On-Demand Content

Session 1

Values, optimal sizes, market sectors and positioning

• Values now:
  • Ahead of the curve?
  • About on track?
  • Emerging trends
• Land values
• Impact of COVID-19 – short, medium and long-term

Who’s buying, what and at what prices

• Who’s buying?
  • Where?
• Who’s developing?
  • Where?
• Who’s investing?
  • In what, where?
• Who’s funding?
  • What?
• Looking to 2021 and beyond

Mandip Bhogal, Associate, Healthcare, Knight Frank LLP
Kieren Cole, Partner, Healthcare, Knight Frank LLP

Session 2

Sources and terms of funding, including refinance, on purchase or development of care homes

• Where is the market now in terms of the cycle? How straight forward is it to find a funding/new finance partner?
• Accessing finance for development in the current market?
• Changes and emerging trends in traditional bank lending?
• Challenger banks and their involvement in the market, particularly with respect to refinance packages?
• Building a business case for new finance – avoiding the pitfalls

Working with local authorities

• What do local authority customers look for from care home operators – what’s important to them?  What questions do they ask?
• Assessing the supply/demand balance in the local market and its implications for:
  • Local authorities’ pricing power
  • Fees charged for local authority funded clients
• Changes we are seeing in local authority and CCG commissioning strategies
• The importance of relationships with local authorities and hospital discharge teams for private pay providers
• The relationship between rising staff and operational costs and increases in fees

Clare Connell, Chief Executive, Connell Consulting Limited
Craig Wilson, Partner, Knight Frank Capital Advisory LLP

Session 3

Rents, lease terms and sale and leaseback opportunities

• Current challenges for both landlords and tenants:
  • What’s possible? 
  • Balancing rent and return
  • Using JVs and partnerships to grow the business
  • Pros, cons and implications of the rental model
• The importance of the detail in the lease terms – what to look out for and what to avoid:
  • Alienation
  • Length of leases and security of tenure
  • Break clauses
  • Rent deposits
  • EBITDAR clauses

Handling a close down and accessing alternative use values

• When it is the right time to make the choice to close – some key indicators
• Accessing the value of the land and working with care providers, developers, local authorities and all other interested parties to increase the value of the assets and grow the investment opportunity
• Creating the optimal opportunities for alternative use:
  • How to ‘innovate’ the site
  • Assessing and optimising site ‘in situ’ functionality
  • New build v reconfigured – assessing the extent to which the gap can be closed to maximise the value – whatever the decision

Emma Glynn, Director, Head of Healthcare Advisory, JLL
Anthony Oldfield, Director – Capital Markets, Healthcare, JLL

Session 4: Thursday, 11 February 2021 10.00-11.15

The Impact of Regulation on Operations and Value

• Regulatory landscapes
• Implications of and for business structures
• External regulatory scrutiny – what to expect and how to respond – registrations/licences, inspections/ratings/action plans and enforcement
• Aligning with regulatory priorities
• Internal quality assurance and governance – assessing how ‘well-led’ you are

Planning to Meet the Challenges of the Future Regulatory Landscape

• The CQC future strategy and the impact on businesses:
  • Changes to ratings and ratings principles
  • Frequency of inspections
  • Levels of enforcement
  • Safety priorities and culture
  • Data collection and sharing
  • Digitalisation

Siwan Griffiths, Partner, Health and Social Care, Bevan Brittan LLP
Carlton Sadler, Partner and Head of the Healthcare Regulatory Team, Bevan Brittan LLP