (9 June 2015). "Transfer of services from NHS to private provider was "unmitigated disaster," report says".
1943:
340:
3318:
1162:
537:
367:
200:
3184:
2352:
1802:
1064:
2580:
2083:
1235:
676:
568:, was to take it over as Circle had stopped providing services at the clinic in April to focus on inpatient services.
276:
In October 2015, Circle entered an agreement with Advanced Oncotherapy to open a proton beam therapy cancer centre on
3293:
1210:
1089:
2012:
1445:
371:
336:
291:
564:
was run by Circle Clinics Limited, but in June 2014 it was announced that SWFT Clinical Services, a subsidiary of
1882:
1776:
1567:
983:
786:
501:
1313:
913:
239:
664:
will be published soon, and fully expect it to be unbalanced and to disagree with many of its conclusions".
3097:
3035:
3024:
595:
577:
380:
Circle reported that "the underlying performance of the group improved considerably during 2018", making an
263:
215:
207:
98:
86:
1505:
2487:
710:
625:
30:
1593:
472:
in June 2021, and became a subsidiary of Bath's Royal United Hospital under a new name – Sulis Hospital.
2979:
Iacobucci, G. (29 September 2014). "Regulator warns privately run NHS hospital over standards of care".
602:
347:
92:
2555:
3028:
2878:
613:
561:
497:
457:
396:
3164:
2780:
1365:
1288:
1009:
939:
3006:
2307:
481:
351:
2957:
2856:
403:
2679:
3116:
2998:
2299:
2264:
2246:
1391:"Acquisition by Circle Health Holdings Limited of GHG Healthcare Holdings: Final Undertakings"
672:
529:
Group, on behalf of all the Nottinghamshire commissioners, "based on its own specification".
461:
377:
In March 2017, Toscafund proposed to buy all the company shares, valuing the company at £74M.
363:
355:
2990:
2291:
2254:
2238:
1883:"NHS Mutual: Engaging staff and aligning incentives to achieve higher levels of performance"
1842:
742:
290:
The company announced in December 2012, that Ali Parsa had stepped down as chief executive.
226:
Circle was founded in 2004 as Centres Of Clinical Excellence Limited, co-founded in 2004 by
169:
2879:"Hinchingbrooke Health Care NHS Trust Quality Report for 16 - 18 September 2014 Inspection"
2127:
1136:
671:
The period in which Circle was operating the hospital was described as "a disaster" by the
601:
After it appeared that Hinchingbrooke hospital had attracted some orthopaedic surgery from
195:
from 2008 until 2019, at which point the operation of dermatology services was returned to
3169:
2785:
898:
235:
176:; in the same year it began an expansion in China. In 2023 the company was acquired by an
1366:"Takeover of BMI Healthcare by hedge fund-backed Circle Health is part of expansion push"
656:
it was rated "inadequate" on the questions of whether it was caring, safe and well led.
3287:
2197:"Post Event Report: Dermatology Stakeholders Event, A Way Forward for the East Midlands"
500:
studios, and financed through an arrangement with American real estate investment trust
148:
2259:
2226:
1919:
1647:"Circle Health announces major investment programme as US Centene takes over ownership"
697:
522:
465:
431:
388:
315:
295:
227:
173:
3211:"Woodlands Hospital marks 20th anniversary with £1m-plus investment in robotic future"
3302:
811:
427:
277:
270:
2607:"Hinchingbrooke takes on Addenbrooke's operations as staff offered early retirement"
2311:
1672:"PureHealth signals 'global healthcare platform' target with Circle Health purchase"
294:
assumed the position until November 2016. Paolo Pieri, a former finance director of
3113:"NHS watchdog likened to 'used car salesmen' in furious rows over Hinchingbrooke's"
3010:
436:
247:
2242:
1446:"Services privatised? / Hospital Care / Firms Running Hospitals / Circle profile"
3086:
2441:"Yes, Hinchingbrooke hospital will be run privately. No, that's not a bad thing"
1988:"Circle Bath Hospital scoops top-prize at 2017 'Happiest Workplace Competition'"
469:
423:
successes derive not from the ownership model, but from an engaged workforce".
339:
and its affiliate Penta Capital. Previously, the company had been listed on the
243:
211:
188:
2509:
3059:"Hinchingbrooke - why did England's privatised hospital deal REALLY collapse?"
2801:"NHS audited accounts true and fair but disclose significant financial stress"
2325:
2038:
1968:
1837:
1803:"Sharing Ownership: The Role of Employee Ownership in Public Service Delivery"
402:
In August 2023, it was reported that Circle Health Group would be acquired by
192:
3120:
2933:"Hinchingbrooke Hospital: Unison calls for health firm Circle to be 'sacked'"
2459:
2421:
2353:"Private firm to continue running NHS treatment centre after legal challenge"
2250:
2057:"Simons Construction to begin work on £22m Birmingham private hospital in UK"
1340:"HCA UK partners with Circle Harmony to provide oncology treatment in China"
874:
764:
493:
407:
359:
255:
231:
177:
3002:
2831:"Exclusive: Hinchingbrooke backtracks on controversial £50 referrals offer"
2303:
2268:
1856:
628:
revealed the hospital has a "statistically significant low mortality rate"
576:
In November 2011, Circle won a ten-year contract to run the struggling NHS
2128:"Exclusive: Value of Nottingham ISTC contract to be significantly reduced"
1112:"Circle Health signs £50m deal for Tech Mahindra to upgrade healthcare IT"
1527:
540:
and undertaken by Dr Chris Clough of Kings College Hospital, London. The
1620:"Circle Health Holdings Limited: Annual Report and Financial Statements"
966:"Private company Circle set to take over ailing Hinchingbrooke Hospital"
3281:
2981:
1752:"Circle Holdings PLC : Issue of Equity and Capital Reorganisation"
137:
2994:
2295:
2013:"RUH Trust buys independent Circle Bath hospital at Peasedown St John"
283:
In April 2017, work began on a third private hospital, in Birmingham.
648:
59:
1912:"Improving NHS Care by Engaging Staff and Devolving Decision-Making"
1550:"Circle Health Holdings Limited Annual Report and Financial Results"
636:
for failure to meet their statutory duty to break-even financially.
605:, Circle stated that they would like to bid for more NHS contracts.
3142:"Hinchingbrooke faces special measures as care judged 'inadequate'"
2109:
840:"PureHealth acquires UK private healthcare group for $ 1.2 billion"
3255:"HSJ Partnership Awards 2018: Best Healthcare Provider to the NHS"
3230:"Tai chi classes to help people cope with long-term health issues"
687:
1262:"Circle Holdings Chief Executive Officer Steve Melton Steps Down"
395:
billion. As part of the acquisition, American healthcare company
894:"Profit motive is 'ripping through the NHS', Andy Burnham warns"
480:
A private hospital that opened in August 2012 at Kennet Island,
2537:"A revolution on the wards that could heal our public services"
346:
During its time on AIM, as Circle Holdings, investors included
3165:"First privately run NHS hospital seeks £10m taxpayer bailout"
2857:"Hinchingbrooke patients treated in 'abusive' manner CQC says"
1035:"Who privatised Hinchingbrooke hospital? And does it matter?"
598:
this was seen as a test case for private sector contracting.
3091:
Hinchingbrooke Health Care NHS Trust Factual Accuracy detail
1476:"Circle raises £25m and extends share scheme to NHS workers"
492:
In 2017, Circle began construction of a private hospital at
2958:"Hinchingbrooke Hospital: Circle to withdraw from contract"
206:
In November 2011 the company was awarded a contract to run
314:
reported that Circle would acquire the holding company of
238:. It said that it wanted to be a model "a little bit like
484:. Circle Reading has a 2019 rating of Good from the CQC.
2754:"NHS trust under private management faces deficit again"
2490:(Report). National Audit Office. 8 November 2012. HC 628
2378:"Impact of private provider's 'hard exit' from contract"
1289:"UK's Circle Holdings targets ageing Chinese population"
1090:"Circle Holdings offers a lesson in listed partnerships"
387:
In December 2019, the company acquired its larger rival
2488:
The franchising of Hinchingbrooke Health Care NHS Trust
2161:"Independent Review of Nottingham Dermatology Services"
1470:
1468:
1466:
1065:"Private is the way forward for hospitals group Circle"
1857:"Circle Health is not like the John Lewis Partnership"
2728:"Hinchingbrooke Hospital celebrates three appraisals"
1314:"Circle Health opens first private hospital in China"
2422:"Circle in deal to run Hinchingbrooke NHS hospital"
1810:
All-Party Parliamentary Group on Employee Ownership
1777:"The Very Best Employee Owned Companies Celebrated"
1594:"US company in takeover of network of GP practices"
1420:"Penta, Toscafund agree £75.2m Circle take-private"
1137:"Circle to open new cancer centre on Harley Street"
647:In November 2014 the chief financial officer left.
132:
122:
105:
77:
67:
54:
36:
26:
1163:"Work starts on £32m Pebble Mill private hospital"
1845:on 16 November 2012 – via Internet Archive.
1400:. Competition and Markets Authority. 23 June 2020
2781:"More NHS Trusts Show Signs of Financial Stress"
2702:"Analysed: One year of Circle at Hinchingbrooke"
1568:"BMI Healthcare rebrands as Circle Health Group"
496:, Birmingham, on part of the site of the former
2952:
2950:
2154:
2152:
2150:
2148:
1528:"City investor bids to buy Circle in £74m deal"
1188:"City investor bids to buy Circle in £74m deal"
834:
832:
273:to improve IT infrastructure and applications.
870:"Public pick up bill for failed privatisation"
242:" or a law firm, and referred to itself as a "
8:
3081:
3079:
2907:"Hinchingbrooke finance director steps down"
2653:"Hospital lifesaver Circle loses extra 2.2m"
2581:"Hinchingbrooke test case for privatisation"
1504:. Sunday Times. 19 June 2011. Archived from
1236:"Profile: Paolo Pieri, FD of lastminute.com"
21:
3314:Health care companies of the United Kingdom
3286:
3185:"BMA - Hospital's fortunes go full circle"
335:In 2017, the company was taken private by
203:which runs health services in the county.
180:-based holding company called PureHealth.
147:
20:
2258:
1697:"Private healthcare market investigation"
787:"Circle Health to acquire BMI Healthcare"
560:This clinic attached to a GP practice in
550:Nottingham University Hospitals NHS Trust
269:In 2015, Circle entered a £50M deal with
197:Nottingham University Hospitals NHS Trust
3294:Briefing on Circle by NHS for Sale group
2482:
2480:
2400:"FT subsidiary takes over Circle clinic"
2110:"The public services under Gordon Brown"
1992:The Business Exchange Bath and Somerset
1010:"OFT launches private healthcare probe"
887:
885:
863:
861:
734:
566:South Warwickshire NHS Foundation Trust
266:on AIM, with the shares peaking at £2.
3029:Hinchingbrooke Hospital Quality Report
2680:"Circle: Behind the Smoke and Mirrors"
2402:. Health Service Journal. 20 June 2014
2084:"New £50m hospital to create 250 jobs"
723:Private medicine in the United Kingdom
2380:. Health Service Journal. 4 June 2019
2326:"The Nottingham NHS Treatment Centre"
1944:"Circle hospital Bath/ Norman Foster"
1726:"NHS employees offered Circle shares"
1385:
1383:
1058:
1056:
743:"Circle Health Group management team"
542:British Association of Dermatologists
426:Speaking at Hinchingbrooke hospital,
230:founder and former investment banker
7:
3057:Molloy, Caroline (14 January 2015).
2227:"Dermatology: a specialty in crisis"
1502:"Hospitals do it the John Lewis way"
443:test and implement service change".
3111:Donnelly, Laura (2 February 2015).
2651:Jeremy Laurance (8 November 2012).
2634:"Circle demands more NHS contracts"
2556:"Privatised UK hospital in the red"
1008:Mishkin, Sarah (14 December 2010).
518:independent sector treatment centre
185:independent sector treatment centre
18:British private healthcare provider
2935:. Cambridge News. 11 November 2014
2460:"Private firm to run NHS hospital"
2458:Triggle, Nick (25 November 2010).
1364:Plimmer, Gill (29 November 2019).
1287:Plimmer, Gill (27 November 2016).
1092:. Financial Times. 31 January 2016
964:Cooper, Rachel (29 January 2012).
940:"Circle hospital nears completion"
594:problems at the hospital. For the
262:million from investors and had an
14:
3309:Private providers of NHS services
3163:Plimmer, Gill (9 February 2015).
2439:Dunn, Stephen (2 February 2012).
2204:NHS East Midlands Clinical Senate
1986:Batten, Nick (27 November 2017).
1704:Competition and Markets Authority
320:Competition and Markets Authority
2554:Gill Plimmer (26 October 2012).
2510:"Private NHS hospital tops poll"
2082:Jones, Tamlyn (10 August 2018).
868:Smyth, Chris (22 January 2024).
3228:Muir, Alice (22 January 2018).
3144:. Nursing Times. 9 January 2015
2779:Warrell, Helen (24 July 2014).
1831:Maude, Francis (26 June 2012).
1338:Rees, Kelsey (3 October 2019).
1211:"An integrated approach to MSK"
1161:Jones, Tamlyn (10 April 2017).
938:O’Doherty, John (3 July 2009).
844:www.clinicalservicesjournal.com
516:This was opened as the largest
512:Nottingham NHS Treatment Centre
456:A private hospital designed by
234:and consultant ophthalmologist
157:Footnotes / references
2682:. Socialist Health Association
2632:Cave, Andrew (4 August 2012).
1942:Moore, Rowan (21 March 2010).
1781:Employee Ownership Association
1645:Davies, Maria (14 July 2021).
1626:. 31 December 2019. p. 58
1063:Cave, Andrew (17 April 2017).
892:Cooper, Charlie (3 May 2015).
692:Woodlands Hospital, Darlington
1:
3324:2024 mergers and acquisitions
2859:. BBC News. 26 September 2014
2535:Worth, Sean (1 August 2012).
2351:Hammond, Laura (3 May 2018).
2243:10.7861/clinmedicine.15-6-509
2159:Clough, Chris (4 June 2015).
634:Secretary of State for Health
414:Employee ownership until 2017
341:Alternative Investment Market
210:in Cambridgeshire, the first
2585:Socialist Health Association
1833:"The Next Steps for Mutuals"
368:BlueCrest Capital Management
201:clinical commissioning group
3189:British Medical Association
3025:Professor Sir Mike Richards
1676:Healthcare & Protection
765:"About Circle Health Group"
677:British Medical Association
675:. The then chairman of the
42:; 20 years ago
3340:
372:Toscafund Asset Management
337:Toscafund Asset Management
298:, is now chief executive.
988:www.socialistparty.org.uk
155:
1530:. Health Service Journal
1190:. Health Service Journal
502:Medical Properties Trust
3098:Care Quality Commission
3036:Care Quality Commission
2330:Care Quality Commission
2043:Care Quality Commission
2039:"CQC Inspection report"
1973:Care Quality Commission
1969:"CQC Inspection report"
1861:British Medical Journal
914:"Circle Health Limited"
578:Hinchingbrooke Hospital
572:Hinchingbrooke Hospital
556:Circle Clinic Stratford
460:that opened in 2010 at
264:initial public offering
216:Care Quality Commission
208:Hinchingbrooke Hospital
99:Chief Financial Officer
87:Chief Executive Officer
2911:Health Service Journal
2835:Health Service Journal
2758:Health Service JOurnal
2706:Health Service Journal
1730:Health Service Journal
1215:Health Service Journal
711:Health Service Journal
693:
310:In November 2019, the
2960:. BBC. 9 January 2015
812:"About Circle Health"
767:. Circle Health Group
691:
610:National Audit Office
603:Addenbrookes Hospital
348:Odey Asset Management
183:Circle Health ran an
93:Chief Medical Officer
2225:Eedy, David (2015).
984:"Hands off our NHS!"
713:Partnership Awards.
608:In November 2012, a
3319:Centene Corporation
3089:(9 February 2015).
2989:(Sep29 10): g5926.
2638:The Daily Telegraph
2541:The Daily Telegraph
2428:. 10 November 2011.
2206:. 30 September 2015
2061:Hospital Management
1069:The Daily Telegraph
970:The Daily Telegraph
614:NHS East of England
562:Stratford-upon-Avon
458:Foster and Partners
326:Corporate structure
166:Circle Health Group
124:Number of employees
23:
22:Circle Health Group
3217:. 8 November 2021.
3027:(9 January 2015).
2734:. 11 December 2013
2708:. 18 February 2013
2290:(Jun09 8): h3161.
2177:on 8 December 2019
2108:Griffiths, Simon.
2045:. 24 October 2019.
1863:. 13 December 2011
1783:. 18 November 2014
1732:. 23 December 2013
1482:. 20 December 2013
1268:. 28 November 2016
1041:. 10 December 2014
694:
684:Woodlands Hospital
596:Conservative Party
352:Lansdowne Partners
170:private healthcare
140:.circlehealthgroup
3215:The Northern Echo
2995:10.1136/bmj.g5926
2913:. 7 November 2014
2789:. London: FT Ltd.
2332:. 8 December 2016
2296:10.1136/bmj.h3161
2231:Clinical Medicine
1651:LaingBuisson News
1600:. 4 February 2021
1574:. 27 January 2022
1572:HealthInvestor UK
1508:on 6 October 2014
1368:. Financial Times
1344:LaingBuisson News
506:COVID-19 pandemic
488:Circle Birmingham
462:Peasedown St John
364:Invesco Perpetual
356:Balderton Capital
331:Private ownership
163:
162:
3331:
3290:
3285:
3284:
3282:Official website
3267:
3266:
3264:
3262:
3251:
3245:
3244:
3242:
3240:
3225:
3219:
3218:
3207:
3201:
3200:
3198:
3196:
3181:
3175:
3174:
3160:
3154:
3153:
3151:
3149:
3138:
3132:
3131:
3129:
3127:
3108:
3102:
3101:
3095:
3083:
3074:
3073:
3071:
3069:
3054:
3048:
3047:
3045:
3043:
3033:
3021:
3015:
3014:
2976:
2970:
2969:
2967:
2965:
2954:
2945:
2944:
2942:
2940:
2929:
2923:
2922:
2920:
2918:
2903:
2897:
2896:
2894:
2892:
2883:
2875:
2869:
2868:
2866:
2864:
2853:
2847:
2846:
2844:
2842:
2827:
2821:
2820:
2818:
2816:
2811:on 21 April 2015
2807:. Archived from
2805:Audit Commission
2797:
2791:
2790:
2776:
2770:
2769:
2767:
2765:
2750:
2744:
2743:
2741:
2739:
2724:
2718:
2717:
2715:
2713:
2698:
2692:
2691:
2689:
2687:
2675:
2669:
2668:
2666:
2664:
2648:
2642:
2641:
2629:
2623:
2622:
2620:
2618:
2603:
2597:
2596:
2594:
2592:
2577:
2571:
2570:
2568:
2566:
2551:
2545:
2544:
2532:
2526:
2525:
2523:
2521:
2506:
2500:
2499:
2497:
2495:
2484:
2475:
2474:
2472:
2470:
2455:
2449:
2448:
2436:
2430:
2429:
2418:
2412:
2411:
2409:
2407:
2396:
2390:
2389:
2387:
2385:
2374:
2368:
2367:
2365:
2363:
2348:
2342:
2341:
2339:
2337:
2322:
2316:
2315:
2279:
2273:
2272:
2262:
2222:
2216:
2215:
2213:
2211:
2201:
2193:
2187:
2186:
2184:
2182:
2176:
2170:. Archived from
2165:
2156:
2143:
2142:
2140:
2138:
2124:
2118:
2117:
2105:
2099:
2098:
2096:
2094:
2079:
2073:
2072:
2070:
2068:
2053:
2047:
2046:
2035:
2029:
2028:
2026:
2024:
2009:
2003:
2002:
2000:
1998:
1983:
1977:
1976:
1975:. 24 April 2017.
1965:
1959:
1958:
1956:
1954:
1939:
1933:
1932:
1930:
1928:
1916:
1908:
1902:
1901:
1899:
1897:
1887:
1879:
1873:
1872:
1870:
1868:
1853:
1847:
1846:
1841:. Archived from
1828:
1822:
1821:
1819:
1817:
1807:
1799:
1793:
1792:
1790:
1788:
1773:
1767:
1766:
1764:
1762:
1748:
1742:
1741:
1739:
1737:
1722:
1716:
1715:
1713:
1711:
1701:
1693:
1687:
1686:
1684:
1682:
1668:
1662:
1661:
1659:
1657:
1642:
1636:
1635:
1633:
1631:
1616:
1610:
1609:
1607:
1605:
1590:
1584:
1583:
1581:
1579:
1564:
1558:
1557:
1556:. 6 August 2019.
1546:
1540:
1539:
1537:
1535:
1524:
1518:
1517:
1515:
1513:
1498:
1492:
1491:
1489:
1487:
1472:
1461:
1460:
1458:
1456:
1442:
1436:
1435:
1433:
1431:
1416:
1410:
1409:
1407:
1405:
1395:
1387:
1378:
1377:
1375:
1373:
1361:
1355:
1354:
1352:
1350:
1335:
1329:
1328:
1326:
1324:
1310:
1304:
1303:
1301:
1299:
1284:
1278:
1277:
1275:
1273:
1258:
1252:
1251:
1249:
1247:
1232:
1226:
1225:
1223:
1221:
1206:
1200:
1199:
1197:
1195:
1184:
1178:
1177:
1175:
1173:
1158:
1152:
1151:
1149:
1147:
1133:
1127:
1126:
1124:
1122:
1108:
1102:
1101:
1099:
1097:
1086:
1080:
1079:
1077:
1075:
1060:
1051:
1050:
1048:
1046:
1031:
1025:
1024:
1022:
1020:
1005:
999:
998:
996:
994:
980:
974:
973:
961:
955:
954:
952:
950:
935:
929:
928:
926:
924:
910:
904:
903:
889:
880:
879:
865:
856:
855:
853:
851:
846:. 31 August 2023
836:
827:
826:
824:
822:
808:
802:
801:
799:
797:
783:
777:
776:
774:
772:
761:
755:
754:
752:
750:
745:. BMI Healthcare
739:
394:
261:
258:. It raised £200
151:
146:
143:
141:
139:
115:
89:), Paul Manning
62:, United Kingdom
50:
48:
43:
24:
3339:
3338:
3334:
3333:
3332:
3330:
3329:
3328:
3299:
3298:
3280:
3279:
3276:
3271:
3270:
3260:
3258:
3253:
3252:
3248:
3238:
3236:
3227:
3226:
3222:
3209:
3208:
3204:
3194:
3192:
3183:
3182:
3178:
3170:Financial Times
3162:
3161:
3157:
3147:
3145:
3140:
3139:
3135:
3125:
3123:
3110:
3109:
3105:
3093:
3085:
3084:
3077:
3067:
3065:
3056:
3055:
3051:
3041:
3039:
3031:
3023:
3022:
3018:
2978:
2977:
2973:
2963:
2961:
2956:
2955:
2948:
2938:
2936:
2931:
2930:
2926:
2916:
2914:
2905:
2904:
2900:
2890:
2888:
2881:
2877:
2876:
2872:
2862:
2860:
2855:
2854:
2850:
2840:
2838:
2829:
2828:
2824:
2814:
2812:
2799:
2798:
2794:
2786:Financial Times
2778:
2777:
2773:
2763:
2761:
2752:
2751:
2747:
2737:
2735:
2726:
2725:
2721:
2711:
2709:
2700:
2699:
2695:
2685:
2683:
2677:
2676:
2672:
2662:
2660:
2657:The Independent
2650:
2649:
2645:
2631:
2630:
2626:
2616:
2614:
2605:
2604:
2600:
2590:
2588:
2587:. 2 August 2012
2579:
2578:
2574:
2564:
2562:
2560:Financial Times
2553:
2552:
2548:
2534:
2533:
2529:
2519:
2517:
2508:
2507:
2503:
2493:
2491:
2486:
2485:
2478:
2468:
2466:
2457:
2456:
2452:
2438:
2437:
2433:
2420:
2419:
2415:
2405:
2403:
2398:
2397:
2393:
2383:
2381:
2376:
2375:
2371:
2361:
2359:
2357:Nottingham Post
2350:
2349:
2345:
2335:
2333:
2324:
2323:
2319:
2281:
2280:
2276:
2224:
2223:
2219:
2209:
2207:
2199:
2195:
2194:
2190:
2180:
2178:
2174:
2163:
2158:
2157:
2146:
2136:
2134:
2132:Health Investor
2126:
2125:
2121:
2107:
2106:
2102:
2092:
2090:
2088:Birmingham Mail
2081:
2080:
2076:
2066:
2064:
2055:
2054:
2050:
2037:
2036:
2032:
2022:
2020:
2011:
2010:
2006:
1996:
1994:
1985:
1984:
1980:
1967:
1966:
1962:
1952:
1950:
1941:
1940:
1936:
1926:
1924:
1914:
1910:
1909:
1905:
1895:
1893:
1885:
1881:
1880:
1876:
1866:
1864:
1855:
1854:
1850:
1830:
1829:
1825:
1815:
1813:
1805:
1801:
1800:
1796:
1786:
1784:
1775:
1774:
1770:
1760:
1758:
1750:
1749:
1745:
1735:
1733:
1724:
1723:
1719:
1709:
1707:
1699:
1695:
1694:
1690:
1680:
1678:
1670:
1669:
1665:
1655:
1653:
1644:
1643:
1639:
1629:
1627:
1624:Companies House
1618:
1617:
1613:
1603:
1601:
1592:
1591:
1587:
1577:
1575:
1566:
1565:
1561:
1554:Companies House
1548:
1547:
1543:
1533:
1531:
1526:
1525:
1521:
1511:
1509:
1500:
1499:
1495:
1485:
1483:
1480:Health Investor
1474:
1473:
1464:
1454:
1452:
1444:
1443:
1439:
1429:
1427:
1426:. 30 March 2017
1418:
1417:
1413:
1403:
1401:
1393:
1389:
1388:
1381:
1371:
1369:
1363:
1362:
1358:
1348:
1346:
1337:
1336:
1332:
1322:
1320:
1312:
1311:
1307:
1297:
1295:
1293:Financial Times
1286:
1285:
1281:
1271:
1269:
1260:
1259:
1255:
1245:
1243:
1242:. 18 April 2007
1240:Accountancy Age
1234:
1233:
1229:
1219:
1217:
1208:
1207:
1203:
1193:
1191:
1186:
1185:
1181:
1171:
1169:
1167:Birmingham Post
1160:
1159:
1155:
1145:
1143:
1135:
1134:
1130:
1120:
1118:
1110:
1109:
1105:
1095:
1093:
1088:
1087:
1083:
1073:
1071:
1062:
1061:
1054:
1044:
1042:
1033:
1032:
1028:
1018:
1016:
1014:Financial Times
1007:
1006:
1002:
992:
990:
982:
981:
977:
963:
962:
958:
948:
946:
944:Financial Times
937:
936:
932:
922:
920:
918:Companies House
912:
911:
907:
899:The Independent
891:
890:
883:
867:
866:
859:
849:
847:
838:
837:
830:
820:
818:
810:
809:
805:
795:
793:
785:
784:
780:
770:
768:
763:
762:
758:
748:
746:
741:
740:
736:
731:
719:
706:
686:
624:in England and
591:Daily Telegraph
574:
558:
514:
498:BBC Pebble Mill
490:
478:
454:
449:
416:
392:
333:
328:
312:Financial Times
304:
259:
236:Massoud Fouladi
224:
159:
136:
125:
118:
113:
96:
95:), Henry Davis
90:
84:
80:
70:
63:
46:
44:
41:
19:
12:
11:
5:
3337:
3335:
3327:
3326:
3321:
3316:
3311:
3301:
3300:
3297:
3296:
3291:
3275:
3274:External links
3272:
3269:
3268:
3257:. 9 March 2019
3246:
3220:
3202:
3191:. January 2015
3176:
3155:
3133:
3103:
3075:
3049:
3016:
2971:
2946:
2924:
2898:
2870:
2848:
2837:. 24 July 2014
2822:
2792:
2771:
2760:. 1 April 2014
2745:
2719:
2693:
2678:Lister, John.
2670:
2643:
2624:
2613:. 27 July 2012
2598:
2572:
2546:
2527:
2516:. 28 June 2012
2501:
2476:
2450:
2431:
2413:
2391:
2369:
2343:
2317:
2274:
2237:(6): 509–510.
2217:
2188:
2168:Rushcliffe CCG
2144:
2119:
2114:Policy Studies
2100:
2074:
2063:. 9 April 2017
2048:
2030:
2004:
1978:
1960:
1934:
1903:
1890:Nuffield Trust
1874:
1848:
1823:
1794:
1768:
1756:MarketScreener
1743:
1717:
1706:. 2 April 2014
1688:
1663:
1637:
1611:
1585:
1559:
1541:
1519:
1493:
1462:
1437:
1411:
1379:
1356:
1330:
1305:
1279:
1253:
1227:
1209:Read, Claire.
1201:
1179:
1153:
1141:HealthInvestor
1128:
1103:
1081:
1052:
1039:Spectator Life
1026:
1000:
975:
956:
930:
905:
881:
857:
828:
803:
778:
756:
733:
732:
730:
727:
726:
725:
718:
715:
705:
702:
700:in late 2019.
698:BMI Healthcare
685:
682:
573:
570:
557:
554:
523:Andrew Lansley
513:
510:
489:
486:
477:
476:Circle Reading
474:
453:
450:
448:
445:
432:Cabinet Office
415:
412:
389:BMI Healthcare
332:
329:
327:
324:
316:BMI Healthcare
303:
300:
296:lastminute.com
228:Babylon Health
223:
220:
174:BMI Healthcare
161:
160:
153:
152:
134:
130:
129:
126:
123:
120:
119:
117:
116:
114:(2024–present)
109:
107:
103:
102:
81:
78:
75:
74:
71:
68:
65:
64:
58:
56:
52:
51:
38:
34:
33:
28:
17:
13:
10:
9:
6:
4:
3:
2:
3336:
3325:
3322:
3320:
3317:
3315:
3312:
3310:
3307:
3306:
3304:
3295:
3292:
3289:
3283:
3278:
3277:
3273:
3256:
3250:
3247:
3235:
3234:Nursing Times
3231:
3224:
3221:
3216:
3212:
3206:
3203:
3190:
3186:
3180:
3177:
3172:
3171:
3166:
3159:
3156:
3143:
3137:
3134:
3122:
3118:
3114:
3107:
3104:
3099:
3092:
3088:
3082:
3080:
3076:
3064:
3063:openDemocracy
3060:
3053:
3050:
3037:
3030:
3026:
3020:
3017:
3012:
3008:
3004:
3000:
2996:
2992:
2988:
2984:
2983:
2975:
2972:
2959:
2953:
2951:
2947:
2934:
2928:
2925:
2912:
2908:
2902:
2899:
2887:
2880:
2874:
2871:
2858:
2852:
2849:
2836:
2832:
2826:
2823:
2810:
2806:
2802:
2796:
2793:
2788:
2787:
2782:
2775:
2772:
2759:
2755:
2749:
2746:
2733:
2729:
2723:
2720:
2707:
2703:
2697:
2694:
2681:
2674:
2671:
2658:
2654:
2647:
2644:
2639:
2635:
2628:
2625:
2612:
2608:
2602:
2599:
2586:
2582:
2576:
2573:
2561:
2557:
2550:
2547:
2542:
2538:
2531:
2528:
2515:
2511:
2505:
2502:
2489:
2483:
2481:
2477:
2465:
2461:
2454:
2451:
2446:
2442:
2435:
2432:
2427:
2423:
2417:
2414:
2401:
2395:
2392:
2379:
2373:
2370:
2358:
2354:
2347:
2344:
2331:
2327:
2321:
2318:
2313:
2309:
2305:
2301:
2297:
2293:
2289:
2285:
2278:
2275:
2270:
2266:
2261:
2256:
2252:
2248:
2244:
2240:
2236:
2232:
2228:
2221:
2218:
2205:
2198:
2192:
2189:
2173:
2169:
2162:
2155:
2153:
2151:
2149:
2145:
2133:
2129:
2123:
2120:
2115:
2111:
2104:
2101:
2089:
2085:
2078:
2075:
2062:
2058:
2052:
2049:
2044:
2040:
2034:
2031:
2019:. 1 June 2021
2018:
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