Spire Healthcare Group plc

("Spire Healthcare", "the Company" or "the Group")

Agreement in principle with NHS England to provide further COVID-19 support

10 January 2022

Spire Healthcare Group plc (LSE: SPI), a leading UK independent hospital group, announces that, at the request of NHS England ("NHSE"), it has reached an agreement in principle to provide support to the NHS and its patients during the ongoing COVID-19 pandemic. This agreement follows detailed discussions with NHSE and other independent providers, in light of the uncertainties created by the Omicron variant.

While the final details of a new contract have yet to be agreed, it will operate on similar terms to the contract in place during Jan-Mar 2021 which was announced on 21 December 2020. The agreement in principle is for payment by activity based on NHS tariff, with minimum value underpins.

Work under the agreement in principle will commence on Monday 10 January and expire on 31 March 2022. There will be no extension or cancellation unless mutually agreed.

Under the agreement, Spire Healthcare, together with other independent providers, will continue to relieve pressure on NHS hospitals in England by treating NHS elective patients and providing urgent cancer work. The agreement will allow Spire Healthcare to continue to treat private patients, whilst supporting the NHS.

If required, subject to meeting agreed criteria, Spire Healthcare will grant NHSE access to 100% of its facilities and teams on a local, regional or national basis in the event of a surge of COVID-19 patients in NHS hospitals in England. If a Spire Healthcare hospital is in surge, Spire Healthcare will receive 100% cost recovery for its services.

This announcement contains inside information for the purposes of Article 7 of EU Regulation 596/2014.

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For further information please contact:

Spire Healthcare

Angus Prentice - Interim Head of Investor Relations        +44 (0)7974 982 512

Instinctif Partners

Damian Reece                                                               +44 (0)7931 598 593

Guy Scarborough                                                          +44 (0)7917 178 920

Jeremy Durrant                                                              +44 (0)7792 918 648

Registered Office and Head Office:

Spire Healthcare Group plc

3 Dorset Rise

London

EC4Y 8EN

Registered number 09084066

About Spire Healthcare

Spire Healthcare is a leading independent hospital group in the United Kingdom, with 40 private hospitals and eight clinics across England, Wales and Scotland.

Working in partnership with around 7,500 experienced consultants, Spire Healthcare delivered tailored, personalised care to almost 750,000 in-patients and daycase patients in 2020, and is the leading private provider, by volume, of knee and hip operations in the United Kingdom.

The Group's well-located and scalable hospitals have delivered successful and award-winning clinical outcomes, positioning the Group well with patients, consultants, the NHS, GPs and Private Medical Insurance ("PMI") providers. 90% of Spire Healthcare's hospitals are rated 'Good' or 'Outstanding' by the CQC (or the equivalent in Scotland and Wales).

Spire Healthcare treats patients through a variety of routes including PMI, Self-pay and the NHS, providing the Group with diversified access to the expected growth opportunities in the UK healthcare market, which faces significant supply challenges as a result of NHS budget constraints and increasing demand from a growing population with longer life expectancy.