Preparing for 2025
If you’d tried to read all the column inches or online articles speculating about Rachel Reeves’ recent budget announcement, then you’ll have realised such is the volume of material on the subject that it’s an impossible task to keep on top of everything. “There’s almost too much information really”, agrees Oliver Acton of Frank Taylor & Associates, “and sometimes it’s hard to tell what is and isn’t going to impact you. Whilst any practice owner is going to want to be proactive in running their business, in circumstances like the government’s budget, you can really only be reactive once the announcements are made and there’s a degree of certainty over what is actually happening. The key is to react appropriately, and the fact that the changes don’t take effect until April 2025 does leave some time for preparation.”
“Two of the most obvious changes will be on staffing costs” continues Oliver, “whether a practice employs staff directly, or contracts services via a third party, the impact is likely to be very similar, with costs increasing.”
The first change will be in employers’ national insurance contributions which will rise from 13.8% to 15%. Whilst on the face of it this seems like an increase of 1.2%, in fact the increase is 1.2% on a base of 13.8%, so the actual increase in national insurance contributions is nearer 9%. It’s easier explained with a simplified example. Suppose a staff member was paid an annual salary of £50,000. Today the employer’s annual national insurance contribution would be £6,900, from April this cost will rise to £7,500, even when the salary remains the same.
The second change is in the minimum wage which, for employees over 21, will rise from £11.44 per hour to £12.21per hour, and for staff under 21 from £8.60 to £10.00 per hour. These increases are 7% and 16% respectively. Keep in mind that not every practice will employee staff at the minimum wage, but the increase in the rate will mean that more staff may fall into this bracket when they haven’t been previously, and to maintain differentiation in salary bands for staff it may be necessary to increase the salaries of those who are currently earning at, or just above, the threshold too. It’s also worth noting that some practices may contract out particular services, in which case the supplier will be experiencing these additional cost pressures and may therefore need to pass some or all of them on in terms of increased costs. Remember too that the aforementioned national insurance increases will apply to these increased pay rates.
“Whilst this doesn’t sound a great outcome”, says Oliver, “there’s certainly no need to panic. There is some good news too, the employment allowance has doubled, to £10,500, together with a relaxation of eligibility rules, which provides an opportunity for smaller practices to offset some of the increased national insurance costs. In addition, there is time to plan for the change, and to ensure practices are aware which costs they can absorb, and which may need to be passed on in increased charges. It’s a good opportunity to review the cost structure within a practice to ensure that everything is as cost effective as it can be. For example, when was the last time you properly reviewed insurance or utility contracts? More generally in the recent past we have had to respond to the impact of the pandemic and then the inflationary pressures caused by rising utilities costs due to the war in Ukraine. There was almost no notice for these much more impactful events so it speaks volumes for the level of resilience and adaptability in the industry and I am confident the same can happen now.”
Practice - Midlands
Practice location: This practice is situated in a mainly residential area and has been established for over 50 years.
Practice type: This is a three-surgery predominantly NHS practice and is being sold as leasehold with a new 15-year lease being created. It is based in a previous residential property with ample on street parking. The practice is being sold to facilitate the retirement of the principal.
Practice financials: The gross fee income from management information for the past 12 months is in the region of £675,000 per annum and is over 90% NHS with a UDA rate in excess of £32 per hour. The income is generated by the principal working two days a week, three associates working a combined 12 days a week and a hygienist working one day a week. The team are supported by three full-time and one part-time dental nurses and a full-time receptionist.
Price achieved: A price of £1,250,000 was achieved which was in line with the asking price.
Agent's comments: This practice has built an excellent reputation in the area, making it a top consideration for the incoming principal long before it came on the market. Recognising the potential for growth with improved chair occupancy, he was eager to view the practice and make an offer and as a local resident, he was already aware of the high demand for private dentistry.
Number of people looking in the area: 1,011
Practice - Greater London
Practice location: This practice is situated in a thriving suburb. It has been established for over 60 years and is located in a mainly residential area which is well supported by transport links.
Practice type: This is a well-established four-surgery practice which is a mixed practice and a UDA rate in excess of £36 per UDA. It is an associate run practice and is being sold with a new 15-year lease being created. It is housed in a former residential property with ample on-site parking.
Practice financials: The gross fee income from management information for the past 12 months is in the region of £950,000 per annum and the income has been generated by two full time and two part time associates, and two hygienists working a combined five days a week. The team are supported by a full time practice manager, a full time receptionist and seven full and part time nurses.
Price achieved: A price of £1,500,000 was achieved which was in line with the asking price.
Agent's comments: This practice boasts an excellent reputation, prime location, and strong UDA value, ticking all the right boxes. The incoming principal will be taking an active role at the practice, with a focus on expanding the private sector, which currently accounts for 50% of the turnover. With the potential to boost revenue, there's ample opportunity to grow by implementing an active social media and marketing campaign.
Number of people looking in the area: 2,949
Practice - Home Counties
Practice location: The practice is based in a popular market town which is a significant commercial and retail centre. It has great visibility within the town, has been established for over 20 years and operates as a limited company.
Practice type: This is a two surgery, predominantly private practice which is leasehold and a new 15 year is being created. The practice is in a shop fronted property which occupies a prominent position close to the centre of the town.
Practice financials: The gross fee income is in the region of £400,000 of which 90% is private and 10% is NHS with a UDA rate in excess of £28.00 per UDA. The income has been generated by the principal working four days a week, a part time associates working 2 days a week, and a hygienist working 1 day a week. The team are supported by a full time /receptionist and two full time nurses.
Price achieved: A price of £600,000 was achieved which was in line with the asking price.
Agent's comments: This practice was ideally located for the new principal, who had recently relocated to the area and was beginning to explore practice acquisition. Location is a key factor for many buyers, and with a young family settling in the area, this opportunity was too good to pass up.
Number of people looking in the area: 3,187
Practice - Hampshire
Practice location: This practice has been operational for over 40 years and is in a market town which has the perfect mix of aesthetically pleasing architecture and high-end commercial activity. It is situated in a busy high street with an eclectic mix of business nearby.
Practice type: This is a three-surgery mixed practice with a UDA rate in excess of £33 per UDA. The practice is based over two floors of a commercial property and a new lease of 15 years is being created by the landlord.
Practice financials: The gross fee income from management information for the past 12 months is in the region of £600,000 and is 50% private and 50% NHS dentistry. The income is generated by the principal working three days a week, an associate working four days a week and a hygienist working one day a week. The team are supported by a full-time receptionist and four part time dental nurses.
Price achieved: A price of £800,000 was achieved and in line with the asking price.
Agent's comments: This practice currently has no marketing or social media presence, presenting a clear opportunity to grow the private income. The incoming principal has many plans of how to develop this aspect of the practice. The practice has been maintained to an exceptionally high level which means the incoming principal will be able to implement their growth plans immediately.
Number of people looking in the area: 1,134