RE: What is going on right now will impact Totally’s bottom line and sp25 Jan 2023 20:34
Greenbrook was bought, in 2019, as TLY is aligned to the NHS and their requirements. They bought Greenbrook as the govn were changing local systems to newer ICS (integrated Care Systems). This was in the White paper in 2021 (which Radium used at that time to suggest TLY are finished!!).
The reason for buying Greenbrook was made clear at the time. As the original contract is old then the terms would have been unfavourable. The BoD have stated they will return old unfavourable contracts.
TLY provide services to the NHS and so are aligned to their requirements. Therefore, TLY must ensure their business model includes NHS requirements or they need to change their strategy.
The NHS is moving towards integrated care, which is exactly what TLY business model does. They bought Greenbrook to ensure they are fully prepared for ICS.
Businesses have to adapt to where there is demand or they will fail as competition will enter the market. It's basic business to adapt to your largest customer.
2019 - Greenbrook acquisition document:
"BACKGROUND TO AND REASONS FOR THE ACQUISITION
The Board believes Greenbrook Healthcare to be a strong acquisition candidate, for the following reasons:
l Growing market for outsourced urgent care services
The Directors believe that publications such as the Integrated Urgent Care Service Specification published in August 2017, which calls for all A&Es to establish adjacent UCCs1, and the NHS Long Term Plan published in January 20192 demonstrate the potential market for services being provided by both Vocare and Greenbrook Healthcare. The Directors also believe that there is increasing demand for urgent care services nationwide and a need to develop innovative delivery models to support the delivery of key NHS national performance targets."
"l New services and opportunities
The acquisitions completed to date by Totally have offered opportunities for the Group to enhance the portfolio of services it delivers as part of an out-of-hospital healthcare strategy. This strategy is in line with NHS policy and its vision for the delivery of out-of-hospital healthcare services. The Directors
believe the acquisition of Greenbrook Healthcare will help enable Totally to deliver further on its strategy to become a leading provider of out-of-hospital healthcare in the UK. In addition, Totally’s existing range of out-of-hospital services, in addition to its UCC offering, covering, inter alia, NHS 111, GP OoH
services, integrated urgent care, physiotherapy, community-based dermatology, referral management services and clinical health coaching provide opportunities to support Greenbrook Healthcare and the urgent care services it can provide and offer to patients. "