Southern Cross Healthcare (United Kingdom)
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Southern Cross Healthcare (Group plc) was a private provider of health and
social care Social work is an academic discipline and practice-based profession concerned with meeting the basic needs of individuals, families, groups, communities, and society as a whole to enhance their individual and collective well-being. Social work ...
services, predominantly through the provision of care centres for elderly and some younger people. The group was the largest provider of care homes and long term care beds in the United Kingdom, operating over 750 care homes, 37,000+ beds and employing around 41,000 staff. Following rapid expansion financed by the sale of leases of its homes, its shares fell 98% from early 2008 to early 2011, reducing its market value from £1.1bn to around £12m. It was listed on the
London Stock Exchange London Stock Exchange (LSE) is a stock exchange in the City of London, England, United Kingdom. , the total market value of all companies trading on LSE was £3.9 trillion. Its current premises are situated in Paternoster Square close to St Pau ...
and a constituent of the
FTSE Fledgling Index The FTSE Fledgling Index comprises companies listed on the main market of the London Stock Exchange (LSE) which qualify as eligible for inclusion in the FTSE UK series but are too small to be included in the FTSE All-Share Index. There is no liquidi ...
. The company had severe financial problems in 2011 and declared insolvency the following year.


History

The company was founded in 1996 by John Moreton, who was its chairman and chief executive until 2002.Will this man finally manage to bring his software venture to AIM’s altar?
''
The Times ''The Times'' is a British daily national newspaper based in London. It began in 1785 under the title ''The Daily Universal Register'', adopting its current name on 1 January 1788. ''The Times'' and its sister paper ''The Sunday Times'' (fou ...
'', 9 February 2007
By 2002 "...it had 140 homes, was the third-largest of its kind in Europe and was heading for the stock market". In August 2002, the management backed by West Private Equity and Healthcare Investments Limited, acquired Southern Cross through an £80m
management buy-out A management buyout (MBO) is a form of acquisition in which a company's existing managers acquire a large part, or all, of the company, whether from a parent company or individual. Management-, and/or leveraged buyout became noted phenomena of 1 ...
. In September 2004, a secondary buy-out of the business by the management together with
Blackstone Capital Partners Blackstone Inc. is an American alternative investment management company based in New York City. Blackstone's private equity business has been one of the largest investors in leveraged buyouts in the last three decades, while its real estate bu ...
followed, for £162m. Blackstone then acquired care home owner NHP (Nursing Home Properties) for £564m, which saw a competition investigation by the
Office of Fair Trading The Office of Fair Trading (OFT) was a non-ministerial government department of the United Kingdom, established by the Fair Trading Act 1973, which enforced both consumer protection and competition law, acting as the United Kingdom's economic ...
. In November 2005, it also took over the Ashbourne Group of care homes, comprising 10,000 beds in 193 homes, for £85m. Blackstone continued to grow the business under its pre-existing
sale-and-leaseback Leaseback, short for "sale-and-leaseback", is a financial transaction in which one sells an asset and leases it back for the long term; therefore, one continues to be able to use the asset but no longer owns it. The transaction is generally done f ...
strategy. Southern Cross Healthcare continued as a pure operating company, renting care homes from a number of landlord companies, including NHP which became its largest landlord. NHP was subsequently sold to investors. In July 2006, the company was floated on the
London Stock Exchange London Stock Exchange (LSE) is a stock exchange in the City of London, England, United Kingdom. , the total market value of all companies trading on LSE was £3.9 trillion. Its current premises are situated in Paternoster Square close to St Pau ...
, entering the
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in September.


Closure

In 2007 and 2008 the Blackstone management team left and were succeeded by a new team led by William Colvin. However cracks soon began to appear and in early 2011 the company was in crisis as a direct result of an 8% reduction in occupancy. This equated to a decline in income of circa £52m. Given its upwards only rent bill (over £240m on its 750 properties) margins declined significantly creating pressure to pay landlords. With public spending cuts leading to fewer referrals (and a drop in occupancy rates from 92% to 84%), it was forced into negotiations with its landlords for rent reductions and appealed to the government for support.Southern Cross chairman quits
''
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'', 12 April 2011
In early June 2011 it was announced that the company had made its own decision to withhold 30% of rent owed to avoid mass care home closure.Southern Cross slashes rent to avoid mass care home closure
''The Guardian'', 1 June 2011
Experts warned of a possible collapse into
administration Administration may refer to: Management of organizations * Management, the act of directing people towards accomplishing a goal ** Administrative assistant, Administrative Assistant, traditionally known as a Secretary, or also known as an admini ...
. Its shares had already fallen 98% from early 2008 to early 2011, reducing its market value from £1.1bn to around £12m. By July 2011, attempts to rescue the company had failed, and all care homes were being taken over by their landlords. The largest landlord, NHP, owning 250 Southern Cross homes, hired
Chai Patel Chaitanya Patel (born 14 September 1954) is a British doctor, businessman and philanthropist. Born in Uganda to Indian parents, he obtained medical qualifications at the University of Southampton in 1979 and previously worked in the National He ...
to transfer management
HC-One HC-One is Britain's largest care home operator, with more than 275 care homes across England, Scotland and Wales specialising in dementia, nursing and residential care for older people. History HC-One was formed following the collapse of the UK ...
, a company set up by his old consultancy Court Cavendish. The former CEO, James Buchan, waived his severance pay. Media criticism focussed on the split from the landlord entity, as the
sale and leaseback Leaseback, short for "sale-and-leaseback", is a financial transaction in which one sells an asset and leases it back for the long term; therefore, one continues to be able to use the asset but no longer owns it. The transaction is generally done fo ...
strategy continued by
Blackstone Group Blackstone Inc. is an American alternative investment management company based in New York City. Blackstone's private equity business has been one of the largest investors in leveraged buyouts in the last three decades, while its real estate b ...
had crippled Southern Cross with an unsustainable
business model A business model describes how an organization creates, delivers, and captures value,''Business Model Generation'', Alexander Osterwalder, Yves Pigneur, Alan Smith, and 470 practitioners from 45 countries, self-published, 2010 in economic, social, ...
. Blackstone denied responsibility, stating that the company had been in good order when it sold it five years previously and reaffirmed the 8% reduction in occupancy combined with an 11% increase in management overheads created the cash flow crisis. The company declared insolvency in 2012.


Orchid View inquest

Late in 2011, two staff at the company's Orchid View care home in
Copthorne, West Sussex Copthorne is a village in the Mid Sussex district of West Sussex, England. It lies close to Gatwick Airport, south of London, north of Brighton, and northeast of the county town of Chichester. Nearby towns include Crawley to the southwest an ...
, were arrested on suspicion of ill-treatment and
neglect In the context of caregiving, neglect is a form of abuse where the perpetrator, who is responsible for caring for someone who is unable to care for themselves, fails to do so. It can be a result of carelessness, indifference, or unwillingness and ...
of residents. The case had come to the notice of the authorities due to a
whistleblower A whistleblower (also written as whistle-blower or whistle blower) is a person, often an employee, who reveals information about activity within a private or public organization that is deemed illegal, immoral, illicit, unsafe or fraudulent. Whi ...
. A
coroner A coroner is a government or judicial official who is empowered to conduct or order an inquest into Manner of death, the manner or cause of death, and to investigate or confirm the identity of an unknown person who has been found dead within th ...
's ruling in 2013 found that 19 deaths at Orchid View were unexplained, but stated that under Southern Cross' former management the home was "mismanaged and understaffed", and rife with "
institutionalised abuse Institutional abuse is the maltreatment of a person (often children or older adults) from a system of power. This can range from acts similar to home-based child abuse, such as neglect, physical and sexual abuse, and hunger, to the effects of assist ...
". A
Serious Case Review A serious case review (SCR) in England is held after a child or vulnerable adult dies or is seriously injured under circumstances where abuse or neglect are thought to have been involved. Its purpose is to learn lessons to help prevent future simi ...
was held. Managers closed the home in 2011; it was later renamed and reopened under new management.Orchid View inquest: Care inspectors' actions defended
BBC News, 15 October 2013


See also

*
Eileen Chubb Eileen Chubb (born 1959) is a former care assistant in the UK who became a whistleblower and then a campaigner. She has shown a particular interest in the care home sector. She has led a campaign for new legislation named Edna's Law to replace the ...


References


External links

*
Southern Cross care homes: the list
map and other data presented by ''The Guardian''
Families hear of abuse and neglect at care home
BBC News index page, 18 October 2013 {{Authority control Nursing homes in the United Kingdom The Blackstone Group companies Health care companies established in 1996 British companies disestablished in 2011 Companies formerly listed on the London Stock Exchange Social care in the United Kingdom British companies established in 1996