The problematic differentiation between property bonds and leases in healthcare provision

Andrew Ellison (The University of the West of England, Bristol, UK)
Graham Squires (The University of the West of England, UWE, Bristol, UK)
Patrick Dempsey (The University of the West of England, Bristol, UK)

Property Management

ISSN: 0263-7472

Publication date: 16 February 2015

Abstract

Purpose

There are some 487,000 places in long-stay residential care and nursing homes in the UK representing an industry worth some £15.2 billion per annum. Creating leases with guaranteed rental uplifts, a property bond in all but name, now attracts significant investment into healthcare. This is argued to be unsustainable, as evidenced by the collapse of Southern Cross Healthcare. The purpose of this paper is to provide insight into institutional investment for sustainable healthcare provision.

Design/methodology/approach

It is carried out via a range of unstructured and semi-structured interviews with a purposive sample of a small elite of professionals involved at the summit of this investment market and analysis of secondary literature concerning the wider international property market regarding the way in which advisers and investors view the security and value of these new instruments.

Findings

It is found that the differentiation between rental growth and indexed rental uplifts reveal a misunderstanding of the nature of the investment vehicles currently being marketed.

Practical implications

The implication of the research, is that much modern private healthcare provision is financially unsustainable, as has begun to be recognised in recent government regulation and guidance.

Originality/value

This research provides new and original insight into institutional investment for sustainable healthcare provision

Keywords

Citation

Andrew Ellison, Graham Squires and Patrick Dempsey (2015) "The problematic differentiation between property bonds and leases in healthcare provision", Property Management, Vol. 33 No. 1, pp. 83-94

Download as .RIS

DOI

: https://doi.org/10.1108/PM-10-2013-0051

Publisher

:

Emerald Group Publishing Limited

Copyright © 2015, Emerald Group Publishing Limited

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