NUFFIELD HEALTH

Registered charity 205533 · accounts filings on the Charity Commission register · also known as NUFFIELD HOSPITALS, NUFFIELD NURSING HOMES TRUST · also registered in Scotland as SC041793 (OSCR)

To advance, promote and maintain health and healthcare of all descriptions and to prevent, relieve and cure sickness and ill health of every kind.

Causes: The Advancement Of Health Or Saving Of Lives · website · Get email alerts

Latest income
£1484.7m
Latest spending
£1543.5m
Registered
1962
Accounts read
FY2025

Financial health, per its FY2025 accounts

The accounts state that the Group delivered a record financial performance with adjusted EBITDA of £122.7 million and a net deficit of £58.8 million, while unrestricted reserves (general fund) remained in a deficit of £202.0 million.

Automated summary of the FY2025 accounts; the evidenced findings below carry the verbatim passages.

What the accounts disclose

Related-party transaction: Alloc8tor Limited, a company in which a director is the spouse of Caroline Smith, provided software services to the Group. Amounts incurred in 2024 were £675,719, with a 2024 year‑end balance of £171,015.
“Alloc8tor Limited, a company in which a director is the spouse of Caroline Smith, provided software services to the Group. Amounts incurred in 2024 were £675,719, with a 2024 year‑end balance of £171,015.” — page 76
“The Group also purchased system implementation services from Caroline Smith trading as MS4H. Amounts incurred in 2024 were £272,096, with no balances outstanding at the year end.” — page 76
Per its FY2025 accounts as filed with the Charity Commission.
Related-party transaction: The Group also purchased system implementation services from Caroline Smith trading as MS4H. Amounts incurred in 2024 were £272,096, with no balances outstanding at the year end.
“Alloc8tor Limited, a company in which a director is the spouse of Caroline Smith, provided software services to the Group. Amounts incurred in 2024 were £675,719, with a 2024 year‑end balance of £171,015.” — page 76
“The Group also purchased system implementation services from Caroline Smith trading as MS4H. Amounts incurred in 2024 were £272,096, with no balances outstanding at the year end.” — page 76
Per its FY2025 accounts as filed with the Charity Commission.
Related-party transaction: The Charity holds a finance lease relating to 10 hospitals that were sold to Nero Propco LLP, a Group company, under a sale and leaseback transaction in 2022.
“Alloc8tor Limited, a company in which a director is the spouse of Caroline Smith, provided software services to the Group. Amounts incurred in 2024 were £675,719, with a 2024 year‑end balance of £171,015.” — page 76
“The Group also purchased system implementation services from Caroline Smith trading as MS4H. Amounts incurred in 2024 were £272,096, with no balances outstanding at the year end.” — page 76
Per its FY2025 accounts as filed with the Charity Commission.
Pension scheme deficit: £10.9m
“During the year, the PLAS deficit reduced to £10.9 million (2024 – £21.2 million), driven by funding progress and actuarial movements.”
Per its FY2025 accounts as filed with the Charity Commission.
Trading subsidiary: Mythbreaker Ltd, Parkside IHL Scanning Services LLP, Aspen Healthcare Limited
“Other trading activities derive from the activities of Mythbreaker Ltd and Parkside IHL Scanning Services LLP.” — page 47
Per its FY2025 accounts as filed with the Charity Commission.

Accounts audited by Deloitte LLP. Discloses 3 of 6 completeness components.

Corporate structure

Company officers (Companies House)

Current officers of the charity’s own company per the Companies House register, cross-checked against the Charity Commission trustee list by name. A director not on the trustee list is usually a timing or naming difference between the two registers — check both records before drawing conclusions.

Official officers record.

Public-sector contracts awarded

From the official Contracts Finder and Find a Tender notices (supplier matched by exact registered name). Contract income is distinct from grants.

BuyerContractAwardedValue
Manchester University NHS Foundation TrustProvision of Diagnostic Scans for Cardiac31/07/2026£500k
WHITTINGTON HEALTH NHS TRUSTProvision of Elective Outpatient Capacity06/03/2026£150k
NHS Wales Shared Services Partnership-Procurement Services (hosted by Velindre University NHS Trust)BCU-DCO-59131 - Outsourcing - Trauma & Orthopaedics (T&O)——
NHS Wales Shared Services Partnership-Procurement Services (hosted by Velindre University NHS Trust)BCU-DCO-59219 - Outsourcing - General Surgery——
NHS HUMBER AND NORTH YORKSHIRE INTEGRATED CARE BOARDElective Care Services - Humber and North Yorkshire——
South Tees Hospitals NHS Foundation TrustHOLEPS (Holmium Laser Enucleation of the Prostate)——
MID CHESHIRE HOSPITALS NHS FOUNDATION TRUSTOutsourcing of Surgical Services——
Gloucestershire Hospitals NHS Foundation TrustNuffield Health Breast Screening Support——
NHS Wales Shared Services Partnership-Procurement Services (hosted by Velindre University NHS Trust)BCU-DCO-59135 - Outsourcing – Gynaecology——
NHS Leicester, Leicestershire and Rutland ICBNHS LLR ICB Accreditation - Service Specific: Orthopaedics - Routine Joints——

Property (HM Land Registry)

206 registered titles in England and Wales held by the charity’s company or corporate body (33 freehold); recorded price paid £798k. All charity-held property. Contains HM Land Registry data © Crown copyright, OGL v3.0.

CQC provider record: Nuffield Health — Registered, 78 registered locations, 4 regulated activities, last inspected 25/04/2024.charity number confirmed by CQC CQC record

Trustpilot: Nuffield Health scores 4.6/5 from 8,757 reviews (source) — reviews usually concern the charity’s shops or services, not its charitable performance.

Advertised salaries (public job ads)

Roles this charity has advertised on CharityJob, matched on the exact employer name. A different source from the statutory pay bands above: these are asking salaries for vacancies, not what anyone was paid.

Structured financials (annual return, FY ending 31/12/2025)

Total income
£1484.7m
Total spending
£1543.5m
Cost of raising funds
£11.8m
Reserves (reported)
£0
Employees
18,566

Reported reserves equal ~0.0 months of spending — in the bottom quarter for charities its size (median 2.7 months; benchmarks).

Per its annual return, largest income source: Charitable activities (99% of income) — components as reported reconcile to the return’s total income; not from the accounts narrative.

Per its annual return, cost of raising funds: 0.8% of total income — below the median for charities its size (2.9%) (benchmarks).

Care Quality Commission ratings

CQC inspection ratings for services run by a provider matching this charity’s name (matched by name; verify provider identity on CQC’s site).

Trustees · trustee networks

Trustee list from the Charity Commission register (current, not historical).

Operates in: Ireland · Scotland · Throughout England And Wales

Income and spending

Financial year endIncomeSpending
31/12/2025£1484.7m£1543.5m
31/12/2024£1453.1m£1489.5m
31/12/2023£1358.1m£1422.1m
31/12/2022£1238.4m£1301.0m
31/12/2021£995.6m£1028.4m

Common questions

Is NUFFIELD HEALTH financially healthy?

Per its FY2025 accounts: The accounts state that the Group delivered a record financial performance with adjusted EBITDA of £122.7 million and a net deficit of £58.8 million, while unrestricted reserves (general fund) remained in a deficit of £202.0 million. Its FY2025 accounts were audited by Deloitte LLP.

Government & lottery funding

Grants to this charity published as open data by government and lottery funders (360Giving).

FunderDateAmountPurpose
Sport England27/10/2017£24kPhysical Inactivity & Sedentary Behaviour in the Workplace

Funders of similar charities

Funders whose accounts show grants to charities similar to this one (and no recorded grant to this charity) — a starting list for fundraisers.

FunderSimilar charities fundedAmount to them
THE NUTRITIONAL WELLBEING FOUNDATION1£126k

Charities like this

Semantically similar by activities and financial character, from our analysed corpus. Compare with THE NUFFIELD TRUST FOR RESEARCH AND POLICY STUDIES IN HEALTH SERVICES.

Side by side with its peers

CharityIncomeTop pay bandStaff >£60kReserves vs policyFundraising costGoing concern
NUFFIELD HEALTH£1484.7m——unclear—no doubt
THE NUFFIELD TRUST FOR RESEARCH AND POLICY STUDIES IN HEALTH SERVICES FY2025£3.6m£190,000 - £200,000—below—no doubt
SOCIAL CARE IN ACTION FY2024£5.4m£130,001 - £140,0006unclear—no doubt
PUBLIC HEALTH COLLABORATION FY2025£354k—0unclear—no doubt
FOUNDATION FOR THE SOCIOLOGY OF HEALTH AND ILLNESS FY2025£371k—0above—no doubt
SCHOOL AND PUBLIC HEALTH NURSES ASSOCIATION FY2025£152k——unclear—noted

Each row is that charity’s latest analysed filing; every value is quote-backed on its own page.