UK HEALTHCARE PROPERTY 2018 - SPRING MARKET OVERVIEW - Knight Frank

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UK HEALTHCARE PROPERTY 2018 - SPRING MARKET OVERVIEW - Knight Frank
SPRING
                        MARKET OVERVIEW

                        UK HEALTHCARE
                        PROPERTY 2018

                                          A

Wetherby Manor,
Wetherby (Hadrian Healthcare)
HEALTHCARE PROPERTY 2018 - MARKET OVERVIEW

RECORD YEAR FOR UK HEALTHCARE                                                                                                                                                                   HEALTHCARE YIELDS V OTHER SPECIALIST SECTORS – Q4 2017

                          The past twelve months has represented a stern         Furthermore, 2017 has seen a significant uplift        continue in the year ahead. We will also continue
                          test for the UK healthcare market. Operators have      in investment volume as demand for the sector          to see a strong interest from overseas investors,
                          had to react to staffing challenges ahead of Brexit,   is now at its highest level for over 20 years.         taking advantage of the weak sterling.
                          social care funding crisis, the introduction of, and   Strong fundamentals underpinning the sector
                          subsequent increase in, the National Living Wage       continue to make healthcare an attractive              A further trend set to continue in 2018, is the
                          and rising food and property costs. 2017 also          investment proposition. Key trends have                growing demand for care beds, driven by ageing
                          witnessed a shift toward personal care home            included an increased demand for long-dated            population and given the estimated shortfall of                                                                                                                                                         9.50%
                                                                                                                                                                                                                                                              9.00%           9.00%
                          developments targeting the private pay market          healthcare assets, appealing to pension funds          148,777 market standard beds by 2021 coupled
                                                                                                                                                                                                           8.00%
                          in response to the shortfall of qualified nurses       and both domestic and international investors,         with 6,600 care homes at risk of closure over the                                                                                                                                   7.50%
                          within the UK.                                         attracted by the circa 30 years unexpired              next five years.                                                                                      6.50%                   6.00%                                 6.00%
JULIAN EVANS FRICS                                                               leases linked to RPI/CPI when compared with                                                                                                                          5.50%
                                                                                                                                                                                                                                      4.75%                                                                                             4.75%               4.50%
Head of Healthcare,       In spite of these operational challenges,              the average commercial property lease length           In the longer term, as is the case across all real                                                                                                          4.25%           4.25%
                                                                                                                                                                                                   4.00%                     4.00%                                                    4.00% 4.00%
Hotels & Leisure          occupancy rates for UK care homes rose                 of 7 years. The sector’s institutional appeal is       estate markets, technology will play an even
                          for the fifth consecutive year, while average          furthered by current bond market conditions,           greater role in the sector’s evolution, both in terms
                          fee levels outstripped RPI inflation for the fourth    with gilts producing lower returns.                    of operational care provision, as well as the design
                          year running. In addition, one-third of homes within                                                          of the physical assets.
                          the UK achieved EBITDARM as a percentage               Meanwhile, further shaping the market has been
                                                                                                                                                                                                       CARE               SURGERIES   PRIVATE ACUTE    SPECIALIST     SPECIALIST        LONDON        LONDON        REGIONAL UK         REGIONAL UK         STUDENT
                          of income surpassing 30%. The disrupters               the wide availability of capital to specialist funds
                                                                                                                                                                                                      HOMES                (PRIME)      HOSPITALS     CARE HOMES       SCHOOLS          HOTELS         HOTELS         HOTELS               HOTELS       ACCOMMODATION
                          also have not fettered investor appetite as            that have taken a more holistic approach to                                                                          (PRIME)                            (PRIME)        (PRIME)         (PRIME)         (PRIME)     (SECONDARY)       (PRIME)           (SECONDARY)       REGIONAL UK
                          Knight Frank advised on a record volume of circa       healthcare investment. Notably, Impact Healthcare
                          £12bn of Healthcare deals in 2017, most notably        REIT purchased The Seed Portfolio for a
                          transactions in relation to Bupa Care Homes,           handsome value of £149m in 2017. With investors
                          Helen McArdle Care, Porthaven Care Homes               becoming more accustomed to the sector, we
                          and Regard Group.                                      envisage a strong appetite for investment to

                                                                                                                                                                                                           Fixed income
                                                                                                                                                                                                           Going Concern

                                                                                                                                                                                                   SOURCE: Knight Frank Research
2017 - MARKET OVERVIEW
HEALTHCARE PROPERTY 2018                                                                                                                                                                                                                                                        HEALTHCARE PROPERTY 2018 - MARKET OVERVIEW

TYPES OF HOUSING FOR OLDER PEOPLE                                                                                                     DASHBOARD HEADLINES

     GENERAL HOUSING                                      RETIREMENT HOUSING                                   HIGH DEPENDENCY        ELDERLY CARE HOMES

  Houses designed with older           OVER 55     RETIREMENT        SHELTERED RETIREMENT    EXTRA CARE /     RESIDENTIAL & NURSING
       people in mind               DEVELOPMENTS                                                                                                 GRADE               CONSTRUCTION         BEDS      EN SUITES      LOCATION    COMPETITION    BUILD COST        YP      YIELD
                                                     VILLAGE              COMMUNITY         ASSISTED LIVING        CARE HOMES

                                                                                                                             +
                                                                                                                                                                       Future proof       c.70>   100% wet rooms   Excellent   Very Limited   c.100k – 200k    12>      4%>
                                                                                                                                              SUPER PRIME

                                                                                                                                                                     Purpose built (pb)   c.60     100% en suite     Good       Restricted    c.80k – 100k    8.5-10>   5-6%>
                                                                                                                                                 PRIME

                                                                                                                                                                      1st generation
                                                                                                                                                                                          c.40     Part en suite   Average      Reasonable     c.40k – 80k     7-8.5    6-7%>
                                                                                                                                                                      and 1990's pb
                                                                                                                                              SECONDARY

                                                                                                                                                                     Period conversion    < 30      No en suite    Marginal        High        c.20k – 40k
HEALTHCARE PROPERTY 2018 - MARKET OVERVIEW                                                                                                                                                                                                         2018 - MARKET OVERVIEW
                                                                                                                                                                                                                               HEALTHCARE PROPERTY 2017

                                                     UK                                                            2016/17 CARE HOME RESULTS AT A GLANCE                                       MARKET RENT COVERS
                                             & SPECIALIST FUNDS                               ASIA PACIFIC FUNDS
                                                    up to                                            up to
                                                £250m                                              £1bn

                                                                                                                                  OCCUPANCY                      AVERAGE WEEKLY FEES           INDICATIVE RENT COVER FOR CARE HOMES

                                                                                                                     89.2%             90.2%      88.7%      £746           £651      £798

                                                                                                                     +                                       +
                                                                                                                    ALL CARE         PERSONAL     NURSING   ALL CARE      PERSONAL   NURSING

                                                                                                                      STAFF COSTS (% OF INCOME)                      EBITDARM (% OF INCOME)

                      US REITS
                       up to                                                                                         57.5%             54.8 %     58.5%      25.2%         28.4%      24.0%

                     £1.5bn                                                         MIDDLE EAST FUNDS
                                                                                          up to

                                                                   PRIVATE EQUITY
                                                                  FROM ALL AREAS
                                                                                       £150m
                                                                                                                     +                                       +
                                                                        up to                                       ALL CARE         PERSONAL     NURSING   ALL CARE      PERSONAL   NURSING

                                                                    £500m
                                                                                                                   SOURCE Knight Frank Research                                                SOURCE Knight Frank Research
HEALTHCARE PROPERTY 2018 - MARKET OVERVIEW                                                                                                                                                                                                                                                                                                             HEALTHCARE PROPERTY 2018 - MARKET OVERVIEW

                                                                                                                                                                                    OUR PEOPLE

                                                                                                                                                                                    Knight Frank’s dedicated and highly experienced team provides a discreet and efficient consultancy service advising on the full spectrum of healthcare assets. Our award winning team continues to be recognised
BED DEMAND AND SUPPLY                                                                                                                                                               as leaders in their field. In taking time to understand the needs and objectives of our clients, we continue to provide uncomplicated property advice and solutions that add value at every stage.

                                                                                                                                                                                    HEAD OF HEALTHCARE, HOTELS & LEISURE                                                                         VALUATION
ELDERLY CARE BEDS                                                                                           DEMAND AND SUPPLY                                                                                                                               DEBORAH JOYNT, MRICS                                                                                          GENEVIEVE LEWIS
                                                                                                                                                                                                                                                                                                                   KIEREN COLE, MRICS
                                                                                                                                                                                                     JULIAN EVANS, FRICS                                    Associate                                              Partner                                                Team Secretary
                                                       NUMBER OF    NUMBER OF    NUMBER OF
                                            NUMBER                                            % OF EN                                                                                                +44 20 7861 1147                                       +44 20 7861 5009                                                                                              +44 20 3826 0604
 CARE HOME SIZE         NUMBER OF HOMES                REGISTERED   REGISTERED    EN SUITE                                                                                                                                                                                                                         +44 20 7861 1563
                                          OF HOMES %                                         SUITE BEDS
                                                          BEDS        BEDS %       BEDS                                                                                                              julian.evans@knightfrank.com                           deborah.joynt@knightfrank.com                          kieren.cole@knightfrank.com                            genevieve.lewis@knightfrank.com
    1-35 beds                6,690           53%         142,207       30%         71,004       50%
                                                                                                                12,914,584                                       471,129                             ALYSSIA CLARE                                          TOM KENNEDY, MRICS                                     RICK TARVER, MRICS                  BUILDING CONSULTANCY
   36-59 beds                3,759           30%         168,671       35%        109,106       65%
                                                                                                                                                                                                     PA to Julian Evans                                     Surveyor                                               Partner

   60-79 beds                1,503           12%         99,402        21%         84,621       85%                                                                                                  +44 20 7861 1153                                       +44 20 3640 7029                                       +44 20 7861 1534                                       MERRICK RIMMER, MRICS
                                                                                                                                                                                                     alyssia.clare@knightfrank.com                          tom.kennedy@knightfrank.com                            rick.tarver@knightfrank.com                            Partner
   80-99 beds                 457            4%          39,500        8%          34,927       88%                                                                                                                                                                                                                                                                       +44 20 7861 1115
                                                                                                            65+ Population by 2021                        Demand by 2021
    100+ beds                 242            2%          29,709        6%          22,694       76%
                                                                                                                                                                                    RESEARCH                                              AGENCY & DEVELOPMENT                                                     MARK TYLER, MRICS                                      merrick.rimmer@knightfrank.com
                                                                                                                                                                                                                                                                                                                   Partner
   Grand Total               12,651         100%         479,489      100%        322,352       67%                                                                                                  MANDIP BHOGAL                                                                                                 +44 20 3826 0686                                       MICHAEL BROWNSDON
SOURCE Tomorrow's Guides                                                                                                                                                                             Senior Analyst                                          JULIAN EVANS, FRICS                                   mark.tyler@knightfrank.com                             Partner
* Average weekly fees                                                                                              322,352                                       148,777                             +44 20 3869 4702                                        +44 20 7861 1147                                                                                             +44 20 3866 8046
                                                                                                                                                                                                     mandip.bhogal@knightfrank.com                           julian.evans@knightfrank.com                          BELA CHAUHAN, MRICS                                    michael.brownsdon@knightfrank.com
                                                                                                                                                                                                                                                                                                                   Associate
                                                                                                                                                                                                     KIMISHKA NAIDOO                                        NICK KEMPSTER, MRICS                                   +44 20 3897 0037                    PROPERTY ASSET MANAGEMENT
                                                                                                            Current Supply                                Shortfall of Market                        Analyst                                                Surveyor                                               bela.chauhan@knightfrank.com
                                                                                                            of Market Standard Beds *                     Standard Beds by 2021 *                    +44 20 3857 1999                                       +44 20 7861 5265                                                                                              CLAIRE SMITH, MRICS
                                                                                                                                                                                                     kimishka.naidoo@knightfrank.com                        nick.kempster@knightfrank.com                          DANIELLE O’CONNOR, MRICS                               Associate
                                                                                                          SOURCE Tomorrow's Guides, ONS, LaingBuisson                                                                                                                                                              Surveyor                                               +44 161 838 7747
                                                                                                          * Market standard beds are rooms with en suite facilities
                                                                                                                                                                                    CORPORATE CONSULTANCY                                                   JULIAN WOOLGAR, MRICS                                  +44 20 7861 5394                                       claire.smith@knightfrank.com
                                                                                                                                                                                                                                                            Partner, West End                                      danielle.oconnor@knightfrank.com

                                                                                                                                                                                                      PATRICK EVANS, MRICS                                  +44 20 7861 1008                                                                           KNIGHT FRANK FINANCE
                                                                                                                                                                                                      Partner                                               julian.woolgar@knightfrank.com                         JENNY NOBLE                                            LISA ATTENBOROUGH
                                                                                                                                                                                                      +44 20 7861 1757                                                                                             Office Manager                                         Partner
                                                                                                                                                                                                      paddy.evans@knightfrank.com                           LOIS BOND, MRICS                                       +44 20 3866 8040                                       +44 20 3909 6846
                                                                                                                                                                                                                                                            Surveyor                                               jenny.noble@knightfrank.com                            lisa.attenborough@knightfrank.com
                                                                                                                                                                                                                                                            +44 20 7861 5451
                                                                                                                                                                                                                                                            lois.bond@knightfrank.com
HEALTHCARE PROPERTY 2018 - MARKET OVERVIEW                                                                                                                                                                                                                                                                              HEALTHCARE PROPERTY 2018 - MARKET OVERVIEW

                                                            United Kingdom                 Continental Europe                                        413 OFFICES
                                                                                           16 Countries
                      The Americas
                                                                                           Austria / Belgium / Cyprus                                60 COUNTRIES
                                                                                           Czech Republic / France
                                                                                           Germany / Ireland / Italy / Monaco
                        15 Countries                                                       The Netherlands / Poland / Portugal
                      Argentina / Brazil                                                   Romania / Russia / Spain
            Canada / Chile / Colombia
      Costa Rica / Dominican Republic
                                                                                           Switzerland                                                                  ABOUT THE GROUP                              FULL LIST OF SERVICES
                         Mexico / Peru
       Puerto Rico / The Caribbean (4)
                                   USA
                                                                                                                                                                        There’s a human element in the world                                      COMMERCIAL                                                            RESIDENTIAL
                                                                                                                                                                        of property that is too easily overlooked.

                                                      84                                                                                                                At Knight Frank we build long-term
                                                      OFFICES
                                                                                                                                                                                                                     SECTORS                            SERVICES                         TRANSACTIONAL                          PROFESSIONAL SERVICES
                                                     2,000                                                                                                              relationships, which allow us to provide
                                                                                                                                                                        personalised, clear and considered
                                                                                    80
                                                      PEOPLE

                                                                                                                                                                        advice on all areas of property in all       •   Automotive                     •   Asset Management             •   Development Marketing              •   Building Consultancy
                                                                                   OFFICES
                                                                                                                                                                        key markets. We believe personal             •   Energy                         •   Building Consultancy         •   International Residential Sales    •   Compulsory Purchase
                                                                                1,020                                                                                   interaction is a crucial part of ensuring    •   Healthcare                     •   Business Rates               •   Investment & Lettings Management   •   Consultancy
                                                                                    PEOPLE                                                                              every client is matched to the property      •   Hotels                         •   Capital Allowances           •   Lettings                           •   Corporate Services

                                       166
                                                                                                                                                                        that suits their needs best – be it          •   Industrial & Logistics         •   Capital Markets              •   Private Client Acquisition         •   Interiors

                                           OFFICES                                                   3                                                                  commercial or residential.                   •   Leisure                        •   Development Consultancy      •   Private Rented Sector              •   Litigation

                                     5,540
                                                                                                   OFFICES                                                                                                           •   Office                         •   Facilities Management        •   Property Management                •   Research

                                           PEOPLE
                                                                                                   50                                                                   Operating in locations where our             •   Retail                         •   Lease Advisory               •   Residential Capital Markets        •   Residential Asset Management
                                                                                                   PEOPLE                                                               clients need us to be, we provide            •   Retail Warehouses              •   Leasing                      •   Sales                              •   Residential Mortgage Broking
                                                                                                                                                                        a worldwide service that’s locally           •   Student                        •   Planning                                                            •   Rural Consultancy
                                                                                                                                                                        expert and globally connected.                                                  •   Project Management                                                  •   Valuations
                                                            23                                                                                                 57                                                                                       •   Property Management
                                                           OFFICES                                                                                            OFFICES   We believe that inspired teams                                                  •   Research
                                                          690                                                                                              5,520        naturally provide excellent and                                                 •   Restructuring and Recovery
                                                           PEOPLE                                                                                              PEOPLE   dedicated client service. Therefore,                                            •   Sales
                                                                                                                                                                        we’ve created a workplace where                                                 •   Tenant Representation
                                                                                                                                                                        opinions are respected, where                                                   •   Valuations
                                                                                                                                                                        everyone is invited to contribute                                               •   Workplace Consultancy
                                                                                                                                                                        to the success of our business and
                                                                                                                                                                        where they’re rewarded for excellence.
                                                                                                                                                  Asia Pacific
                                                                                                                                                                        The result is that our people are more
                                                                 Africa                                                                          14 Countries           motivated, ensuring your experience
                                                                                                                                           Australia / Cambodia         with us is the best that it can be.
                                                                 10 Countries                                                                China / Hong Kong
                                                                 Botswana / Kenya / Malawi               The Middle East                       India / Indonesia
                                                                 Nigeria / Rwanda / South Africa                                              Japan / Malaysia
                                                                 Tanzania / Uganda / Zambia                                            New Zealand / Philippines
                                                                 Zimbabwe                                2 Countries                    Singapore / South Korea
                                                                                                         The Kingdom of Saudi Arabia          Taiwan / Thailand
                                                                                                         The United Arab Emirates
© Knight Frank LLP 2018 — Knight Frank LLP is
a limited liability partnership registered in England
with registered number OC305934. Our registered
office is 55 Baker Street, London, W1U 8AN,
where you may look at a list of members’ names.

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