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FY2021 Annual Report · Assura
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Annual Report and 
Accounts 2021

DELIVERING
WITH PURPOSE

AT A GLANCE

WHO WE ARE

2021 
HIGHLIGHTS

We are a listed UK real estate investment trust (“REIT") 
specialising in the development of, investment in and 
management of, a portfolio of primary care, community, 
diagnostic and treatment buildings across the UK.

Portfolio analysis  
by capital value

Portfolio analysis  
by region

Portfolio analysis  
by occupier covenant

Number of 
properties

Total 
value
£m

Total 
value
%

Number 
of 
properties

Total 
value
£m

Total 
value
%

< £1m

£1 – 5m

£5 – 10m

> £10m

78

48.8

393

1,001.3

91

47

606.1

758.5

2

41

25

32

609 2,414.7

100

North

South

Midlands

Wales

Scotland 
& NI

190

232

104

58

25

878.6

861.7

465.8

140.6

68.0

36

36

19

6

3

609 2,414.7

100

GPs

NHS body

Pharmacy

Private 
providers

Other

4.8

Total  
rent roll
£m

Total  
value
%

80.3

20.8

9.6

6.4

4.6

121.7

66

17

8

5

4

100

Operational highlights
 – Over £290m invested in portfolio growth during the year
 – Acquisitions, developments and asset enhancements grow rent roll by 12% to £121.7m
 – 12 developments completed (benefitting over 170,000 patients) and a further 16 currently  

on site

 – Development capability further boosted by acquisition of pipeline and team of primary care 

developer Apollo

 – 31 lease regears completed, covering £2.8m of existing rent roll
 – £300m, 10-year Social Bond successfully launched in September 2020 and £185m equity raise 

completed in April 2020

 – Assura Community Fund established with initial £2.5m contribution and over £800,000 

distributed to eligible projects

Financial highlights

Financial performance

Net rental income

Profit before tax

IFRS earnings per share (Note 6)

Adjusted EPRA earnings per share (Note 6)

Dividend per share

Property valuation and performance

Investment property

Diluted EPRA NTA per share (Note 7)

Rent roll

Financing

Loan to Value (“LTV”) ratio (Note 22)

Undrawn facilities and cash

Weighted average cost of debt

EPRA summary table

EPRA EPS 

EPRA NTA

EPRA NRV

EPRA NDV

EPRA NIY

EPRA ‘topped up’ NIY

EPRA Vacancy Rate

EPRA Cost Ratio (including direct vacancy costs) 

EPRA Cost Ratio (excluding direct vacancy costs) 

2021

2020

Change

£112.0m

£108.3m

4.1p

2.8p

2.82p

£2,453m

57.2p

£121.7m

37%

£272m

2.47%

£103.7m

£78.9m

3.1p

2.8p

2.75p

£2,139m

53.9p

£108.9m

38%

£238m

3.03%

2021

2.7p

57.2p

63.2p

56.0p

4.55%

4.56%

1.3%

15.5%

14.5%

8.0%

37.3%

32.3%

–

2.5%

14.7%

6.1%

11.8%

(1)ppt

14.3%

(56)bps

2020

2.8p

53.9p

59.7p

52.7p 

4.69%

4.73%

1.6%

12.6%

11.5%

See pages 66 and 67
This page includes a number of financial measures to describe the financial performance of the Group, some of 
which are considered Alternative Performance Measures as they are not defined under IFRS. Further details are 
provided in the CFO Review, notes to the financial statements and the Glossary. 

 
REGIONAL PORTFOLIO 
COVERAGE

Value of property
The number of properties within each value 
range is shown in the location marker.

0

0

0

0

> £10 million

£5 – 10 million

£1 – 5 million

< £1 million

Leeds Student Medical Centre
Leeds
Serving almost 40,000 patients 
in the heart of Leeds’ student 
community, this centre provides 
mental health services and ‘Linking 
Leeds’, a wellbeing coordinator 
helping isolated local people. The 
practice’s priorities also include 
eating disorders, sexual health 
and gender identity issues.

Properties

609

Rent roll

£121.7m

Developments 
on site

Properties  
acquired

16

Developments 
completed

12

50

Disposals 

29

Northgate Medical Centre
Pontefract
We carried out extensive 
refurbishment work here to create 
a new mezzanine level, adding two 
extra consulting rooms and more 
office space. We also installed 
solar panels and LED lighting 
throughout the building to reduce 
energy consumption. 

Jubilee Health Centre
Wallington, Surrey
This key hub for health services in 
South London provides not just 
general practice, but also services 
from Epsom and St Helier University 
Hospitals NHS Trust and South 
West London and St George’s 
Mental Health NHS Trust.

SCOTLAND & NI

1

3

17

4

NORTH EAST

10

22 90

17

NORTH WEST

12

6 25

8

MIDLANDS

9

21 63

11

WALES

0

8 36

14

SOUTH WEST

6

5 30

13

SOUTH EAST

4

17 74

9

L O N D O N

5

9

58

2

The pandemic has made the 
whole world reconsider the 
role of buildings and space 
for health and wellbeing. 

With this in mind, we’re taking 
a fresh look at our purpose for 
the post-COVID world. 
Patients have always been the 
end users of our buildings, but 
the long-term social impacts 
of the pandemic prompted us 
to look even more deeply at 
the role we can play through 
the buildings and spaces we 
create and care for. 

With our commitment to 
social impact, we’re in a 
unique position to support 
and collaborate with local 
health systems and health 
services through extensive 
partnerships as they build 
back beyond COVID-19 – with 
patient experiences, reducing 
health inequalities and a net 
zero carbon health service 
at the heart of their mission. 

DELIVERING
WITH PURPOSE

Our purpose is to create outstanding spaces 
for health services in our communities. 

Our ambition is to be the number one listed 
property business for social impact. 

Strategic report
  Highlights of the year

2   How we deliver our purpose

 Creating outstanding spaces
 Supporting our people
  Collaborating with our 
communities
  Performing for our 
shareholders

10   Chairman’s statement
12  COVID-19 – our response
14   CEO statement
18   Our market
20  Our strategy
26    Our key performance indicators
32  Our business model
36  s172 statement
38  Our impact
52  Our environmental impact
55  Task force on climate-related  

financial disclosures

56  Principal risks and uncertainties
62  CFO Review
68  Compliance statements

Governance
70    Chairman’s introduction to 

governance

72   Our governance framework
74   Board of Directors
77   Key Board activities
82   Nominations Committee  

Report

85  Audit Committee Report
87   Directors’ Remuneration Report
106 Directors’ Report
108  Directors’ Responsibility  

Statement

Financial statements
109 Independent Auditor’s Report
116   Consolidated income  

statement

117  Consolidated balance sheet
118   Consolidated statement of 

changes in equity

119   Consolidated cash flow 

statement

120 Notes to the accounts
135 Company financial statements

Additional information
141  Appendices
143 Glossary
145 Corporate information

CREATING OUTSTANDING SPACES

5.9mOur buildings serve 5.9m people across the UK.

 Read more on pages 2 and 3

SUPPORTING OUR PEOPLE

82%of eligible team members joined the  

Share Incentive Plan.

 Read more on pages 4 and 5

COLLABORATING WITH OUR COMMUNITIES

£800k

distributed to health-improving  
charity projects.

 Read more on pages 6 and 7

PERFORMING FOR OUR SHAREHOLDERS

2.8p

Dividends paid during the year.

 Read more on pages 8 and 9

Assura plc  Annual Report and Accounts 2021

1

Strategic reportGovernanceFinancial statementsAdditional information 
CREATING

OUTSTANDING 
SPACES

Better patient experiences and access to healthcare for everyone
As our research with Dimensions’ #MyGpAndMe campaign 
completed, our new medical centre building in Cinderford, 
Gloucestershire opened its doors with a focus on neuro-inclusive 
design for people living with conditions such as dementia. 

2

Assura plc  Annual Report and Accounts 2021

This report marks an exciting new phase in 
the work Dimensions has led to support 
better outcomes for people who have a 
learning disability and autism in primary 
care. The buildings in which we all access 
healthcare can both help and hinder our 
engagement with health services and, as 
this report shows, it is vital that primary care 
buildings meet the needs of all patients.”
Steve Scown
Dimensions CEO

5.9mpeople are served by our 

buildings across the UK

 80%of GPs say their premises 

aren’t fit for future needs 
(The BMA)

 74%of patients feel very or somewhat 

confident to go back to primary care 
buildings after lockdown (Patients 
Association survey for Assura)

Assura plc  Annual Report and Accounts 2021

3

Strategic reportGovernanceFinancial statementsAdditional informationSUPPORTING

OUR PEOPLE

Sharing in success and giving back 
In a year when many businesses were forced to furlough and lose 
staff, close offices and mothball plans, we launched our Share 
Incentive Plan, giving all staff the chance to benefit from the 
company’s success and support their personal plans for the future. 

4

Assura plc  Annual Report and Accounts 2021

I think it’s a fabulous way to save 
and invest in your Company, the 
matched shares from the Company 
are very generous and I look 
forward to the benefits in a few 
years’ time!”
Debbie Chalcraft 
Group Compliance Manager

82%of eligible team members joined 

the Share Incentive Plan

 Outstanding

Indicative employee engagement levels  
in pulse survey with Best Companies

 83%of team members fed back in our 

first Mind Workplace Wellbeing 
Index survey

Assura plc  Annual Report and Accounts 2021

5

Strategic reportGovernanceFinancial statementsAdditional informationCOLLABORATING

WITH OUR
COMMUNITIES

Led by local 
Our Assura Community Fund launched in May and set out on its 
mission to distribute millions of pounds in funding and reach one 
million people through health-improving projects by March 2026. 
With support from our partners at Cheshire Community Foundation, 
we invited applications from projects working around our buildings 
across the country, finding those which are making a unique 
difference to health in their community.

6

Assura plc  Annual Report and Accounts 2021

We are so grateful for your pledge to support 
our psychological wellbeing service for young 
care leavers in Warrington. Care leavers are 
often surviving at a very young age without 
the practical or emotional support they need 
to live a happy and successful life. Your pledge 
will help us to support the mental health 
needs of a really vulnerable group of young 
people who are often overlooked. A huge 
heartfelt thank you.”
Sarah Sturmey
Pure Insight Founder and CEO

£800k+

distributed to health-improving 
charity projects

 115grants to grassroots health 

causes across the country, 
28% of which focused on 
mental health

 60kpeople impacted

Assura plc  Annual Report and Accounts 2021

7

Strategic reportGovernanceFinancial statementsAdditional informationPERFORMING

FOR OUR 
SHAREHOLDERS

We notched up a first for UK real estate with our launch of the sector’s 
first social bond. The £300m issuance with a rate of 1.5% saw us set 
the bar high and reinforced our commitment to invest only in projects 
which deliver on our social impact goals. The bond has widened our 
debt investor base by further promoting our social credentials.

8

Assura plc  Annual Report and Accounts 2021

Our Social Bond wasn’t just a huge step 
forward for us – it was about our commitment 
to investing, decision-making and prioritising 
in a way which is focused on growing our 
impact for the patients, health services and 
communities we serve, and to minimising our 
impact on the environment. It was also a real 
first for the property sector. I couldn’t be 
more proud that it’s Assura leading the way 
on this.”
Jayne Cottam
CFO 

2.8pper share dividend  

paid during year
Our eighth consecutive year  
of increased dividends paid

 2.5%current average interest  

rate on debt facilities

Assura plc  Annual Report and Accounts 2021

9

Strategic reportGovernanceFinancial statementsAdditional informationCHAIRMAN’S STATEMENT

Non-financial  
highlights for  
the year 

100%

development completions 
hitting Building Research 
Establishment Environmental 
Assessment Method 
(“BREEAM") and EPC targets

“We remain passionate about the role of 
community space for health and wellbeing." 

 £800k+

distributed by the Assura Community Fund

10

Assura plc  Annual Report and Accounts 2021

Dear Shareholder,
If I asked you to think of a word to describe 
the response of society and business to the 
last twelve months, one of these may well 
be high on your list: Innovative. 
Collaborative. Genuine. Passionate.

All of these are ways of working which the 
Assura team chose as our guiding values 
many years ago, and which have been at 
the heart of our approach to the quickly-
changing external environment, our 
business and the unique pressures on both 
our people and those working in our 
buildings this year. Our continued solid 
progress, financial strength at a time of 
unprecedented economic shocks, strong 
investment pipeline and the quality of our 
service to those working in and using our 
buildings are testament to how we have 
delivered in a year like no other. 

It’s been a year of innovation: while the NHS 
pivoted people, systems and places to 
cope with the virus’ peaks and to maintain 
essential care, we kept our buildings and 
the skills of our team at the NHS’s disposal. 
We end the year with close to one in ten of 

our buildings as designated vaccine hubs, 
and we have worked to support our 
customers in their needs to equip buildings 
for longer-term social distancing and hybrid 
care across both physical and virtual 
consultations. In the year when the NHS 
announced its goal of becoming the 
world’s first net carbon zero health system, 
we advanced our plans to create the first 
primary care centre to achieve net carbon 
zero for both construction and operation. 
We have identified test locations and our 
research and development activity is 
well underway. 

It’s been a year for deep collaboration: 
we’ve worked with our customers, suppliers 
and wider partners to understand the 
longer-term impacts of the pandemic and 
the inequalities it has further exposed for 
the NHS’s estate and for the future of care. 
We’re building a picture of how our already 
ground-breaking surgery of the future vision 
must evolve for health services which want 
to build back greener and fairer, using the 
lived experiences from the frontline this year 
and the realities of emerging integrated 
care systems. We’re about to start on-site 

275k+

people benefitting from our SixBySix 
strategy in year one

5.9m

patients served by our buildings

We will continue to 
step up: providing the 
outstanding spaces that 
will be needed to deliver 
excellent care and access 
to it for everyone.” 
Ed Smith, CBE
Non-Executive Chairman

tests of our assessment tool for designing 
primary care environments which are truly 
inclusive and welcoming for everyone: 
ensuring that our spaces are doing 
everything they can to help people with 
disabilities and conditions such as autism, 
dementia and anxiety to access health 
services when they need to. 

It’s been a year where doing the right thing 
by people has been the lens through which 
we’ve made our decisions: our reputation 
for ‘being genuine’ is important to us. As a 
microcosm of society, our team has faced 
into the personal and professional 
challenges of the last year and we’ve 
worked hard to support them emotionally, 
technically, socially and financially. The team 
sought to make a real difference for tens of 
thousands of people in the communities 
around our buildings across the country 
through the Assura Community Fund, 
focusing its early grants on projects 
addressing the health impacts of loneliness, 
isolation, financial pressures and the 
widening inequalities of those already 
facing disadvantage. We remain passionate 
about the role of community space for 
health and wellbeing, whether within or 
through our developments and existing 
buildings, with some exciting schemes 
getting underway. 

Underpinning all these things has been our 
financial strength. Assura delivered a sector 
first with its social bond and social finance 
framework – helping investors focus their 
investment on work which fits with their 
social goals. I want to thank our many 
shareholders for their support of the values 
of our business and for the values they bring 
to us.

This year sees Jenefer Greenwood step 
down from the Assura Board after nine 
years of incredible service – our thanks and 
best wishes to her cannot go far enough. 
In turn, we welcome Emma Cariaga, Noel 
Gordon and Sam Barrell to the team as 
Non-Executive Directors. Each brings with 
them unique experiences from the worlds 
of property, the NHS and technology (see 
page 76) – I very much look forward to their 
new energy and insights within the 
non-executive team. 

Looking ahead, as health and care systems 
begin to move beyond the pandemic, 
begin to address the diagnostic and 
treatment backlogs and formally launch 
integrated care systems, we will continue to 
step up: providing the outstanding spaces 
that will be needed to deliver excellent care 
and access to it for everyone.

Ed Smith CBE
Non-Executive Chairman
17 May 2021

Assura plc  Annual Report and Accounts 2021

11

Strategic reportGovernanceFinancial statementsAdditional informationIt’s been a year where 
doing the right thing by 
people has been the lens 
through which we have 
made our decisions” 
Ed Smith, CBE
Non-Executive Chairman

12

Assura plc  Annual Report and Accounts 2021

COVID-19 
OUR CONTINUED RESPONSE

Doing the right thing by our 
people, customers and suppliers 
was our starting point in 
responding to the crisis in March 
2020, and is still our constant 
today. We’ve worked hard to help 
our team through the personal 
and professional challenges of 
three lockdowns and a year of 
uncertainty. We’ve responded 
quickly to ever-evolving customer 
needs both large and small, 
supported our suppliers where 
necessary and – most importantly 
of all – we’ve listened. We’ve 
sought out the views of patients 
and healthcare professionals 
across the country and the health 
service on what they will need 
from us and local healthcare 
buildings in the future: how will 
the spaces where we all access 
care in our communities need to 
change, and what must they 
deliver for the people they serve? 
Experiences of delivering the 
vaccine programme, the ambition 
to level up and build back better 
and the practicalities of premises 
which can cope with more flexible 
delivery of healthcare both face-
to-face and remotely are informing 
the way we design, invest and 
innovate for the future beyond 
COVID-19. 

Our people 
 – We ensured all staff have the IT, desks, 

Our customers 
 – We kept our portfolio and skills on 

chairs and other equipment they need to 
work from home permanently as required, 
whilst keeping the office open, in line with 
national guidance and health and safety 
requirements, for those whose individual 
circumstances made home working 
particularly challenging.

permanent offer to support the NHS 
response, with vacant space to help 
practices with distancing requirements 
and temporary reconfigurations including 
one-way systems being put into action.
 – Regular practical guidance to customers. 
 – Support to help local planning for vaccine 

 – We’ve evolved our internal communications 

hub sites.

channels and techniques to meet the 
needs of a team working almost entirely 
from home. Increased management time 
was spent on regular contact with team 
members one to one, and also ensuring 
visibility of the leadership team through 
weekly all-team calls. 

 – Business travel was permitted for critical 
site visits only, with clear safety protocols 
and guidance for advance testing.
 – No staff were furloughed or made 

redundant during the year.

 – We reinforced information on employee 
assistance programme support around 
mental health, finances and other personal 
challenges, and provided weekly online 
physical fitness and wellbeing sessions.
 – Social initiatives continued throughout the 
year to combat isolation and boost morale.

 – Flexibility and staff autonomy promoted.
 – Online training provided on a range 

of topics.

 – Succession planning and business 
continuity plans were reviewed.

 – Regular review of workloads.

Our communities 
 – Our first national grants programme from 
the Assura Community Fund included 
a particular focus on supporting local 
charities and community organisations 
to deliver projects which tackled the 
long-term health impacts of the pandemic 
such as loneliness, financial instability and 
digital exclusion. 

 – Payment plans agreed with minority 

of debtors.

 – Technology used to progress projects 

remotely, such as virtual design meetings 
with practices. 

Our suppliers 
 – We’ve continued to work closely with our 
suppliers and contractors, supporting 
them to prioritise the health of their teams 
and to apply best practice guidance for 
construction and essential building works.

 – Prompt payment of invoices to aid 

supplier cash flow, with faster payments 
to development contractors where 
appropriate.

 – Support to contractors to work safely on 

site and when visiting premises.

 – Regular contact maintained to identify 
issues and provide support and aid 
remobilisation.

 – Remote meetings/inspections.

Our financial stability and 
operations 
 – Continuing with e-invoicing and 

careful monitoring of debtors with 
escalation process. 

 – Costs carefully monitored and 

advice sought as appropriate, with 
enhanced authorisation procedure for 
payments introduced. 

 – Microsoft Teams introduced to promote 

safe communication.

 – Ongoing review of marketing channels.
 – Teams video conferencing successfully 
used for board meetings, and board 
agenda changed to cover COVID-specific 
updates at each meeting. Additional 
meetings were held when required and 
the Board asked for particular focus on 
the people aspects of our response. 
 – Regular updates from management 

for shareholders.

Assura plc  Annual Report and Accounts 2021

13

Strategic reportGovernanceFinancial statementsAdditional informationCEO STATEMENT

“Our approach has been to put our team first 
and we’ve seen the true benefit of this in the 
sustained, high level of service.”

14

Assura plc  Annual Report and Accounts 2021

In preparing for our annual results 
presentation this year, we asked a few 
members of our team – Luke, who started 
working with us as an apprentice in our IT 
team only a few months ago, and Lisa, a 
senior portfolio manager who’s been with 
us for almost four years now – to answer 
some questions about how they reflect on 
the last year. While I think we’d all agree 
wholeheartedly with their description of 
the last 12 months as ‘like no other’, what 
also came through was their sense of pride 
at having been part of a business playing its 
small part to help the NHS – taking care of 
the local medical centres which needed 
to be safe and open to patients, offering 
support to those which have become 
vaccination centres and keeping new-build 
schemes on track to create essential new 
local capacity for the NHS. 

Just like every team in every business all 
over the world over the last 12 months, for 
every person in our organisation there is 
an individual story of working through the 
pandemic. I couldn’t be prouder of how our 
whole team has adapted to support our 
customers over the last year. 

Our approach has been to put our team first 
and we’ve seen the true benefit of this in 
the sustained, high level of service.

Inevitably we have had some challenges and 
suffered some lost productivity – disruption 
from adapting to remote working, site visits 
not able to be completed, delays in 
construction, the lost benefits of 
collaborations between customers and the 
team on future solutions, all of which are 
inevitably harder to undertake remotely.

Despite this, the team has excelled in 
delivering enhancement to our portfolio. 
Over the year we completed £230 million of 
acquisitions, completed 12 developments 
(more than in any other year in our history) 
and moved a further 13 on site, and our 
asset enhancements continued to deliver 
with 31 lease re-gears all of which 
contributed to an increase in both our 
total contracted rent roll and WAULT. 

This growth has only been possible thanks 
to the continued support from our investors 
with £185 million raised from our equity 
investors in April and £300 million from the 
successful launch of our debut Social Bond 
in September. 

Of course, the launch of the Social Bond 
was only possible due to the strength of our 
social impact strategy, SixBySix, which we 
launched in May 2020. The six core pledges 
are all designed to maximise our positive 
impact on society and the environment. 

During the year, we started the 
implementation of our pledges and plans. 
We’ve completed our assessment of the 
EPC ratings of our portfolio and know what 
we need to do to achieve an average rating 
of a B. We’ve identified two development 
projects which will be our first net zero 
carbon pilots and we hope to be on site 
with these within 12 months. And the Assura 
Community Fund has been able to support 
more than 115 projects all over the country 
following its launch with an initial 
contribution of £2.5 million in 2020.

There is a long way to go to deliver the 
ambitious social impact targets we have set 
ourselves. The big questions around patient 
experiences and health inequalities beyond 
the pandemic and the NHS’s big goal of 
becoming the world’s first net zero carbon 
health system have got us deepening our 
thinking about how we want our work to 
contribute. The team has embraced the 
challenge and I look forward to reporting 
to you the positive achievements over the 
coming months and years.

Financial and operational performance 
Assura’s business and our ability to 
continue to deliver on our purpose to 
create outstanding spaces for health 
services in our communities is built on the 
reliability and resilience of our long-term, 
secure cash flows. These are supported by 
a weighted average unexpired lease term 
of 11.9 years and a strong financial position 
(demonstrated by our A- credit rating from 
Fitch Ratings Ltd).

While remaining resilient, Assura has 
consistently demonstrated an ability to 
identify and secure new opportunities for 
growth, building on our market-leading 
capabilities to manage, invest in and 
develop outstanding spaces for health 
services in our communities.

The launch of the Social 
Bond was only possible 
due to the strength of our 
social impact strategy, 
SixBySix” 
Jonathan Murphy
CEO

Jonathan Murphy and 
Emma Degg, Chief 
Executive, NWBLT
Top

Jayne Cottam, CFO 
volunteering at a 
COVID-19 vaccination 
centre 
Above

Assura plc  Annual Report and Accounts 2021

15

Strategic reportGovernanceFinancial statementsAdditional informationWe are also pleased to report that we 
have signed a strategic partnership with a 
national provider of primary care at scale. 
This is an exciting emerging area for us with 
the full scale of our offering – management, 
investment and development – supporting 
the growth prospect of the provider and 
providing attractive investment 
opportunities for our portfolio.

We remain well funded to support our 
future growth plans. We currently have cash 
and undrawn committed facilities totalling 
£272 million having completed well-
supported equity and debt raises during 
the previous 12 months. This financial 
strength further underpins our future 
growth prospects.

Market outlook
As we head into a summer which we all 
hope will bring an end to many of the 
pandemic’s restrictions, attention must turn 
to the NHS’s future needs and to how the 
response to COVID-19 should change the 
sorts of spaces we need for healthcare in 
local communities. Demographics remain 
the same, with a growing, ageing 
population in the UK requiring care. But this 
is one of the groups with the greatest 
reliance on primary care, and research by 
Age UK suggests that many older people 
with long-term conditions have been 
struggling to manage given the more 
limited access to services during the 
pandemic, with worsening symptoms, 
reduced ability to complete day-to-day 
activities and an increase in pain. While 
remote consulting is here to stay, it does 
not work for all patients or every clinical 
scenario. Healthwatch has warned about 
the dangers of older people being left 
behind, so the primary care spaces of 
the future must be fit for a sophisticated 
marriage of remote and face-to-face care. 

CEO STATEMENT
CONTINUED

We have continued our strong track record 
of investing in new properties, completing 
50 acquisitions for a total consideration of 
£230 million throughout the year. Our 
investment team continues to leverage the 
relationships we have with existing occupiers 
to identify new opportunities, as well as 
analysing our bespoke database which 
contains details on all the medical centres 
in the UK.

The design of modern fit-for-purpose GP 
surgeries has always been a cornerstone 
of our development activities and we 
have delivered over £450 million of new 
developments and improvements to 
existing properties over 18 years. We have 
had a record year with 12 development 
completions and a further 13 schemes 
moving on site. In addition, our 
development capability was further 
strengthened in February 2021 when we 
completed the acquisition of the 
development pipeline and team of Apollo 
Capital Projects Development Ltd (“Apollo"), 
one of the leading developers in primary 
care across the country. Their experienced 
team and strong pipeline are a welcome 
addition to the Assura proposition as we 
move forward.

Assura has a high-quality portfolio of 609 
properties, which has been meticulously 
assembled over the course of our 18-year 
history. This is an essential part of our 
growth strategy as we carefully review 
every asset for opportunities to enhance 
its lifetime cash flows and impact on the 
community. Reflecting the importance of 
this activity, we have now set total 
contracted rental income as a key strategic 
KPI. This metric is a combination of our 
passing rent roll and lease length, providing 
an effective measure of our ability to both 
grow and extend our cash flows for the 
long term. It captures the crucial value-
enhancing activity of our portfolio 
management teams as they agree rent 
reviews, complete lease re-gears, let vacant 
space and undertake physical extensions. 
This year, the team completed 320 rent 
reviews, 31 lease re-gears and 15 new 
tenancies for our vacant space. This has 
enabled us to increase both our total 
contracted rental income to £1.57 billion 
and our weighted average unexpired lease 
term which stands at 11.9 years.

The combination of these elements has 
enabled us to continue our strong track 
record of growth year-on-year. Our portfolio 
has increased by 15% to £2,453 billion and 
our passing rent roll is up 12% to £121 million. 
Our adjusted EPRA earnings have increased 
by 12% to £75.4 million which translates to 
an adjusted EPRA EPS of 2.8 pence per 
share. Taking into account the positive 
valuation movements, our net profit is 
£108.2 million or 4.2 pence per share.

Finally, the resilience of our income and the 
growth we have delivered is reflected in our 
dividend payments. Today, we announce 
a 4% increase in the quarterly dividend 
payment to 0.74 pence with effect from the 
July 2021 payment, our eighth consecutive 
year of increased dividend.

Assura outlook
Assura’s success, and its future strategy, 
is built on our complementary offer of 
investment, development and management 
of premises to our customers. This multi-
faceted approach enables us to better 
understand the requirements of our 
customers and anticipate their future needs. 
This year we have demonstrated the 
effectiveness of this model, and the 
resilience of our business to extreme 
economic shocks. However, the real test 
will be our ability to sustain and support this 
growth for the long-term.

We enter the new financial year with a 
strong immediate pipeline. In development, 
we are on site at 16 schemes with a gross 
development spend of £72 million, an 
immediate pipeline of £111 million of 
development opportunities that are 
expected to commence within the next 
12 months, and an extended pipeline of 
£222 million of further opportunities where 
Assura is the exclusive partner. Acquisition 
opportunities in legal hands total £46 million 
and we have £15 million of asset 
enhancement capital projects in the 
immediate pipeline.

We are also exploring exciting 
opportunities in new areas, all supporting 
delivery of community-based services away 
from hospitals. Our development pipeline 
includes a multi-use facility for the 
Northumbria Healthcare NHS Foundation 
Trust in Cramlington (which will be our 
largest development to date), a state-of-
the-art facility for an Ambulance Trust in the 
West Midlands and we have acquired a site 
in Greater Manchester let to a local mental 
health trust.

16

Assura plc  Annual Report and Accounts 2021

Assura Community Fund

Launched in 2020 with an initial 
contribution of £2.5 million, our fund 
supports health-improving projects in 
the communities around our buildings. 

Administered by the fantastic team at 
Cheshire Community Foundation and 
a panel of Assura team members, over 
£800,000 has been distributed during the 
first year to more than 115 charities and 
organisations working across the UK for 
the benefit of over 60,000 people. 

£2.5m

Our initial contribution to support 
health-improving projects

£800k+

Over £800,000 has been distributed to 
more than 115 charities and organisations 
across the UK

Waiting times for non-urgent procedures 
grew exponentially last year as the system 
pivoted to cope with the pandemic, and 
will take years to clear. The wider health, 
social and economic impacts of this, such 
as the mental health challenges of living 
with long-term pain, are lurking. But it is 
clear that local access to diagnostic 
services will be crucial in reducing waiting 
lists and their ripple effects for wider health 
and society. The Government remains 
committed to the expansion of access to 
primary care and to a broader range of 
professionals there; as Integrated Care 
Systems become formally part of the 
landscape in the coming year, the role of 
primary care as the gateway to wider health 
services is at their heart. 

All of those changes notwithstanding, the 
primary care and community health estate 
remains doggedly unfit for purpose. Many 
of these gateway buildings to the NHS are 
too old, too small, don’t meet accessibility 
requirements and – as our YouGov research 
with healthcare professionals found this 
year – have not provided the flexibility 
needed during the pandemic and beyond 
to a future with hybrid care routes. 
A recovery built on new housing and 
infrastructure must include the healthcare 
provision to care for new communities, and 
equality of access to healthcare is as much 
about the NHS’s places, spaces and 
technology as it is the design of local 
systems and pathways. The NHS’s net zero 
ambition – to become the world’s first 
healthcare system to achieve this – will 
require a shift like we have never seen 
before across its vast estate. 

Assura’s role beyond the pandemic is as a 
trusted partner to help the NHS on all of 
these fronts, particularly on the social and 
environmental tests which have been laid 
bare over the last year. Over a time of global 
uncertainty, Assura has shown that it has the 
financial strength, innovation and skills to 
rise to the challenge. 

Jonathan Murphy
CEO
17 May 2021

Assura plc  Annual Report and Accounts 2021

17

Strategic reportGovernanceFinancial statementsAdditional informationOUR MARKET

18

Assura plc  Annual Report and Accounts 2021

Changing  demographicsWe are living longer and with more complex, long-term conditions.  –There are nearly 12 million people aged 65 and above in the UK, of which 1.6 million are 85 or older (ONS) –The 85+ age group – the group with the highest GP consultation rate – is the fastest growing (ONS, Hobbs et al 2016)  –GP practices in England delivered almost 280m appointments in 2020 (NHS Digital) –One million people will have dementia by 2025, and this figure will double by 205085+The number of people aged 85+ is projected to double by 2043 (ONS)1 in 14Approximately 1 in 14 people over the age of 65 have dementia (Alzheimer’s Society, 2014)Unfit infrastructureMany primary care buildings are too old, too small, don’t meet accessibility requirements and have not provided the flexibility needed during the pandemic. Remote consulting is here to stay, but does not work for all patients or every clinical scenario.  –80% of GP practices say their premises will not be fit to cope with future growth (The BMA) –58% of patients responding said that there was not enough space to allow reasonable privacy. (The Patients Association, 2019) –More than one third of disabled respondents said they felt stressed in their primary care environment and almost 45% felt worried (Dimensions, 2020) –Certain groups also risk being left behind (by remote consultation), such as older people, disabled people, people affected by homelessness and on low incomes, and those whose first language isn’t English. (Healthwatch, 2021) 27% of healthcare professionals say healthcare buildings haven’t worked sufficiently for services during the pandemic (YouGov)70% say community medical centre buildings of the future need flexible space which can be adapted quickly when needed (YouGov)47% of adults over 65 and 24% of people who are Equality Act disabled don’t have a smartphone for private use (ONS, cited by Healthwatch) Lack of investment and capitalPrimary care has more revenue funding under the Long Term Plan, but capital options remain limited. –Primary care aspects of the Health Infrastructure Plan not yet clear  –2015/16 – 2019/20 Estates and Technology Fund complete, and was heavily oversubscribed –The long-term economic recovery from COVID-19 means added pressure on all government investment, including that for the NHS estate£850m committed to 20 hospital upgrade projectsGrowing backlogWaiting times for non-urgent procedures grew exponentially last year as the system pivoted to cope with the pandemic, and will take years to clear. The wider health impacts of this, such as the mental health challenges of living with long-term pain, cannot yet be quantified.  –The treatment backlog for non-urgent procedures was at 4.52 million people by the end of 2020 (NHS Confederation) –224,000 of those people had been waiting more than a year for their treatment, compared to fewer than 1,500 people at the end of 2019 –Major expansion and reform of diagnostic services is needed over the next five years to facilitate recovery from the COVID-19 pandemic and to meet rising demand… new facilities and equipment will be needed (Richards Review, 2021) 5.9mfewer referrals for elective treatment made in 2020 compared to 2019 33.3% proportion of total patients referred for any of 15 key diagnostic tests who had been waiting six weeks or more by end of January (NHS England) Assura plc  Annual Report and Accounts 2021

19

Healthcare policyEasier access to more services in primary care.  –Integration of health services –There will be more GPs, nurses and 20,000 additional pharmacists, physiotherapists, paramedics, physician associates and social prescribing link workers working in primary care (NHS Long Term Plan)  –Call for “additional investment in the primary care estate and digital infrastructure… to capitalise on this expanding workforce, by ensuring they have sufficient facilities to meet patient needs.” (RCGP and the BMA, 2021)  –New homes need supporting health infrastructure  –Focus on the need to tackle loneliness through place-strengthening community infrastructure (Department for Digital, Culture, Media & Sport)2 in 5say loneliness is having a negative impact on their mental health (British Red Cross) 1mnew homes by the end of this parliament Building back greener and fairerThe Government has set out its recovery strategy from the pandemic – which focuses on levelling up geographic and social disparities, and accelerating the green economy.  –The NHS aims to become the world’s first net carbon zero health system  –Infrastructure investment is one of government’s three core pillars for growth  –There are significantly fewer GPs per head in the most deprived areas of England compared to the least deprived (Nuffield Trust/Financial Times, 2018) –Certain groups also risk being left behind on access to care from their GP practice, such as older people, disabled people, people affected by homelessness and on low incomes, and those whose first language isn’t English. (Healthwatch, 2021) 18% of all emissions from non-domestic buildings in the UK are generated by the NHS’s built footprint (University of Cambridge)53GPs per 100,000 patients in the least deprived CCGs, compared with 47 in the most deprived (Nuffield Trust, 2018)60% of people with learning disabilities or autism said their GP did not make reasonable adjustments for them (Dimensions) What does this mean for Assura? We take the time to understand the health needs of our communities, the challenges the healthcare system faces – to recover from COVID-19, to launch formal integrated care systems and to build on both face-to-face and remote means to improve access to health services – and the role we play in helping the NHS deliver the Long Term Plan. We are always looking ahead to ensure our buildings have longevity and can evolve with the changing needs of healthcare professionals and patients. We understand the responsibility we have to future generations. We are playing our part in the journey to net zero carbon through our work to create vital community infrastructure. We believe our contribution to improving health in the communities we work in must reach far beyond our buildings.Strategic reportGovernanceFinancial statementsAdditional informationOUR STRATEGY

The primary 
healthcare property 
sector is subject to 
strong growth in 
underlying demand 
and Assura holds a 
leading position in 
this distinct market.

Our purpose

Our purpose is to create 
outstanding spaces for health 
services in our communities. 
We aim to generate long-term 
value for all of our stakeholders 
through providing high quality 
facilities for our customers, 
growing financial returns for our 
shareholders and aiming to be 
the UK’s number one listed 
property business for long-term 
social impact.

To achieve these aims, we focus 
on five strategic priorities, 
which are all underpinned by 
our commitment to positive 
social impact:

20

Assura plc  Annual Report and Accounts 2021

Our strategic priorities

1.

Leveraging our 
financial strength

2.

Quality of buildings

3.

Quality of service

4.

People

5.

Long-term 
relationships

To invest in our portfolio, 

making each £ invested 

work harder aiming to 

generate secure, growing 

returns for investors.

To develop buildings  

that serve all relevant 

stakeholders and are  

fit for the future of 

healthcare.

To deliver on the 

promises we make to 

existing and prospective 

customers and the 

communities our 

buildings serve.

To attract, retain and 

develop our high-quality, 

specialist team.

To build long-term 

relationships that benefit 

all of our stakeholders.

Our strategic priorities

Leveraging our 

financial strength

Quality of buildings

Quality of service

1.

2.

3.

4.

People

5.

Long-term 

relationships

To invest in our portfolio, 
making each £ invested 
work harder aiming to 
generate secure, growing 
returns for investors.

To develop buildings  
that serve all relevant 
stakeholders and are  
fit for the future of 
healthcare.

To deliver on the 
promises we make to 
existing and prospective 
customers and the 
communities our 
buildings serve.

To attract, retain and 
develop our high-quality, 
specialist team.

To build long-term 
relationships that benefit 
all of our stakeholders.

Our commitment  
to ESG through 
our social impact 
strategy

Our strategic priorities are 
underpinned by our SixBySix 
pledges, aiming to minimise our 
impact on the environment and 
maximise our impact on society.
 Read more on page 24 and 25

Assura plc  Annual Report and Accounts 2021

21

Strategic reportGovernanceFinancial statementsAdditional informationOUR STRATEGY 
CONTINUED

KPIs
 – Financial: EPRA EPS, EPRA 
NTA & EPRA Cost Ratio
 – Total Property Return, 

Total Shareholder Return, 
Total Accounting Return
 – Portfolio: Rental growth 

from rent reviews

 – Stakeholder: Growing, 
covered dividend, 
ESG-linked financing

Risks
 – Reduction in investor 

demand 

 – Failure to communicate 
 – Reduction in availability 
and/or increase in cost 
of finance 

 – Failure to maintain capital 
structure and gearing 

 – Underperformance of assets

KPIs
 – Portfolio: Rental growth 

from rent reviews, WAULT, 
occupier covenant, 
developments on site

Risks
 – Changes to government 

policy 

 – Development overspend 
 – Underperformance of assets

1   Leveraging our financial strength
To invest in our portfolio, making each £ invested work harder aiming to generate secure, growing returns for investors.
2021 priorities
 – Driving rental growth from 

2022 priorities
 – Minimise natural reduction in WAULT 

2021 actions & progress
 – Rental growth of 1.5% 

rent reviews, to grow 
recurring earnings and 
contracted rental income
 – Maintain EPRA Cost Ratio 
below 13%, excluding 
charitable donations

 – Maintain investment grade 

rating of A-

 – Exploring ESG and 

sustainability-linked debt 
financing options

achieved from rent reviews
 – A- investment grade rating 

through investment and asset-
enhancing activities

reiterated by Fitch

 – Exploring sustainability-linked debt 

financing options

 – Driving rental growth from rent 

reviews, to grow recurring earnings 
and contracted rental income

 – Maintain investment grade rating of A- 

 – £300m Social Bond issued 
and RCF refinanced to 2024
 – EPRA Cost Ratio maintained 
at 13%, excluding Assura 
Community Fund contribution
 – Dividend increase for eighth 

consecutive year

 – 31 lease re-gears completed 
adding £43 million to total 
contracted rental income

2   Quality of buildings
To develop buildings that serve all relevant stakeholders and are fit for the future of healthcare.
2021 priorities
 – Rolling out cognitive design 
principles across on site and 
immediate pipeline schemes 
where possible

2021 actions & progress
 – 16 developments on site and 
immediate pipeline of 17 
further schemes

2022 priorities
 – Progressing identified pilot 

developments for net zero carbon for 
construction and operation
 – Step up rollout of EPC rating 

 – Identifying and delivering 
the first development that 
is net zero carbon for 
construction and operation

 – Continue to develop 
sustainable solutions

 – Begin rollout of EPC rating 

improvements across 
existing portfolio

 – Immediate and extended 
development pipeline 
boosted by acquisition of 
pipeline and team of primary 
care developer Apollo

 – Completed developments 
hit BREEAM and EPC targets

 – Working with partners to 
develop Designing For 
Everyone framework

improvements across existing 
portfolio 

 – Continue to develop sustainable and 
innovative solutions for our customers 
utilising the latest technology

 – Revising space requirements to meet 

our customers evolving needs

 See our KPIs on pages 26 to 31

 See Principal risks and uncertainties on pages 56 to 61

22

Assura plc  Annual Report and Accounts 2021

3   Quality of service
To deliver on the promises we make to existing and prospective customers and the communities our buildings serve.
2021 priorities
 – Advance the asset 

2021 actions & progress
 – 12 developments completed 

enhancement opportunities 
throughout the portfolio, 
delivering sustainability 
improvements

 – Complete developments on 
site and convert immediate 
pipeline to on site
 – Begin rollout of smart 
meters across existing 
portfolio and review current 
energy purchase 
arrangements
 – Establish Assura 
Community Fund

during the year

 – 50 properties acquired 

and successfully 
integrated by our portfolio 
management team

 – Eight asset enhancement 
projects completed or 
underway and 31 re-gears 
completed

 – Assura Community Fund 

launched with initial £2.5m 
contribution

 – Energy contract tendered 
and now 100% of energy 
purchased is renewably 
sourced

 – Continued strong results 

from our customer 
satisfaction survey

KPIs
 – Portfolio: Growth in rent roll, 
WAULT, customer covenant, 
developments completed 

 – Stakeholder: Customer 
satisfaction surveys 

Risks
 – Changes to government 

policy 

 – Competitor threat
 – Staff dependency 
 – Underperformance of assets

2022 priorities
 – Continue to strive to maximise the 
asset enhancement opportunities 
throughout the portfolio, delivering 
sustainability improvements
 – Listening to our customers and 

understanding and adapting to their 
changing requirements

 – Complete developments on site and 
convert immediate pipeline to on site

 – Launch pilot project with selected 
customers to review technological 
solutions that can be implemented 
to reduce energy consumption

 – Advance work of the Assura 

Community Fund through second 
years of grants, leveraging our 
position as Community Health Partner 
to the 2021 Rugby League World Cup

 – Working closely with supply chain 
partners to improve the quality of 
service delivery and attainment of our 
wider social impact objectives
 – Implementing a Customer Service 

Desk approach to our FM activities in 
order to maximise customer service 
and responsiveness

4   People
To attract, retain and develop our high-quality, specialist team.
2021 priorities
 – Support employee 

wellbeing

 – Continue with flexible 

working culture

 – Further improvements to 
diversity and inclusion

2021 actions & progress
 – Supporting our employees in 
working remotely through 
the pandemic

 – 91% response rate to staff 

survey, achieving indicative 
increase on employee 
engagement from Very Good 
to Outstanding

 – Commitments made with 
respect to Diversity & 
Inclusion and being Disability 
Confident Committed

 – 26% of staff now work flexibly 

or part-time

KPIs
 – Stakeholder: Staff 
satisfaction survey

Risks
 – Staff dependency

2022 priorities
 – Focus on working patterns, 

encouraging flexible arrangements 
to support employee health and 
wellbeing

 – Advancing diversity and inclusion 

measures, working on the back of the 
findings from our first cross-team 
survey

 – Continuing to develop our employees 

at all levels, building on existing 
manager, intern and apprenticeship 
programmes

5   Long-term relationships
To build long-term relationships that benefit all of our stakeholders.
2021 priorities
 – Advance the asset 

enhancement opportunities 
throughout the portfolio, 
delivering sustainability 
improvements

 – Review our supply chain 
processes to ensure we 
share the same social 
impact values

 – Develop our offering for NHS 
Trusts, local authorities and 
GP collaboratives in a 
primary care setting

 – Establish Assura Community 

Fund

2021 actions & progress
 – Eight asset enhancement 
projects completed or 
underway

 – Partnership for premises 
solutions developed with 
national provider of primary 
care at scale

 – Development pipeline 

includes schemes for NHS 
Trusts in the North East and 
West Midlands

2022 priorities
 – Finalise development of our supply 
chain framework, rolling out and 
asking for supplier commitments to 
follow and leveraging shared social 
impact objectives

 – Develop our offering for NHS Trusts, 

local authorities and GP collaboratives 
in a primary care setting
 – Advance work of the Assura 

Community Fund through second 
year of grants, leveraging our position 
as Community Health Partner to the 
2021 Rugby League World Cup

KPIs
 – Portfolio: Growth in rent roll, 

developments on site
 – Stakeholders: Customer 

satisfaction survey

Risks
 – Changes in government 

policy 

 – Competitor threat 
 – Underperformance of assets

 See our KPIs on pages 26 to 31

 See Principal risks and uncertainties on pages 56 to 61

Assura plc  Annual Report and Accounts 2021

23

Strategic reportGovernanceFinancial statementsAdditional informationOUR SOCIAL  
IMPACT STRATEGY

Maximising  
our contribution  
to society

By 2026, our goal is that six million 
people will benefit from 
improvements to or through 
our buildings. 

Minimising  
our impact on  
the environment 

We refer to ESG as being our Social Impact 
Strategy. We published our SixBySix plan 
alongside our March 2020 Annual Report 
and the disclosures in this year’s report 
reflect the progress made over the first 
12 months. As we have worked through 
our plans, we have improved the wording 
of several pledges.

Our approach
In setting our SixBySix pledges and targets, 
our starting point was alignment with the 
UN Sustainable Development Goals – two 
of the goals particularly resonating with 
our purpose. 

The Social Impact Committee, made up of 
team members across all departments of the 
business, then went through a materiality 
assessment process of deciding what was 
important to us and our stakeholders. 

Our approach considered three main factors:

 – what is the right thing to do
 – what is within our control
 – what is the most ambitious target 

we can set

SixBySix governance
Overall responsibility for progress against 
SixBySix targets rests with the CEO, 
Jonathan Murphy. Efforts are led by the 
Head of Sustainability, who is a member of 
the Executive Committee, and the Social 
Impact Committee, which monitors 
progress against the specific SixBySix 
targets and regularly reports into the 
Executive Committee and Board. 

24

Assura plc  Annual Report and Accounts 2021

i

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Progress against our SixBySix pledges
Our SixBySix ambition is that six million people will benefit from improvements to or through our buildings. In the first year, we impacted 
over 275,000 people, mainly through our delivery of 12 completed developments and the activities of the Assura Community Fund. This 
number will accelerate as we rollout our plans to improve the environmental performance of our existing portfolio.

Pledge

2020/21 progress

2021/22 priorities

KPI

Through the Assura 
Community Fund’s 
grant-making and our 
support for shared 
community space, to 
help improve the 
wellbeing of more 
than one million 
people

 – Fund launched with £2.5m 

initial contribution

 – £800,000 distributed to more 
than 120 health-improving 
projects, impacting over 
60,000 people

 – Official Community Health 
Partner for upcoming 2021 
Rugby League World Cup

 – Distribute a further £550,000 
through the second year of 
the grant programme

 – Pilot innovation community 

space partnerships

 – Launch staff fundraising 

activities

Assura Community Fund 
reach
 – Total fundraising achieved
 – Amounts distributed to 

health improving projects

 – People reached by 
projects supported

Develop a sustainable 
supply chain which 
shares our 
commitment to 
adding value for the 
communities we work 
in

Create opportunity 
via volunteering, 
education, 
partnerships and 
mentoring to help 
reduce inequalities 
and build more 
inclusive communities

Work with our 
customers to reduce 
the energy consumed 
in our buildings – 
targeting an EPC 
rating of B or better 
across our portfolio

Advance our 
development process 
to be creating only 
buildings with a net 
zero carbon rating 
for construction 
and operation

 – Advanced our review of 

 – Finalise our Supply Chain 

existing supply chain and 
developed priorities for our 
Supply Chain Framework

 – Joined Mission INCLUDE 
mentoring programme

 – Delivered over 850 training 
hours to our employees
 – Taken on three apprentices 

and four interns

Framework working with our 
supply chain partners for 
attainment of our social 
impact objectives
 – Roll out compliance 

programme, initially targeting 
our largest suppliers 

 – Launch diversity and inclusion 
strategy across the business, 
applying actions from the 
team survey

 – Create volunteering 

opportunities with Assura 
Community Fund projects
 – Create education, mentoring 

and volunteering 
opportunities through our 
Supply Chain Framework

Supply Chain Framework1
 – Proportion of suppliers 
that have certified to us 
they comply

Staff satisfaction survey
 – Proportion of staff stating 

they are engaged, satisfied 
and able to contribute 

Staff volunteering1
 – Proportion of staff 

engaging in community 
fundraising and 
volunteering activities

 – Appointed Murton & Co as 

our EPC improvement partner

 – Completed assessment of 
our existing portfolio and 
incorporated into our strategy 
for each individual building 

 – Begin implementation of 
improvement plan for 
individual buildings 

 – Incorporate sustainability 
feature into all customer 
newsletters

EPC ratings of our portfolio
 – Proportion of buildings 

(by area) that have an EPC 
rating of B or better, or 
have been improved by at 
least two bands

 – Launch the Assura Energy 

Forum for customers

 – Technology & Innovation 

 – Finalise design on pilot 

Group established to further 
advance our development 
process

 – Two pilot net zero carbon 
schemes identified, and 
appointed Hoare Lea as net 
zero carbon consultant

schemes, including method 
of assessing compliance 
under UK Green Building 
Council framework

 – Aim for at least one of the 
pilot schemes to be on site

Net zero carbon 
developments
 – Proportion of net 

developments with a net 
zero carbon rating for 
construction and operation

BREEAM ratings
 – Sum of completed 

developments achieving 
the certified BREEAM rating 
of Very Good or better

Renewably sourced energy
 – Proportion of the energy 

purchased by Assura that is 
from renewable sources

Source only 
renewable energy and 
drive innovative 
energy solutions for 
customers through 
the use of appropriate 
technology

 – Appointed Head of 

Sustainability

 – Energy contract replaced in 
November 2020 with new 
stipulation that all energy is 
100% renewably sourced

 – First phase of smart metering 
programme, focusing on 
properties where we control 
the supply of utilities

 – Development of sustainability 
strategy at a property level

1.  not currently reported against – aiming for reporting by March 2022.

Assura plc  Annual Report and Accounts 2021

25

Strategic reportGovernanceFinancial statementsAdditional information 
 
 
 
 
 
 
 
 
OUR KEY PERFORMANCE 
INDICATORS

These KPIs are reflected in both 
the short-term (annual bonus 
details on page 97) and long-term
management incentive schemes 
(linked to TSR, growth in EPRA 
EPS and performance against ESG 
targets over a three-year period, 
further details on page 99).

Certain of these measures 
are considered Alternative 
Performance Measures 
(calculations or references 
provided where appropriate) 
which, as explained in the 
CFO Review on pages 62 to 67, 
are provided to help provide 
relevant information to 
understand how our business 
is performing.

Assura is one of the UK’s leading 
healthcare REITs. In order to 
sustain this position, we need 
to demonstrate that we can 
consistently outperform over 
time. To measure ourselves 
against this objective we have a 
wide range of key performance 
indicators (“KPIs”).

Our financial KPIs track the 
performance of the business in 
terms of the returns we generate 
for shareholders. Our portfolio 
metrics measure the quality of our 
portfolio and our development 
activities. Our stakeholder metrics 
measure the influence we have on 
the wide range of stakeholders 
impacted by our activities. All of 
these KPIs link back to our 
strategic priorities and SixBySix 
pledges and form the basis for 
how the executive management 
team is judged and rewarded. 

26

Assura plc  Annual Report and Accounts 2021

FINANCIAL KPIS

EPRA EPS (p)
Performance

Diluted EPRA NTA (p)
Performance

EPRA Cost Ratio (%)
Performance

3.5
3.0
2.5
2.0
1.5
1.0
0.5
0

2.4

2.5

2.7

2.8

2.7

2017

2018

2019

2020 2021

70
60
50
40
30
20
10
0

49.3

52.4

53.3

53.9

57.2

2017

2018

2019

2020 2021

15.0

12.5

10.0

7.5

5.0

2.5

0

13.7

13.0

12.5

12.6

13.4

2017

2018

2019

2020 2021

Strategic priority
1   Leveraging our financial strength

Strategic priority
1   Leveraging our financial strength

Strategic priority
1   Leveraging our financial strength

Definition
See Note 6 to the accounts
Commentary
EPRA EPS provides an indication of the 
recurring profits of the Group. EPRA EPS 
has fallen to 2.7 pence as a result of the 
one-off £2.5 million contribution to the 
Assura Community Fund. Adding this 
one-off item back gave an adjusted EPRA 
EPS of 2.8 pence, which has remained flat 
due to the timing of the equity raise at the 
start of the year. 

Definition 
See Note 7 to the accounts
Commentary
EPRA NTA shows the net accounting value 
of our assets and liabilities, adjusted in 
accordance with the widely used EPRA 
guidelines for the real estate industry. As 
a REIT with a high dividend pay out ratio, 
movements in our EPRA NTA primarily are 
attributed to asset revaluations.

Target
Grow

Target
Grow

Definition
See page 66
Commentary
EPRA Cost Ratio is the operating efficiency 
of our model, being the costs incurred as 
a proportion of rental income. The EPRA 
Cost Ratio has increased slightly during the 
period, excluding the £2.5 million Assura 
Community Fund donation. The portfolio 
has grown during the period and the 
corresponding increase in costs reflects 
the investment we have made during the 
year in growing the development team, 
boosting our in-house capability to deliver 
our growing development pipeline.
Target
Maintain or reduce

Total Property Return (%)

Total Accounting Return (%)

Total Shareholder Return (%)

Performance

Performance

Performance

12

10

8

6

4

2

0

9.7

9.7

5.9

5.3

6.4

2017

2018

2019

2020 2021

14
12
10
8
6
4
2
0

12.0

11.0

11.4

6.8

6.3

2017

2018

2019

2020 2021

60
50
40
30
20
10
0
-10

50.3

13.2

6.8

1.3

(9.8)

2017

2018

2019

2020 2021

Strategic priority
1   Leveraging our financial strength

Strategic priority
1   Leveraging our financial strength

Strategic priority
1   Leveraging our financial strength

Definition
Net rental income plus revaluation, divided 
by opening property assets plus additions. 
See Glossary
Commentary
Total Property Return measures our 
success in choosing the right investments 
and managing these assets over time. 
The return is made up of two components 
– the income return (which has remained 
broadly consistent with previous years) 
and any valuation movement (which has 
remained positive).
Target
Maintain or grow over long term

Definition
Movement on EPRA NAV plus dividends 
paid, divided by opening EPRA NAV. 
See Glossary
Commentary
Total Accounting Return measures the 
returns we have delivered to shareholders 
in the forms of dividends paid and the 
growth in NAV. In the current year, the 
dividend paid had again grown compared 
with the prior year, and the return has 
been strengthened by the positive 
valuation movement.
Target
Maintain or grow over long term

Definition
Movement in share price plus dividends 
paid, divided by opening share price. 
See Glossary
Commentary
Total Shareholder Return reflects the value 
of dividends paid and the relative 
movement of the share price over the year. 
In the current year, the dividend paid had 
again grown compared with the prior year, 
although the TSR is negative due to the 
share price movement, having opened the 
year at 83.5 pence and closed at 72.1 pence.
Target
Maintain or grow over long term

Assura plc  Annual Report and Accounts 2021

27

Strategic reportGovernanceFinancial statementsAdditional information90

75

60

45

30

15

0

31.3

13.8

18.7

14.8

Strategic priority

3    Quality of service

Definition

the year

Commentary

90

75

60

45

30

15

0

48.6

31.0

23.6

Strategic priority

3   Quality of service

Definition

course of construction

Commentary

Number and total cost of developments 

Number and expected cost of 

that reached practical completion during 

developments that are currently in the 

Developments completed give an 

Developments on site give a measure of 

indication of how we are moving schemes 

our success in moving opportunities from 

from the pipeline through to our portfolio. 

our pipeline through to live schemes. 

Figures quoted represent the total cost of 

Figures quoted represent the total cost 

the schemes. We have seen momentum 

of the schemes. 13 schemes have moved 

growing in the NHS approval of new medical 

to on site during the year, giving us a total 

centre developments over the past 18 

months, which will flow through into 

completions following the build period 

which is normally between 14 and 18 

of 16 at year end. In addition, we have a 

strong immediate pipeline of 17 schemes 

(estimated cost £111 million) which we 

would hope to be on site in the next 

months for each scheme. We are currently 

12 months.

expecting 13 of the 16 on site developments 

to complete in the next financial year.

Target

Maintain or grow 

Target

Maintain or grow

OUR KEY PERFORMANCE INDICATORS
CONTINUED

PORTFOLIO METRICS

Growth in rent roll (£m)
Performance

Total contracted rental income (£bn)
Performance

WAULT (years)
Performance

Developments completed (£m)

Developments on site (£m)

Performance

Performance

18

15

12

9

6

3

0

16.6

10.6

11.7

12.8

6.2

2017

2018

2019

2020 2021

1.8

1.5

1.2

0.9

0.6

0.3

0

1.35

1.43

1.57

1.22

1.05

2017

2018

2019

2020 2021

15.0

12.5

10.0

7.5

5.0

2.5

0

13.2

12.6

12.0

11.7

11.9

69.5

80.5

72.5

2017

2018

2019

2020 2021

2017

2018

2019

2020 2021

2017

2018

2019

2020 2021

Strategic priority
5    Long-term relationships
3    Quality of service

Definition
Increase in rent roll over the year. 
See Glossary

Commentary
Growth in rent roll is a measure of how 
we are growing our income which in turn 
should support our dividend policy.  
The £12.8 million increase in the current 
year reflects acquisitions (£10.2 million), 
development completions (£3.1 million) 
and portfolio management activity
including rent reviews (£1.1 million),  
offset by the rent relating to disposals  
(£1.6 million).

Strategic priority
5    Long-term relationships
3    Quality of service

Strategic priority
2   Quality of buildings
3    Quality of service

Definition 
Total amount of rent to be received over 
the remaining term of leases currently 
contracted. See Glossary
Commentary
Total contracted rental income is the total 
amount of rent we are due to receive over 
the remaining term of leases currently in 
place and committed rent for developments 
on site. The passage of time would see this 
figure reduce each year. However, the 
positive actions we have taken in the year, 
through portfolio additions and asset 
enhancement activities, has seen this 
natural decline be offset to an extent that 
the total contracted rental income has 
increased to £1.57 billion.

Definition
Average period until the next available 
break clause in our leases, weighted by  
rent roll
Commentary
Weighted Average Unexpired Lease Term 
(“WAULT") provides a measure of the 
average time remaining on the leases 
currently in place on our portfolio. The 
passage of time would see this figure 
reduce each year. However, the positive 
actions we have taken in the year, through 
portfolio additions and asset enhancement 
activities, has seen this natural decline be 
offset such that the WAULT has increased 
to 11.9 years.

Target
Positive

Target
Maintain or grow

Target
Maintain or grow

% of occupier covenant NHS/GPs (%)
Performance

Rental growth from rent reviews (%)
Performance

120

100

80

60

40

20

0

86

84

85

85

84

2017

2018

2019

2020 2021

Strategic priority
2   Quality of buildings
3    Quality of service

Definition
Proportion of our rent roll that is paid 
directly by GPs or NHS bodies
Commentary
The occupier covenant provides an 
indication of the security of our rental 
income, reflecting how much is paid 
directly by GPs or the NHS. The figure 
has remained strong at 84%, reflecting 
that portfolio additions have an 
occupier mix that is consistent with 
our existing portfolio.

Target
Maintain or grow 

3.0

2.5

2.0

1.5

1.0

0.5

0

2.2

1.6

1.7

1.8

1.5

2017

2018

2019

2020 2021

Strategic priority
1   Leveraging our financial strength
3    Quality of service

Definition
Weighted average annualised uplift on rent 
reviews settled during the year
Commentary
Rental growth from rent reviews settled in 
the year provides a measure of the growth 
in our rent roll, which we would expect to 
flow through to our income and support 
our dividend policy. In the current year, we 
have increased the number of rent reviews 
settled to 320 (296 in prior year). Open 
market reviews generated an average 
uplift of 1.2% (1.2% in the prior year).
Target
> inflation

28

Assura plc  Annual Report and Accounts 2021

Total contracted rental income (£bn)

Performance

WAULT (years)

Performance

Developments completed (£m)
Performance

Developments on site (£m)
Performance

90

75

60

45

30

15

0

69.5

31.3

13.8

18.7

14.8

2017

2018

2019

2020 2021

90

75

60

45

30

15

0

80.5

72.5

48.6

31.0

23.6

2017

2018

2019

2020 2021

Strategic priority
3    Quality of service

Strategic priority
3   Quality of service

Definition
Number and total cost of developments 
that reached practical completion during 
the year
Commentary
Developments completed give an 
indication of how we are moving schemes 
from the pipeline through to our portfolio. 
Figures quoted represent the total cost of 
the schemes. We have seen momentum 
growing in the NHS approval of new medical 
centre developments over the past 18 
months, which will flow through into 
completions following the build period 
which is normally between 14 and 18 
months for each scheme. We are currently 
expecting 13 of the 16 on site developments 
to complete in the next financial year.
Target
Maintain or grow 

Definition
Number and expected cost of 
developments that are currently in the 
course of construction
Commentary
Developments on site give a measure of 
our success in moving opportunities from 
our pipeline through to live schemes. 
Figures quoted represent the total cost 
of the schemes. 13 schemes have moved 
to on site during the year, giving us a total 
of 16 at year end. In addition, we have a 
strong immediate pipeline of 17 schemes 
(estimated cost £111 million) which we 
would hope to be on site in the next 
12 months.

Target
Maintain or grow

PORTFOLIO METRICS

Growth in rent roll (£m)

Performance

16.6

10.6

11.7

12.8

1.22

1.05

6.2

1.35

1.43

1.57

13.2

12.6

12.0

11.7

11.9

15.0

12.5

10.0

7.5

5.0

2.5

0

2017

2018

2019

2020 2021

2017

2018

2019

2020 2021

2017

2018

2019

2020 2021

Strategic priority

5    Long-term relationships

3    Quality of service

Definition

See Glossary

Commentary

Strategic priority

5    Long-term relationships

3    Quality of service

Definition 

Strategic priority

2   Quality of buildings

3    Quality of service

Definition

Increase in rent roll over the year. 

Total amount of rent to be received over 

the remaining term of leases currently 

Average period until the next available 

break clause in our leases, weighted by  

contracted. See Glossary

Commentary

rent roll

Commentary

Growth in rent roll is a measure of how 

Total contracted rental income is the total 

Weighted Average Unexpired Lease Term 

we are growing our income which in turn 

amount of rent we are due to receive over 

(“WAULT") provides a measure of the 

should support our dividend policy.  

The £12.8 million increase in the current 

year reflects acquisitions (£10.2 million), 

development completions (£3.1 million) 

and portfolio management activity

including rent reviews (£1.1 million),  

offset by the rent relating to disposals  

(£1.6 million).

the remaining term of leases currently in 

average time remaining on the leases 

place and committed rent for developments 

currently in place on our portfolio. The 

on site. The passage of time would see this 

passage of time would see this figure 

figure reduce each year. However, the 

reduce each year. However, the positive 

positive actions we have taken in the year, 

actions we have taken in the year, through 

through portfolio additions and asset 

enhancement activities, has seen this 

natural decline be offset to an extent that 

the total contracted rental income has 

increased to £1.57 billion.

portfolio additions and asset enhancement 

activities, has seen this natural decline be 

offset such that the WAULT has increased 

to 11.9 years.

Target

Positive

Target

Maintain or grow

Target

Maintain or grow

18

15

12

9

6

3

0

120

100

80

60

40

20

0

1.8

1.5

1.2

0.9

0.6

0.3

0

3.0

2.5

2.0

1.5

1.0

0.5

0

% of occupier covenant NHS/GPs (%)

Rental growth from rent reviews (%)

Performance

Performance

86

84

85

85

84

2.2

1.6

1.7

1.8

1.5

2017

2018

2019

2020 2021

2017

2018

2019

2020 2021

Strategic priority

2   Quality of buildings

3    Quality of service

Definition

Strategic priority

1   Leveraging our financial strength

3    Quality of service

Definition

Proportion of our rent roll that is paid 

Weighted average annualised uplift on rent 

directly by GPs or NHS bodies

reviews settled during the year

Commentary

Commentary

The occupier covenant provides an 

indication of the security of our rental 

income, reflecting how much is paid 

directly by GPs or the NHS. The figure 

has remained strong at 84%, reflecting 

that portfolio additions have an 

occupier mix that is consistent with 

our existing portfolio.

Rental growth from rent reviews settled in 

the year provides a measure of the growth 

in our rent roll, which we would expect to 

flow through to our income and support 

our dividend policy. In the current year, we 

have increased the number of rent reviews 

settled to 320 (296 in prior year). Open 

market reviews generated an average 

uplift of 1.2% (1.2% in the prior year).

Target

Maintain or grow 

Target

> inflation

Assura plc  Annual Report and Accounts 2021

29

Strategic reportGovernanceFinancial statementsAdditional informationOUR KEY PERFORMANCE INDICATORS
CONTINUED

STAKEHOLDER METRICS

Our customers

Our investors and lenders

Our communities

Customer satisfaction (%)
Performance

Growing, covered dividend (p)
Performance

Assura Community Fund Reach (people)
Performance

100

90

80

70

60

50

95

96

95

91

90

2017

2018

2019

2020 2021

Strategic priority
5    Long-term relationships
3    Quality of service

Definition
Proportion of completed customer 
satisfaction surveys that would consider 
recommending us as a landlord to others
Commentary
The satisfaction of the customers in our 
buildings is a crucial benchmark of the 
quality of the service we provide. The 
score obtained from our customer 
satisfaction survey again indicates that 
our customers value having Assura as a 
landlord and would recommend us to 
prospective customers. 
Target
>90%

Our people

Staff satisfaction survey (%)
Performance

3.5
3.0
2.5
2.0
1.5
1.0
0.5
0

2.46

2.65

2.25

2.75

2.82

2017

2018

2019

2020 2021

75,000

60,000

45,000

30,000

15,000

0

60,700

2021

Strategic priority
1   Leveraging our financial strength

SixBySix pledge
1   Community impact

Definition
Dividend per share paid out during the 
financial year

Definition
People impacted by projects supported 
by the Assura Community Fund

Commentary
Our dividend policy is for the dividend 
paid to be progressive and covered by 
EPRA earnings (before charitable 
donations). 

Target
Grow

ESG linked financing (%) 

Performance

Commentary
The aim of the Assura Community Fund is 
to distribute funds to support community 
programmes in and around our buildings. 
Having been seeded with an initial 
contribution of £2.5m, we are delighted 
to have been able to support over 115 
projects, distribute over £800,000 and 
positively impact 60,000 people. 
Target
>50,000 per year

Staff volunteering

We aim for over 50% of staff to be 
engaged in community fundraising and 
volunteering activities during the year, 
increasing to 75% in year 2.

We aim to report against this KPI from 
March 2022.

100

80

60

40

20

0

76

74

30

25

20

15

10

5

0

25

2021

2020 2021

Strategic priority
1   Leveraging our financial strength

Strategic priority
4    People

Definition
Proportion of respondents to the 
employee opinion survey stating they 
were engaged, satisfied and able to 
make a valuable contribution to the 
success of Assura
Commentary
Our staff survey in the year to March 
2020 saw us obtain a Best Companies 
One Star award. Our pulse survey 
completed during 2021 saw us obtain an 
indicative improvement in engagement 
from Very Good to Outstanding. 

Definition
Proportion of available facilities certified 
as being linked to social or green 
objectives
Commentary
Reflecting the positive social impact that 
is ingrained within our business model, 
and our plans to minimise the 
environmental impact of our portfolio, 
we successfully launched our debut 
Social Bond during the year. 

Target
Maintain or grow

Target
Maintain or grow

30

Assura plc  Annual Report and Accounts 2021

Our suppliers

We are currently conducting a review 
of our supply chain. This includes 
development of a revised supplier code 
of conduct with reference to our SixBySix 
pledges and gaining an understanding 
of how our suppliers currently source 
labour for work on our properties. 
Our aim is to have >95% of our suppliers 
(by spend) certifying to us that they 
are compliant with our Supply Chain 
Framework. We expect to start reporting 
against these new KPIs from March 2022. 

The environment

EPC ratings (%)
Performance

36

30

24

18

12

6

0

Renewably sourced energy (%)
Performance

30

2021

60

50

40

30

20

10

0

48

21

2020 2021

SixBySix pledge
4   EPC ratings

SixBySix pledge
6   Renewable energy

Definition
Proportion of portfolio buildings that have 
an EPC rating of B or better, or have been 
improved by at least two bands

Definition 
Proportion of energy purchased by Assura 
(whether for own use or on behalf of 
customers) that is renewably sourced

Commentary
During the year we completed our 
assessment of the entire portfolio and 
generated plans for each property 
that requires an improvement on the 
current rating. 

Commentary
During the year we tendered our utilities 
supply contract and switched to 100% 
renewably sourced with effect from 
December 2020. 

Target
100% by March 2026

Target
100%

Net zero carbon developments (%) 

BREEAM rating (%)

Performance

Performance

30

25

20

15

10

5

0

100

80

60

40

20

0

0
2021

100

100

100

100

100

2017

2018

2019

2020 2021

SixBySix pledge
5   Net zero development

Strategic priority
2   Quality of buildings

Definition
Proportion of on site developments 
designed to be net zero carbon for 
construction and operation
Commentary
We would expect this to be low in the 
initial years of SixBySix as we run pilot 
projects. We have identified our first pilot 
project and are targeting being on site by 
March 2022. 

Target
>50% by March 2026

Definition
Proportion of completed developments 
achieving the BREEAM certified rating of 
“Very Good” or better
Commentary
BREEAM is the world’s foremost 
environmental assessment method and 
rating for buildings and sets the standard 
for best practice in sustainable building 
design, construction and operation. 
Strong performance against this measure 
demonstrates our commitment to building 
sustainable buildings that improve the 
local infrastructure. All developments 
completed during the year achieved our 
BREEAM target.
Target
100%

Assura plc  Annual Report and Accounts 2021

31

Strategic reportGovernanceFinancial statementsAdditional informationOUR BUSINESS MODEL

WHO WE ARE

WHAT WE DO

We are a listed UK real estate investment trust 
(“REIT”) specialising in the development of, 
investment in and management of a portfolio of 
primary care, diagnostic and treatment buildings 
across the UK.

Our purpose is to create outstanding spaces for 
health services in our communities. We aim to be 
the UK’s number one listed property business for 
long-term social impact. 

Our values
 Innovation
 Expertise
 Being genuine
 Collaboration
 Passion

How we work
  We champion new ideas and  
we’re open minded
 We do what we say we will 
 We don’t give up
 We strive for excellence 
  We listen to, learn from and  
encourage others

 Development

Growing our portfolio through new developments
Our team of development managers work with 
existing and prospective GP customers to design 
and deliver bespoke new medical centres that meet 
the needs of the communities they serve.

The customers and patients benefit from our strong 
relationships with our expert healthcare partners, 
with whom we work to incorporate the latest 
sustainability and design innovations.

A development only moves on site when everyone 
is agreed that the project is the highest quality and 
value for money; the District Valuer agrees the rent, 
the GPs sign an agreement for lease and our 
third-party building contractor partners sign fixed 
price contracts.

Following the 12–18 month build period, we get 
a long, secure income stream at a return on cost 
that reflects the relatively low development risk 
we take on, and a building that showcases our 
ability to deliver sustainable solutions that 
benefits all stakeholders.

32

Assura plc  Annual Report and Accounts 2021

 Investment

 Managing our portfolio

Growing our portfolio through acquisition 
of existing properties
Our investment team identify opportunities to add 
existing buildings to our portfolio, whether through 
a competitive bidding process or an off-market 
opportunity benefitting from our reputation as 
a landlord that owns and operates buildings as 
a long-term partner to the GP customer.

Maintaining and enhancing our properties
Our portfolio management team looks after the 
needs of the customers in our existing buildings. 
This covers a range of offerings: lease renewals, 
extensions or refurbishments, improving 
environmental performance, managing building 
costs or simply sharing their experience with a 
customer that wants assistance fixing a problem.

Our knowledge of the sector, bespoke database 
covering all primary healthcare properties in the 
country, our reputation as a landlord and our long-
standing relationships give us strong credentials 
when sourcing opportunities and speaking to 
prospective customers, who are often the same 
people that are selling their building.

The investment process considers numerous criteria 
including the quality of the building, environmental 
impact and physical climate change risk, asset 
enhancement opportunities and returns but the key 
factor is the importance of the building to its local 
health economy – i.e. is this building the right 
solution for that community in the long term.

Enhancing the building through extension or 
refurbishment benefits the GPs and the patients 
as well as allowing us to extend the lease through 
a re-gear. Our social impact strategy includes 
measures to ensure these initiatives include 
sustainability improvements, reducing both the 
impact of the building on the environment and 
hopefully reducing the running costs for the 
customers.

The portfolio management team also liaise with 
the District Valuer in settling rent reviews, making 
sure the rents on our leases are at the latest 
open market rates.

Assura plc  Annual Report and Accounts 2021

33

Strategic reportGovernanceFinancial statementsAdditional informationOUR BUSINESS MODEL
CONTINUED

HOW WE DO IT

  Our unique offering
We are unique in offering our customers (mainly 
GPs and other primary healthcare professionals) 
a full property service; we develop new buildings, 
invest in high-quality existing buildings, look after 
and enhance our portfolio (manage), and 
ultimately, own them for the long term. Our 
internally managed structure provides a highly 
scalable model and gives us direct relationships 
with our customers. This enables us to be 
responsive to their evolving needs and to provide 
innovative solutions.

  Our reputation for being sector experts
We are the partner of choice with more than 90% 
of respondents to our annual customer survey 
saying they would consider recommending 
Assura to others.

Operating within a market that supports the NHS 
means we have a responsibility not just to meet 
current NHS specifications for buildings, but also 
to advance the sustainability agenda to ensure 
buildings are fit for the NHS’s future needs and to 
satisfy District Valuers (responsible for agreeing 
rents on new build developments and rent 
reviews) that our developments represent value 
for money.

We have a highly knowledgeable and 
experienced in-house team of surveyors and 
external expert partners in architecture, 
sustainability and construction. Our team across 
development, investment, management and 
external experts work closely with each other 
and our customers.

  Our secure, stable occupier base
We have a secure, long-term rental income stream 
from our stable customer base made up mainly of 
GPs and NHS bodies who benefit from government 
reimbursement of their rent. Our typical leases are 
21+ years in length, giving us strong visibility of 
future income. 

  Our carefully managed balance sheet
The continued support of our shareholders and 
lenders is crucial to funding future growth in our 
portfolio. We generally borrow on an unsecured 
basis (which we believe gives us access to a larger 
range of funding options) with a loan-to-value that 
is currently sub-40% with a policy that allows us to 
reach the range 40–50% should the need arise.

As we grow, so the benefits of scale will accrue 
to shareholders and drive our progressive 
dividend policy.

  Our commitment to long-term social and 
environmental impact
Consideration of social and environmental 
impact is ingrained through our operations 
and long-term strategy for each building in our 
portfolio. Minimising the environmental impact 
and maximising the positive social impact of each 
building in our portfolio through our SixBySix 
pledges is fundamental to our offering for all 
stakeholders. See our SixBySix strategy on 
page 24–25. 

34

Assura plc  Annual Report and Accounts 2021

Strategic report

Governance

OUR IMPACT

Our customers
Our GP and NHS customers get spaces at the forefront of the 
sector in terms of design, innovation and environmental 
performance that allow them to provide the services needed 
by the communities that they serve.

Our communities
The communities that use our spaces get a building that meets 
the bespoke health needs of that local health economy.

Our suppliers
Our supplier partners benefit from a collaborative approach to 
finding innovative solutions to meet the needs of our customers. 

Our people
Assura employees work in a friendly, engaging environment that 
supports aspirations to develop their skills and opportunities. 

Our investors and lenders
Our financial supporters, both equity and debt, get a fair 
financial return derived from rental income from investment 
in the essential health infrastructure of our country.

 90% 

of respondents to our annual 
satisfaction survey rated our 
service as either ‘good’ or ‘OK’

 5.9mpatients served by our buildings, 

£800,000 distributed by the 
Assura Community Fund 

 £92mpaid during the year to suppliers 

for construction, property 
management and overheads 

 84% 

of team members took part 
in our first diversity and 
inclusion survey

 2.8p

dividends per share paid during 
the year, 2.47% weighted 
average interest rate paid 
on debt facilities 

Assura plc  Annual Report and Accounts 2021

35

Financial statementsAdditional informationS172 STATEMENT

Listening to and understanding our stakeholders underpins our 
decision-making and the way we work. The following pages make 
up our Section 172 statement, outlining our core stakeholders, 
how we and our Board members engage with them and the impact 
of that engagement. 

Understanding and responding to 
stakeholder concerns
Pages 38 to 51 describe how we have 
engaged with and responded to matters 
raised by employees, suppliers, customers, 
investors and communities. Unsurprisingly, 
the key matters raised this year across all 
our stakeholder groups have centred 
around the impact on COVID. Read more 
about our COVID response on page 13. 

Our impact on the environment 
Pages 52 to 54 set out our approach to 
minimising our impact on the environment, 
including climate change. This year all our 
completed developments have hit BREEAM 
targets and finalised all EPC certifications 
and costed improvements required. We 
have also piloted our first net zero carbon 
developments and retendered our energy 
contract and are now 100% renewable.

Maintaining high standards of 
business conduct
We believe good governance is crucial 
to ensuring high standards of business 
conduct are maintained (see our 
Governance Report on pages 69 to 108). 
We have a clear purpose that is embedded 
through our culture and values of innovation, 
expertise, being genuine, collaboration and 
passion (read more on pages 49 and 80). 
This year we have undertaken a review 
of our supplier chain including the 
development of a revised Supplier Code 
of Conduct. Our target is for >95% of our 
suppliers by value certify their compliance 
to us by March 2022. 

The Board considers that throughout the 
year, it has acted in a way and made 
decisions that would most likely promote 
the success of the Group for the benefit of 
its members as a whole and the case study 
on page 78 demonstrates this further. 

The Board is required to understand the 
views of the Group’s key stakeholders and 
describe in the annual report how their 
interests and the matters set out in s172 
of the Companies Act 2006 have been 
considered in Board discussions and 
decision-making. 

Making long-term decisions
The very nature of what we do makes it 
necessary for us to consider all decisions 
for the long term. This year our decision-
making has been influenced by the impact 
of COVID-19. The Board has met more 
frequently to discuss our strategic, 
financial and operational resilience. Read 
more on our response to COVID-19 on 
page 13 and Governance Report on pages 
69 to 108. 

We adopt a long-term approach to 
holding our assets as set out in our 
strategy and business model on pages 32 
to 35. In February 2021 the Board 
approved the acquisition of Apollo which 
will enhance our development pipeline, 
capabilities and capacity for managing on 
site schemes. Read more on page 78. Our 
investment decisions consider how crucial 
an asset is to the local health economy for 
the long term. We strive to build lasting 
relationships with our occupiers with the 
average length of our leases being 21 
years. We seek to improve and enhance 
existing assets so they remain fit for 
purpose by working collaboratively with 
our occupiers, for example this year with 
asset enhancement projects at our 
properties in Scarborough and Swindon, 
and aim to develop new properties that 
incorporate future-proof technology and 
environmental measures. 

We maintain a conservative funding 
structure. This year we have issued a 
£300m social bond which represents 25% 
of our available funding (see page 77 in our 
Governance Report). Our dividend policy 
is based on paying out a proportion of 
recurring earnings (see our CFO Review 
page 65).

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Assura plc  Annual Report and Accounts 2021

Assura plc  Annual Report and Accounts 2021

37

Strategic reportGovernanceFinancial statementsAdditional informationOUR IMPACT

STAKEHOLDER ENGAGEMENT

Our communities 
Who they are
 – 5.9 million patients who use 
our buildings and those who 
live in the communities 
around our buildings.

Important because individuals 
are the end users of our 
buildings. Their experiences 
of the physical space and 
environment impact upon their 
engagement with health 
services and their perceptions 
of the care they receive. Their 
feedback helps us improve 
design and ensure that our 
buildings are helping to 
improve equal access to local 
health services. We need 
buy-in from communities to 
create new health facilities, 
which may involve services 
moving to a different location.

 Read more on page 42-43

Stakeholder metrics 
 – Assura Community Fund reach 
 – Developments supporting 

community space.

Issues raised
 – COVID-19 impacts on 
healthcare buildings

 – Accessibility of medical centre 

buildings

 – New development schemes 

and their impact on 
communities

 – Car parking at medical centres 

to support vaccination 
programme

 – Need for funding for local 

charity health projects to tackle 
impacts of COVID-19.

Method of engagement
 – Seeking views from Patient Participation Groups, local 

Healthwatch/Community Health Council members on proposed 
new development schemes

 – Using expertise of national patient organisations to gather 

feedback on specific design issues

 – Local public consultations to seek feedback on proposed 

new developments 

 – Engagement with councillors and MPs on specific issues
 – Outreach by Assura Community Fund to seek funding bids from 

local health-improving projects.

Why these methods are effective: Ensuring that our work 
delivers for those who will receive care in our buildings and those 
who live in the surrounding community relies on understanding 
local priorities, issues and concerns.

Monitored by: Heads of Property, Business Development 
and Public Affairs. 

Board members met with the Chief Executive of Cheshire 
Community Foundation, which manages the Assura Community 
Fund, to understand our 20–21 priorities and approach to best 
support communities recovering from the health impacts of 
COVID-19. Board members also receive updates on SixBySix 
activities at every Board meeting. 

Our response (and next year’s priorities)
 – National survey with the Patients Association to understand 

measures required at primary care buildings to help patients feel 
confident to return to them when they are asked to – with 
recommendations communicated to every GP practice in our 
buildings

 – Building Better Together report on improving primary care 

environments for people with disabilities and autism published 
with Dimensions and launched by Baroness Jolly and the BMA’s 
Executive Committee Lead for Premises. 

 – Virtual meetings with community councils to offer more detailed 
opportunities for questions and discussion of new development 
proposals 

 – Assura Community Fund distributed more than £800,000 in 
grants to health-improving projects around our buildings
 – Liaison with individual MPs on issues such as suspending the 

parking management system at a major vaccination centre to 
get elderly and vulnerable patients through more quickly.

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Assura plc  Annual Report and Accounts 2021

Stakeholder metrics 
 – Customer satisfaction.

Our customers 
Who they are
 – GP practices 
 – NHS Trusts
 – Other professionals delivering 

health services in the 
community.

Important because the local 
health services which our 
customers deliver are what 
make our buildings so vital in 
the communities and local 
health ecosystems they serve. 
The long-term rental income 
from our customers is 
reimbursed by government. 

 Read more on page 44-45

Method of engagement
 – Existing relationships with our portfolio managers, portfolio 

administrators and portfolio asset assistants, credit controller 
(ongoing)

 – Instant, adhoc and annual feedback surveys
 – Monthly customer ezine which invites dialogue
 – Supplier relationships (ongoing)
 – Public affairs activities with local influencers (adhoc).

Why these methods are effective: All approaches allow us 
to get a real-time sense of how our customers are feeling, 
the challenges they are facing and the problems they need us 
to solve. 

Monitored by: Heads of Property, Business Development and 
Public Affairs.

Board members periodically hold meetings with NHS influencers 
and leaders, join sessions with suppliers and consider feedback 
from customer surveys. 

Issues raised
 – Vital building improvements 

Our response (and next year’s priorities)
 – Projects to improve space for occupiers in several locations, or 

and replacements

to support COVID-19 operations 

 – Changing layouts, signage and 
infrastructure for COVID-19 
social distancing 

 – Vaccination rollout support
 – Changing building features for 

the future, informed by 
experiences of COVID-19

 – Speed of response to queries
 – Challenges of moving in. 

 – Kept new-build schemes progressing under COVID-safe 

working practices

 – All customers offered direct support to meet vaccine centre 

specifications 

 – Trialled new ways of working in our property team to offer faster 

and more consistent reactive maintenance and facilities 
management support 

 – Used national polling of healthcare professionals to understand 
views on immediate and future premises needs from COVID-19, 
along with feedback from similar questioning in our customer 
survey calling for temporary external covered areas, external 
space for patients and staff and more flexible space which can 
be adapted quickly when needed.

Assura plc  Annual Report and Accounts 2021

39

Strategic reportGovernanceFinancial statementsAdditional informationOUR IMPACT
CONTINUED

Our people
Who they are
 – Our team around the UK.

Important because they are 
Assura. Their expertise and 
skills are what allow us to 
deliver for our customers and to 
our purpose.

 Read more on page 48-49

Stakeholder metrics 
KPI: 
 – Best Companies survey

Supporting metrics:
 – Internal mood surveys
 – Annual diversity and inclusion 

data 

 – Quarterly feedback from The 
Voice team representatives 
with designated employee 
NED 

 – Data on staff turnover, training 
and sickness trends reported 
to the Board.

Method of engagement
 – Weekly virtual team town hall
 – Monthly team ezine which includes calls to action for feedback
 – Departmental team meetings
 – The Voice 
 – Virtual social events to help encourage dialogue and feedback 

during full remote working

 – Individual wellbeing calls during lockdown 
 – Mission INCLUDE Mentoring programme
 – Virtual training/coaching for managers both one to one and 

group.

Why these methods are effective: We seek regular feedback 
from the team representatives group, the Voice, to understand 
which methods are effective and which need reviewing. We also 
track engagement with internal surveys and events to judge their 
effectiveness.

Monitored by: Head of HR.

Board members have participated in a range of virtual team 
social events across the year and undertook wellbeing calls with 
the executive committee. Louise Fowler has completed quarterly 
meetings with The Voice group and has brought feedback into 
the wider Board. 

Issues raised
 – Mental wellbeing, isolation and 

Our response (and next year’s priorities)
 – Flexibility for all staff on working patterns and ongoing 

stress due to pressures of 
lockdown, home-schooling and 
uncertainty 

 – IT systems and equipment/

furniture for long-term remote 
working

 – FM/maintenance desk 

resourcing

encouragement to raise new pressures

 – Increased signposting to Employee Assistance Programme 

resources

 – Making one day per week a day with no internal meetings
 – Weekly virtual mindfulness, yoga, HIT and fitness sessions open 

to all

 – Regular virtual social events
 – Equipment upgrades and launch of major programme to 

 – Greater autonomy for 

upgrade finance system

managers 

 – Pilot of alternative team structure to support FM/maintenance 

 – Knowledge stagnation/feeling 
of lack of creativity/innovation.

helpdesk operations

 – Coaching and training for all managers on change, leadership 

and business planning

 – Cross section of team members being externally mentored 

under the Mission INCLUDE diversity and inclusion programme.

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Assura plc  Annual Report and Accounts 2021

Our suppliers
Who they are
 – The contractors and 

businesses providing goods 
and services to us or for us. 

Important because our 
suppliers help us meet the 
needs of communities and 
customers and to deliver our 
social impact, thus growing our 
business. 

 Read more on page 46-47

Stakeholder metrics 
 – Supplier conduct code 

compliance 

Method of engagement
 – Facilities management, portfolio and development team 

member relationships (ongoing)

 – Supply chain locality.

 – Executive Committee and Board meetings with key suppliers 

from time to time (adhoc).

Why these methods are effective: Our relationships with our 
regular suppliers allows us to understand emerging issues and 
challenges, and to respond accordingly. 

Monitored by: Heads of Property, Finance and Legal.

Issues raised
 – Financial and operational 
pressures of COVID-19 
 – Supporting local jobs.

Our response (and next year’s priorities)
 – Working to pay all suppliers promptly 
 – ‘COVID-terms’ for some suppliers to help their cash flow
 – Move to e-invoicing
 – Keeping guidance for maintenance contractors visiting primary 

care sites under continual review in line with COVID-19 
 – Continuing to use smaller, local suppliers when possible.

Our investors and lenders
Important because their 
investment allows us to 
generate long-term value for all 
our stakeholders. 

register

Stakeholder metrics 
 – Share price
 – Composition of investor 

 Read more on page 50-51

 – Growing covered dividend
 – ESG linked financing.

Method of engagement
 – Results presentations 
 – Virtual investor tour 
 – Chairman meets with major shareholders when requested
 – Direct meetings with investors and lenders
 – Appropriate use of expert advisors.

Why these methods are effective: Regular dialogue with our 
investors and lenders allows us to respond to questions, seek 
feedback and test ideas with our financial stakeholders. 

Monitored by: Heads of Finance and Investor Relations.

Board members receive updates on investor issues raised at 
every meeting.

Issues raised
 – Deployment of proceeds from 
equity raise and Social Bond

Our response (and next year’s priorities)
 – Rolling programme of investor and lender meetings
 – Increased use of virtual tools to provide regular updates.

 – Development pipeline
 – Apollo acquisition
 – ESG benchmarking and 

reporting 

 – Net zero carbon
 – Rent collection during 

COVID-19 

 – Political developments for our 

sector.

Assura plc  Annual Report and Accounts 2021

41

Strategic reportGovernanceFinancial statementsAdditional informationOUR IMPACT
CONTINUED

OUR COMMUNITIES

53,400

beneficiaries of the Assura Community 
Fund national small grants scheme 

6,500

callers supported by Dementia UK’s Admiral 
Nurse Helpline thanks to our funding 

Shortlisted 

for Estates Gazette Social Impact Award 
and Third Sector Magazine’s Business 
Charity Award for Community Impact

Men Up North want to 
see increased feelings of 
improved mental health 
amongst men. We want men to 
become more open to talking 
as a result of these sessions and 
for them to feel in a position to 
positively deal with navigating 
the ever changing and often 
challenging world.”
Men Up North, one of the 
projects supported during the 
year

How we engage
We seek feedback from, listen to and 
communicate with patients through Patient 
Participation Groups, national and local 
charities, research partnerships, community 
groups, local and social media, MPs and 
local councillors. This year, of course, we’ve 
had to employ virtual techniques and online 
channels for public consultation events, 
meetings with local residents and to gather 
feedback. We’ve also engaged with local 
health projects all over the country this year 
through our work making grants from the 
Assura Community Fund. 

Why these methods are effective
Ensuring that our work delivers for those 
who will receive care in our buildings and 
those who live in the surrounding 
community relies on seeking out their 
perspectives and understanding local 
priorities, issues and concerns. 

Achievements for 2021 and priorities 
for 2022
The power of place in access to healthcare 
This year, we published our research with the 
national charity Dimensions – to explore how 
primary care buildings could work better 
for people with disabilities and autism – at a 
virtual roundtable led by Baroness Jolly and 
the British Medical Association’s Executive 
Committee lead for premises, Dr Gaurav 
Gupta. The final research was extended to 
include additional feedback experiences of 
people with disabilities and autism during 
the first stages of the pandemic. The report 
is informing the next phase of this work, 
which will create an assessment tool to help 
any GP practice or community health 
service understand how their premises 
design and environment works for people 
with disabilities, dementia or autism and 
steps they can take to make improvements. 
We will be testing this tool in our buildings 
this year, and are working with Dimensions 
and the University of Worcester’s 
Association for Dementia Studies to launch 
the tool as a resource within the national 
#MyGPAndMe campaign. 

We joined forces with the Patients 
Association once again to gauge patient 
confidence to return to primary care 
buildings when they are asked to, and the 
steps which will make patients feel more 
comfortable to be in spaces which may 
look very different for some time to come. 

We ran virtual sessions allowing local 
residents, MPs and councillors to chat with 
GPs, architects and scheme leads to feed in 
their views and understand more about our 
plans for new medical centre buildings in 
places including Cardiff and Wallsend in 

North Tyneside, and we used surveys of 
communities to gather input and ideas for 
scheme design, location and local 
connections. In 21–22, we plan to further 
deepen our digital engagement capabilities 
to better understand the live experiences of 
all patients in our buildings. 

Helping grassroots health projects 
The Assura Community Fund distributed 
more than £550,000 in small grants to 
health-improving projects in communities 
around our buildings across the UK, ranging 
from projects helping young care leavers 
and those experiencing homelessness to 
schemes reducing loneliness and isolation, 
helping families with budgeting and cooking 
skills, and innovation with primary care to 
support people who are digitally excluded. 
These projects will reach 53,400 people with 
better health outcomes including increased 
self-esteem and confidence, improved 
mental health and wellbeing, improved 
physical health and wellbeing, reduced 
stress or anxiety, taking part in sport or 
activity, improved diet and improved social 
networks. A further £200,000 was donated 
from the fund to a number of more strategic 
health projects in Assura’s ‘home’ county of 
Cheshire, and almost £38,000 to Dementia 
UK to fund their national Admiral Nurse 
helpline on Sundays, Christmas Eve and 
Boxing Day, to help support people living 
with dementia who have been particularly 
hard-hit by the pandemic. And our 
relationship with Warrington Youth Zone, as 
founder patrons, continued to deepen; our 
team donated food and Christmas gifts 
which help the club distribute more than 
500 Christmas hampers to families living in 
poverty across Warrington and one team 
member volunteered her time to support the 
youth zone on the development of a unique 
online hub which will bring together virtual 
mental health support and activities for 
young people from charities across Cheshire. 

Projects that matter for health: 
The Men Up North charity operates in South 
Yorkshire and Derbyshire to provide men, 
particularly those from a BAME background, 
with a safe space to have open and honest 
conversations about mental health and 
masculinity within a supportive network. 
The charity was given a £5,000 grant from 
the Assura Community Fund to support its 
‘Micro Greens for Mental Health’ project that 
will use food growing to reduce loneliness, 
build skills for cooking and eating healthily 
and raise awareness of the impact of 
COVID-19 on the BAME community 
in Sheffield near our buildings for 
Dovercourt and Upwell  
Street surgeries.

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Assura plc  Annual Report and Accounts 2021

£550kdistributed in our 

national small grants 
programme
Largest beneficiary groups: children and 
young people, families and lone parents 
and people with mental health issues

Assura plc  Annual Report and Accounts 2021

43

Strategic reportGovernanceFinancial statementsAdditional informationOUR IMPACT
CONTINUED

90% 

respondents to our 
annual satisfaction 
survey rating our service 
as either good or OK 

44

Assura plc  Annual Report and Accounts 2021

OUR CUSTOMERS 

70% 

of healthcare professionals want to see 
more flexible space which can be adapted 
quickly in community medical centre 
buildings of the future, based on their 
experiences of care during the pandemic 
(YouGov Plc, June 2020) 

52% 

want both face-to-face consulting rooms 
and smaller remote consulting spaces 

49% 

want external spaces for both patients 
and staff 

Ours is a purpose-built medical 
centre which houses three GP 
practices along with community 
staff. It’s quite a modern 
building but due to the 
pandemic, we needed to 
review a one-way system for 
the building.” 
Tina Birkby
Practice Manager, Dene Drive 
Medical Centre, Winsford

How we engage
This year, our direct communication routes 
with customers have been particularly 
important in understanding the live issues 
they’ve been dealing with during the 
pandemic and vaccination programme. The 
day-to-day interactions of our portfolio, 
maintenance and facilities management 
team members, our monthly customer 
ezine which encourages two-way dialogue, 
instant feedback and sector polling have all 
helped us identify where we can offer more 
support to practices in our buildings. We’ve 
given virtual welcomes to customers in 
buildings which are new to our network and 
we are piloting a Facebook group to offer 
our customers peer networking and 
learning opportunities. We’ve continued to 
maintain our relationships with 
organisations such as the British Medical 
Association, National Association of Primary 
Care and our chair of the British Property 
Federation’s Healthcare Committee. 

Why these methods are effective
Our mixed approach to gathering customer 
feedback and ideas give us a sense of how 
our customers are feeling, the challenges 
they are facing and the problems they need 
us to solve. 

Achievements for 2021 and priorities 
for 2022
Support during COVID-19
We moved quickly to support our 
customer’s emerging needs at various 
points during the pandemic, such as NHS 
England’s call-out for venues to act as 
vaccination hubs. We reached out to 
understand which buildings may need 
additional support to operate as a vaccine 
centre and have at various points helped 
our customers with speedy reconfigurations 
to support social distancing and one-way 
patient flow. Through our close 
relationships with customers, we’ve been 
able to progress schemes to add crucial 
new capacity at some of our buildings 
despite the limitations of distancing and 
repeated lockdowns. At Northgate Medical 
Centre in Pontefract, we worked with NHS 
England’s Estates and Technology 
Transformation Fund to complete an internal 
extension adding two mezzanine level 
consulting rooms. We commissioned 
research with YouGov to understand how 
well health premises were working for staff 
across the NHS as the pandemic 
progressed, gaining invaluable insight into 
the priority improvements they would make 
to healthcare infrastructure for the future. 

Small things make a big difference 
“Ours is a purpose-built medical centre 
which houses three GP practices along with 
community staff. It’s quite a modern 
building but due to the pandemic, we 
needed to review a one-way system for the 
building. We approached Assura for 
permission to convert two existing 
windows into exit doors for the two 
practices on the ground floor. Within days 
the permission was granted and, much to 
our delight, over a period of three weeks 
the works have almost been completed! 
Cannot thank Natalie enough for all her hard 
work and enthusiasm for our project and 
thanks to her, this was carried out 
effectively and efficiently.” Tina Birkby, 
Practice Manager, Dene Drive Medical 
Centre, Winsford. 

Helping customers reduce the health 
impacts of digital exclusion 
A social prescribing and community 
development service based in 10 GP 
practices across Mendip received funding 
from the Assura Community Fund to 
increase digital awareness and access for 
local people who aren’t digitally 
connected. The grant funding will make a 
Digital Connector available in our Frome 
Medical Practice building every week to 
provide advice on where to get free wi-fi, 
where to find use of digital devices, advice 
on SIM cards, pay-as-you-go tariffs, courses 
on setting up an email account, using a 
mouse or key pad and using a search 
engine. Digital exclusion has an impact on 
poorer health outcomes, lower life 
expectancy, increased isolation, less access 
to jobs and education and challenges in 
accessing welfare benefits.

Assura plc  Annual Report and Accounts 2021

45

Strategic reportGovernanceFinancial statementsAdditional informationOUR IMPACT
CONTINUED

OUR SUPPLIERS 

£92m

paid to our suppliers and contractors

£21m

Total Tax Contribution – £7.0m borne 
(payroll and stamp taxes) and £13.0m 
collected (PID withholding tax and net VAT)

How we engage
We’ve continued to keep in close contact 
with our supplier network through our 
relationships across the business, with key 
maintenance service relationships now 
coordinated by our facilities manager and 
property asset assistants. The Executive 
Committee invites suppliers to meetings 
from time to time to hear about the latest 
trends in the sector. We require that all 
suppliers are Safe Contractor verified, 
whether for a large repair or for small 
routine maintenance on a building – 
ensuring the suitability of health and safety 
procedures and insurance in relation to the 
work they are set to complete. We also 
require all of our suppliers to adhere to our 
Modern Slavery and Anti-Bribery and 
Corruption Policies, both of which are 
available to view on our website. We also 
communicate our Quality and 
Environmental policies (as part of our 
procedures in relation to our ISO 9001 and 
ISO 14001 accreditation) to suppliers as well 
as making clear our policies in respect of 
whistleblowing and the prevention of tax 
evasion. 

Why these methods are effective
Dialogue with our regular suppliers allows 
us to understand emerging issues and 
challenges, and to respond accordingly. 

Achievements for 2021 and priorities 
for 2022
With the acquisition of Apollo, we have 
again widened our pool of relationships 
with professionals working on our 
expanding development pipeline. We have 
made headway on work to improve our 
processes for tracking and auditing 
compliance by our suppliers, and launched 
work to map the potential social value 
which can be created by our supplier 
network to support our SixBySix pledges; 
conversations have already begun on 
potential ideas and opportunities with 
some of our major suppliers. In the 21–22 
year we plan to pilot a quarterly ezine for 
our suppliers to increase our engagement 
with them on growing the social impact we 
can have together.

Getting the work done with minimal 
disruption
Our suppliers are often completing essential 
maintenance, refurbishments, major 
reconfigurations and construction work for 
our buildings alongside the busy day-to-day 
of primary care continues at pace. We work 
with our customers and suppliers to plan 
jobs carefully, minimising disruption for 
patients and staff. During the year we 
helped our development contractors and 
other suppliers by accelerating payment 
dates to help with cash flow during the 
pandemic, and prompt payment of 
suppliers is a value that will feed into the 
Supply Chain Framework work under 
SixBySix.

We are delighted with the progress 
on site to date. It’s not an easy 
development, which involves the 
refurbishment of a building of 
significant local interest together 
with a large contemporary extension. 
It is located in a very busy town 
centre with limited working area and 
Conamar have created absolutely 
minimal disruption.”
Dolphin House Surgery, Ware
on the work of our contractor to create their new primary 
care building to serve more than 14,500 local people. 

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Assura plc  Annual Report and Accounts 2021

Strategic report

Governance

40apprenticeship  

weeks delivered  
by our development  
at Cinderford 

Assura plc  Annual Report and Accounts 2021

47

Financial statementsAdditional informationOUR IMPACT
CONTINUED

84%of team members took 

part in our first diversity 
and inclusion survey

Employee gender diversity 

Board of Directors
Senior management 
(excluding executives)
Employees
Total no. of employees 
(including NEDs)

Female
3

Male
3

3
37

43

4
31

38

48

Assura plc  Annual Report and Accounts 2021

OUR PEOPLE 

15% 

of employees are living with a health 
problem or disability

80% 

of men in our business have kept mental 
health symptoms to themselves, compared 
to 42% of women

My mentee is going through a huge 
life change at the moment and her 
courage and resilience to deal with 
that in both her personal and 
professional life has me looking at 
some things in my own life very 
differently. It’s also great to hear how 
the business she works for is 
supporting her in the ways which are 
right for her – it’s helping me look at 
my emotional intelligence as a 
manager and how I need to think 
about the individual every time.”
Assura mentor
Mission INCLUDE

How we engage
Our annual team survey and adhoc polls, 
our team representatives group, weekly 
virtual team town hall meetings, a monthly 
team ezine, departmental team meetings, 
virtual social events and team away days, 
virtual health and wellbeing sessions, 
coaching and training and individual 
wellbeing calls during lockdown have all 
been important routes for our engagement 
with our team this year. The Board has 
joined a number of our social events, 
recorded personal messages of 
encouragement to the team during some of 
the toughest parts of lockdown and our 
designated team NED, Louise Fowler, has 
held regular sessions with our team 
representatives group, The Voice, to 
feedback ideas and concerns. Our culture 
reflects the values of being genuine, 
innovation, collaboration, expertise and 
passion which were chosen by the team as 
the things they see as important at Assura; 
we engage to understand how our people 
are feeling about change and future plans, 
and to support them to embrace these. 

Why these methods are effective
We seek regular feedback from the team 
representatives group, the Voice, to ensure 
we are engaging in ways which work for 
our people, understand which methods are 
effective and which need reviewing. 

Achievements for 2021 and priorities 
for 2022
Growing engagement 
The team participated in a pulse employee 
opinion survey with Best Companies and 
responses indicated an increase in levels of 
employee engagement from ‘very good’ 
during 2019 to ‘outstanding’ during 2020. 
Areas of continued focus are team 
wellbeing and internal communication 
which we have kept in sharp focus 
throughout the year, creating as many 
opportunities as we can to keep a fully-
remote team connected and healthy with 
virtual mindfulness, yoga, HIT and fitness 
sessions open to all every week, a guest 
speaker session on resilience, team ‘away’ 
time and social events including an online 
‘Assura Big Day In’, a virtual Christmas party 
complete with yule log decorating and 
wine tasting, an afternoon tea with our 
NEDs and the ever-popular Friday quiz. 

Diversity and inclusion
This has been an important year for our 
work to create a more inclusive business: 
we carried out our first cross-team survey 
on diversity and inclusion, highlighting ways 
in which our team wants to see faster 

progress. As a result, in the coming year we 
will be focusing on further building a culture 
of gender equality and championing female 
representation in more senior roles, and to 
grow our understanding of and diversity of 
support for mental health challenges at work. 
This year also saw every executive committee 
member and a cross section of employees 
from the business joining the award-winning 
Mission INCLUDE mentoring programme as 
both mentors and mentees for peers in 
other businesses. We also joined the national 
Disability Confident employer scheme and 
were named one of joint top businesses in 
the European Women On Boards Gender 
Equality Index, placing eleventh in the 
Hampton-Alexander league table. 

Developing talent
Core to our long-term success as an 
organisation is the development of our 
current and future talent. We increased our 
team to 81 people during the year, offering 
further graduate internships to real estate 
students from Liverpool John Moores 
University and taking on three more 
apprentices in our finance, IT and HR teams. 
A number of internal promotions offered 
new opportunities to existing team 
members, and we built our learning and 
development offering with a particular 
focus on autonomy and empowerment in 
our manager’s group. We have listened to 
staff ideas and feedback on the need for 
flexibility to work around the pressures of 
home schooling, isolation and poor mental 
wellbeing during national lockdowns, 
offering alternative working patterns where 
needed, encouraging a ‘no internal 
meetings’ day once a week and 
implementing recommendations from our 
survey with the MIND Wellbeing Index. 

A brew and a bake with the  
#TeamAssura Board
Our usual dinner with the Board for the 
whole team couldn’t be held in person this 
year – so we ran a virtual afternoon tea with 
every member of the business and the full 
Board taking part. Boxes of scones, cake 
and tea were sent to everyone’s homes 
around the country and we joined together 
online for discussions on lockdown 
memories and our hopes for 2021. The 
format allowed every team member the 
chance to chat with our NEDs and the NEDs 
to get a deep sense of the team’s 
experiences of both personal and 
professional challenges during 2020. 

Assura plc  Annual Report and Accounts 2021

49

Strategic reportGovernanceFinancial statementsAdditional informationOUR IMPACT
CONTINUED

OUR INVESTORS AND LENDERS 

128 

investor meetings held during the year

67% 

of the share register seen

12 

equity analysts currently cover Assura 
(up from nine at March 2021)

We’ve focused on expanding the 
number of channels through  
which we are available for  
investors; conferences, virtual 
property tours, platforms such  
as InvestorMeetCompany and  
of course, video meetings."
David Purcell
Head of Investor Relations

How we engage
As detailed in the Governance section on 
page 81, the Board is committed to 
maintaining an appropriate level of 
communication with shareholders. The 
Executive Directors and Head of Investor 
Relations are available throughout the year 
for investor meetings, and work with 
advisors to give investors the opportunity 
to engage with management at a range of 
forums, the most important being the year 
end and interim results presentations, to 
which our lenders are also invited. Direct 
feedback is sought from investors from 
every meeting we hold during the year, 
through our shareholder engagement 
platform (Ingage) and we also signed up to 
Investor Meet Company, a platform that 
aims to give retail investors appropriate 
access to management to ask questions 
and provide feedback.

Relationships with our diverse pool of 
lenders are also maintained through regular 
interaction, primarily with the CFO, as well 
as our website and financial documents. 

Why these methods are effective
Regular dialogue with our investors and 
lenders allows us to respond to questions, 
seek feedback and test ideas with our 
financial stakeholders. 

Achievements for 2021 and priorities 
for 2022
This year saw us offer our first virtual site 
tour, giving investors the opportunity to 
hear from the CEO, CFO and team members 
working on some of our latest completed 
developments across the country. Fly-
through footage and interviews with 
primary care teams working in our new 
buildings for Cinderford in Gloucestershire 
and Netherfield in Nottinghamshire offered 
an insight into the bespoke design 
processes and social impact created 
through both new schemes and allowed us 
to highlight our next steps and priorities in 
these areas.

The launch of our Social Finance Framework 
and our first Social Bond gave us 
opportunities for greater engagement with 
our investors on our social impact plans and 
priorities. 

In 2022, our priorities are maintaining our 
extensive engagement activities – ensuring 
we continue to identify new potential 
investors, particularly through highlighting 
our positive social impact to ESG-focused 
investors and leveraging our relationships 
with the 12 equity analysts that currently 
cover Assura. We look forward to 
conducting physical meetings again, 
following the entire 2021 investor relations 
activity having been completed virtually, 
including plans for additional events giving 
further detailed information on our 
sustainability plans and a tour of one of our 
completed developments. 

Key materials and contact information
Our website (www.assuraplc.com) includes 
all regulatory announcements, financial 
results, news stories and additional 
background on our strategy and policies. 
The materials are supplemented by videos 
giving further information. 

Interaction with our shareholders and 
equity analysts is managed by our Head of 
Investor Relations. 

50

Assura plc  Annual Report and Accounts 2021

Strategic report

Governance

Activities in 2021 - 
all activities completed virtually

April
£185m equity raise

June
Morgan Stanley European 
Property Conference

September
 – Chairman meetings with 

larger shareholders
 – Virtual property tour
 – £300m Social Bond 

launched

 – Unsecured bond 

investor call

November
 – Interim results 
presentation

 – Results roadshow

February
Non-holder targeting 
roadshow

May
 – Year end results 
presentation

 – Results roadshow
 – RCF extended to 
November 2024
 – EPRA Corporate 

Access Day

July
 – Trading statement
 – AGM
 – North American 

focused roadshow

October
Trading statement

January
 – Trading statement
 – Barclays European 

Real Estate 
Conference
 – Private wealth 

manager focused 
roadshow

March
 – JP Morgan ESG 
Conference
 – Retail investor 

presentation via 
InvestorMeetCompany 
platform

 – Bank of America EMEA 
Real Estate Conference

Assura plc  Annual Report and Accounts 2021

51

Financial statementsAdditional informationOUR ENVIRONMENTAL  
IMPACT

We continue to advance our environmental progress, for the benefit of 
all stakeholders, with ambitious targets for both our existing portfolio and 
new developments, all as part of our vision for healthcare spaces that are 
good for the environment.

Our environmental strategy is fundamental 
to our whole offering:

 – Ensuring our developments meet the 

needs of our customers: the GPs, the NHS 
and the communities they serve;
 – Helping our customers reduce their 

energy bills; and

 – Driving value in our portfolio through 

sustainability linked asset enhancements 
giving us extended leases or increased 
rent.

But we also want to go a lot further. Our 
goal is to produce the first medical centre 
in the UK that is net zero carbon for both 
construction and operation, and then make 
that standard for all of our developments 
by 2026.

2021 key actions and progress
 – Newly appointed Head of Sustainability
 – All developments completed hit BREEAM 

targets of “Very Good" or better
 – EPC certifications finalised and 

improvements costed

 – Energy purchase contract retendered and 

now 100% renewably sourced

 – Updated green lease clauses to advance 

expectations of customers 

 – Net zero carbon development pilot 

projects identified.

2022 priorities
 – Delivering on site developments to 

achieve BREEAM targets

 – Advancing pilot net zero carbon 

development design and approval 
process, aiming to have pilot on site 
in 2022.

 – Rolling out plans to commence EPC 
improvement programme amongst 
existing portfolio

 – Advancing plans in respect of metering 
and customer energy usage reduction 
amongst existing portfolio

 – Developing plans to ensure compliance 

with TCFD from March 2022 (see page 55).

Minimising the environmental impact of 
our existing properties
As a landlord of a large portfolio, our ability 
to influence the energy consumed in our 
buildings is through improving the fabric of 
the buildings and specifically more efficient 
heating, lighting and ventilation systems for 
our customers. That is why we have created 
our SixBySix pledges targeting an 
improvement to the EPC ratings of the 
portfolio – aiming for all properties to have 
a rating of B by 2026. 

Our actions during the year have been to 
complete the current assessment of our 
portfolio and cost the plans for the 
improvements. Our initial assessment 
indicates we will need to spend £15–20 
million over the next five years to achieve 
our target and will aim for this spend to be 
linked to a lease regear or asset 
enhancement project. 

In respect of 47 properties (7.7% of 
portfolio), we purchase utilities on behalf of 
the customers which are recharged, usually 
through a service charge. In these buildings, 
energy consumption is at the discretion of 
the customer but we are generally in more 
frequent discussion with these customers. 
During the year, we have tendered our 
energy purchase contract and mandated 
that energy bought is 100% renewably 
sourced. 

One of our SixBySix pledges is to drive 
innovative energy solutions for customers 
through the use of appropriate technology. 
During the year we plan to launch a pilot 
scheme in the buildings for which we 
currently procure energy to gather detailed 
data on energy consumption and building 
utilisation with the aim of using this analysis 
to help our customers to use the building 
more efficiently and reduce utility bills. 

During the year, we completed four asset 
enhancement projects, all of which 
included an improvement in the energy 
performance of the building, generally 
through an upgrade of the lighting to LEDs. 
All of these 4 buildings are now at EPC B or 
better. All of our pipeline asset 
enhancement schemes include measures to 
improve sustainability at the same time as 
the capital works. 

Our standard leases include green lease 
clauses that allow us to request data on 
energy usage, to gain access to make 
energy performance improvements and to 
prevent customer works on our buildings 
that negatively impact the energy 
performance. We continue to review our 
standard lease clauses and whether further 
advancements would be appropriate for 
our customers. 

The following table shows the proportion of 
certificates in our portfolio in each EPC 
band, weighted by building area. 

EPC band
A/A+
B
C
D
E

% of certificates
6%
24%
49%
17%
4%

For the majority of our portfolio, customers 
purchase energy directly from the utility 
companies. For these properties, our 
portfolio management team meets 
regularly with the customers to understand 
their needs, concerns around energy usage 
and working with them to identify energy 
saving opportunities. 

Minimising the environmental impact of 
our developments
As a developer of buildings, we are focused 
on ensuring our new buildings are designed 
to be right at the cutting edge of 
sustainability within our sector, and we 
pride ourselves on innovating to advance 
our environmental performance. As 
mentioned above, our SixBySix pledge is to 
advance our developments to be net zero 
carbon for construction and operation and 
to measure the whole life carbon impact of 
the buildings we develop. We continue to 
measure our current developments by 
reference to BREEAM – read more about 
how we do this in our Sustainable 
Development section opposite.

During the year we completed 12 
developments which all hit our minimum 
EPC target of B, with six achieving an A. 

52

Assura plc  Annual Report and Accounts 2021

Sustainable development
The environmental impact of a new building 
is something that we consider from the 
initial design phase and maintain focus on 
throughout the project. We measure this 
against BREEAM for which we target a score 
of “Very Good” or “Excellent” on all our 
in-house developments.

BREEAM is a holistic methodology for 
assessing the environmental, social and 
economic sustainability performance of a 
building. It measures sustainability in a 
range of categories (such as energy, 
innovation, materials, pollution, waste and 
water), assessing factors such as carbon 
emissions reduction, design durability, 
adaptation to climate change and 
protection of ecology and biodiversity.

In practice, this means that we need to 
select the materials in the right way (BRE 
produces a Green Guide to Specification 
from which materials are chosen), we 
commission environmental and ecological 
reports from which the actions are 
incorporated into our plans, and we work 
with our customers to ensure that the 
energy systems installed are both 
environmentally friendly and cost effective. 
All of this needs to be completed to a high 
standard and is independently assessed. 

Of the 10 eligible developments completed 
during the year, seven achieved BREEAM 
ratings of Excellent and three achieved Very 
Good, although three are awaiting the final 
certification. All of the 16 currently on site 
developments are on track to achieve at 
least BREEAM Very Good with 85% on track 
for Excellent. 

Signatory of the World Building 
Council Net Zero Carbon 
Buildings Commitment

For 2021, in light of the pandemic, Scope 1 
and Scope 2 figures include an estimate of 
the energy consumed by employees for 
homeworking which we calculated in 
accordance with a whitepaper published 
by EcoAct (https://info.eco-act.com/en/
homeworking-emissions-whitepaper-2020). 

We consider the most appropriate intensity 
factor to be Mt CO2e per employee. During 
the year the intensity has reduced, mainly as 
a result of reduced business travel during 
the pandemic – in previous years business 
travel has represented over 75% of our 
greenhouse gas emissions. However, the 
reduced travel has been offset by estimated 
gas used by homeworkers – our usual office 
operations do not use gas normally, and 
hence the Scope 1 usage in kWh was nil in 
the prior year. 

100% of Scope 1 and 2 emissions relate to 
consumption in the UK and as we re-
evaluate how we work post-pandemic we 
are reviewing how we can reduce energy 
consumed by the team.

See the Sustainability and Corporate 
Governance policies section of our website 
for detailed energy disclosures in respect of 
our portfolio: www.assuraplc.com

2021

2020

Change

52.3
0.68
256,615

15.7
0.20
67,524

68.1
0.88
324,140
4,210

62.2
0.94
–

21.7
0.33
84,869

83.9
1.27
84,869
1,286

(16%)
(28%)
n/a

(27%)
(38%)
(20%)

(19%)
(30%)
282%
227%

Minimising the environmental impact of 
our employees
The greenhouse gas emission data below 
relates to the environmental impact of 
Assura employees – specifically electricity 
consumed at the head office and fuel usage 
from travelling to visit our properties. 
During the past year, our energy usage and 
working patterns have changed significantly 
and we would expect our travel to reduce 
in future years relative to pre-pandemic 
levels, with greater time spent working from 
home and more meetings hosted virtually 
where possible. 

Environmental policy and greenhouse 
gas emissions
We have in place an environmental policy 
(available in the Corporate Governance 
section of our website) which is reviewed 
on an annual basis by the Board. The policy 
sets out our commitment we make in 
addressing environmental risks in the work 
we carry out, working with suppliers and 
partners to promote environmentally 
friendly behaviours, and maintaining our ISO 
14001 Environmental Management System 
certification.

The table below shows the Scope 1 and 
Scope 2 emissions directly within the 
operational control of the Group. Scope 1 
relates to business vehicles and estimated 
gas used by homeworkers for heating, and 
Scope 2 relates to grid electricity 
consumed at the Company head office, 
both of which have been converted using 
government published conversion factors. 

Scope 1
Mt CO2e
Mt CO2e per employee
kWh
Scope 2
Mt CO2e
Mt CO2e per employee
kWh
Total (Scope 1 plus Scope 2)
Mt CO2e
Mt CO2e per employee
kWh
kWh per employee

Assura plc  Annual Report and Accounts 2021

53

Strategic reportGovernanceFinancial statementsAdditional informationOUR ENVIRONMENTAL IMPACT
CONTINUED

Case Study
Ware Primary Care Centre

In Hertfordshire, our sustainable design 
solution for the nearby, relocating GP 
practices involves the extension and 
refurbishment of Meade House, a building 
that was previously used as a police, fire 
and Citizens Advice hub. The badly needed 
additional space for the local Dolphin House 
Surgery and The Maltings practices will 
serve over 14,500 patients. The building is 
on track for BREEAM Very Good with plans 
for the site to include on site renewable 
energy (PV panels and air source heat 
pumps) and an efficient waste management 
plan designed for all waste to be either 
recycled or diverted from landfill. 

23% 

forecast reduction in carbon emissions at 
Ware through use of PV panels and air 
source heat pump

100%

of waste from Ware either recycled or 
diverted from landfill as part of sustainable 
development plan

54

Assura plc  Annual Report and Accounts 2021

Case Study
Health and  
Wellbeing Centre 
Bournville Village Trust

Our newly completed development at 
Bournville is on track to achieve a BREEAM 
rating of Excellent – with all measures 
designed to reduce costs for the customers 
and minimise the environmental impact on 
the surrounding area. The design 
incorporates eight electric car charging 
points for building users and the designs 
result in a 23% reduction in energy usage 
versus a notional medical centre. 

8

electric car charging points installed for 
new building users

100%

LED lighting used throughout building.

TASK FORCE ON CLIMATE-RELATED 
FINANCIAL DISCLOSURES

The Board recognises the significance of combatting climate change and the 
role that Assura must play in relation to the buildings owned and operations. 
This is reflected in the social impact strategy, SixBySix, incorporating plans to 
minimise our impact on the environment. 

Targets & Metrics 
In our first year of reporting under TCFD, we 
have identified the risks and opportunities 
that we consider material to our business 
and strategy. Over the coming year we will 
assess which specific targets and metrics 
we consider to be most relevant for our 
business in direct response to climate-
related risks and opportunities. 

We would expect this to include a specific, 
science-based target for reduction of our 
Scope 1 and Scope 2 emissions (disclosure 
of which can be found on page 53), and be 
closely aligned with our SixBySix targets 
which are already aimed at minimising our 
environmental impact. The SixBySix targets 
are incorporated into the Executive 
Remuneration targets as detailed on pages 
97 to 98. 

Below, we have set out for the first-time 
disclosures against the requirements of Task 
Force on Climate-related Financial 
Disclosures (“TCFD”).

Governance
The Board review climate-related risks and 
opportunities within our existing reporting 
and governance structure. This is typically 
within relevant update papers presented to 
the Board at each meeting from relevant 
members of the Executive Committee, and 
through Risk Committee reporting into the 
Audit Committee. 

At each Board meeting, the Board receive 
an update of progress against SixbySix, 
which includes pledges to minimise our 
environmental impact, and from the newly 
appointed Head of Sustainability. 

Overall responsibility for progress against 
environmental targets rests with the CEO, 
Jonathan Murphy. Efforts are led by the 
Head of Sustainability, who is a member of 
the Executive Committee, and the Social 
Impact Committee, which monitors 
progress against the specific SixBySix 
targets and regularly reports into the 
Executive Committee. 

Strategy
During the year we completed a review of 
the climate-related risks and opportunities, 
considering the short (< 1 year), medium (1–5 
years) and long-term (> 5 years) time 
horizons, and incorporating consideration 
of both transitional and physical climate 
risks. 

This initial review has been fed into the Risk 
Committee and an action plan for the 
course of 2021/22 has been agreed. 
Below we have included examples of the 
risks and opportunities that could have a 
material impact on the business.

In line with the requirement for full reporting 
against TCFD for the March 2022 annual 
report, we will conduct a review over the 
coming year of the resilience of our strategy 
taking into consideration different climate-
related scenarios.

Risk Management
Our assessment of climate-related risks 
follows the existing processes of the Risk 
Committee, as detailed on pages 56 to 61, 
including escalation to the Audit Committee 
as appropriate and decisions of assessing 
the size and materiality of each risk. The 
review highlighted in the Strategy section 
was reported into the Risk Committee in 
March. 

Examples of risks

Regulatory requirements for minimum energy efficiency.

Risks to buildings from climate-related events such as flooding and 
temperature rise affecting water supply temperature.

Example of opportunity

Enhanced reputation with GP occupiers and the NHS through 
better, more energy efficient buildings could lead to more 
development opportunities and higher rents.

Impact on business strategy  
and financial planning
Energy performance certificate for every building obtained and 
action plans created to improve where necessary. 

Financial impact would be through lost revenue or negative 
valuation movement were a building not able to be re-let. 

Individual building strategies incorporate risks for each property. 
Financial impact would be through additional insurance 
requirements or property maintenance required to meet water 
supply obligations.

Impact on business strategy  
and financial planning
We continue to ensure our buildings provide the latest technology 
and innovation for our customers. Being at the forefront will ensure 
our customers continue to demand our spaces. Financial impact 
would be through portfolio growth and increased rent roll. 

Assura plc  Annual Report and Accounts 2021

55

Strategic reportGovernanceFinancial statementsAdditional informationPRINCIPAL RISKS AND 
UNCERTAINTIES

Risk management is the responsibility of the Board, which sets the risk appetite and 
tolerances for the business, determines the nature and extent of the principal risks the 
Group is willing to take in achieving its strategic objectives and ensures that risk 
management and internal controls are embedded in the Group’s operations.

Risk appetite
The Group’s risk appetite is to target above 
market, risk adjusted returns in our chosen 
healthcare real estate assets, by developing 
assets ourselves (as opposed to purchasing 
only completed developments) and using 
debt to gear returns in line with our LTV 
policy. However, we seek to avoid, trap or 
heavily mitigate risks in all other areas of the 
business, including:

 – property event risk – by full insurance 

cover, full due diligence and committed 
funds for acquisitions

 – development risk – by only undertaking 
developments where there is already an 
agreement for lease in place with fixed 
price or capped price build contracts

 – control risk – by clear management 

controls and Board reporting

 – gearing risk – we maintain an appropriate 
range of lenders and debt maturities with 
variable rate debt being restricted to an 
appropriate level

 – political risk – which could limit future 

growth but does not affect the current 
business assets.

Our approach to risk management
The Risk Committee includes staff from all 
areas of the business; together with the 
CEO and CFO it met five times in the year, 
to review the risk register, identify emerging 
risks and conduct “deep dives” into 
individual risks to ensure that sound 
assurance is in place. KPMG, the Group’s 
internal auditor attended all Risk Committee 
meetings in the year. 

The regular business of the meetings 
included: 

 – a brainstorm on emerging risks, 
 – an IT update with a particular focus on 

increased cyber risk facing staff working 
from home (addressed through increased 
IT penetration testing and cyber 
awareness training), extra capacity 
requirements for remote working 
(including server access, extra portable 
hardware and increased system 
functionality) and our reliance on an 
external IT provider with increased 
demand from its customers (no issues 
arose), 

 – health and safety compliance (including 

on asbestos and legionella),

 – a review of potential occupier defaults 

where there is a possibility of GPs revoking 
their GMS contract or where GPs on the 
lease are no longer practising (there have 
been no GP occupier defaults in the year) 
or where non-GP occupiers are facing 
financial difficulties (a small number of rent 
deferment plans have been agreed) 

 – an update on complaints (none). 

Internal audit in the year focused on 
developments, financial close and 
reporting, IT general controls and internal 
audit follow up and further detail on their 
findings is set out in the Audit Committee 
report on page 85.

The Risk Committee provides copies of the 
Risk Committee Minutes to the Audit 
Committee and twice yearly provides a 
detailed report on its activity to the Audit 
Committee. The Audit Committee regularly 
monitors risk management and internal 
control systems and reports to the Board. 
The Board has carried out a robust 
assessment of the principal risks facing the 
business. These are the risks which would 
threaten its business model, future 
performance, solvency or liquidity and are 
summarised on pages 58 to 61.

The Board has also considered which of the 
Group’s strategic objectives may be 
affected by these risks and its findings are 
set out in the table on pages 22 to 25.

Brexit, Climate and Cyber
As during the previous financial year, the 
Risk Committee, the Audit Committee and 
the Board considered the impact of Brexit 
on the business and again concluded, on 
the basis that the Group is a wholly 
UK-based operation with no reliance on 
exports and limited reliance on imports for 
building products, that Brexit did not, in 
itself, constitute a significant risk to the 
business. The review again examined a 
number of potential areas where business 
operations could be impacted, including 
property valuations, interest rates and the 
supply chain, with the conclusion being that 
the impact from the specific risk factor was 
not material.

Cyber security was also kept under close 
review recognising the heightened risk of 
cyber-attacks on staff working remotely. 
Penetration testing and cyber awareness 
training were increased in the year, firewalls 
were upgraded, and the Group signed up 
to its second year of a managed assurance 
service to cover email phishing, external 
vulnerability scanning, online security 
awareness training and cyber health 

check-up. The Group is close to achieving 
Cyber Essentials Plus Certification which it 
hopes to secure in the Autumn following an 
upgrade to its finance system. Given this 
increased protection it was considered that 
an appropriate level of risk mitigation was in 
place. All significant recommendations from 
the previous year’s internal audit report on 
the cyber security report were 
implemented in the year. 

Climate risks were considered in relation to 
the EPC ratings of existing properties 
(specifically the requirement for a minimum 
EPC of B for all properties being let by 2030. 
EPC surveys were commissioned for 288 
properties which did not have a rating and 
further details of the Company’s activities to 
identify and improve these ratings are set 
out on page 52. Climate risk is not currently 
consider a principal risk of the Group, but this 
will be kept under review. In addition, our 
TCFD disclosures can be found on page 55.

While staff have been working remotely, the 
culture of working collaboratively, freedom 
to raise concerns and all departments being 
represented on the risk committee means, 
risks are quickly and easily identified.

COVID-19
Emerging risks were considered by the 
Committee with many of these centred 
around the effects of COVID-19, including:

 – changing working practices and building 
requirements for healthcare providers 
including for the vaccination programme, 
 – ongoing pressures faced by staff and real 
and perceived risks in returning to the 
workplace, 

 – financial pressures on pharmacy occupiers 
and other occupiers impacted by reduced 
footfall, 

 – financial pressures facing suppliers and 

contractors, 

 – delays to planning approvals and 

approvals of new leases due to staff 
shortages in the planning departments 
and district valuers offices.

The business departments reviewed the 
COVID-19 risk register and updated it for 
lessons learnt. The register is kept under 
constant review. 

The Board held four extra Board meetings 
in the year with the specific aim of keeping 
abreast of the impact of COVID-19 on the 
business, particularly on staff and their 
wellbeing. You can read more about our 
response to the pandemic on page 13.

56

Assura plc  Annual Report and Accounts 2021

RISK MANAGEMENT FRAMEWORK

The Board has established a clear risk management framework that defines responsibilities for 
risk management across the Group. The framework provides an effective process for the 
identification, assessment, monitoring, and reporting of risk, with a strategic top-down approach 
to risk management and a bottom-up operational management of risk by the business. This 
framework is regularly reviewed by the Board to ensure its effectiveness and has been in place 
for the financial year ended 31 March 2021 and to the date of approval of this report.

Top-down  
Strategic Risk Management

BOARD AND AUDIT COMMITTEE

Sets strategic objectives and the Group’s risk 
appetite to optimise delivery of Group 
strategy, whilst reviewing external 
environment to assess emerging risk.

Oversees management of risk management 
and internal control systems and assesses 
their effectiveness.
Reports principal risks.

EXECUTIVE COMMITTEE

Executes the Group’s strategy and the 
day-to-day management of the business, 
considering the risk appetite and the impact 
of key business risks.

Monitors key risk indicators.

Ensures risk management strategies are in 
place to manage risk in line with the Board’s 
expectations.

Considers completeness of risk register and 
adequacy of mitigation.

RISK COMMITTEE

Reviews adequacy of risk register and risk 
mitigation by reference to the Group’s risk 
appetite.

Considers and evaluates emerging risks and 
their impact on strategy.

Identifies, evaluates, prioritises, mitigates 
and monitors operational risks including 
emerging risks and records them in the risk 
register. Carries out deep dives to review 
the effective management of risks.

Reports to the Executive Committee and the 
Audit Committee on principal and emerging 
risks and movement in these risks.

BUSINESS UNITS AND ALL EMPLOYEES

Ensures that risk is assessed and managed 
effectively in their areas, through  
engagement with the business, and by 
establishing processes to identify, manage 
and escalate changing or emerging risks.

Responsible for identifying risks in 
performing their daily duties and acting to 
limit the likelihood and impact of these risks 
in line with expectations. Reports these risks 
or changes in them to the Risk Committee or 
its members. 

Bottom-up
Operational Risk Management

Assura plc  Annual Report and Accounts 2021

57

Strategic reportGovernanceFinancial statementsAdditional informationPRINCIPAL RISKS AND UNCERTAINTIES 
CONTINUED

h
g
H

i

i

m
u
d
e
M

1

7

6

5

2

3

10

4

11

8

9

t
c
a
p
m

I

w
o
L

Likelihood
Unlikely

Risk heat map
The gross risk exposure of the Company’s 
principal risks are shown in the heat map 
which plots likelihood of a risk occurring 
against potential impact if it does, before 
likelihood is reduced due to mitigation in 
place. 

Movements in principal risks
The Board has carried out a robust 
assessment of the principal risks facing the 
business. These are the risks which would 
threaten its business model, future 
performance, solvency or liquidity.

The gross risk exposure of the principal 
risks is unchanged from last year. 

Possible

Likely

The gross risk (prior to any mitigation) and 
net risk (post mitigation) exposure of each 
risk is set out in the table opposite which 
does not list such risks in order of priority or 
concern. 

The Board considers that the top risks the 
business faces are those with a net risk 
rating of medium and above, being, change 
in government policy, competitor threat, 
reduction in investor demand and lack of 
rental growth.

1  Changes to Government policy

2  Competitor threat

3  Reduction in investor demand

4  Failure to communicate

5  Reduction in availability of finance

6   Failure to maintain capital 
structure and gearing

7  Building obsolescence

8  Development overspend

9  Staff dependency

10  Lack of rental growth

11  Occupier default

58

Assura plc  Annual Report and Accounts 2021

2    Competitor threat

Risk
Increased competition from new 
purchasers could lead to a reduction in 
our ability to acquire new properties 
and a general increase in prices across 
the sector.

3    Reduction in  

investor demand

Risk
Reduced investor demand for UK 
primary care property could lead to a 
falling share price and difficulty raising 
equity to fund our strategic plans.

This could arise from:

–  Changes in NHS policy
–  Health of the UK economy
–  Availability of finance
–   Relative attractiveness of other 

asset classes.

4    Failure to communicate 

strategy

Risk
Failure to adequately communicate the 
Company’s strategy and explain 
performance may result in an 
increased disconnect between 
investors’ perceptions of value and 
actual performance.

Avoid
We maintain our specialist knowledge, 
team structure and strong brand 
recognition with GPs, and focus 
heavily on customer care.

Avoid
We are open in communicating our 
strategy to investors and maintain an 
LTV range which is acceptable to the 
market.

Avoid
Strategic priorities are clearly 
articulated in corporate 
communications and the Group’s 
performance is transparently reported.

Trap
The overall economy and its impact on 
the Group’s operations are regularly 
assessed and considered in reviewing 
the Group’s strategy.

The Board receives regular reports on 
investor relations and the development 
of our share register.

Mitigate
The dividend yield and the underlying 
strength of the cash flows supporting 
it remain attractive relative to other 
asset classes.

Comment
The fundamentals for our sector 
remain very strong and the longevity 
and security of our cash flows have 
continued to generate strong investor 
demand for our shares in the past year.

We communicate regularly with 
investors and analysts.

Trap
The Board receives regular reports on 
investor attitudes and the market.

The Group maintains close links with 
its two brokers, which communicate 
investor thoughts and concerns.

Mitigate
Investor communication, particularly 
through face-to-face meetings, 
remains a key priority.

Comment
128 meetings have been held during 
the year.

STRATEGIC RISKS

1    Changes to  

Government policy

Risk
Reduced funding for primary care 
premises’ expenditure could lead to a 
reduction in our development pipeline 
and growth prospects. A change to 
the reimbursement mechanism for GPs 
could lead to a change in the risk 
profile of our underlying occupiers.

Avoid
The Group proactively engages with 
the Government over policy that could 
impact the business, both directly and 
through the Healthcare Committee of 
the British Property Federation.

Trap
The Board monitors changes in 
government policy and management 
reports to the Board at every meeting.

Trap
The Board receives regular property 
reports, highlighting where we have 
lost to competitors and when new 
entrants are identified. The market is 
increasingly competitive, and every 
proposed transaction is reviewed by 
our Investment Committee to ensure 
that the prospective returns are 
adequate.

Mitigate
Active engagement with Government, 
where appropriate.

Mitigate
Continuing use of our specialist 
expertise.

Comment
There continues to be significant 
progression of support for sustainable 
healthcare infrastructure. The current 
pandemic has highlighted the need for 
delivery of appropriate health services 
in a community setting, in quality, 
fit-for-purpose premises. Proposed 
revisions to the NHS premises costs 
directions shows no material change 
to the system of GPs rent 
reimbursement.

Comment
A further significant increase in asset 
prices increases the risk of these 
returns not achieving our required level 
and our rate of acquisitions slowing 
significantly. However, we have made 
substantial additions to our portfolio 
during the year and we have 
strengthened our development 
pipeline and team through the 
acquisition of Apollo.

While sector specialists and other low 
risk income-focused funds continue to 
drive competition and pricing in the 
sector, our investment team maintains 
a pipeline of suitable investment 
opportunities. 

Gross risk rating

M

Net risk rating
M

Risk owner 
CEO and Head of Public Affairs

Gross risk rating

Gross risk rating

Gross risk rating

M

Net risk rating
M

Risk owner 
Executive Board

M

Net risk rating
M

Risk owner 
CEO and CFO

L

Net risk rating
L

Risk owner 
CEO and CFO

Risk key
Low 
L  

Medium 
M  

High 
H  

Decreasing 

No change 

Increasing 

New
N

Assura plc  Annual Report and Accounts 2021

59

Strategic reportGovernanceFinancial statementsAdditional information 
 
 
 
 
 
 
 
 
 
 
PRINCIPAL RISKS AND UNCERTAINTIES 
CONTINUED

STRATEGIC RISKS

5    Reduction in availability 
and/or increase in cost 
of finance

Risk
A reduction in available financing could 
adversely affect the Group’s ability to 
source new funding and refinance 
existing facilities. 

This could delay or prevent the 
development of new premises.

Increasing financing costs could 
increase the overall cost of debt to the 
Group and so reduce underlying profits.

Avoid
The Group has a number of long-term 
facilities which reduce these 
refinancing risks, choosing to take fixed 
interest rates where possible.

6    Failure to maintain capital 
structure and gearing

7    Building obsolescence 

Risk
Property valuations are inherently 
uncertain and subject to significant 
judgement.

A fall in property values or income 
could adversely affect bank covenants.

Breach of covenants could lead to 
forced asset disposals which could 
reduce the Group’s net assets and 
profitability.

Avoid
Valuations and yields are regularly 
benchmarked against comparable 
portfolios.

All financial forecasting, including for 
new acquisitions, considers gearing 
and covenant headroom.

Risk
The shift in service delivery towards 
more digital consultations could 
reduce overall demand for medical 
centre buildings and could increase the 
risk of our buildings being no longer fit 
for purpose if we fail to implement 
latest standards and guidance or equip 
them for remote consultations. 

Avoid
We work closely with our GPs to keep 
our buildings up to current standards 
and provide adaptable solutions for 
healthcare access. We are working 
through our partnerships to get a 
better understanding of the digital 
healthcare landscape, get their 
(customer) feedback on who is good in 
those different customer segments and 
understand impact. We can through 
these develop our response (which 
could take many forms). 

Trap
The Group regularly monitors and 
manages its refinancing profile and 
cash requirements.

Trap
The Group engages two external 
valuers to review property valuations.

Trap
We carefully monitor the latest 
standards and digital solutions.

The valuations are formally reviewed by 
the Board twice a year.

Covenant headroom and gearing are 
regularly monitored with reference to 
possible valuation movements and 
future expenditure.

The Board regularly reviews the capital 
structure of the Group.

Mitigate
The Group actively engages with a 
range of funders to ensure a breadth of 
funder and maturity profiles.

Mitigate
It is possible to dispose of properties 
to preserve covenants as the majority 
of facilities are unsecured.

We continue to explore financing 
options with other lenders as well as 
maintaining strong relationships with 
existing lenders.

Comment
Current market conditions due to 
COVID-19 have meant that capital 
markets are more volatile. However, we 
maintain our strong cash flows and A- 
rating from Fitch Ratings Ltd and in 
September 2020 our oversubscribed 
Social Bond raised £300 million at a 
coupon of 1.5% allowing us to reduce 
our RCF facility and repay our 4.75% 
£110 million secured bond. As at the 
year end net debt stood at £908 million 
with undrawn facilities of £225 million 
and cash of £46.6 million.

Comment
LTV is currently at 37% and this 
provides covenant headroom. The 
Group has recently disposed of 29 
assets which were considered to have 
lower growth prospects.

COVID-19 has presented challenges in 
the ability to value properties at current 
market prices in certain sectors.

We have completed a number of 
transactions post year end, both 
acquisitions and disposals, at values in 
line with our current yields.

Mitigate
We seek to future proof our new 
developments for digital readiness, for 
example through provision of remote 
consultation rooms where clinicians 
can contact patients remotely in a 
confidential manner. We are also 
mitigating through a structured 
approach to understanding the market 
and developing our strategic response 
to digital health. 

Comment
Our surgery of the future concept 
embraces digital health solutions which 
we consider on each new 
development. We adapted many GP 
premises for COVID-safe working 
during the pandemic. We see digital 
health as an opportunity for our 
business and there will be 
opportunities to work with our partners 
on digital first projects in FY21/22 to 
create some innovative virtual and 
physical solutions.

Gross risk rating

M

Net risk rating
L

Risk owner 
CFO

Gross risk rating

M

Net risk rating
L

Risk owner 
CFO

60

Assura plc  Annual Report and Accounts 2021

Gross risk rating
N  

M

Net risk rating
N  
L
Risk owner 
Head of Property

 
 
 
 
OPERATIONAL RISKS

8    Development  
overspend

9    Staff dependency

10    Lack of rental  

growth

11    Occupier  
default

Risk
Development risk could adversely 
impact the performance of the Group 
as a result of cost overruns and delays 
on new projects.

Risk
Failure to recruit, develop and retain 
staff and Directors with the right skills 
and experience may result in 
underperformance.

Risk
Not all rent reviews are upwards only 
and challenges to reviews and appeals 
could lead to lack of rental growth.

Risk
Loss of income could arise from failing 
practices handing back GP contracts and 
losing the right to rent reimbursement or 
from financial pressures on pharmacy and 
other occupiers putting pressure on their 
business and becoming unable to meet 
their financial obligations under the lease.

Avoid
The strategic importance of a practice 
to its location is a key investment 
decision.

Avoid
The Group engages experienced third 
parties to conduct rent reviews.

Avoid
The Group has strengthened its 
development pipeline and team with 
the acquisition of Apollo.

The Group’s policy is to engage in 
developments that are substantially 
pre-let with fixed price or capped 
price build contracts.

Trap
A high level of due diligence is 
undertaken before works commence 
and detailed designs are negotiated to 
prevent variations.

Regular reviews are conducted of 
latest cost estimates as each project 
progresses.

Mitigate
We remain confident in our ability to 
manage this risk through our 
experienced team of development 
surveyors and reduce the potential risk 
through the use of fixed price contracts 
and the use of performance bonds.

A performance bond insures against 
the risk of the main contractor 
becoming insolvent.

Comment
The potential impact of this increased 
slightly during the year as the number 
of developments gathered momentum 
and COVID-19 led to some delays on site.

Our future development programme is 
more geared towards in-house 
development (as opposed to forward 
funding commitments) so increased 
scrutiny on contract conditions and 
pre-contract due diligence is required 
in conjunction with our legal advisors.

The successful integration of the 
experienced GPI and Apollo team 
strengthens our development team 
and our ability to manage risk on 
development projects.

Avoid
Competitive salary and benefit 
packages are aligned with appropriate 
peer groups and periodically 
benchmarked.

Professional development and training 
are encouraged and costs are met by 
the Group.

Succession plans are in place for each 
department.

Long-term incentive plans span 
three-year periods to encourage 
retention of staff.

Trap
Succession planning, team structure 
and skill sets are regularly evaluated 
and planned.

The appraisal process acts as a 
two-way discussion forum to identify 
employee aspirations and any 
dissatisfaction.

Any employee resignations are 
reported at each Board meeting.

Mitigate
Continuing use of our specialist 
expertise.

Comment
The average number of employees in 
the year was 77 (2019: 66).

Seven members of staff are currently 
working towards professional 
qualifications.

We successfully recruited several 
qualified members of staff in the year. 
See pages 48 and 49 for details of 
improvements to employee 
engagement in the year including the 
work of the designated workforce 
Non-Executive Director and activities 
to promote staff wellbeing during 
lockdown.

Gross risk rating

M

Net risk rating
L

Risk owner 
Head of Property

Gross risk rating

Gross risk rating

L

Net risk rating
L

Risk owner 
Head of HR

M

Net risk rating
M

Risk owner 
Head of Property

Trap
Leases are carefully reviewed on 
acquisition and the Group does not 
acquire any new leases with an 
occupier right to trigger a downward 
rent review.

Trap
We are in regular contact with GPs to 
ensure there are no financial issues and 
carefully monitor the financial health of 
non GP occupiers, including 
pharmacies.

Mitigate
The Group targets Retail Price Index 
(“RPI”) reviews for new leases but if this 
is unachievable then open market 
upwards only reviews or open market 
landlord trigger only reviews are 
accepted.

Comment
The commission-driven agreements 
with its two designated rent review 
agents and internal improvements to 
the rent review process with better 
data capture and analysis continues to 
drive rental growth, although there 
have been some delays to rent review 
approvals as a result of staff shortages 
in DV departments.

Mitigate
We liaise with GPs and NHS 
commissioning bodies to ensure 
continuing provision of services from 
that practice. GPs remain personally 
liable as named individuals under the 
lease. We review financial information 
provided by the NHS on our occupiers 
and as part of the acquisition due 
diligence.

Comment
Approximately 30% of leases have 
fixed uplifts or are linked to RPI.

Less than 5% of leases have occupier 
ability to trigger a downward rent review.

There are very limited cases of GPs 
handing back medical contracts and 
we are in active discussion with the 
occupiers and NHS commissioning 
bodies in these cases.

Rent reimbursement for GP occupiers 
has not been threatened by COVID-19. 
We have agreed a small number of 
payment plans for certain non-GP 
occupiers. We continue to monitor 
the situation and manage our 
debtors carefully. 
Gross risk rating

L

Net risk rating
L

Risk owner 
Head of Property

Assura plc  Annual Report and Accounts 2021

61

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CFO REVIEW

Highlights for the year:

£2.45bn 

Current portfolio

11.9 years 

WAULT

£1.57bn 

Total contracted rental income

37% 

LTV

2.47% 

Weighted average interest rate on debt

We are delighted 
to report another 
strong year of 
growth, despite 
the pandemic.” 
Jayne Cottam
CFO

Development pipeline:
March 2020

£81m

on site cost of  
15 schemes

£77m

  12

schemes  
completed

  13

immediate pipeline cost of 
18 schemes

schemes  
moved on site

March 2021

£72m

on site cost of  
16 schemes

£111m

immediate pipeline cost of 
17 schemes

62

Assura plc  Annual Report and Accounts 2021

 
 
 
 
We are delighted to have received 
continued, strong support from our debt 
and equity holders during the year; raising 
£185 million of equity in April 2020, 
extending our RCF to November 2024 and 
successfully launching our debut £300 
million Social Bond in September 2020.

Our deployment of these proceeds has 
been ahead of our initial expectations, with 
strong acquisition and development 
activity. 

Whilst our asset enhancement activity has 
been a little slower than initially intended 
due to the NHS rightly concentrating on 
their heroic pandemic response and 
vaccine roll out, we continue to report 
positive performance on lease regears and 
rent reviews. 

Alternative Performance Measures 
(“APMs”)
The financial performance for the period is 
reported including a number of APMs 
(financial measures not defined under IFRS). 
We believe that including these alongside 
IFRS measures provides additional 
information to help understand the financial 
performance for the period, in particular in 
respect of EPRA performance measures 
which are designed to aid comparability 
across real estate companies. Explanations 
to define why the APM is used and 
calculations of the measures, with 
reconciliations back to reported IFRS 
measured normally in the Glossary, are 
included where possible. 

In particular, in the current period we have 
disclosed an adjusted EPRA earnings 
measure. This has been introduced to 
exclude the one-off impact of the £2.5 
million contribution to the Assura 
Community Fund in the period, so as to 
ensure readers of the accounts can 
continue to understand the underlying, 
recurring earnings of the property rental 
business. 

Portfolio as at 31 March 2021 £2,453.3 
million (2020: £2,139.0 million)
Our business is based on our investment 
portfolio of 609 properties (2020: 576).

This has a passing rent roll of £121.7 million 
(2020: £108.9 million), 84% of which is 
underpinned by the NHS. The WAULT is 11.9 
years and we have a total contracted rent 
roll of £1.57 billion (2020: £1.43 billion).

At 31 March 2021 our portfolio of completed 
investment properties was valued at a total 
of £2,414.7 million, including investment 
properties held for sale of £14.3 million 
(2020: £2,093.6 million and £20.3 million), 
which produced a net initial yield (“NIY”) of 
4.58% (2020: 4.68%). Taking account of 
potential lettings of unoccupied space and 
any uplift to current market rents on review, 
our valuers assess the net equivalent yield 
to be 4.81% (2020: 4.94%). Adjusting this 

Royal Institution of Chartered Surveyors 
(“RICS”) standard measure to reflect the 
advanced payment of rents, the true 
equivalent yield is 4.83% (2020: 4.96%).

These additions were at a combined total 
cost of £298.6 million with a combined 
passing rent of £13.3 million (yield on cost of 
4.4%) and a WAULT of 18.8 years.

Our EPRA NIY, based on our passing rent roll 
and latest annual direct property costs, was 
4.55% (2020: 4.69%).

Net rental income
Valuation
movement
Total Property 
Return

2021
£m
112.0

41.6

2020
£m
103.7

9.7

153.6

113.4

Expressed as a percentage of opening 
investment property plus additions, Total 
Property Return for the year was 6.3% 
(2020: 5.3%). This can be split as 4.6% from 
net rental income (2020: 4.9%) and 1.7% 
from valuation movement (2020: 0.4%).

Our annualised Total Return over the five 
years to 31 December 2020 as calculated by 
MSCI was 8.1% compared with the MSCI All 
Healthcare Benchmark of 8.2% over the 
same period.

The net valuation gain in the year of £41.6 
million reflects a 2.1% uplift on a like-for-like 
basis net of movements relating to 
properties acquired in the period. The 
valuation gain is split equally between our 
asset enhancement activities (due to both 
lease regears and rent review uplifts) and 
the 13 basis point movement in our 
equivalent yield.

The NIY on our assets continues to 
represent a substantial premium over both 
the 10-year and 15-year UK gilts which 
traded at 0.845% and 1.22% respectively at 
31 March 2021 (2020: 0.35% and 0.59% 
respectively).

Investment and development activity
We have invested significantly during the 
period, with this expenditure split between 
investments in completed properties, 
developments, forward funding projects, 
extensions and fit-out costs enabling vacant 
space to be let as follows:

Acquisition of completed 
medical centres
Developments/forward funding 
arrangements
Capitalised interest
Investment properties – no 
incremental lettable space
Total capital expenditure

2021
£m

228.9

56.9
1.9

4.6
292.3

We have completed 50 acquisitions and 12 
developments during the year. 

We continue to source properties that meet 
our investment criteria for future acquisition. 
The acquisition pipeline stands at £46 
million, being opportunities that are 
currently in solicitors’ hands and which we 
would hope to complete within three to six 
months, subject to satisfactory due 
diligence. 

During the year, we disposed of 29 
properties where we believed there was 
lower growth prospects than the rest of our 
portfolio, generating proceeds of £26.2 
million at a premium over book value of £0.9 
million. 

We continue to review our portfolio for any 
indication that properties no longer meet 
our investment criteria and as at the year 
end have £14.3 million of investment 
properties held for sale. 

Of the 15 developments that were on site at 
March 2020, 12 have completed in the year 
and the remainder are due to complete 
during the remainder of 2021. 

The development team has continued to 
have success in converting schemes from 
the pipeline to live schemes, with 13 
schemes moving on site during the year 
meaning that 16 are on site at March 2021.

Of the 16 developments on site at 31 March 
2021, nine are under forward funding 
agreements and seven are in-house 
developments. These have a combined 
development cost of £72 million of which 
we had spent £37 million as at the year end.

Our already strong in-house development 
capabilities have been further boosted by 
the acquisition of the pipeline and team of 
primary care development Apollo in 
February 2021. The acquisition added four 
experienced development surveyors to our 
team (which now stands at 11) and an initial 
£50 million to our immediate and extended 
pipelines. 

In addition to the 16 developments currently 
on site and including the addition of the 
Apollo figures, we have an immediate 
pipeline of 17 properties (estimated cost £111 
million, which we would hope to be on site 
within 12 months) and an extended pipeline 
of 37 properties (estimated cost £222 
million, appointed exclusive partner and 
awaiting NHS approval). 

We recorded a revaluation gain of £4.9 
million in respect of investment property 
under construction (2020: £1.3 million).

Assura plc  Annual Report and Accounts 2021

63

Strategic reportGovernanceFinancial statementsAdditional informationCFO REVIEW 
CONTINUED

Portfolio management
Our rent roll grew by £12.8 million during the 
year to £121.7 million. 

The growth came from acquisitions (£10.2 
million), development completions (£3.1 
million) and portfolio management activity 
including rent reviews (£1.1 million), offset by 
the rent relating to disposals (£1.6 million). 

During the year we successfully concluded 
320 rent reviews (2020: 296 reviews) to 
generate a weighted average annual rent 
increase of 1.5% (2020: 1.8%) on those 
properties, which is a figure that includes 74 
reviews we chose not to instigate in the 
year. These 320 reviews covered £36.6 
million or 34% of our rent roll at the start of 
the year and, on a like-for-like basis, the 
absolute increase of £1.5 million is a 4.2% 
increase on this rent. Our portfolio benefits 
from a 33% weighting in fixed, RPI and other 
uplifts which generated an average uplift of 
2.0% during the period. The majority of our 
portfolio is subject to open market reviews 
and these have generated an average uplift 
of 1.2% (2020: 1.2%) during the period.

Our total contracted rental income, which is 
a function of current rent roll and unexpired 
lease term on the existing portfolio and 
on-site developments, has increased from 
£1.43 billion at March 2020 to £1.57 billion at 
March 2021, despite the passage of time. 
We grow our total contracted rental 
income through additions to the portfolio 
and getting developments on site, but 
increasingly our focus has been extending 
the unexpired term on the leases on our 
existing portfolio (“re-gears”).

The team has had success in delivering 31 
re-gears in the period, covering £2.8 million 
of rent roll and adding 15.5 years to the 
WAULT for those particular leases (2020: 32 
re-gears, £2.9 million of rent). We also have 
terms agreed on a pipeline of 39 re-gears 
covering a further £5.0 million of rent roll 
and these are currently in legal hands. 

We have secured 15 new tenancies with an 
annual rent roll of £0.4 million and a pipeline 
in legal hands of six new tenancies (rent £0.3 
million). Our EPRA Vacancy Rate at March 
2021 is 1.3% (2020: 1.6%).

We completed four asset enhancement 
capital projects during the year (spend £1.2 
million) and are currently on site with a 
further four projects with a total capital 
spend of £2.7 million. In total we have a 
pipeline of 19 asset enhancement capital 
projects we hope to complete in the next 
two years. These have an estimated capital 
spend of £15 million, additional rent of £0.9 
million and improve the WAULT on those 
properties.

Live developments and forward funding arrangements

Beaconsfield
Brighton
Broadway
Calne
Hackbridge
Hemel Hempstead
Kelsall
Leeds
London Colney
Newcastle
Portsmouth
Preston
Stourport
Sutton
Timperley
Ware

Estimated 
completion date
Q1 22
Q1 23
Q3 21
Q2 22
Q3 21
Q1 22
Q4 21
Q3 21
Q3 21
Q3 21
Q1 22
Q3 21
Q4 21
Q1 22
Q2 21
Q2 21

Development 
costs
£6.2m
£4.7m
£3.6m
£3.7m
£1.6m
£5.1m
£2.9m
£3.0m
£4.0m
£3.8m
£4.8m
£12.9m
£5.6m
£3.2m
£2.1m
£5.3m

Costs to date
£4.0m
£1.9m
£3.5m
£0.3m
£0.2m
£2.8m
£0.7m
£1.5m
£2.8m
£1.6m
£1.8m
£6.3m
£2.7m
£1.4m
£0.2m
£4.9m

Size
1,668 sq.m
948 sq.m
1,027 sq.m
813 sq.m
565 sq.m
997 sq.m
700 sq.m
680 sq.m
680 sq.m
1,212 sq.m
968 sq.m
1,894 sq.m
1,950 sq.m
664 sq.m
424 sq.m
1,191 sq.m

Our current rent roll is £121.7 million and, on 
a proforma basis (i.e. assuming relevant 
figures are added to the rent roll as it 
stands), would increase to approximately 
£145 million once the acquisition pipeline 
and extended development pipeline are 
completed plus anticipated rent reviews 
and asset enhancements identified.

Financing
As we continue to grow through 
acquisitions and developments, we are 
delighted to have received support from 
both the debt and equity markets. 

In April 2020 we completed an equity 
placing for £185 million. 

In May 2020 we extended the term on our 
RCF to November 2024. In October 2020 
we took the option to reduce the facility 
from £300 million to £225 million. 

In September 2020 we successfully 
launched a £300 million, 10-year Social Bond 
which priced at a fixed interest rate of 1.5%. 
This was launched alongside our Social 
Finance Framework, which supports our 
SixBySix social impact strategy, and the 
proceeds are to be used for investment in 
eligible acquisitions, developments and 
refurbishment of publicly accessible primary 
care and community healthcare centres.

In October 2020 we repaid in full our sole 
remaining secured debt instrument, the 
£110 million 4.75% secured bond which was 
due to mature in December 2021. The early 
repayment cost of £6.4 million has been 
presented through the income statement as 
Capital and Non-EPRA. 

Administrative expenses
The Group analyses cost performance by 
reference to our EPRA Cost Ratios 
(including and excluding direct vacancy 
costs) which were 15.5% and 14.5% 
respectively (2020: 12.6% and 11.5%).

These ratios would reduce to 13.4% and 
12.3% respectively excluding the impact of 
the one-off contribution of £2.5 million to 
the Assura Community Fund which was 
announced as part of the equity raise in 
April 2020.

Making a further adjustment to exclude the 
direct and indirect costs of the 
development team, the EPRA Cost Ratio 
(including direct vacancy costs) for the year 
is 11.9% (2020: 11.1%). All direct development 
team costs are taken to the income 
statement as opposed to an element being 
capitalised within the cost of investment 
property under construction.

We also measure our operating efficiency 
as the ratio of administrative costs to the 
average gross investment property value. 
This ratio during the period equated to 
0.48% (2020: 0.48%) and administrative 
costs stood at £11.0 million (2020: £9.9 
million) excluding the £2.5 million 
contribution to the Assura Community 
Fund.

64

Assura plc  Annual Report and Accounts 2021

Financing statistics
Net debt (Note 22)
Weighted average 
debt maturity
Weighted average 
interest rate
% of debt at fixed/
capped rates
EBITDA to net 
interest cover
Net debt to EBITDA
LTV (Note 22)

2021

2020
£906.6m £828.6m

8.0 years

6.8 years

2.47%

3.03%

100%

3.9x
9.3x
37%

91%

3.6x
8.9x
38%

Our LTV ratio currently stands at 37% and 
will increase in the short term as we utilise 
cash to fund the pipeline of acquisitions, 
development and asset enhancement 
opportunities. Our LTV policy allows us to 
reach the range of 40% to 50% should the 
need arise.

At 31 March 2021, 100% of our facilities are at 
fixed interest rates, although this will 
change as we draw on the RCF which is at a 
variable rate. The weighted average debt 
maturity is 8.0 years.

As at 31 March 2021, we had undrawn 
facilities and cash totalling £271.6 million. 
Details of the outstanding facilities and their 
covenants are set out in Note 16.

Net finance costs presented through EPRA 
earnings in the year amounted to £25.2 
million (2020: £26.1 million), having increased 
due to our additional borrowings funding 
the growth in our portfolio.

Profit before tax
Profit before tax for the period was £108.3 
million (2020: £78.9 million). As can be seen 
below, adjusted EPRA earnings have 
increased compared with the prior year and 
we have also recorded an increased 
valuation gain following our positive asset 
enhancement activities and valuation yield 
movement. 

EPRA earnings

Net rental income
Administrative 
expenses
Net finance costs
Share-based 
payments and 
taxation
EPRA earnings
Add back one-off 
Assura Community 
Fund contribution
Adjusted EPRA 
earnings (exc. one-
off donation)

2021
£m
112.0

(13.5)
(25.2)

2020
£m
103.7

(9.9)
(26.1)

(0.5)
72.8

(0.2)
67.5

2.5

–

75.3

67.5

The movement in adjusted EPRA earnings 
(exc. one-off donation) can be summarised 
as follows:

The table below illustrates our cash flows 
over the period:

Year ended 31 March 2020
Net rental income
Administrative expenses
Net finance costs
Share-based payments
Year ended 31 March 2021

£m
67.5
8.3
(1.1)
1.0
(0.3)
75.4

Adjusted EPRA earnings has grown 11.5% to 
£75.4 million in the year to 31 March 2021 
reflecting the property acquisitions and 
developments completed as well as the 
impact of our asset management activity 
with rent reviews and new lettings. This has 
been offset by increases in administrative 
expenses and financing costs.

Earnings per share
The basic earnings per share (“EPS”) on 
profit for the period was 4.2 pence (2020: 
3.3 pence).

EPRA EPS, which excludes the net impact of 
valuation movements and gains on disposal, 
was 2.7 pence (2020: 2.8 pence). Excluding 
the £2.5 million Assura Community Fund 
contribution, adjusted EPRA EPS was 2.8 
pence (2020: 2.8 pence).

Based on calculations completed in 
accordance with IAS 33, share-based 
payment schemes are currently expected 
to be dilutive to EPS, with 1.6 million new 
shares expected to be issued. The dilution 
is not material as illustrated in the following 
table:

EPS measure (pence)
Profit for year
EPRA
Adjusted EPRA (exc. 
one-off donation)

Basic
4.2
2.7

2.8

Diluted
4.2
2.7

2.8

Dividends
Total dividends settled in the year to 31 
March 2021 were £73.6 million or 2.82 pence 
per share (2020: 2.76 pence per share). £11.7 
million of this was satisfied through the 
issuance of shares via scrip.

As a REIT with requirement to distribute 
90% of taxable profits (Property Income 
Distribution, “PID”), the Group expects to 
pay out as dividends at least 90% of 
recurring cash profits. Two of the four 
dividends paid during the year were normal 
dividends (non-PID), as a result of brought 
forward tax losses and available capital 
allowances. The April 2020 and October 
2020 dividends were paid as a PID and 
future dividends will be a mix of PID and 
normal dividends as required.

Opening cash
Net cash flow from 
operations
Dividends paid
Investment:
Property and other 
acquisitions
Development 
expenditure
Sale of properties
Financing:
Net proceeds from 
equity issuance
Net borrowing 
movement
Closing cash

2021
£m
18.5

77.4
(61.9)

2020
£m
18.3

66.3
(56.6)

(236.8)

(132.6)

(56.9)
26.2

(53.7)
20.1

181.7

98.4
46.6

–

156.7
18.5

Net cash flow from operations differs from 
EPRA earnings due to movements in 
working capital balances, but remains the 
cash earned that is used to support 
dividends paid. 

The investment activity in the period has 
been funded by the proceeds from the 
April 2020 equity raise and the September 
2020 Social Bond issuance. 

Diluted EPRA NTA movement

Diluted EPRA NTA 
at 31 March 2020 
(Note 7)
EPRA earnings
Capital (revaluations 
and capital gains
Dividends
Equity issuance
Other 
Diluted EPRA NTA 
at 31 March 2021 
(Note 7)

Pence per 
share

£m

1,301.9
72.8

42.5
(73.6)
185.2
1.6

53.9
2.7

1.5
(2.8)
1.9
0.0

1,530.2

57.2

Our Total Accounting Return per share for 
the year ended 31 March 2021 is 11.4% of 
which 2.82 pence per share (5.2%) has been 
distributed to shareholders and 3.3 pence 
per share (6.2%) is the movement on 
EPRA NTA.

Jayne Cottam
CFO
17 May 2021

Assura plc  Annual Report and Accounts 2021

65

Strategic reportGovernanceFinancial statementsAdditional informationCFO REVIEW 
CONTINUED

EPRA performance measures
The calculations below are in accordance with the EPRA Best Practice Recommendations published October 2019. 

Summary table

EPRA EPS (p)
EPRA Cost Ratio (including direct vacancy costs) (%)
EPRA Cost Ratio (excluding direct vacancy costs) (%)

EPRA NRV (p)
EPRA NTA (p)
EPRA NDV (p)
EPRA NIY (%)
EPRA “topped-up” NIY (%)
EPRA Vacancy Rate (%)

2021
2.7
15.5
14.5

2021
63.2
57.2
56.0
4.55
4.56
1.3

2020
2.8
12.6
11.5

2020
59.6
53.9
52.6
4.69
4.73
1.6

EPRA EPS

2.7p

2020: 2.8p

EPRA NAV Metrics
EPRA NRV

63.2p

2020: 59.6p

EPRA NTA 

57.2p

2020: 53.9p

EPRA NDV 

56.0p

2020: 52.6p

Definition
Earnings from operational 
activities.

Definitions
EPRA Net Reinstatement Value assumes entities never sell assets and aims to represent the value 
required to rebuild the entity.

Purpose
A key measure of a 
company’s underlying 
operating results and an 
indication of the extent to 
which current dividend 
payments are supported 
by earnings.

The calculation of EPRA 
EPS and diluted EPRA EPS 
are shown in Note 6 to 
the accounts.

EPRA Net Tangible Assets assumes that entities never buy and sell assets thereby crystallising 
certain levels of unavoidable deferred tax.

EPRA Net Disposal Value represents the shareholders’ value under a disposal scenario, where 
deferred tax, financial instruments and certain other adjustments are calculated to the full extent 
of their liability, net of any resulting tax. 

Purpose
The EPRA NAV set of metrics make adjustments to the NAV per the IFRS financial statements to 
provide stakeholders with the most relevant information on the fair value of the assets and 
liabilities of a real estate investment company, under different scenarios.

The calculations of EPRA NRV, EPRA NTA and EPRA NDV are shown in Note 7 to the accounts.

66

Assura plc  Annual Report and Accounts 2021

EPRA NIY

4.55%

2020: 4.69%

EPRA “topped-up” NIY

4.56%

2020: 4.73%

EPRA Vacancy Rate

1.3%

2020: 1.6%

Definitions
EPRA NIY is annualised rental income based on the cash rents 
passing at the balance sheet date, less non-recoverable 
property operating expenses, divided by the market value of 
the property, increased with (estimated) purchasers’ costs.

EPRA “topped-up” NIY – this measure incorporates an 
adjustment to the EPRA NIY in respect of the expiration of 
rent-free periods (or other unexpired lease incentives such as 
discounted rent periods and step rents).

Purpose
A comparable measure for portfolio valuations, this measure 
should make it easier for investors to judge for themselves 
how the valuation compares with that of portfolios in other 
listed companies.

Investment property
Less developments
Completed investment property 
portfolio
Allowance for estimated purchasers’ 
costs
Gross up completed investment 
property – B
Annualised cash passing rental income
Annualised property outgoings
Annualised net rents – A
Notional rent expiration of rent-free 
periods or other incentives
Topped-up annualised rent – C
EPRA NIY – A/B (%)
EPRA “topped-up” NIY – C/B (%)

2021
£m
2,453.3
(45.0)

2020
£m
2,139.0
(57.5)

2,408.3

2,081.5

158.8

137.5

2,567.1
121.7
(5.0)
116.7

2,219.0
108.1
(4.1)
104.0

0.3
117.0
4.55
4.56

0.9
104.9
4.69
4.73

Definition
Estimated rental value (“ERV”) of vacant space divided by 
ERV of the whole portfolio.

Purpose
A “pure” (%) measure of investment property space that is 
vacant, based on ERV.

ERV of vacant space (£m)
ERV of completed property 
portfolio (£m)
EPRA Vacancy Rate (%)

2021
£m
1.7

125.1
1.3

2020
£m
1.7

111.7
1.6

EPRA Cost Ratio (including 
direct vacancy costs)

EPRA Cost Ratio (excluding 
direct vacancy costs)

15.5%

2020: 12.6%

14.5%

2020: 11.5%

Definition
Administrative and operating costs (including and excluding 
direct vacancy costs) divided by gross rental income. Note 
that in the current year, no overhead was capitalised by the 
Company (2020: £nil). 

Purpose
A key measure to enable meaningful measurement of the 
changes in a company’s operating costs.

Direct property costs
Administrative expenses
Share-based payment costs
Net service charge costs/fees
Exclude:
Ground rent costs
EPRA Costs (including direct vacancy 
costs) – A
Direct vacancy costs
EPRA Costs (excluding direct vacancy 
costs) – B
Gross rental income less ground rent 
costs (per IFRS)
Gross rental income – C
EPRA Cost Ratio (including direct 
vacancy costs) – A/C
EPRA Cost Ratio (excluding direct 
vacancy costs) – B/C

2021
£m
5.0
13.5
0.5
(0.5)

2020
£m
4.1
9.9
0.2
(0.3)

(0.4)

(0.4)

18.1
(1.2)

16.9

116.6
116.6

13.5
(1.2)

12.3

107.4
107.4

15.5%

12.6%

14.5%

11.5%

Assura plc  Annual Report and Accounts 2021

67

Strategic reportGovernanceFinancial statementsAdditional informationCOMPLIANCE STATEMENTS

Viability statement
In accordance with provision C.2.2 of the 
UK Corporate Governance Code 2014, the 
Board has conducted a review of the 
Company’s current position and principal 
risks to assess the Company’s longer-term 
viability. 

The Board believes the Company has 
strong long-term prospects, being 
well-positioned to address the need for 
better primary health care buildings in the 
UK and the Company culture placing 
emphasis on long-term relationships and 
market understanding.

The business model (see page 32) and 
strategic priorities (see page 20) are 
designed to identify, assess and meet the 
evolving needs of our occupiers and other 
stakeholders through the lifecycle of our 
buildings, utilising our balance sheet 
strength and capital discipline (as reflected 
in our current rating of A- from Fitch Ratings 
Limited). 

In completing the assessment of viability, 
the Board has considered the principal risks 
of the Group, as set out on pages 56 to 61, 
in developing sensitivities that have been 
applied in aggregate to financial forecasts 
covering the five-year assessment period.

Link to principal risks
Strategic risks – 
competitor threat 
and investor 
demand

Financial risks – 
increase in cost 
of finance

Operational risks – 
underperformance 
of assets

Specific scenarios 
modelled
Prolonged downturn 
in property valuations 
(75bps over two 
years with no further 
growth)
Increase in interest 
rates (assumed 0.5% 
increase in base rate 
per annum)
Sustained absence 
of rental growth 
(assumed 0% open 
market rental growth) 
and increased risk 
of occupier default 
(assumed bad debt 
at 3% of rent roll 
per annum) 

This assessment has not assumed any 
significant changes to Government policy 
with respect to NHS estates strategy or the 
GP reimbursement model, or any specific 
implications as a result of Brexit or the 
current COVID-19 outbreak, all of which we 
consider to have a low likelihood 
(government policy) or low potential 
impact (Brexit and COVID-19). 

In addition, it has been assumed that debt 
facilities can be refinanced as required in 
normal market lending conditions. For 
prudence, we have assumed that the 
interest rates achieved are in excess of what 
we have achieved in the current year. 

In addition to surplus available cash of £46.6 
million at 31 March 2021 (2020: £18.3 million), 
the Group has undrawn facilities of £225 
million at the balance sheet date, with 
commitments as at year end of £40.2 million 
(see Note 23). 

Company forecasts are prepared using a 
comprehensive financial model which 
projects the income statement, balance 
sheet, cash flows and key performance 
indicators (including covenant compliance) 
over the relevant timeframe. The model 
allows various assumptions to be applied 
and altered in respect of factors such as 
level of investment, investment yield, 
availability and cost of finance, rental 
growth and potential movements in interest 
rates and property valuations. 

The Group has facilities from a number of 
financial institutions, none of which are 
repayable before November 2024. 

The Group’s primary care property 
developments in progress are all 
substantially pre-let.

The Group has adequate headroom in its 
banking covenants. The Group has been in 
compliance with all financial covenants on 
its loans throughout the year.

A five-year period is considered appropriate 
for this review as this corresponds with the 
Company’s strategic planning timeframe. In 
addition, the long-term nature of leases and 
debt facilities support an assessment over 
this period. 

The Group’s properties are substantially let 
with rent paid or reimbursed by the NHS 
and they benefit from a WAULT of 11.9 years. 
They are diverse both geographically and 
by lot size and therefore represent excellent 
security.

The forecasts prepared (including 
application of the specific scenarios 
detailed above in aggregate) showed that 
the business remained viable thoughout the 
forecast period. In addition, a reverse stress 
test was completed to consider by how 
much valuations would need to fall (30%) 
and how much rental income would need 
to be removed (65%) for covenants to be 
breached. 

The Group’s financial forecasts (including 
the financial models prepared in relation to 
the viability statement) show that 
borrowing facilities are adequate and the 
business can operate within these facilities 
and meet its obligations when they fall due 
for the foreseeable future. The Directors 
believe that the business is well placed to 
manage its current and reasonably possible 
future risks successfully.

Based on this consideration of principal risks 
and the forecasting exercise completed, 
the Board has a reasonable expectation that 
the Company will be able to withstand the 
impact of the specific scenarios considered 
over the five-year period assessed. The 
Board considers that the long-term nature 
of the leases and financing arrangements in 
place mean that the business model would 
remain viable in the event that further 
growth of the business was not achieved.

Going concern
Assura’s business activities together with 
factors likely to affect its future performance 
are set out in the CFO Review on pages 62 
to 67. In addition, Note 22 to the accounts 
includes the Group’s objectives, policies 
and processes for managing its capital, its 
financial risk management objectives, 
details of its financial instruments and its 
exposure to credit risk and liquidity risk.

In reaching its conclusion, the Directors 
have considered the specific impact in 
respect of Brexit and COVID-19, neither of 
which, in themselves, are considered 
significant risks to the business based on 
the current position. The Directors continue 
to monitor these, and any other emerging 
risks, as appropriate.

Accordingly, the Board considers it 
appropriate that the financial statements 
have been prepared on a going concern 
basis of accounting and there are no 
material uncertainties regarding the 
Company’s ability to continue to prepare 
them on this basis over a period of at least 
12 months.

68

Assura plc  Annual Report and Accounts 2021

Strategic report

Governance

GOVERNANCE 
REPORT

70    Chairman’s introduction  

to governance

72   Our governance framework
74   Board of Directors
77   Key Board activities
82   Nominations Committee  

Report

85  Audit Committee Report
87   Directors’ Remuneration Report
106 Directors’ Report
108  Directors’ Responsibility  

Statement

Assura plc  Annual Report and Accounts 2021

69

Financial statementsAdditional informationCHAIRMAN’S INTRODUCTION 
TO GOVERNANCE

Our strong culture 
supports our strategic 
priorities and promotes 
employee engagement” 
Ed Smith, CBE
Non-Executive Chairman

Dear shareholder
This is our Corporate Governance 
Report, which sets out how the 
Board and its Committees operate 
and how we are committed to 
maintaining the highest level of 
corporate governance.

Implementing the 2018 Code (“Code”)
In accordance with the Listing Rules, I am 
very pleased to confirm that throughout the 
year ended 31 March 2021, the Company 
was compliant with all the relevant 
provisions as set out in the Code save for:

 – Code Provision 38 – the pension 

contribution rate for the current Executive 
Directors is currently higher than the rate 
applicable to the majority of the wider 
workforce (currently 6%). We recognise 
that this is an important matter of principle 
for investors and therefore the 
Remuneration Committee has agreed that 
the pension rate for the Directors will be 
aligned with that of the majority of the 
wider workforce by the end of December 
2022, consistent with the guidance issued 
by the Investment Association.
 – Code Provision 36 – we have not 

introduced shareholding requirements to 
apply for a period of time following 
cessation of employment. The 
Remuneration Committee believes that 
the Remuneration Policy as currently 
structured provides for sufficient 
alignment between Executive Directors 
and shareholders, but also recognises that 
these post-employment requirements are 
now favoured by a majority of investors. 
As a result, we commit to introducing 
post-employment shareholding 
requirements as part of the Remuneration 
Policy to be proposed for shareholder 
approval at the AGM in 2022.

This Report explains how the Board has 
applied the other principles of the Code.

Leadership
The Board is collectively responsible for the 
effective leadership and long-term success 
of the Group. 

We held four specific Board meetings in the 
year to discuss the impact of COVID-19 on 
the business and staff wellbeing with the 
Board providing support and sharing helpful 
insights from their other business interests. 
I recorded a video message for staff at 
Christmas and the Board members shared 
their experiences of lockdown and 
messages of support in other videos shared 
in the year. 

Culture
Our clear strategic and social purpose is to 
create outstanding spaces for health 
services in our communities. Our strong 
culture supports our strategic priorities and 
promotes employee engagement, retention 
and productivity. We are genuine and 
passionate about what we do, working 
collaboratively and using our expertise to 
find innovative quality solutions for our 
occupiers and the people who use our 
buildings.

The Board leads by example, focusing on 
our purpose and values in all decision 
making and demonstrating the behaviours 
we encourage and support in everyone at 
Assura. The Board agreed that its legacy 
should be as a dynamic partner to the NHS 
and leading social impact business, playing 
a key role in modernising and improving 
community healthcare whilst delivering 
consistent long-term shareholder returns. 
Our social impact strategy, SixBySix, 
embodies the simple aim of improving the 
healthcare buildings used by more than six 
million patients by 2026.

Culture is measured through the results of 
our employee engagement surveys, 
absenteeism and staff turnover, 
whistleblowing reports, health and safety 
incidents and initiatives and customer 
satisfaction.

Our executive pay policies are fully aligned 
to Assura’s culture through the use of 
metrics in both the annual bonus and PSP 
that measure how we perform against our 
targets that directly underpin the delivery 
of our strategy. The incentive schemes are 
aligned with our strong performance 
culture and are linked to a strategy to 
support the clear social purpose of Assura’s 
business.

70

Assura plc  Annual Report and Accounts 2021

Diversity
The Board is committed to ensuring that 
the Group is free from discrimination and 
equitable to all employees. 

We were delighted to be ranked 11th in the 
Hampton-Alexander Report 2020 for FTSE 
250 Women on Boards and in Leadership 
and were named one of the joint top 
businesses in the European Women On 
Boards Gender Equality Index. With 50% 
female representation on our main Board, 
this shows our commitment to gender 
diversity throughout the organisation.

The Board aspires to greater diversity 
throughout the Group and this year we 
carried out our first cross-team survey on 
diversity and inclusion with the results 
informing our recruitment and training 
strategies for the business. We have also 
joined the Mission INCLUDE mentoring 
programme as both mentors and mentees 
for peers in other businesses and the 
national Disability Confident employer 
scheme. 

Ed Smith, CBE
Non-Executive Chairman

Employee and other stakeholder 
engagement
Louise Fowler has responsibility for 
workforce engagement and regularly meets 
with the employee representative group 
“the Voice”, feeding their comments back 
to the Board so that their views can be 
understood and considered in Board 
decisions. You can read more on their 
interaction on page 80.

The Board members usually “walk the floor” 
when attending Board meetings at the 
head office in Warrington and engage with 
employees who present Board papers and 
accompany them on site visits. However, 
since the start of the pandemic all Board 
meetings have been held virtually and the 
Board have not been able to meet with staff 
or attend any site visits. 

Instead, our colleagues have continued to 
engage with the Board through presenting 
their papers in the virtual Board meetings 
and the annual informal dinner, which allows 
the Board to interact freely with employees 
and understand what matters to them, was 
replaced with a remote “cream tea” where 
the Board members led informal sessions 
with groups of employees reflecting on 
highlights from 2020 and discussing what 
people were most looking forward to when 
lockdown ends. 

Performance evaluation
The Board Review carried out by Weva Ltd 
(who has no other involvement with the 
Company or Board members) in 2019 
recommended that the Board consider 
several areas of effectiveness to build on or 
develop as part of its approach to 
continuous improvement. The Board has 
continued to make progress in all areas, for 
example, completing a skills matrix to aid 
with succession planning, regularly 
engaging with management on COVID-19 
and on the development of the Group’s 
strategy and inviting external speakers to 
present to the Board to build skills and 
develop and explore new insights and 
ideas. 

Remuneration
We received over 83% of votes in favour of 
our Remuneration Report and over 99% 
votes in favour of our all employee share 
incentive plan at the 2020 AGM and I am 
grateful to shareholders for the level of 
engagement and support during the year.

Effectiveness
I believe that the Board has an effective, 
well-balanced structure. Board members 
have a wealth of skills and experience, as 
shown on pages 74 to 76, which enable 
them to challenge, motivate and support 
the business. 

The Board were particularly concerned 
about staff wellbeing during the pandemic 
and so this was a standing agenda item for 
all Board meetings held in the year. In the 
Pulse employee survey undertaken in the 
Summer of 2020, we were delighted to 
achieve an indicative improvement in 
engagement from Very Good to 
“Outstanding" which is a credit to 
management’s efforts in looking after their 
colleagues during this difficult time. 

The skills matrix identified our breadth of 
experience and strengths for example in 
capital markets, governance, investor 
relations, strategy, finance and risk, 
leadership, people and change 
management, business development as 
well as social purpose and ethical focus. 
The Board’s experience in NHS strategy and 
technology has been bolstered by the 
appointment of three Non-Executive 
Directors in May 2021.

The Board factors stakeholders into all our 
decisions and management regularly 
updates the Board on the implementation 
of our strategy with a particular focus on 
stakeholders and the risks and 
opportunities which have arisen in the year 
in relation to these groups.

I am pleased to report that all the Directors 
continue to devote sufficient time to 
discharging their duties to a high standard 
and remain committed to their roles.

GOVERNANCE IN NUMBERS
Board composition

Meetings per year 

1

Chairman

2

Executive
Directors

3

Non-Executive
Directors

10

Board

4

Audit
Committee

4

Nominations
Committee

6

Remuneration
Committee

Assura plc  Annual Report and Accounts 2021

71

Strategic reportGovernanceFinancial statementsAdditional informationOUR GOVERNANCE  
FRAMEWORK

THE BOARD
Responsible for setting the Group’s strategy for delivering long-term value to our 
shareholders and other stakeholders and setting the culture, values and governance 
framework for the Group. Provides effective challenge to management concerning 
execution of the strategy and ensures the Group maintains an effective risk management 
and internal control system.

The Board has approved a schedule of matters reserved for decision by the Board.

The Board delegates certain matters to its three principal committees:

Nominations  
Committee
Responsible for ensuring our 
Board and its Committees have 
the right balance of skills, 
knowledge and experience and 
ensuring adequate succession 
plans are in place.

Audit  
Committee
Responsible for reviewing and 
reporting to the Board on the Group’s 
financial reporting, maintaining an 
appropriate relationship with the 
Group’s auditor and monitoring the 
internal control systems.

Remuneration  
Committee
Responsible for establishing the 
Group’s Remuneration Policy and 
ensuring there is a clear link 
between performance and pay 
and pay is fair relative to the 
workforce.

EXECUTIVE COMMITTEE
The Board delegates the execution of the Company’s strategy and the day-to-day 
management of the business to the Executive Committee which operates under 
the direction and authority of the CEO.

The Committee makes key decisions to ensure achievement of strategic plans, 
ratifies the decisions of the supporting committees, considers key business risks 
and shapes and sustains the culture and values of the business.

It is supported by sub-committees each focusing on an area of the business.

Risk Committee
Reviews and monitors key risks and the effectiveness of the risk management 
systems. Identifies emerging risks. Reports to the Audit Committee.

Investment Committee
Reviews and approves investment, development and asset enhancement 
transactions, allocates investment capital and agrees investment hurdle rates.

Operational Excellence Committee
Drives operational excellence in systems and processes across the business 
and is responsible for performance management of our IT systems and 
controls including cyber controls.

Social Impact Committee
Establishes which social impact risks and opportunities are of strategic 
significance, integrates them into business strategy and ensures effective 
communication to stakeholders.

72

Assura plc  Annual Report and Accounts 2021

DIVISION OF RESPONSIBILITIES

Chairman
 – The effective running of the Board.
 – Ensuring the Directors receive accurate and timely information.
 – Promoting high standards of Corporate Governance.
 – Ensuring Board agendas take full account of relevant issues and Board members’ concerns.
 – As Chair of the Nominations Committee, ensuring effective Board succession plans are in place.

CEO
 – Running the Company’s day-to-day operations.
 – Implementing the business strategy and culture.
 – Regularly updating the Board on progress against approved plans.
 – Providing effective leadership of the Executive Committee to achieve agreed strategies and 

objectives.

CFO
 – Responsible for the preparation and integrity of financial information.
 – Operating effective systems of risk management and control.
 – Developing and implementing financial strategy and policies.

Non-Executive Directors
 – Challenging and helping to develop proposals on strategy.
 – Satisfying themselves as to the integrity of the financial information and that there are effective 

systems of risk management and financial control.
 – Chairing and/or serving on relevant Committees.

Senior Independent Director
 – Acting as Chair of the Board if the Chairman is conflicted.
 – If necessary, acting as a conduit to the Board for communicating shareholder concerns.
 – Ensuring the Chairman is provided with effective feedback on performance.
 – Serving as an intermediary for other Directors when necessary.

Company Secretary
 – Ensuring good information flow within the Board and Committees.
 – Facilitating induction and training of Board members.
 – Advising the Board on all governance matters.

Assura plc  Annual Report and Accounts 2021

73

Strategic reportGovernanceFinancial statementsAdditional informationBOARD OF DIRECTORS

BOARD AT 
YEAR END

Board tenure 
(in current role)

4 2

0–4 years 
(67%)

4+ years 
(33%)

Board gender balance 

3

Female

3

Male

Executive Committee  
gender balance

4 5

Female

Male

Jonathan Murphy
CEO

Appointed
February 2017

Ed Smith, CBE
Non-Executive Chairman

Jayne Cottam
CFO

Appointed
October 2017

Appointed
September 2017

Skills and experience
Jonathan has been with Assura 
since January 2013 having joined 
the Group as Finance Director 
and becoming CEO in 2017. 
Jonathan was previously finance 
director for the fund 
management business of 
Brooks Macdonald and Braemar 
Group plc and these roles 
provided broad experience in 
finance and accounting, 
corporate finance, capital 
markets and real estate 
investment.

Jonathan’s earlier career 
included commercial and 
strategic roles at Spirit Group 
and Vodafone.

Jonathan is a Non-Executive 
Director for the British Property 
Federation and chairs their 
Healthcare Committee, sits on 
the Advisory Board of EPRA and 
is Chair of the North West 
Business Leadership Team.

He qualified as a Chartered 
Accountant with PwC, holding 
management roles in both the 
UK and Asia.

Skills and experience
As an experienced Chairman, Ed 
has extensive governance skills 
in both the private and public 
sectors. During his time as 
Chairman of NHS Improvement 
and Deputy Chairman of NHS 
England he gained significant 
health service and public sector 
experience. Ed’s skills include 
strategy and operational 
excellence as he was the former 
Global Assurance Chief 
Operating Officer and Strategy 
Chairman of 
PricewaterhouseCoopers 
(“PwC”). During his 30-year 
career as a Senior Partner at 
PwC, holding many leading 
Board and top client roles in the 
UK and globally, he gained 
broad experience in finance and 
accounting, capital markets and 
customer focus.

He is Senior Independent 
Director at HS2 Ltd, the 
independent Non-Executive 
Director at Push Doctor Ltd and 
chairs the Advisory Board at 
HCA Healthcare UK.

Ed is a Chartered Accountant.

Skills and experience
Jayne is a CIMA qualified 
accountant, with skills including 
finance, debt strategy and risk 
management. She joined Assura 
from Morris Homes, one of the 
UK’s largest private national 
housing developers where she 
was the Finance Director for 
Operations, heading up the 
operational finance team across 
the Group and providing 
financial and strategic support 
as a member of the Board for 
each of the three operating 
regions.

Jayne was previously Director of 
Finance for the Continental 
Europe Division of European 
Metal Recycling Limited, one of 
the world’s largest metal 
recyclers, and before that held a 
number of other senior finance 
positions.

Jayne sits on the North West 
Regional Council of the CBI 
(Confederation of British 
Industry) and the Finance 
Committee of the British 
Property Federation.

In order to deliver the 
Group’s purpose and 
strategy, the Board believes 
the following mix of skills 
within our leadership team 
is required:

Skills and experience
Executive and strategic leadership
Financial accounting, reporting or corporate finance 
Property development,  
investment or real estate management
Governance and compliance 
Social impact, people or charities
Health and safety, risk management or internal controls
Investor relations and engagement
Prior remuneration committee experience and or  
experience in remuneration 

74

Assura plc  Annual Report and Accounts 2021

Number of Non-
Executive Directors 
(including the 
Chairman)
4
2

Number of 
Executive 
Directors
2
2

2
4
3
2
2

3

2
2
2
2
2

2

Jonathan Davies
Senior Non-Executive Director

Jenefer Greenwood, OBE 
Non-Executive Director 

Louise Fowler
Non-Executive Director

Orla Ball
Company Secretary

Appointed
June 2018

Appointed
May 2012

Appointed
June 2019

Appointed
April 2015

Skills and experience
As Chief Financial Officer of SSP 
Group plc, Jonathan has 
extensive experience of finance, 
mergers and acquisitions and 
corporate governance. He has 
broad capital market skills, 
taking SSP private in 2006, 
listing it on the London Stock 
Exchange in 2014 and 
undertaking various debt and 
equity raises since then. 
Jonathan’s skills include 
strategy, commercial and 
financial management.

He began his career in Unilever 
plc’s management 
development programme 
before joining OC&C, the 
strategic management 
consultancy, as a start-up in 1987 
where he was part of its rapid 
growth to become a leading 
international consulting firm. 
From 1995 to 2004 Jonathan 
worked for Safeway plc, where 
he was Finance Director on its 
Executive Board between 1999 
and 2004.

Jonathan chairs the Audit 
Committee and is Senior 
Independent Director.

Committee meeting attendance
Ed Smith
Jonathan Murphy
Jayne Cottam
Jenefer Greenwood
Jonathan Davies
Louise Fowler

Skills and experience
Jenefer is a Chartered Surveyor 
with extensive knowledge of 
the real estate industry. Jenefer 
started her career at Hillier 
Parker in 1978, becoming 
Executive Director and Head of 
Retail on merger with CBRE. 
She worked for Grosvenor 
Estate from 2003 until 2012 
where she expanded her skills in 
development and maximising 
real estate value.

Jenefer chairs the Remuneration 
Committee, having initially 
gained remuneration 
experience as chair of the 
remuneration committee of The 
Crown Estate. She has 
significant board level 
experience and is currently on 
the board of St Modwen 
Properties plc and LiveWest 
Housing.

Jenefer will be retiring as a 
Non-Executive Director at the 
conclusion of the 2021 AGM.

Skills and experience
From beginning her career at 
British Airways before moving 
into financial services with 
Barclays and the Co-operative 
Banking Group, Louise has 
achieved 25 years’ marketing, 
customer and digital experience 
at a senior level in the travel and 
financial services industries.

In recent years, she has been 
working as an independent 
consultant for well-known 
consumer brands such as the 
Post Office, First Direct and M&S 
furthering her skills in branding 
and developing strategy 
through customer focus.

Louise is a Non-Executive 
Director at Howdens Joinery 
Group plc.

Skills and experience
Orla is a lawyer, qualified 
Chartered Secretary and an 
Associate of ICSA whose skills 
include corporate governance 
and managing legal risk. She 
qualified as a solicitor with 
Eversheds Manchester and 
gained significant legal, 
mergers and acquisitions and 
capital markets experience 
working as a corporate lawyer 
for over 14 years.

Orla’s move in-house to 
Braemar Group plc, 
subsequently acquired by 
Brooks Macdonald plc, 
provided her with real estate 
skills as she looked after the 
legal matters for its property 
management and property 
funds business.

Orla is Head of Legal for the 
Group, Chair of the Risk 
Committee and a member of 
the Executive Committee.

Board
10/10
10/10
10/10
10/10
9/10
10/10

Audit
4/4
4/4
4/4
4/4
4/4
4/4

Rem
6/6
6/6
6/6
6/6
6/6
6/6

Nom
4/4
4/4
4/4
4/4
4/4
4/4

Assura plc  Annual Report and Accounts 2021

75

Strategic reportGovernanceFinancial statementsAdditional informationBOARD OF DIRECTORS
CONTINUED

OUR NEWLY 
APPOINTED  
NON-EXECUTIVE 
DIRECTORS

Emma Cariaga
Non-Executive Director

Noel Gordon
Non-Executive Director

Dr Sam Barrell, CBE
Non-Executive Director

Appointed
May 2021

Appointed
May 2021

Appointed
May 2021

Skills and experience
Emma is the Joint Head of 
Canada Water, one of the 
largest regeneration schemes in 
London, with British Land where 
she also sits on their Executive 
Committee. She also holds a 
current Non-Executive role with 
TEDI-London – a higher 
education provider for 
engineering. 

Skills and experience
Noel is a recognised figure 
across the UK health system, 
formerly as Chair of NHS Digital, 
Chair of Healthcare UK and as a 
Non-Executive Director on the 
Board of NHS England. He spent 
most of his career transforming 
the footprint and operating 
models of large, multinational 
banking institutions. 

In the late 90’s, Noel led 
significant restructuring 
programmes to enable banks to 
adopt new digital channels. He 
brought this transformative 
experience to NHS England and 
NHS Digital, reshaping their 
approach to digital change and 
new models for healthcare 
delivery.

Noel is a Non-Executive Director 
of Bestway Panacea Holdings.

Skills and experience
Sam is the COO of the Francis 
Crick Institute – a world-leading 
biomedical research 
organisation which she joined 
from a career in the NHS as a 
noted healthcare leader. Sam 
was CEO of the Taunton and 
Somerset NHS Foundation Trust 
and before that, established 
and led the South Devon and 
Torbay CCG. Earlier in her 
career, as a practising GP, she 
led the formation of a practice 
based commissioning 
consortium. 

Sam offers strong ESG 
credentials, as a past National 
Advisory Council Member of the 
King’s Fund and an active 
Mentor for the NHS Innovator 
Accelerator Programme. She is 
a Non-Executive Director of the 
York Health Economics 
Consortium. 

She was awarded the CBE in 
2014 for services to healthcare.

The Board regularly considers 
the independence of our 
Non-Executive Directors and all 
Directors are required to 
declare any relationships or 
interests which may constitute a 
conflict of interest at the 
commencement of each Board 
meeting.

Re-election of Directors
In accordance with Corporate 
Governance best practice, it is 
the Company’s policy that all 
Directors will submit themselves 
for re-election at the 2021 AGM 
and the Notice of AGM will 
explain why their contribution 
remains important to the 
Company’s long-term 
sustainable success.

She has over 20 years’ 
experience in the property 
sector across residential, retail, 
commercial and leisure with 
previous roles at Landsec, 
Barratt Homes and Crest 
Nicholson. She was previously 
on the Board of Thames Valley 
Housing Association where she 
chaired the Investment 
Committee. 

Emma is passionate about 
sustainable development within 
the property sector and has a 
strong interest in the evolution 
of cities and the social impact of 
property.

Other directorships of the Board 
members are set out on pages 
74 to 76. Executive Directors 
would be permitted to serve on 
one other Board if this would 
not interfere with their time 
commitment to the Company. 
At present, neither of the 
Executive Directors holds any 
Non-Executive Director 
positions. However, Jonathan 
Murphy has recently been 
appointed as chair of the North 
West Business Leadership 
Team. 

Time 
commitments and 
independence

76

Assura plc  Annual Report and Accounts 2021

KEY BOARD 
ACTIVITIES

Social impact strategy – 
launch of our first 
Social Bond

We launched our SixBySix social impact 
strategy last year, to put our purpose – 
creating outstanding spaces for health 
services in our communities – at the centre 
of everything we do. Our ambition is to 
become the UK’s number one listed 
property business for social impact. 

In September 2020 we announced the 
launch of our first Social Bond, a Sterling-
denominated senior unsecured bond in an 
amount of £300 million with a tenor of 10 
years. This followed a series of UK fixed 
income investor meetings which generated 
strong institutional demand. 

Our Social Bond is the first issued under the 
Assura Social Finance Framework and the 
proceeds will be used to fund or refinance 
eligible social projects, specifically the 
acquisition, development or refurbishment 
of publicly accessible primary care and 
community healthcare centres. 

The issuance of our first Social Bond 
demonstrates our commitment to 
contributing to the communities in which 
we operate and will be used to support our 
continued investment in providing more 
fit-for-purpose primary and community 
healthcare centres.

The strong level of bond investor support 
leaves us well positioned to deliver against 
our acquisition and development pipeline, 
as well as SixBySix.

£300m 

Sterling denominated senior unsecured 
bond was launched in Septemeber 2020

Assura plc  Annual Report and Accounts 2021

77

Strategic reportGovernanceFinancial statementsAdditional informationKEY BOARD ACTIVITIES
CONTINUED

Making the right 
strategic decision – 
acquisition of Apollo

The Board factors our stakeholders, the 
long-term impact on the business and the 
impact on the environment into all our 
decisions in line with its duties under s172 
Companies Act 2006.

In March 2020 the Board approved the 
acquisition of primary care developer 
Apollo.

The Board considered that the acquisition 
would be beneficial to the Group’s 
long-term strategy of becoming the 
number one listed business for social 
impact as Apollo had a strong, 20-year track 
record of developing high-quality primary 
care properties across the UK. 

The acquisition would also provide 
continuity of service and enhanced benefits 
for the very experienced four-person 
development team and two administration 
staff who shared our culture and high 
standards for design. 

Extensive due diligence was carried out on 
the pipeline to ensure its viability for 
shareholders and that the schemes 
presented no adverse environmental 
impact. The Board noted that the 
acquisition would secure the ongoing 
workstreams for the Apollo suppliers 
including building contractors and 
architects.

The Board approved the acquisition as it 
expanded the Assura development team to 
11 specialist surveyors, increased our 
immediate and extended development 
pipeline and further deepened our 
understanding of the future trends shaping 
the sector, from building design to 
sustainability allowing us to expand our 
offer to the NHS as its partner of choice.

Apollo pipeline scheme
Top

On site at the 
Beaconsfield 
development
Right

78

Assura plc  Annual Report and Accounts 2021

We aim to become 
the number one 
listed business for 
social impact with 
the acquisition of 
businesses like Apollo

No.1 

Assura plc  Annual Report and Accounts 2021

79

Strategic reportGovernanceFinancial statementsAdditional informationKEY BOARD ACTIVITIES
CONTINUED

Q&A 

with Louise Fowler

Overall, there 
has been a 
sense of 
‘looking out  
for each other’ 
and a very 
supportive 
culture.”

Louise Fowler
Non-Executive Director

Q. Do you feel that the Voice 
trust you with their feedback?
Yes, I feel that they do. As the designated 
NED for workforce engagement, I explain to 
them that I will share any feedback with the 
Board on an anonymous basis respecting 
any confidences shared. I also stress that 
this communication should not replace 
normal lines of communication in the 
business through line managers or the 
whistle-blowing process. The team are 
pretty open with me about what’s on their 
minds. 

Q. From your discussions can 
you comment on how the 
business has looked after 
colleagues in these difficult 
times?
The Voice feel that Assura has reacted 
incredibly well. They really appreciated the 
early confirmation of job security and the 
prompt extension of fixed-term contracts 
which put their minds at ease as well as the 
speed with which IT equipment and office 
chairs were provided to ensure successful 
remote working. The Company adopted a 
very flexible approach to working from 
home patterns allowing employees with 
young children to vary their hours to suit 
childcare arrangements and everyone was 
encouraged to switch off the screen at 
regular intervals, go for more walks, to keep 
in touch and look out for each other. From 
speaking to friends and relatives they felt 
very lucky and proud to work for an 
organisation that has clearly done so much 
more than some others. Obviously, as time 
has gone on, it has become harder for some 
people: it has been noted that Assura is 

doing much to provide individual support 
and there is strong desire for the Company 
to continue, and increase, the focus on 
mental health issues beyond the pandemic. 
This has been highlighted as a key priority 
for all staff through a recent survey.

Q. How well does the Voice feel 
the business communicated 
with staff during lockdown?
The Voice said that the Company worked 
very hard to keep everyone included and 
up to date with what has been happening 
in the business with lots of regular emails, 
Teams meetings and the weekly call with 
Jonathan which is very well-liked. They 
understand that there is a lot of uncertainty, 
but they believe they will be given the 
information they need at the right time, and 
particularly appreciated some of the 
insights into the home lives of senior 
managers, for example, when small children 
or pets wandered into the video 
conference.

Q. Do the Voice feel concerned 
about returning to the office?
They appreciate that the Company is taking 
the time to consider what’s right, and no 
decision has been made about a return 
date although it is good that the office has 
been opened to colleagues who are 
struggling to work from home. Some are 
impatient to get back whilst others are 
naturally more cautious. They have said they 
do not feel pressured, and communication 
has been very good.

80

Assura plc  Annual Report and Accounts 2021

Q. What are the Voice hoping 
will be learnt from how we are 
working now?
They have been surprised at how well 
working from home has worked. The 
biggest challenge has been managing 
children at home as well as a job but people 
have surprised themselves at how 
productive they can be, and at their ability 
to keep motivated and not get distracted. 
There is a widespread hope that when they 
do go back, it’s not to exactly the same and 
the business should look at how we use the 
office for example mixing remote and office 
working.

Before lockdown, Assura was very meetings 
oriented. There is a hope that there will be 
fewer meetings, or that they can be shorter 
or a mix of face-to-face and video 
conferencing. Often employees can drive 3 
– 4 hours for a half-hour meeting with an 
occupier. Whilst there is no doubt face-to-
face is sometimes necessary, they think it 
will be possible to reduce costs, help the 
environment and increase productivity by 
doing things like this less often. 

They also hope that a short, weekly, 
informal communication from Jonathan (or 
“the top”) could continue after lockdown as 
this makes them feel involved and engaged 
in how the business is doing in a way that 
may have been missing before.

Q. How is staff wellbeing?
There are a mix of views here: Lockdown 
has meant less physical activity, commuting, 
walking around the office etc but while 
some have felt encouraged to go outside 
and get exercise during office hours, others 
were afraid it would be frowned on. There 
is a greater all-Assura team spirit because of 
this period, when before there was more of 
an emphasis on individual teams. 
People feel they have been working very 
hard and obviously some parts of the 
business have been more affected than 

others by the lockdown: engaging with GPs 
and practice managers during the 
pandemic, for example, has been harder as 
they have quite naturally had other 
priorities, whilst new buildings under 
construction have continued much as 
before, so there is a hope that everyone is 
rewarded fairly for what they have done 
during this difficult period. 

Q. What have people found 
most difficult and what are they 
worried about?
The prolonged working from home and 
isolation, particularly among colleagues 
who live alone, or younger colleagues still 
early in their career, has really begun to take 
a toll, especially in this third lockdown, and 
of course parents having to home-school as 
well as do their busy jobs have found it 
tough. There is a high level of appreciation 
for what Assura has done to help, 
particularly when people talk to family or 
friends who work elsewhere and whose 
experiences have been quite different. 

Q. What has been the culture of 
Assura during lockdown?
Overall, there has been a sense of “looking 
out for each other” and a very supportive 
culture. Line managers are accessible and 
frequently make contact, colleagues keep in 
touch and look out for each other. Some 
employees are speaking to more people 
now than when they were in the office. 
There has also been a little less formality 
and they have loved seeing the more 
personal side of Jonathan, hearing about his 
family etc and we have held numerous 
virtual team events that have really brought 
people together. Assura has always had a 
supportive, people-led culture, but during 
this difficult year people have come to feel 
that they are really part of one big team and 
have greatly valued the feeling of everyone 
supporting each other and us all being in it 
together. 

Stakeholder 
engagement

The Board embraces open dialogue with 
shareholders and works with its 
stockbrokers Stifel and JP Morgan 
Cazenove to ensure that an appropriate 
level of communication is facilitated 
through a series of investor relations 
activities, including regular meetings 
between the Executive Directors, 
institutional investors, sales teams and 
industry/sector analysts, as well as regular 
advice from Makinson Cowell. Details of 
the investor relations programme over the 
year is shown on page 51.

We have increased IR reporting to the 
Board with a dedicated slot at each Board 
meeting where feedback from meetings 
and observations from the equity markets 
is provided for discussion. This is to ensure 
that all Board members, and Non-
Executive Directors in particular, develop 
an understanding of the views of major 
shareholders and of the market in general.
This year the Chairman again offered 
direct meetings to our largest 
shareholders to allow the Chairman to 
directly hear their views and feedback to 
the Board. The Chairman found these 
discussions very useful as they covered 
current strategy, the NHS and the 
importance of social impact.

Committee Chairs consult with 
shareholders on appropriate matters. 
During the year, the Remuneration 
Committee deemed it appropriate to 
consult with shareholders in respect of the 
proposed increase in remuneration for the 
Executive Directors, further details of 
which can be found on page 88. 

There is a greater 
all-Assura team spirit 
because of this period, 
when before there was 
more of an emphasis on 
individual teams.” 

Assura plc  Annual Report and Accounts 2021

81

Strategic reportGovernanceFinancial statementsAdditional informationNOMINATIONS COMMITTEE REPORT

Our Board has a wealth of 
skills and experience, 
bolstered by our three 
new Non-Executive 
Directors” 
Ed Smith, CBE
Non-Executive Chairman 

Committee members
Ed Smith, CBE
(Committee Chair)
Jenefer Greenwood, OBE
Jonathan Davies
Louise Fowler 

Attendance*

4/4
4/4
4/4
4/4

*  out of the maximum possible meetings

Additional attendees*
 – Orla Ball – Company Secretary
 – Jonathan Murphy – CEO

*  as appropriate

Meetings in the year:

4

Terms of Reference
https://www.assuraplc.com/
investorrelations/shareholder-information/
sustainability-and-corporate-governance-
policies

Dear shareholder
The Committee continues to play a crucial 
role in supporting Assura’s strategy by 
ensuring the Board and its Committees 
have an appropriate balance of skills, 
experience and knowledge, with 
succession plans in place, maintain a diverse 
pipeline for board and senior management 
positions and a robust evaluation process to 
ensure the Board and Committees are 
working effectively.

Board composition
Resignation of Jenefer Greenwood
Jenefer intends to step down from the 
Board at the conclusion of the AGM. I would 
sincerely like to thank Jenefer for her 
significant contribution to Assura over the 
last nine years, a period during which the 
Group has been transformed and its future 
growth prospects have never looked 
better. We all wish her the very best.

Appointment of Emma Cariaga, Sam 
Barrell and Noel Gordon.
In October 2020 we appointed recruitment 
firm Warren Partners to assist with the 
search process for two Non-Executive 
Directors to further strengthen the Board. 
Warren Partners had been engaged on the 
appointment of Jayne Cottam and have no 
other connections with the Group or any 
members of the Board.

The Committee agreed the recruitment 
brief based on the board skills analysis 
carried out by the Company Secretary and 
the desire to replace Jenefer’s skills with 
someone from an equally strong property 
background. In addition, across the two 
roles, the brief sought to find candidates 
with an understanding of the health 
ecosystem, digital/technology expertise 
along with strong ESG credentials.

The position was open to those with no 
previous Non-Executive Directorship 
experience but who would be attracted by 
our purpose, values and wider social 
strategies and diversity in its broadest 
sense was encouraged. Warren Partners 
carried out an extensive external search 
process from which they identified a long 
list of potential candidates for the 
Committee to review and, from this, a 
shortlist was selected. The Committee then 
interviewed a number of these candidates.

The calibre of the shortlist was extremely 
high, and the Committee recommended 
the appointment of three shortlisted 
candidates who would fulfil the brief and 
bring complementary skills to the Board. In 
May 2021, the Board appointed Sam Barrell, 
Emma Cariaga and Noel Gordon on the 
Committee’s recommendation. 

Remuneration Chair and designated 
Non-Executive Director for employee 
representation
As Louise Fowler will take over from Jenefer 
Greenwood as chair of the Remuneration 
Committee at the AGM, a new designated 
Non-Executive Director for employee 
representation will be appointed at the 
AGM.

Induction of new Non-Executive Directors
Emma, Noel and Sam are undertaking a full, 
formal and tailored induction programme. 
Training needs are reviewed annually as 
part of the Board evaluation. Each Board 
member is permitted to take professional 
advice on any matter which relates to their 
position, role and responsibilities as a 
Director at the cost of the Company, and 
have access to the advice and services of 
the Company Secretary.

Non-Executive Director 
induction process
The new Non-Executive Directors are 
currently undertaking the following 
induction process:

Meetings with the Chairman 
and other Board members

Meetings with the CEO, CFO and 
Executive Committee members

Directors’ duties and governance 
training from the Company’s legal 
advisors and briefings from the 
Company Secretary

A full support pack of relevant reading 
materials

Briefings from the Company’s advisors 
including auditors, corporate brokers 
and PR firm

Meetings with senior management and 
other staff members at the Company’s 
head office in Warrington

Visits to premises

Succession planning
The Committee maintains regular focus on 
succession planning for both Board and 
senior leadership roles. Our talent pipeline 
of high performing individuals are identified 
as part of the annual appraisal process. 

82

Assura plc  Annual Report and Accounts 2021

Female representation on the Board 
remains at 50% and the Group were ranked 
11th in the final Hampton-Alexander Review 
– FTSE 250 Rankings Women on Boards and 
in Leadership, and 5th in the FTSE 350 real 
estate sector Rankings Women on Boards 
and in Leadership.

Diversity overview 
The Committee will continue to consider 
gender and wider aspects of diversity such 
as industry experience, nationality, disability 
and age when recommending any future 
Board appointments and recruitment firms 
are instructed to include a diverse list of 
candidates for the Committee’s 
consideration. Final appointments will 
always be made on merit.

Further details of our employee policies to 
promote equality and diversity can be 
found on pages 48 to 49 but in summary 
this year we have:

 – established six diversity and inclusion 

objectives which underpin the 
organisation and provide strategic 
guidance for our work. These objectives 
also sit alongside our core values and 
behaviours of Innovation, Expertise, Being 
Genuine, Collaboration and Passion. 

  Objective 1: Creation and promotion of 
culture of openness and candour, one in 
which we treat each other with the 
dignity we all deserve

  Objective 2: Consulting and involving 
staff and customers in developing the 
business and improving our services; 
driving a sense of autonomy and 
empowerment 

 – Gained a “Committed to Action” rating in 
the MIND Wellbeing Index and developed 
a Mental Health Strategy for our workforce

 – Joined the Mission INCLUDE cross 
organisational diversity mentoring 
programme

 – Committed to become a Disability 

Confident employer

 – Recruited three apprentices
 – Captured employee diversity and 

inclusion data for the first time – achieving 
response rates of 84%

 – Under our social impact strategy, set a 
goal to improve the gender diversity of 
managers at all levels within the 
organisation

 – Reviewed employee satisfaction by 

gender in the recent Best Companies 
survey (equal levels)

Internal Board evaluation
The externally facilitated Board review 
carried out by Weva Limited – a specialist 
board and leadership consultancy which 
has no connections with the Group or the 
Board members – in 2018 developed a 
Board effectiveness framework (“the 
Framework”) under the specific headings:

 – Outside World
 – Creating the Future
 – Board Team Effectiveness
 – Nurturing Identity
 – Managing the Present

The Framework is regularly reviewed by the 
Board as part of the internal board 
evaluation process to identify any required 
changes in focus or priority and to agree 
future actions for board effectiveness.
The Board have noted success in a number 
of areas. In particular the Board has:

  Objective 3: To understand and embrace 
our differences and have a zero tolerance 
to stereotypes or discrimination

1.  Agreed a statement of the Board’s 

purpose and legacy.

  Objective 4: To continuously strive to 
deliver new and innovative working 
practices and approaches which 
promote inclusivity, greater work-life 
balance, and access to opportunities for 
underrepresented groups

  Objective 5: Work to ensure that our 
contractors comply with our equality 
standards

  Objective 6: To develop a range of 
metrics and KPIs against which our 
progress can be measured

2. Actively supported Assura’s social 

purpose and its importance to long-term 
success.

3. Created formal succession plans to 

ensure the Board continues to have the 
capability it needs to deliver the strategy. 
The Board skills matrix was used to create 
the brief for the latest Board 
appointments. 

The Company Secretary carried out a 
review of the Board member’s skills and 
created a skills matrix which formed the 
basis of the brief for the new Non– 
Executive Directors. The skills matrix 
identified wide board skills in capital 
markets, plc governance and investor 
relations and business skills such as finance, 
strategy, leadership and people and 
change management but a concentration 
of skills in NHS Strategy and technology/
digital health. As Jenefer is stepping down 
from the Board in July, there was also a 
need to replace her strong real estate skills. 

A formal succession planning exercise is 
undertaken biannually and seeks to identify 
training needs, high potential employees 
and risks to the organisation across a 3-year 
horizon. External consultants are engaged 
to provide executive coaching and 360 
feedback where appropriate. Internal 
secondment opportunities are also 
available. This overarching approach 
dovetails with the quarterly business 
planning activity which seeks to set targets 
which enhance business performance and 
people management and development 
approaches.

Diversity
The Board believes that a diverse workforce 
and management team improve the 
performance and culture of the organisation 
and add value to the business as a whole. 
Warren Partners were tasked with 
searching for possible Non-Executive 
Director candidates who could increase the 
diversity of the Board.

Warren Partners, conducted an extensive 
search to identify and engage with a 
diverse and broad pool of candidates 
across sectors linked to Assura. In order to 
attract candidates from minority ethnic 
backgrounds, a range of talent engagement 
strategies were used including: leveraging 
professional diversity networks within the 
property and healthcare sectors; 
uncovering ethnically diverse talent utilising 
technology (such as LinkedIn and advanced 
search operators in online search engines); 
identifying potential candidates outside 
listed companies including exploring talent 
within the public sector/privately owned 
organisations; and by assessing ‘first time’ 
Non-Executives/candidates operating 
below Board level. We were pleased to 
have assessed five ethnically diverse 
candidates at the longlist stage of the 
search process who were independently 
benchmarked against the wider talent pool 
by Warren Partners. Whilst this search 
process did not result in an ethnically 
diverse appointment, partly due to the 
exceptional calibre of the shortlisted 
candidates, the exercise has delivered 
Assura with a pipeline of ethnically diverse 
talent to consider for future appointments.

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CONTINUED

4. Encouraged active Board engagement 

with management to extend trust-
building, share knowledge of the 
business and develop insights around 
successful delivery of the strategy. The 
Board have engaged regularly with 
management around COVID-19 and on 
development of the strategy and plan to 
have two half days to analyse and stress 
test the strategy in September. 

5. Commissioned management to produce 
a clear articulation of the Assura business 
model to explain how value is created 
over time, and a clear set of strategy 
success criteria with ongoing refinement 
through updates to the strategy.

6. Continued engagement with staff around 
Assura’s purpose and strategy and the 
behaviours that will support long-term 
success.

7.  Commissioned management to develop 

a formal stakeholder engagement 
strategy to manage external risks and 
opportunities around delivery of the 
strategy. 

8. Scheduled regular Board Development 
sessions to explore new insights and 
ideas, develop skills and build Board 
dynamics – this has been difficult due to 
the current pandemic and remote 
working but Sir Jim Mackey joined a 
virtual catch up in July 2020 and the 
Cheshire Community Fund presented at 
the July Board meeting. More external 
speakers will be invited to virtual catch 
ups. 

9. Supported individual Board members to 
see themselves as more than a subject 
matter expert, and to vary the nature of 
their Board contributions – this will be 
crucial at the strategy days in September. 

The Board carried out a self-evaluation this 
year and the results show that the Board is 
committed to strengthening its 
effectiveness across all areas of the 
Framework with a focus on continuous 
improvement. A questionnaire was 
compiled by the Company Secretary to 
cover all areas of the Framework. Each 
Board member scored the perceived 
strength of the Board and its Committees in 
each area and added commentary if they 
wished.

The Company Secretary collated the scores 
from the questionnaire and reported back 
to the Board anonymising the comments.

Recommended actions from the self-
evaluation include:

Outside World
Opportunity to reinforce understanding of 
healthcare environment, including potential 
digital/online and political developments 
which has been addressed through recent 
Non-Executive Director appointments. The 
Board should also undertake more horizon 
scanning and external speakers from 
non-related industries will help to challenge 
our thinking. 

Creating the Future
Continue to explore organic growth 
opportunities and partnerships. The Board 
should spend more time on strategic 
questions and the purpose/social impact 
discussions will further help.

Board Team Effectiveness 
Take care to properly on-board the new 
Non-Executive Directors and accommodate 
any changes to dynamics positively. 
Continue to build on good board 
relationships when face to face contact 
resumes. 

Nurturing Identity
Lockdown has hampered the Board’s 
visibility to staff, despite the Teams 
meetings, calls, videos and virtual teas – we 
will need to work hard once we can get 
back into the office on this.

Managing the Present
We will need to think about the implications 
of moving from a situation where all 
Non-Executive Directors are on all 
committees to a more usual, split 
responsibilities and how we make that work 
effectively.

These actions will be progressed this year 
and the Framework will be regularly 
considered at Board meetings to identify 
any required changes in focus or priority.

Ed Smith, CBE
Chair of the Nominations Committee
17 May 2021

84

Assura plc  Annual Report and Accounts 2021

AUDIT COMMITTEE REPORT

Dear shareholder
In my second year as Chair of the Audit 
Committee (“the Committee”) I have 
pleasure in setting out below the formal 
report on its activities for the year ended 31 
March 2021.

During the year the Committee comprised 
myself and the two other Non-Executive 
Directors, with two of the newly appointed 
NEDs (Emma Cariaga and Noel Gorden) 
joining from May 2021. I confirm I have 
recent and relevant financial experience as 
CFO of SSP Group plc. We met four times in 
the year and the key matters considered by 
the Committee at each meeting were as 
follows:

May 2020 
 – Reviewed the external portfolio valuations 
for the financial year ended 31 March 2020

 – Received a report from Deloitte on the 

audit and the annual report and accounts

 – Reviewed use of Deloitte for non-audit 

work and confirmed their independence

 – Reviewed the draft annual report and 

accounts

 – Considered the impact of COVID-19 on the 

annual report and disclosure

 – Reviewed the going concern statement 

and assumptions

 – Reviewed the viability statement and 

assumptions

 – Reviewed the external auditor’s 

performance, the use of Deloitte for 
non-audit work and auditor independence

November 2020
 – Reviewed the half year external portfolio 

valuations

 – Reviewed the interim report and accounts 

and auditor’s report

 – Carried out a detailed review of going 

concern

 – Received reports from the internal auditor 

on internal processes

 – Confirmed compliance with REIT tests, 

considered property income distributions 
and nominated Jayne Cottam as HMRC 
Senior Accounting Officer

February 2021
 – Approved the agenda items and schedule 
of Committee meetings for the upcoming 
calendar year

 – Approved the terms of reference for the 

Committee

 – Reviewed the quarterly valuation
 – Approved the treasury counterparties
 – Received an update on progress of 

actions recommended by internal audit 
and approved the processes to be 
reviewed by internal audit this calendar 
year

March 2021
 – Approved the external audit plan and fee
 – Received a report on the Risk Committee 

activity for the year, reviewed principal risk 
movement and approved the risk section 
of the annual report

 – Reviewed the accounting treatment for 

the acquisition of Apollo

 – Received an update on IT projects and 

cyber risk

 – Received an internal audit update 
 – Approved the draft viability statement
 – Received an update on the audit tender 

process

Audit meetings are held in advance of the 
Board meeting and I provide a report to the 
Board of the key matters discussed giving 
the Board the opportunity to consider any 
recommendations proposed by the 
Committee.

Subsequent to the year end, the March 2021 
annual report and accounts was reviewed 
at the May 2021 Audit Committee meeting.

Fair, balanced and understandable 
assessment
The Committee performed a detailed 
review of the content and tone of the 
annual report and half year results and has 
satisfied itself that there are robust controls 
over the accuracy and consistency of the 
information presented, including 
comprehensive reviews undertaken by the 
Board, senior management and the 
auditors. Accordingly, the Committee has 
advised the Board that the annual report 
taken as a whole is “fair, balanced and 
understandable” and provides the 
information necessary for the shareholders 
to assess the Company’s position and 
performance, business model and strategy.

Significant financial reporting matters
During the year the Committee reviewed 
the following significant financial reporting 
judgements:

 – Valuation of investment properties, 

including those under construction – 
valuations and yields are discussed with 
management and benchmarked against 
comparable portfolios. The two external 
valuers, Savills and JLL, presented and 
discussed their findings with the 
Committee. Deloitte separately discuss 
the valuations and the assumptions they 
are based on with the valuers. The 
Committee considered the impact of 
COVID-19 on the reported basis of 
valuation, concluding the valuation was 
accurate.

The Board has established 
a framework of financial 
reporting and controls to 
provide effective 
assessment and 
management of risk” 
Jonathan Davies
Chair of the Audit Committee

Committee members
Jonathan Davies 
(Committee Chair)
Jenefer Greenwood, OBE
Louise Fowler

Attendance*

4/4
4/4
4/4

*  out of the maximum possible meetings

Additional attendees*
 – Deloitte LLP
 – Savills Commercial Limited and Jones Lang 

LaSalle

 – KPMG LLP as internal auditor
 – Ed Smith, CBE – Non-Executive Chairman
 – Jonathan Murphy – CEO
 – Jayne Cottam – CFO
 – Orla Ball – Company Secretary
 – David Purcell – Head of Investor Relations
 – Owen Roach – Group Financial Controller

*  as appropriate

Meetings in the year:

4

Terms of Reference
https://www.assuraplc.com/investor-
relations/shareholder-information/
sustainability-and-corporate-governance-
policies

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CONTINUED

 – Validity of the going concern basis and 

the availability of finance going forward – 
the Committee considers the financing 
requirements of the Group in the context 
of committed facilities and evaluates 
management’s assessment of going 
concern and the assumptions made. 
The external auditor also reports to the 
Committee following its review. The going 
concern statement which confirms the 
going concern status of the business 
despite the current situation with 
COVID-19 is on page 68

 – Viability statement – the Committee 
considered the viability statement 
proposed for inclusion in the annual report 
and the supporting analysis produced by 
management. The statement was 
approved for inclusion in the 2021 report 
and appears on page 68. The Committee 
reviewed the period covered by the 
viability statement and continues to be of 
the view that a five-year period remains 
the most appropriate timespan in this 
regard.

Other financial reporting matters
In addition to the significant financial 
reporting matters discussed above, the 
Committee considers other financial 
reporting matters as and when they arise 
to ensure appropriate treatment in the 
accounts, receiving appropriate briefings 
on emerging regulations and standards 
from management and Deloitte.

During the year this included the following:

 – Consideration of whether the acquisition 
of the pipeline and team of Apollo should 
be accounted for under IFRS 3 Business 
Combinations, or the purchase of 
individual assets, concluding that we have 
purchased a collection of assets so it 
should not be accounted for under IFRS 3 
Business Combinations.

We are satisfied that there were no matters 
arising from any of the above that we wish 
to draw to the attention of the shareholders.

Audit/non-audit fees payable to 
external auditor
The fees paid to the external auditor are 
disclosed in Note 4(a) to the accounts, and 
the policy for non-audit services is in the 
Audit Committee Terms of Reference 
available on our website. In the year ended 
31 March 2021, the auditor provided 
non-audit non-statutory services in the form 
of a comfort letter on the Social Bond 
issuance and the review of the interim 
report, being services closely related to 
assurance. 

Effectiveness of external audit process
The Committee assessed the effectiveness 
of the external audit process, initially 
reviewing and challenging the audit 
planning memorandum prepared by 
Deloitte and then monitoring fulfilment of 
this plan. As in the prior year, the audit was 
carried out remotely due to the COVID-19 
pandemic but this did not impact the audit 
process in any material way. The Committee 
received regular feedback from 
management on the service provided by 
Deloitte, reviewed at an Audit Committee 
and concluded that the external audit was 
carried out efficiently and effectively with 
objective, independent challenge. 

During the year, the Company completed a 
competitive audit tender including Deloitte, 
EY and PwC. Several mid-tier firms were 
invited to tender but all declined to 
participate. Following the tender, the Audit 
Committee has decided to appoint EY as 
auditor. The Committee would like to thank 
Deloitte for their diligent service over the 
past 10 years. 

We receive regular updates on potential 
regulatory changes affecting the audit 
industry and are assessing their impact on 
the Company and the work of the 
Committee.

Jonathan Davies
Chair of the Audit Committee
17 May 2021

Risk and internal controls
The Committee is aware of the Code’s 
requirements in relation to risk and the 
monitoring of internal control systems and 
the risk assessment and internal control 
processes are a key consideration of the 
Committee. The Board has established a 
framework of financial reporting and 
controls to provide effective assessment 
and management of risk as set out on page 
56. During the year the Committee received 
minutes from the meetings of the Risk 
Committee, reviewed the principal risk 
register and monitored the Group’s risk 
management and internal control systems 
including in relation to Brexit and COVID-19. 
The Committee has not identified any 
significant failings or material weakness in 
these control systems during the year. The 
risk report is set out in full on pages 56 to 61.

The Group’s internal control systems are 
codified in policies and procedures which 
are regularly reviewed and include a 
detailed authorisation process, formal 
documentation of all transactions, a robust 
system of financial planning (including cash 
flow forecasting and scenario testing), 
regular financial reporting and reports to 
the Board from the CEO and CFO and on 
specialist risks including tax, and a robust 
appraisal process for all property 
investments. Changes to internal controls, 
or controls to respond to changing risks 
identified (for example in the current 
COVID-19 situation in respect of cyber risk 
and remote working), are addressed by the 
Risk Committee with appropriate escalation 
to the Audit Committee as required.

Internal audit
The Committee appointed KPMG as internal 
auditor to complete reviews of specific 
internal processes on a rolling basis. The 
Committee agreed that the processes to be 
reviewed last calendar year were controls 
over property development, financial close 
and reporting and general IT controls. The 
Committee received detailed reports on 
the work completed and the KPMG internal 
audit partner attended Audit Committee 
meetings to present their findings and 
answer questions. Improvements were 
identified for each of these processes which 
have now been substantially implemented. 
The Committee has agreed that the 
processes to be reviewed this calendar year 
are data integrity, acquisition process, 
finance systems upgrade and supplier 
management.

Save for commissioning specific processes 
for review, the Committee is satisfied that 
the correct level of control and risk 
management within the business 
adequately meets the Group’s current 
needs.

86

Assura plc  Annual Report and Accounts 2021

DIRECTORS’ REMUNERATION REPORT

The Committee paid close 
attention to the impact of 
COVID-19 on Assura and 
considered carefully the 
implications from a 
remuneration perspective." 
Jenefer Greenwood
Chair of the Remuneration Committee 

Committee members
Jenefer Greenwood, OBE
(Committee Chair)
Ed Smith, CBE
Jonathan Davies
Louise Fowler

Attendance*

6/6
6/6
6/6
6/6

*  out of the maximum possible meetings

Additional attendees*
 – Jonathan Murphy (CEO)
 – Jayne Cottam (CFO)
 – Orla Ball (Company Secretary)
 – Korn Ferry

*  as appropriate

Meetings in the year:

6

Terms of Reference
https://www.assuraplc.com/investor- 
relations/shareholder-information/ 
sustainability-and-corporate-governance- 
policies

Annual Statement

Dear shareholder
On behalf of the Board, I am pleased to 
introduce the Directors’ Remuneration 
Report for the year ended 31 March 2021.

This report is split into three parts:

 – This Annual Statement – in which I explain 
the work of the Remuneration Committee 
during 2020/21 and the key decisions 
taken during the year;

 – A summary of the Directors’ 

Remuneration Policy – which was 
approved by shareholders at the AGM on 
2 July 2019, and which was in force for the 
year under review; and

 – The Annual Report on Remuneration 

– which details the link between Company 
performance and remuneration and 
includes payments and awards made to 
the Directors for 2020/21 and information 
on how the Remuneration Policy will be 
implemented for 2021/22.

At the AGM to be held on 6 July 2021, you 
will be asked to approve an advisory 
resolution covering this Annual Statement 
and the Annual Report on Remuneration.

Remuneration for 2020/21
For the year under review the Remuneration 
Committee applied the Remuneration 
Policy approved by shareholders at the 2019 
AGM. The Policy includes a sensible balance 
of fixed and variable remuneration, 
providing the Executive Directors with the 
opportunity to benefit from annual 
incentive payments and the vesting of 
long-term share awards in the event of 
challenging performance conditions being 
met.

Throughout the year, the Committee paid 
close attention to the impact of COVID-19 
on Assura and considered carefully the 
implications from a remuneration 
perspective. As discussed in the Strategic 
Report, business performance during the 
year was very strong despite the disruption 
caused by the pandemic. The Committee 
was impressed by the leadership 
demonstrated by the management team to 
support all colleagues during this period 
and drive ongoing business success. In the 
circumstances, results for the year were 
exceptional.

The Committee has given extensive 
thought to Executive Director remuneration 
during the year. As discussed with major 
shareholders during the consultation 
exercise on the Remuneration Policy in late 
2018/early 2019, and as explained in detail in 
recent Remuneration Reports, we have for 
some time been concerned with the 
material gap between the Directors’ basic 
salaries and those available in the wider real 
estate market. 

We do not seek to precisely benchmark 
against the median or rigidly match the 
salaries offered elsewhere, but we wish to 
ensure that the Directors are paid fairly, 
reflecting their performance and 
commitment. To help narrow the gap with 
the market, the Remuneration Policy 
explicitly provides the Committee with 
scope to increase the Directors’ salaries 
each year by an amount up to 7% higher 
than the increase for the wider workforce.

In last year’s report I explained that the 
Committee had considered applying a 
basic salary increase for the Executive 
Directors with effect from 1 April 2020 at a 
level above inflation and above the wider 
workforce average. However, the 
Committee decided to defer this increase in 
light of the market uncertainties triggered 
by COVID-19 and instead limit the Directors’ 
April increase to 1.8%, in line with inflation 
and the increase for the rest of the 
workforce. I also explained that the 
Committee intended to review this matter 
further, later in the financial year.

The Committee met later in 2020 and 
agreed to apply an increase of 7% for the 
salaries of both the CEO and CFO with 
effect from 1 October 2020, to £429,760 and 
£241,536 respectively. In reaching this 
decision, the Committee considered the 
excellent performance of the business over 
the first half of the financial year and the 
continued performance and growth of both 
the CEO and the CFO in their roles. We 
reflected on Assura’s resilience during the 
pandemic and noted, among other things, 
the continuation of dividend payments and 
the fact that Assura had made no use of 
Government support. No employees were 
furloughed or made redundant as a result of 
the pandemic. Assura did raise equity from 
shareholders in April 2020 but, unlike those 
companies which sought urgent 
emergency support from investors to 
bolster their balance sheets as the impact 
of the pandemic was felt, our placing was 
designed to fund Assura’s near-term 
development, acquisition and asset 
enhancement pipeline.

This salary increase was a deferred 
implementation of the increase we had 
initially envisaged making in April 2020, but 
prudently decided against at the time, as 
explained above. The increase was not 
backdated to April and thus applied only to 
the second half of the financial year.

After the year end, we assessed the 
Directors’ performance against the annual 
bonus targets set at the start of the year. 
The bonus scheme again used a mixture of 
financial and non-financial targets linked 
closely to Assura’s strategic priorities for 
the year. 

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CONTINUED

Given the strong level of performance of 
the business, the overall level of 
achievement against the financial targets 
was very good, with the maximum target 
exceeded for total accounting return and a 
relatively high level of bonus earned for the 
measures linked to EPRA earnings and 
growth in total contracted rent roll. In 
addition, both Executive Directors partially 
achieved their objectives linked to strategic, 
operational and personal goals. 

As a result, we determined that the CEO 
and CFO had earned bonuses of 83% of 
maximum and 77% of maximum 
respectively. Details of the targets 
employed during the year and the extent of 
achievement against them are set out in the 
Annual Report on Remuneration. This 
includes detailed information on the 
specific non-financial objectives used and 
the performance achieved.

For the Performance Share Plan (“PSP"), we 
measured TSR and EPRA EPS performance 
over the three-year period to 31 March 2021 
to determine the level of vesting for the 
awards granted in July 2018. The TSR 
performance condition was partially met 
but EPS performance was unfortunately 
insufficient to meet the threshold level of 
vesting for the EPS portion of the award. 
Taking into account this level of 
performance, the Committee agreed that 
the PSP awards will vest at a level of 33.9%. 
In line with the Remuneration Policy that 
applied at the date of grant, (i) Jonathan 
Murphy’s vested shares will not be subject 
to a two-year post-vesting holding period 
because at the time of vesting he will have 
satisfied his shareholding requirement, but 
(ii) Jayne Cottam’s vested shares will be 
subject to a two-year post-vesting holding 
period as she has not yet built up the 
required shareholding (with it noted that 
the Remuneration Policy approved in 2019 
requires a post-vesting holding period for all 
shares that vest under awards made from 
2019 onwards).

In summary, we believe that that there has 
been a clear link between executive 
remuneration outcomes and the experience 
of shareholders during the year. No 
discretion was exercised by the Committee 
in deciding upon the level of bonus payout 
or PSP vesting for 2020/21.

Our plans for 2021/22
We have reviewed all aspects of the 
remuneration package for the Executive 
Directors for the year ahead.

The Committee considered the basic 
salaries of the Executive Directors to apply 
with effect from 1 April 2021. After further 
assessment of the performance of the 
Company and of the individual Directors, 
the Committee agreed that an increase of a 
further 7% above the wider workforce 

average increase (1.5%) was appropriate. 
The resulting salaries are £466,290 and 
£262,067 for the CEO and CFO respectively, 
these being 8.5% higher than the salaries in 
place since October 2020.

In reaching this decision, the Committee 
took into account a number of key 
achievements over 2020/21, including the 
accelerated development programme and 
the multiple successes achieved as Assura 
has sought to become the UK’s number one 
listed property business for social impact. 
This includes the launch of the Assura 
Community Fund, the rollout of the SixBySix 
strategy, the strong investment in our 
portfolio and the successful launch of the 
Social Bond in September 2020. The CEO 
and CFO have continued to demonstrate 
exceptional leadership of the business 
during this period and the Committee was 
unanimous in its view that the salary gap 
with the market must continue to be 
narrowed. Even after these increases, the 
salaries of the CEO and the CFO remain well 
below the median for comparably-sized 
companies in the FTSE 250 Real Estate 
sector and the FTSE 250 more broadly.

I would like to reiterate that these increases, 
and those implemented in October 2020, 
while significant in percentage terms, are 
within the limit set out in the Directors’ 
Remuneration Policy and are entirely 
consistent with the approach set out in the 
2019 Remuneration Report, at the time 
shareholder approval of the Policy was 
sought. The Committee believes that we 
would be remiss in our duty to shareholders 
if we did not maintain appropriate and fair 
packages for a high-performing 
management team. Continuing material 
misalignment with the market is a concern 
for the Committee and we remain well 
aware that remuneration opportunities on 
offer elsewhere exceed what Assura 
currently provides. The Committee has also 
considered this matter very carefully in the 
context of remuneration for the wider 
employee base. While, as noted above, the 
increases are higher than those for the 
wider workforce, they are considered 
necessary to address a misalignment with 
the market against the backdrop of 
continued strong performance. Limiting the 
Executive Directors’ salary increases to the 
inflationary increase agreed for the wider 
team would not have been consistent with 
our previously stated intention to move the 
Directors’ salaries closer to the market rate.  

The Committee reflected on this in the 
context of the employee experience during 
2020/21 and concluded that the proposal 
remained appropriate.

I wrote to major shareholders and the 
leading advisory bodies in February 2021 to 
explain the Committee’s decision on this 
matter and to seek feedback. 

I am pleased to report that the majority of 
those who responded were supportive of 
the increases and recognised that they 
were appropriate in the context of the 
Executive Directors’ performance and in 
light of salary positioning against the 
market. Nevertheless, there were some 
questions regarding the appropriateness of 
the salary increases at the current time. We 
therefore commit to further consideration of 
our approach to basic salary when 
reviewing the Directors’ Remuneration 
Policy later in 2021.

For the year ahead, the annual bonus 
scheme will operate in a similar fashion to 
2020/21, with performance assessed 
against a mix of financial and non-financial 
metrics. We are making a small but 
important change and increasing the overall 
weighting on financial metrics to 70% of the 
maximum bonus (up from 60%), with a 
corresponding reduction in the weighting 
on non-financial performance. This will 
ensure an appropriate level of focus on the 
key drivers of performance for the coming 
year and also bring our approach more into 
line with market standards more generally. 
The specific bonus targets are considered 
commercially confidential at the current 
time but will be disclosed in next year’s 
Annual Report on Remuneration. The 
Committee will continue to have the 
discretion to determine the appropriate 
bonus amount based on a rounded 
assessment of performance at the end of 
the year. The maximum bonus opportunity 
will remain at 125% of basic salary for the 
CEO and 100% of basic salary for the CFO.

During the course of 2020/21 the 
Committee considered long-term incentive 
provision for the Executive Directors and 
compared the current PSP with alternative 
models. It was decided not to make any 
changes and therefore continue with the 
PSP. We intend to make a PSP grant in 2021 
at a level of 150% of basic salary for both the 
CEO and the CFO. The performance metrics 
will again be a mixture of TSR, EPS and 
targets linked to Assura’s long-term 
performance on critical ESG measures, 
measured over the three-year performance 
period to 31 March 2024. The specific 
targets are set out on pages 104 and 105 
and are the same as those which applied to 
the award granted in 2020, with the 
exception of minor changes to one of the 
ESG measures. A two-year holding period 
will apply to any vested awards. 

The Committee believes that the 
combination of measures used for the 
bonus scheme and the PSP continues to 
ensure a clear link between a number of key 
strategic objectives and Executive 
Directors’ remuneration. As evidenced with 
the launch of the SixBySix strategy, ESG is 
central to Assura’s business and investment 
case and we wish to continue to ensure this 
is reflected appropriately in incentives. 

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UK Corporate Governance Code
We have again sought to comply with the 
provisions of the UK Corporate Governance 
Code and we continue to believe that in all 
material respects the Remuneration Policy 
and its implementation are aligned with the 
Code (save where indicated below). The 
Policy and its implementation are consistent 
with the six factors set out in Provision 40 of 
the Code:

 – Clarity – our Policy is well understood by 
our management team and has been 
clearly articulated to our shareholders and 
representative bodies;

 – Simplicity – the Committee is mindful of 

the need to avoid overly complex 
remuneration structures which can be 
misunderstood and deliver unintended 
outcomes. Therefore, one of the 
Committee’s objectives is to ensure that 
our executive remuneration policies and 
practices are straightforward to 
communicate and operate;

 – Risk – our Remuneration Policy is 

designed to ensure that inappropriate 
risk-taking is discouraged and will not be 
rewarded via (i) the balanced use of both 
short- and long-term incentive plans which 
employ a blend of financial, non-financial 
and shareholder return targets, (ii) the 
significant role played by equity in our 
incentive plans (together with 
shareholding guidelines) and (iii) malus/ 
clawback provisions;

 – Predictability – our incentive plans are 

subject to individual caps, with our share 
plans also subject to market standard 
dilution limits;

 – Proportionality – there is a clear link 

between individual awards, delivery of 
strategy and our long-term performance. 
In addition, the significant role played by 
incentive/’at-risk’ pay, together with the 
structure of the Executive Directors’ 
service contracts, ensures that poor 
performance is not rewarded; and

 – Alignment to culture – our executive pay 

policies are fully aligned to Assura’s culture 
through the use of metrics in both the 
annual bonus and PSP that measure how 
we perform against our targets that 
directly underpin the delivery of our 
strategy. The incentive schemes are 
aligned with our strong performance 
culture and, as noted above, are linked to 
a strategy to support the clear social 
purpose of Assura’s business.

As required by the Code, the Committee 
has again reviewed workforce remuneration 
and related policies. This has been 
particularly important during what has been 
a highly unusual year for our employees. As 
stated above, we are comfortable that the 
approach for Directors is appropriate in the 
context of the wider employee perspective. 
Below Board level, we believe that Assura 
offers attractive and market-competitive 
remuneration packages. 

In addition to basic salary, all permanent 
employees participate in an annual bonus 
scheme which pays out subject to 
performance conditions based on a mix of 
financial and personal targets. We also offer 
a comprehensive benefits package to all 
employees. On top of this, a key 
development during the course of the year 
was the launch of a Share Incentive Plan for 
employees following shareholder approval 
at last year’s AGM. Under the plan, 
participants can receive awards of free 
shares and also benefit from additional 
matching shares in the event of their 
voluntary investment in additional shares. 
The Committee was pleased to see a very 
high level of participation in the plan, with 
approximately 82% of eligible employees 
taking part, thus demonstrating commitment 
to the organisation and alignment with 
shareholders. At the year end, the 
Committee was delighted to support a 
proposal from management to make an 
additional award of £500 of free shares to all 
employees in recognition of their dedication 
and contribution throughout 2020/21.

One of the members of the Committee, 
Louise Fowler, is the designated Non- 
Executive Director for engagement with the 
workforce and has had discussions with The 
Voice, a cross-functional, cross-hierarchical 
representative group of colleagues, on a 
number of matters during the year, with a 
particular focus on colleague engagement. 
Shortly after the year end, Louise held a 
session with The Voice which covered, 
among other things, the Remuneration 
Committee’s approach to setting executive 
remuneration, the alignment of Directors’ 
pay with that of the wider workforce, and 
the key issues being considered by the 
Committee. There was a helpful discussion 
of the bonus scheme for the Directors and 
that for colleagues and comments on the 
wider benefits package, all of which will be 
reflected upon by the Committee as it 
reviews the Directors’ Remuneration Policy 
and workforce pay more widely.

The Code recommends that we consider the 
appropriateness of Directors’ remuneration 
using internal and external measures such 
as pay ratios. In this report, we are again 
voluntarily reporting the ratio of the CEO’s 
pay to the remuneration of employees more 
broadly, in line with best practice and the 
expectations of investors. The ratio is set out 
on page 102 alongside the supporting detail 
as required by the relevant regulations. The 
median pay ratio for 2020/21 is similar to 
that for 2019/20, reflecting the similar level 
of total CEO pay for each year and the lack 
of material changes to the total pay of 
employees at the median level of the 
organisation. A significant portion of the 
CEO’s pay for the year represents the value 
of his performance-related incentives (annual 
bonus and PSP). Although the vast majority 
of other colleagues participate in a bonus 
scheme, the level of award for the CEO is the 
highest in the organisation, reflecting the 

responsibilities of the role. In addition, and as 
noted above, the CEO benefited from the 
partial vesting of a PSP award for 2020/21, 
and PSP participation has not been extended 
broadly throughout the organisation. This is 
reflective of an approach which recognises 
that while Executive Directors should be 
provided with market-relevant incentives 
linked to aligning their interests with those of 
shareholders, such incentives are not 
appropriate at all levels of the business. At 
the same time, we believe that the incentives 
for the Directors should not result in rewards 
which are excessive when compared to pay 
levels throughout the organisation.

There are two areas of current non-
compliance with the Code. First, under 
Code Provision 38, the pension contribution 
rate for the current Executive Directors is 
currently higher than the rate applicable to 
the majority of the wider workforce 
(currently 6%). We recognise that this is an 
important matter of principle for investors 
and therefore the Committee has agreed 
that the pension rate for the Directors will 
be aligned with that of the majority of the 
wider workforce by the end of December 
2022, consistent with the guidance issued 
by the Investment Association.

The second issue of non-compliance, 
relating to Code Provision 36, is that we 
have not introduced shareholding 
requirements to apply for a period of time 
following cessation of employment. The 
Committee believes that the Remuneration 
Policy as currently structured provides for 
sufficient alignment between Executive 
Directors and shareholders, but also 
recognises that these post-employment 
requirements are now favoured by a 
majority of investors. As a result, we commit 
to introducing post-employment 
shareholding requirements as part of the 
Remuneration Policy to be proposed for 
shareholder approval at the AGM in 2022. 

In conclusion
During the course of the current financial 
year, the Committee will review all aspects 
of Executive Directors’ remuneration as part 
of a full Policy review, and will consult with 
major shareholders on the proposals. This 
process will be led by Louise Fowler, who 
will succeed me as Chair of the Committee 
at the conclusion of the AGM on 6 July 2021. 
I would like to take this opportunity to wish 
Louise well in her new role and also to thank 
you, our shareholders, for your support on 
remuneration matters during my tenure as 
Committee Chair.

Ahead of the AGM, I would be delighted to 
receive any feedback or comments you 
may have on our approach during 2020/21 
and our plans for 2021/22.

Jenefer Greenwood
Chair of the Remuneration Committee 
17 May 2021

Assura plc  Annual Report and Accounts 2021

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At a Glance

What our Executive Directors earned during 2020/21
The following table provides a summary single total figure of remuneration for 2020/21. Further details are set out in the Annual Report on 
Remuneration.

£’000
Jonathan Murphy
Jayne Cottam

Salary
416
234

Pensions
56
32

Benefits
15
13

Bonus
430
181

LTIs
268
136

Other
2
2

Total
1,187
598

How our Executive Directors will be paid in 2021/22
A summary of how the Committee intends to operate the Remuneration Policy for 2021/22 is as follows:

Component
Base salary

Pension allowance (% of salary)
Annual bonus max (% of salary)
Annual bonus deferral

Annual bonus metrics

PSP (% of salary)
PSP Performance Conditions
Post vesting holding period
Shareholding guidelines (% of salary)

Jonathan Murphy
£466,290
(Increased by 8.5% from 1 April 2021)

Jayne Cottam
£262,067
(Increased by 8.5% from 1 April 2021)

13.5%

125%
Any bonus payable over 100% of salary 
deferred into shares for two years

100%
50% of any bonus deferred for two years until 
shareholding guideline is met

20% total accounting return, 25% EPRA earnings, 25% total contracted rental roll, 10% 
strategic plan (CEO only)/10% operational excellence (CFO only), 20% personal objectives
150%
33% TSR, 33% EPS and 33% key ESG measures
Two years

300%

200%

Remuneration Scenarios for 2021/22
The charts on page 94 show how total pay for the Executive Directors varies under four different performance scenarios: Minimum; Target; 
Maximum; and Maximum with share price growth.

Directors’ Remuneration Policy (Summary)

Policy scope
The policy applies to the Chairman, Executive Directors and Non-Executive Directors.

Policy duration
The policy was passed by a binding shareholder vote at the Company’s Annual General Meeting on 2 July 2019 and became effective from 
that date. It will remain in place for three years unless approval for a new policy is sought. All payments to Directors during the policy 
period will be consistent with the approved policy.

Overview of Remuneration Policy
The Committee considers that the Group’s remuneration policies should align to Assura’s values and behaviours, encourage a strong 
performance culture and emphasise long-term shareholder value creation in order to be aligned with its shareholders’ interests.

The policy was developed following an extensive review by the Committee in 2018 of the previous policy. This included consideration of 
the link between Assura’s strategy and executive remuneration, developments in market practice and the expectations of institutional 
investors. Following this review, a set of proposals was developed which was then the subject of a comprehensive consultation exercise 
with major shareholders in late 2018 and early 2019. The proposals were refined as a result of feedback received and the policy presented 
for shareholder approval at the AGM in 2019. Throughout the policy period, the Committee keeps the policy and its implementation under 
review. The Committee will consult with major shareholders if it considers that a change to the policy is required.

Conflicts of interest are managed through the operation of existing governance procedures. The Committee is comprised of independent 
Non-Executive Directors and the Chairman of the Board. While Executive Directors may attend meetings of the Committee, they are not 
present when matters specifically relating to their own remuneration are discussed. The Committee receives advice on the remuneration 
policy from independent external advisers who are appointed by the Committee.

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The policy has the following objectives:

 – to develop a remuneration structure which supports the Company’s strong performance culture and our key objective of creating 

long-term shareholder value;

 – to enable the Company to recruit and retain Executives with the capability to lead the Company on its ambitious growth path;
 – to reflect principles of best practice; and
 – to ensure our remuneration structures are transparent and easily understood both internally and externally.

The full policy was included in the Annual Report and Accounts 2019, available on Assura’s website. A summary of the policy is set out 
below and on the following pages.

Objective and  
link to strategy
Fixed remuneration
Base salary 
Core element 
of remuneration 
set at a level that 
recognises the size 
and complexity 
of the Company 
and, when 
combined with 
the performance 
based variable 
remuneration 
potential, can 
attract and retain 
Executive Directors 
of the quality 
to execute the 
strategy.

Benefits
The Company 
provides benefits 
in line with market 
practice.

Operation

Maximum  
opportunity

Performance measurement  
and assessment

An Executive Director’s base salary 
is considered by the Committee on 
appointment and then reviewed periodically 
or when an individual changes position or 
responsibility.

Any changes normally take effect from 1 April 
each year.

Any increase in salary for 
Executive Directors will take 
into account salary levels of 
comparable FTSE Real Estate 
companies and companies of
comparable size and 
complexity.

None.

However, individuals who are 
recruited or promoted to the 
Board may, on occasion, have 
their salaries set below the 
targeted Policy level until they 
become established in their 
role. In such cases subsequent 
increases in salary may be 
higher than the average until the 
target positioning is achieved 
although the maximum increase 
in any year will be 7% above the 
general workforce increase.

None.

Benefit values vary year on 
year depending on premiums 
and the maximum value is the 
cost of the provision of these 
benefits. The Committee will 
monitor the costs of benefits 
in practice and will ensure that 
the overall costs do not increase 
by more than the Committee 
considers appropriate in all the 
circumstances.

When making a determination as to the 
appropriate salary level, the Committee first 
considers remuneration practices within the 
Group as a whole and, where considered 
relevant, conducts objective research on the 
Company’s peers.

It should be noted that the results of any 
benchmarking will only be one of many 
factors taken into account by the Committee. 
Other factors include:

 – individual performance and experience;
 – pay and conditions for employees across the 

Group;

 – the general performance of the Company; 

and

 – the economic environment.

No recovery provisions apply to base salary.
Executive Directors may receive a benefit 
package which includes:

 – health insurance;
 – death in service benefits;
 – company car allowance; and
 – other benefits as provided from time 

to time.

Benefits are reviewed periodically to ensure 
that they remain market competitive.

The payments are not included in salary 
for the purposes of calculating any benefit 
or level of participation in incentive 
arrangements.

No recovery provisions apply to benefits.

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Operation
Executive Directors may receive pension 
contributions to personal pension 
arrangements or a cash supplement.

Pension-related payments are not included 
for the purposes of calculating any benefit 
or level of participation in incentive 
arrangements. No recovery provisions apply.

Objective and  
link to strategy
Pension
The Company 
provides a level 
of pension 
contribution
in order to be 
competitive and to 
ensure that it has 
the ability to recruit 
and retain Executive 
Directors.
Performance-based variable remuneration
Bonus 
Incentivises the 
achievement of 
a range of key 
performance 
targets that are key 
to the success of 
the Company.

Awards may be made annually.

The performance period is one financial 
year. Pay-outs may be made in a mix of cash 
and deferred shares determined by the 
Committee following the financial year end, 
based on achievement against a range of 
financial and strategic targets.

Performance measurement  
and assessment
 None.

Maximum  
opportunity
The maximum employer’s 
contribution is 13.5% of base 
salary for the current Executive 
Directors.

For any new Executive Director 
appointments to the Board, the 
Committee will look to align 
pension provision to general 
workforce levels.

The maximum annual bonus for 
Executive Directors is 125% of 
salary. At threshold performance 
0% of maximum can be earned.

Performance measures are set 
annually based on a number of 
financial and strategic measures 
which may include (but are not 
limited to) for example:

The CEO has a maximum bonus 
opportunity of 125% of salary 
and an on-target level of 75% of 
salary.

 – delivering specific added 

value activities;

 – delivering financial goals;
 – improving operational 

performance; and

 – developing the performance 

capability of the team.

The Committee has the 
discretion to vary the 
performance targets depending 
on economic conditions 
and Company-specific 
circumstances that may occur 
during the year.

At the end of each financial 
year the Committee takes 
into account the Company’s 
financial performance and 
achievement against key short- 
term objectives established 
at the beginning of the year. 
This involves establishing in 
advance what constitutes 
success for good, strong or 
outstanding performance. It is 
the Committee’s approach to 
view the performance in the 
round at the end of the year, 
taking into account extraneous 
events and changing priorities, 
where relevant.

Where an element of bonus is payable as 
deferred shares, individuals may be able to 
receive a dividend equivalent in cash or shares 
equal to the value of dividends which would 
have accrued during the vesting period.

The CFO has a maximum bonus 
opportunity of 100% of salary 
and an on-target level of 56.25% 
of salary.

50% of any bonus is deferred into shares for 
two years where the shareholding guideline 
has not been met. Additionally, any bonus 
payment above 100% of salary will be 
deferred into shares for two years.

Bonus payments are not pensionable, but are 
subject to malus and clawback provisions.

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Maximum  
opportunity
The PSP allows for awards over 
shares with a maximum value of 
150% of base salary per financial 
year.

Objective and  
link to strategy
Long-term 
Incentives
To motivate and 
incentivise delivery 
of sustained 
performance over 
the long term, 
and to promote 
alignment with 
shareholders’ 
interests, the 
Company operates 
the Performance 
Share Plan (“PSP”).

Operation
Awards under the PSP may be granted as nil/
nominal cost options or conditional awards 
which vest to the extent performance 
conditions are satisfied over a period of at 
least three years, with a two-year post vesting 
holding period also applying. In exceptional 
circumstances, vested awards may also be 
settled in cash.

PSP awards may be increased to reflect the 
value of dividends that would have been paid 
in respect of any ex-dividend dates falling 
between the grant of awards, and the expiry 
of any vesting period and any holding period.

Clawback and malus provisions apply to PSP 
awards.

Performance measurement  
and assessment
The Committee may set such 
performance conditions on 
PSP awards as it considers 
appropriate (whether financial 
or non-financial and whether 
corporate, divisional or 
individual).

Performance periods may 
be over such periods as the 
Committee selects at grant, 
which will not be less than (but 
may be longer than) three years.

No more than 10% of awards 
vest for attaining the threshold 
level of performance conditions.

In addition, while performance 
measures and targets used in 
the PSP will generally remain 
unaltered, if in the Committee’s 
opinion, circumstances are such 
that a different or amended 
target would be a fairer measure 
of performance, such amended 
or different target can be set 
provided that it is not materially 
more or less difficult to satisfy 
than the original target was at 
the time it was set.

Shareholding 
requirement
To ensure alignment 
between Executive 
Directors and 
shareholders’ 
interests over a 
longer time horizon.

The Committee operates shareholder 
guidelines to encourage long-term share 
ownership by the Executive Directors.

Executive Directors may not sell any shares 
acquired via any share-based incentive plan if 
the sale would take their shareholding below 
the shareholding requirement.

200% of salary.

Where an Executive Director 
has participated in the former 
Value Creation Plan (“VCP”) the 
requirement is 300% of salary.

Notes to the Policy table for Executive Directors
Performance measures and targets
The annual bonus plan measures are selected to provide direct alignment with the short-term operational targets of the Company. Care is 
taken to ensure that the short-term performance measures are always supportive of the long-term objectives. This is especially important 
in a business which has a long-term investment horizon. Short-term targets are stretching and geared to encourage outstanding 
performance, which if delivered, can earn the executive up to the maximum under the plan.

The PSP targets are selected to ensure that the executives are encouraged in, and appropriately rewarded for, delivering against the 
Company’s key long-term strategic goals so as to ensure a clear and transparent alignment of interests between executives and 
shareholders and the generation of sustainable long-term returns.

Assura plc  Annual Report and Accounts 2021

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Discretion
The Committee has discretion in several 
areas of the Policy as set out in this report. 
The Committee may also exercise 
operational and administrative discretions 
under relevant plan rules approved by 
shareholders. In addition, the Committee 
has the discretion to amend the Policy with 
regard to minor or administrative matters 
where it would be, in the opinion of the 
Committee, disproportionate to seek or 
await shareholder approval. In addition,
for the avoidance of doubt, in approving 
this Policy, authority is given to the 
Company to honour any commitments 
entered into with current or former 
Directors prior to the adoption of this Policy.

Differences in Remuneration Policy for 
all employees
Any differences in the types of reward 
between Directors and staff reflect 
common practice. All employees are 
entitled to base salary, benefits and defined 
contribution pension payments and are 
eligible for annual bonuses and to 
participate in the PSP (although actual 
participation in the PSP will be limited to the 
most senior executives within the 
Company). The bonus targets for staff are 
more focused on specific personal goals 
that further the Company’s interests. The 
maximum bonus opportunity available is 
based on the seniority and responsibility of 
the role.

Clawback
The Committee retains the power to reduce 
the annual bonus or potential vesting of 
unvested deferred bonus/PSP awards 
(including to zero) (often referred to as 
malus) or to recoup the value of previously 
paid or vested awards from an individual 
within two years of vesting if it considers 
appropriate to do so (often referred to as 
clawback). The Committee may choose to 
exercise this power where there has been:

Maximum – Based on the maximum 
remuneration receivable (excluding share 
price appreciation and dividends):

 – Annual bonus: consists of maximum bonus 
of 125% of salary for Jonathan Murphy and 
100% of salary for Jayne Cottam.

 – Long-term incentive: consists of the face 

value of awards (at 150% of salary).

Maximum with share price growth – As 
per maximum but with a 50% share price 
growth assumed on PSP awards.

Approach to recruitment remuneration 
and promotions
The Committee’s approach to recruitment 
remuneration is to pay no more than is 
necessary to attract candidates of the 
appropriate calibre and experience needed 
for the role. The remuneration package for 
any new recruit would be assessed 
following the same principles as for the 
Executive Directors, as set out in the 
remuneration Policy table. The Committee 
will have regard to guidelines and 
shareholder sentiment regarding one-off or 
enhanced short or long-term incentive 
payments made on recruitment and the 
appropriateness of any performance 
measures associated with
an award.

Illustrations of application of 
Remuneration Policy
The policy of the Committee is to align 
Executive Directors’ interests with those of 
shareholders and to give the Executive 
Directors incentives to perform at the 
highest levels. To achieve this, the 
Committee seeks to ensure that a 
significant proportion of the remuneration 
package varies with the performance of the 
Company and that targets are aligned with 
the Company’s stated business objectives.

The composition and total value of the 
Executive Directors’ remuneration package 
for the financial year 2021/22 at minimum, 
on-target and maximum performance 
scenarios are set out in the charts below:

Assumptions used in determining the level 
of pay-out under given scenarios are as 
follows:

Minimum – Base salary at 1 April 2021, 
estimated 2021/22 benefits and 13.5% of 
salary for pension provision (or cash 
allowance).

On-target – Based on what the Director 
would receive if performance were on- 
target (excluding share price appreciation 
and dividends):

 – Annual bonus: consists of the on-target 

bonus (75% of salary for Jonathan Murphy 
and 56.25% of salary for Jayne Cottam). 

 – Long-term incentive: consists of the 

midpoint level of vesting (50% vesting) 
under the PSP.

Remuneration scenarios for 2021/22
CEO 
(£’000)

2,500

CFO 
(£’000)

2,500

 – a material misstatement of financial results 

2,000

for any period;

 – an error or the use of inaccurate 

information in assessing the extent to 
which any performance condition was 
satisfied; or

 – circumstances warranting the summary 

dismissal of an individual.

1,500

1,000

£544k

500

£1,244k

28%

28%

£2,176k

£1,827k

38%

32%

100%

44%

30%

0

2,000

1,500

1,000

500

0

£1,126k

£966k

41%

27%

32%

£654k

30%

23%

47%

£310k

100%

Fixed

On target

Maximum

Fixed

On target

Maximum

Fixed pay
LTIP
LTIP value with 50% share price growth

Annual Bonus

Fixed pay
LTIP
LTIP value with 50% share price growth

Annual Bonus

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Approach to service contracts and 
cessation of employment
Each of the Executive Directors has a 
service contract with the Company which is 
terminable by the Company on six months’ 
notice and by the Director on six months’ 
notice. Jonathan Murphy’s contract is dated 
April 2017 and Jayne Cottam’s contract is 
dated August 2017.

Good leaver status
The Committee has discretion to determine 
whether an individual is a “good leaver” 
under the Company’s incentive plans. 
Where the Committee uses its general 
discretion to determine that an Executive 
Director is a good leaver, it will provide a full 
explanation to shareholders of the basis for 
its determination.

When determining any loss of office 
payment for a departing Director, the 
Committee will always seek to minimise 
cost to the Company whilst complying with 
the contractual terms and seeking to reflect 
the circumstances in place at the time.

The Committee reserves the right to make 
additional payments where such payments 
are made in good faith in discharge of an 
existing legal obligation (or by way of 
damages for breach of such an obligation); 
or by way of settlement or compromise of 
any claim arising in connection with the 
termination of an Executive Director’s office 
or employment.

Consideration of employment conditions 
elsewhere in Assura when developing the 
Policy
In setting the Remuneration Policy for 
Directors, the pay and conditions of other 
employees of Assura are taken into account, 
including any base salary increases 
awarded. The Committee is provided with 
data on the remuneration structure for all 
staff and uses this information to ensure 
consistency of approach throughout the 
Company.

The Company has a small number of 
employees and applies the same broad 
policy in relation to incentive compensation 
throughout the organisation.

Although the Committee takes into account 
the pay and conditions of other employees, 
the Company did not consult with 
employees when drawing up the Policy 
report. A discussion with colleagues in The 
Voice on executive remuneration and the 
alignment with wider workforce pay took 
place shortly after the 2020/21 year end.

Consideration of shareholder views
The Committee takes the views of the 
shareholders seriously and these views are 
taken into account in shaping Remuneration 
Policy and practice. Shareholder views are 
considered when evaluating and setting 
remuneration strategy and the Committee 
commits to consulting with key 
shareholders prior to any significant 
changes to its Remuneration Policy (as was 
the case in relation to the Policy introduced 
in 2019). During 2020/21, the Committee 
wrote to those shareholders who voted 
against the Remuneration Report resolution 
at the 2020 AGM to understand their 
reasons for doing so. The Committee also 
consulted with major shareholders in early 
2021 in respect of basic salary changes, as 
explained in the Annual Statement from the 
Chair of the Remuneration Committee.

Policy table – Non-Executive Directors

Performance measurement  
and assessment
None.

Maximum  
opportunity
Fees will take account of fee levels 
of comparable companies within 
the FTSE Real Estate Investment 
Trusts and FTSE Real Estate 
Investment Services sectors, and 
companies of comparable size and 
complexity.

The aggregate fees and any 
benefits of Non-Executive Directors 
will not exceed the limit from time 
to time prescribed within the 
Company’s Articles of Association 
for such fees (currently £700,000 
p.a. in aggregate).

Objective and  
link to strategy
The Company sets fee levels 
necessary to attract and 
retain experienced and skilled 
Non-Executive Directors 
to advise and assist with 
establishing and monitoring 
the strategic objectives of the 
Company.

Operation
Fee levels are sufficient to attract 
individuals with appropriate knowledge 
and experience.

Non-Executive Directors are paid a base 
fee and additional fees for Chairmanship 
of Committees and/or acting as the 
Senior Independent Director.

Fees are reviewed periodically with any 
changes generally effective from 1 April.

In exceptional circumstances, fees may 
also be paid for additional time spent on 
the Company’s business outside of the 
normal duties.

Non-Executive Directors do not receive 
a bonus, do not participate in awards 
under the Company’s share plans, and 
are not eligible to join the Company’s 
pension scheme.

The Company reserves the right to 
provide benefits (including travel and 
office support) to the Non-Executive 
Directors.

The Company’s practice is to appoint the Non-Executive Directors, including the Chairman, under letters of appointment rather than 
service contracts. Their appointment is usually for a term of three years subject to annual re-election by the shareholders at the Company’s 
AGM. When setting notice periods, the Committee has regard for market practice and Corporate Governance best practice. The dates of 
the letters of appointment for the current Non-Executive Directors are October 2017 for Ed Smith, May 2012 for Jenefer Greenwood, June 
2018 for Jonathan Davies, June 2019 for Louise Fowler and May 2021 for Emma Cariaga, Noel Gordon and Sam Barrell.

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CONTINUED

Annual Report on Remuneration

This Annual Report on Remuneration contains details of how the Company’s Remuneration Policy for Directors was implemented during 
the financial year ended 31 March 2021. This report has been prepared in accordance with the provisions of the Companies Act 2006 and 
the associated reporting regulations. An advisory resolution to approve this report will be put to shareholders at the 2021 AGM.

Consideration by the Committee of matters relating to Directors’ remuneration
The members of the Committee during 2020/21 were Jenefer Greenwood (Committee Chair), Ed Smith, Jonathan Davies and Louise 
Fowler. Sam Barrell joined the Committee following her appointment to the Board on 1 May 2021. Jenefer Greenwood will step down from 
the Board at the AGM on 6 July 2021 and will be replaced as Committee Chair by Louise Fowler. The members of the Committee have no 
personal financial interest, other than as shareholders, in matters to be decided, and no potential conflicts of interest arising from cross-
directorships. The Non-Executives have no day-to-day involvement in running the business.

The Committee is responsible for recommending to the Board the Remuneration Policy for Executive Directors and for setting the 
remuneration packages for each Executive Director and the executive tier directly below Board. The Committee sets the fees of the 
Chairman and the fees for the Non-Executive Directors are set by the Chairman in conjunction with the CEO. The Committee also has 
oversight of the Remuneration Policy and packages for other senior members of staff. The written Terms of Reference of the Committee 
are available on the Company’s website and from the Company on request.

The Committee held six meetings during the year. Its activities during and relating to the financial year 2020/21 included:

 – Consideration of objectives and targets for annual bonuses
 – Consideration of annual pay awards and bonuses
 – Consideration of targets and awards under the PSP
 – Review of the basic salary levels of the Executive Directors
 – Oversight of pay levels for the Executive Committee
 – Preparing this report

Advisors to the Committee
Korn Ferry served as independent advisors to the Remuneration Committee during 2020/21, having been appointed with effect from 
1 January 2020.

Korn Ferry is a member of the Remuneration Consultants Group and, as such, voluntarily operates under its code of conduct in relation to 
executive remuneration consulting in the UK. The Committee reviewed the nature of the services provided by Korn Ferry during the year 
and was satisfied that no conflict of interest exists or existed in relation to the provision of these services. The total fees paid to Korn Ferry 
for services provided to the Committee during the year were £39,320 (ex VAT). Fees were determined based on the scope and nature of 
the projects undertaken for the Committee.

Korn Ferry did not provide additional services to Assura during 2020/21.

The Committee also sought the views of Jonathan Murphy during the year. The CEO is given notice of all meetings and, at the request of 
the Chair of the Committee, attends part of the meetings. The CEO may request that he attends and speaks at Committee meetings. In 
normal circumstances, the CEO will be consulted on general policy matters and matters concerning the other Executive Director and 
employees.

Single total figure of remuneration – Executive Directors (audited)
The remuneration of Executive Directors showing the breakdown between components with comparative figures for the prior year is 
shown below. Figures provided have been calculated in accordance with the reporting regulations:

£’000
Jonathan Murphy

Jayne Cottam

Year
2020/21
2019/20
2020/21
2019/20

Salary
416
395
234
222

Pensions
56
53
32
30

Taxable 
benefits
15
15
13
13

Bonus1
430
233
181
100

Long-term 
incentives2,3

268
459
136
124

Other4
2
–
2
–

Total
1,187
1,155
598
489

Total 
fixed
487
463
279
265

Total 
variable
700
692
319
224

Notes
1.  For both Jonathan Murphy and Jayne Cottam a portion of bonus is deferred as explained on page 98.
2.   The long-term incentive value for 2020/21 reflects the outturn for the 2018 PSP which vests in 2021 at 33.9%. The vesting share price has been estimated at 74.10 pence, 
based on the three-month average share price ended 31 March 2021. Further details are set out below. The long-term incentive value for 2019/20 has been restated to 
reflect the value of the shares (inclusive of dividend equivalents) at the time of vesting, being 78.60p on 22 July 2020 for Jonathan Murphy and 73.76p on 9 February 2021 
for Jayne Cottam.

3.   £53,598 and £27,093 of the 2020/21 figure for Jonathan Murphy and Jayne Cottam respectively is attributable to share price appreciation since the date of grant. 

The Committee has not exercised any discretion in relation to this matter.

4.  This relates to the value of free shares and matching shares awarded under the terms of the Share Incentive Plan, which was introduced during 2020/21.

Total pension entitlements
The Executive Directors received payments in lieu of pension contributions equivalent to 13.5% of salary respectively for 2020/21.

Benefits
Taxable benefits comprised health insurance, death in service benefits, critical illness, group income protection and company car 
allowance.

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2020/21 annual bonus plan outcome
The bonus scheme for 2020/21 was based on similar measures as used in 2019/20. 80% of the bonus scheme was based on a mixture of 
financial and business targets, with 20% of this depending on strategic and operational goals specific to each Executive Director. The 
remaining 20% based on personal objectives. The table below includes details of the specific targets and the extent to which they were 
achieved.

For 2020/21 the maximum potential bonus awards were 125% of salary for Jonathan Murphy and 100% of salary for Jayne Cottam.

Metric
Financial and business targets
Total Accounting Return
Adjusted EPRA earnings
Growth in total contracted rent roll¹
Strategic and operational goals
Personal objectives
Individual targets

Weight

Threshold

Maximum

Result Bonus achieved

20%
20%
20%
20%

5.3%
£67.7m
£237.8m
See below

8.8%
£78.4m
£358.8m
See below

11.4%
£75.4m
£319m
See below

100%
82%
87%
See below

20%

See below

See below

See below

See below

Note
1.   The growth in total contracted rent roll is measured on the basis of the gross increase, which was £319 million. On a net basis, the total contracted rent roll increased £142 

million compared with March 2020, factoring in the passage of time on existing leases.

Strategic and operational goals (20% of the total bonus)
For this element of the bonus scheme, each Executive Director had objectives linked to a specific area of strategic and/or operational 
importance for the year under review. For Jonathan Murphy, this element of the bonus was based on his success in launching and 
delivering on Assura’s social impact strategy, a major area of focus for the business in 2020/21 and critical to Assura’s long-term market 
positioning. Various success factors were included for this metric, including: employee engagement and commitment to the social impact 
strategy; increasing the public profile of Assura’s impact on society; increased engagement with occupiers on the sustainability agenda, 
e.g. through the take-up of new sustainability programmes; recognition from an investment body of Assura’s position as a leading player in 
social impact; and delivery of the first year targets across key areas such as progress towards zero carbon construction and community 
fund actions.

The Committee assessed Jonathan’s performance against these objectives after the year end and agreed that a bonus of 85% was 
payable. In reaching this conclusion, the Committee determined that Jonathan had successfully met many of the targets set for him 
although not all objectives had been met in full. In particular, the Committee took into account the following key achievements:

 – A strong level of awareness and commitment from the team to the social impact strategy, and an evolved level of understanding on how 

this acts as a unifying motivator across the business;

 – The successful launch of the SixBySix strategy and its recognition by the investment community as a market-leading approach, with Assura 

a target investment for ESG funds;

 – The successful launch of Assura’s first Social Bond, generating a strong level of demand from fixed income investors;
 – Occupier buy-in to make sustainability-linked improvements; and
 – The creation of the Assura Community Fund and its initial funding, to help support charities and other organisations in their health-

improving work around Assura’s buildings.

For Jayne Cottam, this element of the bonus was based on demonstrating further progress in improving operational excellence, i.e. 
enhancing the work undertaken in previous years to develop measures designed to improve business processes and increase efficiency 
across the Group. Various success indicators were agreed for this metric, including: creation of a Project Board for the process review and 
subsequent systems implementation; implement further detailed process reviews across the whole business; have a full tender for all IT 
systems requiring an upgrade; preparing the business for systems upgrades in 2021/22; and drive cost and efficiency savings to offset new 
system costs.

The Committee assessed Jayne’s performance against these objectives and agreed that a bonus of 80% was payable. In reaching this 
conclusion, the Committee determined that performance had been strong but not all objectives had been met in full, in part due to the 
challenges of remote working in force for the entire financial year. In particular, the Committee took into account the following key 
achievements:

 – Reviews of key systems and processes across different aspects of the business, with good progress made in implementation of changes 

and new technology where required;

 – Groundwork done to establish basis for necessary systems upgrades in 2021/22;
 – Cost savings within the finance team achieved despite the growth of the business; and
 – The trialling of additional reporting technology to improve access to data on performance across the entire business 

Personal objectives (20% of the total bonus)
Personal objectives were set for both Jonathan Murphy and Jayne Cottam based on their individual areas of responsibility. For Jonathan 
Murphy, these objectives were based on: championing team welfare as Assura moved to working from home during the pandemic; 
continuing to deliver business objectives and meet customer requirements during a period of significant disruption; demonstrating 
effective crisis management leadership; and successfully delivering the second year of the Strategic Plan and ensuring appropriate 
planning for future years. For Jayne Cottam, the objectives were linked to: effective IR promotion of the social impact strategy; improving 
reporting and management of the cost of capital and investment returns; further improvements to the operation of the finance team; and 
ensuring business continuity during the pandemic. For both Jonathan and Jayne, success indicators were identified for each objective to 
help determine the extent of achievement.

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CONTINUED

The Committee assessed Jonathan’s performance against his objectives after the year end and agreed that a bonus of 92% was payable. In 
reaching this conclusion, the Committee determined that Jonathan had performed exceptionally well during the year and successfully met 
many of the targets set for him. In particular, the Committee took into account the following key achievements:

 – Clear and effective leadership during an unprecedented period of disruption, with priorities identified and communicated; 
 – The prioritisation of employee welfare during an unprecedented and unsettling period, with employee support packages put in place to 

support wellbeing and an emphasis placed on flexibility;

 – Positive feedback from the Voice, Assura’s committee of staff representatives, on the measures taken to adapt to the challenges presented 

by the pandemic;

 – A very strong level of overall business performance for the year despite the disruption. Under Jonathan’s leadership, Assura was able to 

minimise the impact of the pandemic by quickly putting in place effective remote working solutions. As a result, cash collection was largely 
unaffected, construction sites were maintained and growth opportunities were identified and delivered;

 – Significant strategic progress was made, with primary care at scale gaining momentum and new market entry confirmed; and
 – Restructuring of the executive team to further drive performance, with greater levels of cross-business working and a unified property team 

structure. 

The Committee also assessed Jayne’s performance and agreed that a bonus of 85% was payable in light of the successful achievement of 
key individual objectives. Factors taken into account by the Committee included:

 – The effective integration of the SixBySix strategy across Assura’s reporting suite and a successful campaign to ensure a positive response 

from the market on Assura’s position as a leading social impact investment; 

 – Significant improvement in the costs of debt through the Social Bond issue and an improvement in RCF pricing;
 – Additional enhancements made to the reporting of the cost of capital, with ongoing work undertaken to enhance KPI reporting;
 – Impressive leadership of the finance team, with all members of the team performing strongly and taking on additional responsibilities; and
 – The overall level of business performance during the year was very strong, evidencing good levels of business continuity despite the shift 
to remote working. Finance processes held up well and a number of projects were successfully executed as staff adapted well to the new 
ways of working.

In total, the bonus payable to Jonathan Murphy in light of his performance against both the Group and personal objectives was equivalent 
to 83% of the maximum payable (103% of his average basic salary for the year). This resulted in a bonus award of £430,077. In line with the 
provisions of the Directors’ Remuneration Policy, the amount of the bonus above 100% of Jonathan’s basic salary will be deferred into 
shares for two years. 

The bonus payable to Jayne Cottam in light of her performance against both the Group and personal objectives was equivalent to 77% of 
the maximum payable (77% of her basic salary for the year). This resulted in a bonus award of £180,584, of which 50% will be deferred into 
shares for two years, in line with the provisions of the Directors’ Remuneration Policy. This recognises that Jayne is in the process of 
building her shareholding towards the guideline specified in the Policy.

Vesting of long-term incentive awards based on performance to 31 March 2021
The LTIP value included in the single figure relates to the awards granted to Jonathan Murphy and Jayne Cottam in July 2018. These awards 
will vest in July 2021 based on the achievement of TSR and EPRA EPS performance measured to 31 March 2021.

Under the TSR performance target (50% of awards), which uses a sliding scale, 0% of this part of an award vests for TSR of 5% p.a. 
increasing pro-rata to full vesting for TSR of 15% p.a., measured over the three years to 31 March 2021:

Performance target
TSR (50% of awards)

Threshold
TSR
5% p.a.

Maximum
TSR
15% p.a.

Actual
TSR
11.78% p.a.

Vesting %
(max 100%)
67.83%

Under the EPRA EPS performance target (50% of awards), which uses a sliding scale, 0% of this part of an award vests for EPRA EPS growth 
of 5% p.a. increasing pro-rata to full vesting for EPRA EPS growth of 15% p.a., measured over the three years to 31 March 2021:

Performance target
EPRA EPS (50% of awards)

Threshold
EPS growth
5% p.a.

Maximum
EPS growth
15% p.a.

Actual
EPS growth
3.85% p.a.

Vesting %
(max 100%)
0%

As a result of TSR (67.83% of awards vest) and EPRA EPS (0% of awards vest) performance, the total vesting percentage is 33.9% and the 
gross value of LTIP share awards expected to vest in 2021 is as follows:

Jonathan Murphy
Jayne Cottam

Share price at 
31 March 20211
74.10p
74.10p

Proportion
to vest
33.9%
33.9%

Shares 
to vest
322,883
163,211

Dividend
equivalents2
38,936
19,681

Total shares
to vest
361,819
182,892

Total
£
268,108
135,523

Notes
1.  The share price at 31 March 2021 is based on a three-month average to 31 March 2021.
2.   Additional shares awarded in respect of dividend equivalents accrued over the vesting period. This represents the position as at 31 March 2021. The precise number of 

additional shares awarded as dividend equivalents will depend on the share price at the time of vesting. Participants will also have an entitlement to additional shares in 
respect of further dividends declared prior to the vesting date.

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Assura plc  Annual Report and Accounts 2021

Performance Share Plan
The following awards were made under the PSP to the Executive Directors during the year:

Jonathan Murphy
Jayne Cottam

Date of 
grant

7 July 20201 
7 July 20201 

Basis of 
award
150% of salary
150% of salary

Face value
of award
£

End of
performance
period
603,165  31 March 2023
338,994  31 March 2023

Note
1.   The awards made on 7 July 2020 were granted using the average mid-market share price on the three dealing days prior to the date of grant (78.93 pence). The awards 

were granted as nil-cost options and the exercise price is nil.

Details of the outstanding PSP awards are:

Executive
Jonathan Murphy

Jayne Cottam

Date of grant
18 July 2017
3 July 2018
2 July 2019
7 July 2020
9 February 2018
3 July 2018
2 July 2019
7 July 2020

Awards 
outstanding at
01/04/20
803,781
951,897
927,714
–
230,967
481,165
521,398
–

Awards 
granted during
the year
–
–
–
764,145
–
–
–
429,469

Awards 
vested during
the year1
514,419²
–
–
–
147,818
–
–
–

Awards 
lapsed during
the year
289,362
–
–
–
83,149
–
–
–

Notes
1.  Excludes additional shares awarded in respect of dividend equivalents accrued over the vesting period.
2.  Jonathan Murphy sold 45,000 of the shares which vested to make a contribution to the Assura Community Fund.

Interests 
outstanding at
31/03/21
–
951,897
927,714
764,145

481,165
521,398
429,469

Normal vesting/
exercise date
From 18 July 2020
From 3 July 2021
From 2 July 2022
From 7 July 2023
– From 9 February 2021
From 3 July 2021
From 2 July 2022
From 7 July 2023

For PSP awards granted prior to 2019, a two-year post-vesting holding period applies to the extent that, on vesting, a participant does not 
comply with the shareholding guideline in place at the time (currently 300% of salary for the CEO and 200% for the CFO). For PSP awards 
granted in 2019 and subsequent years, a two-year post-vesting holding period applies irrespective of whether or not the shareholding 
guideline has been met.

Outstanding PSP awards vest based on performance against the following targets which encourage the generation of sustainable 
long-term returns to shareholders over a three-year performance period commencing at the start of the financial year of grant:

2018 PSP awards:

50% of awards

50% of awards

Absolute average 
annual compound TSR
< 5% p.a.
5% p.a.
Between 5% and 15% p.a.
15% p.a. or more

Vesting schedule 
(% of the TSR part which vest)
0%
0%
Pro-rata between 0% and 100%
100%

EPRA EPS growth
< 5% p.a.
5% p.a.
Between 5% and 15% p.a.
15% p.a. or more

Vesting schedule 
(% of the EPS part which vest)
0%
0%
Pro-rata between 0% and 100%
100%

2019 PSP awards:

50% of awards

50% of awards

Absolute average 
annual compound TSR
< 5% p.a.
5% p.a.

Vesting schedule 
(% of the TSR part which vest)
0%
10%
Between 5% and 15% p.a. Pro-rata between 10% and 100%
100%

15% p.a. or more

EPRA EPS growth
< 5% p.a.
5% p.a.

Vesting schedule 
(% of the EPS part which vest)
0%
10%
Between 5% and 15% p.a. Pro-rata between 10% and 100%
100%

15% p.a. or more

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CONTINUED

2020 PSP awards:
As disclosed in last year’s report, for these awards new ESG performance targets were introduced to supplement the TSR and EPRA EPS 
measures:

33% of awards

33% of awards

Absolute average 
annual compound TSR
< 5% p.a.
5% p.a.

Vesting schedule 
(% of the TSR part which vest)
0%
10%
Between 5% and 15% p.a. Pro-rata between 10% and 100%
100%

15% p.a. or more

EPRA EPS growth
< 5% p.a.
5% p.a.

Vesting schedule 
(% of the EPS part which vest)
0%
10%
Between 5% and 15% p.a. Pro-rata between 10% and 100%
100%

15% p.a. or more

The final 33% of these awards is split into two halves. For the first half, vesting will depend on the proportion of buildings receiving an EPC 
rating of B or higher, as set out below: 

Proportion of portfolio receiving an EPC rating of B or higher by March 2023
< 60%
60%
Between 60% and 80%
80%
Between 80% and 100%
100%

Vesting schedule 
(% of the EPC element which vest)
0%
10%
Pro-rata between 10% and 50%
50%
Pro-rata between 50% and 100%
100%

For the second half, vesting will depend on the Remuneration Committee’s assessment of the success of Assura’s social impact strategy, 
with the Committee judging the extent to which targets linked to the main elements of the strategy are met. These targets involve metrics 
linked to:

 – Buildings (including additional measures to the EPC rating set out above)
 – Operations (including suppliers and the use of contractors)
 – People (including diversity and employee engagement)
 – Communities
 – Investors

In considering the extent to which awards vest under this element of the PSP, the Committee will review progress against the targets by 
the end of the 2022/23 financial year. In the Directors’ Remuneration Report for that year, the Committee will explain in detail its rationale 
for determining the appropriate vesting percentage, taking into account the performance against the targets set and other relevant 
factors.

In addition, the Committee will also reflect on Assura’s overall financial and business performance over the course of the performance 
period when determining the extent of vesting.

Single total figure of remuneration – Non-Executives (audited)
The remuneration of Non-Executive Directors showing the breakdown between components, with comparative figures for the prior year, 
is shown below. Figures provided have been calculated in accordance with the reporting regulations:

Non-Executive Director (£’000)
Ed Smith

Jenefer Greenwood

Jonathan Davies1

Louise Fowler2

David Richardson3

2020/21
2019/20
2020/21
2019/20
2020/21
2019/20
2020/21
2019/20
2019/20

Basic 
fees
155.8
153.0
40.1
39.4
40.1
39.4
40.1
32.8
10.1

Additional
fees4
–
–
9.1
8.9
18.1
13.3
–
–
4.6

Total 
fees
155.8
153.0
49.2
48.3
58.2
52.7
40.1
32.8
14.7

Total 
fixed
155.8
153.0
49.2
48.3
58.2
52.7
40.1
32.8
14.7

Total 
variable
–
–
–
–
–
–
–
–
–

Notes
1.  Jonathan Davies was appointed as Senior Independent Director and Chairman of the Audit Committee on 2 July 2019.
2.  Louise Fowler was appointed to the Board on 3 June 2019.
3.  David Richardson retired from the Board on 2 July 2019.
4.  Additional fees represent Senior Independent Director and Chairman of Board Committee fees.

100

Assura plc  Annual Report and Accounts 2021

Statement of Directors’ shareholding and share interests (audited)
Directors’ share interests and, where applicable, achievement of shareholding requirements are set out below. In order that their interests 
are aligned with those of shareholders, Executive Directors are expected to build up and maintain a personal shareholding equal to 300% 
of their basic salary in the Company if they participated in the former Value Creation Plan (i.e. Jonathan Murphy), or 200% of salary for other 
Executive Directors (i.e. Jayne Cottam). The Remuneration Committee notes that Jayne Cottam is building her holding in Assura shares 
following her appointment to the Board in 2017. As set out in the Remuneration Policy, 50% of any annual bonus is required to be deferred 
into shares for two years where the shareholding guideline has not been met.

Shareholding and other interests at 31 March 2021

Director
Jonathan Murphy
Jayne Cottam
Ed Smith
Jenefer Greenwood
Jonathan Davies
Louise Fowler

Shares required
to be held 
(percentage of 
salary)
300
200
–
–
–
–

Number of 
shares required
to hold1
1,788,183
670,003
–
–
–
–

Number of 
beneficially 
owned shares2
2,427,390
266,966
96,490
117,256
63,360
–

Shareholding 
requirement
met?
Yes
No
n/a
n/a
n/a
n/a

Total number of 
scheme 
interests3
2,643,756
1,432,032
–
–
–
–

Notes
1.  Shareholding requirement calculation is based on the share price at the end of the year (72.1 pence at 31 March 2021).
2.  Beneficial interests include shares held directly or indirectly by connected persons.
3.  This relates to unvested PSP awards (see also the table on page 99).

The Company funds its share incentives through a combination of new issue and market purchased shares. The Company monitors the 
levels of share grants and the impact of these on the ongoing requirement for shares. In accordance with guidelines set out by the 
Investment Association the Company can issue a maximum of 10% of its issued share capital in a rolling 10-year period to employees under 
all its share plans, with an inner 5% limit applying to discretionary plans.

There has been no movement in Directors’ shareholdings since the year-end, except for shares issued relating to the April dividend 
payment by Ed Smith, Jonathan Murphy and Jayne Cottam under the scrip alternative.

Performance graph and table
The Committee believes that the Executive Directors’ Remuneration Policy and the supporting reward structure provide clear alignment 
with the Company’s performance. The Committee believes it is appropriate to monitor the Company’s performance against the FTSE All 
Share Real Estate Investment Trusts index for these purposes. The graph below sets out the TSR performance of the Company compared 
to the FTSE All Share Real Estate Investment Trusts index and, for comparison, the FTSE All Share index over a ten-year period as required 
by the reporting regulations. Assura is a member of both of these indices and therefore these are viewed as appropriate comparators for 
the purpose of the regulations.

Rebased TSR

300

250

200

150

100

50

0

March
2011

March
2012

March
2013

March
2014

March
2015

March
2016

March
2017

March
2018

March
2019

March
2020

March
2021

Assura

FTSE All Share

FTSE Real Estate Investment Trusts

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CONTINUED

The table below shows the CEO’s remuneration packages over the past ten years:

Year
2020/21
2019/20
2018/19
2017/18
2016/171
2016/171
2015/16
2014/15
2013/14
2012/13
2011/12

Name
Jonathan Murphy
Jonathan Murphy
Jonathan Murphy
Jonathan Murphy
Jonathan Murphy
Graham Roberts
Graham Roberts
Graham Roberts
Graham Roberts
Graham Roberts
Nigel Rawlings3

Single figure
£’0002
1,187
1,155
794
1,513
1,232
3,489
3,747
677
680
674
395

Bonus
(% of max)
83
47
61
84
93
–
71
90
95
100
85

LTI
(% of max)
34
64
32
100
100
100
100
–
–
–
–

Notes
1.  Both Graham Roberts’ and Jonathan Murphy’s remuneration details have been included as they both served as CEO during the year.
2.   Includes base salary, taxable benefits, bonus payments for the relevant financial year, long-term incentive awards that vested for performance related to the financial 

year and cash in lieu of pension.

3.   Nigel Rawlings ceased to be a Director with effect from 30 April 2012. The bonus of £100,000 was a one-off award reflecting his contribution to selling the 

Pharmacy business. 

Percentage change in Directors’ remuneration
The table below compares the percentage change in pay of all Directors (including salary and fees, taxable benefits and annual bonus) 
from 2019/20 to 2020/21 with the average percentage change for employees, as required by the reporting regulations:

Director
Executive Directors
Jonathan Murphy
Jayne Cottam
Non-Executive Directors
Ed Smith
Jenefer Greenwood
Jonathan Davies¹
Louise Fowler¹
Employees
Average per employee – parent company²
Average per employee – group

Salary/fees
% change

Taxable 
benefits
% change

Bonus
% change

5.3
5.4

1.8
1.9
10.6
22.3

–
4.3

–
–

–
–
–
–

–
1.7

84.5
81.0

–
–
–
–

–
5.5 

Notes
1.   Percentage change reflects the fact that Jonathan Davies and Louise Fowler were appointed part way through the prior financial year.
2.  No employees (other than Directors) are directly employed by Assura plc.

CEO pay ratio information
Although Assura does not have more than 250 UK employees, and is thus not formally required to publish the ratio of the CEO’s pay to the 
wider UK employee base, we have again decided to do so as a matter of good practice.

Year
2020/21¹
Total pay and benefits
Salary
2019/201
Total pay and benefits
Salary

Method
Option A

Option B

25th percentile 
pay ratio
45:1
£26,372
£23,414
35:1
£32,561
£28,619

Median 
pay ratio
22:1
£54,425
£43,729
21:1
£54,999
£41,205

75th percentile 
pay ratio
14:1
£82,274
£60,571
15:1
£78,472
£60,000

Note
1.   The calculations of the pay for the employees at the different levels have been calculated as at 31 March 2021 for the 2020/21 figures and as at 31 March 2020 for the 

2019/20 figures. Where relevant, full-time equivalent employee pay was calculated by applying a proportionate increase to the pay and benefits of part-time employees. 
Employees who joined Assura following the acquisition of Apollo in February 2021 have been excluded from the calculations given they were not fully integrated into 
Assura’s remuneration policies for the vast majority of the financial year.

102

Assura plc  Annual Report and Accounts 2021

Option A was chosen for the pay ratio calculation for 2020/21 as it ensures that the most accurate and up-to-date employee pay 
information has been used. Option B was chosen for the prior year to ensure that the calculation was undertaken in the most efficient 
manner possible. We have considered carefully the remuneration of the employees identified through this exercise and believe that they 
are reasonably representative of the 25th, 50th and 75th percentiles of remuneration in both 2020/21 and 2019/20. This assessment took 
into account their pay arrangements, the pay of other employees at a similar level with the organisation and pay structures and levels 
across the Company as a whole.

The median pay ratio for 2020/21 is similar to that for 2019/20, reflecting the similar level of total CEO pay for each year and the lack of 
material changes to the total pay of employees at the median level of the organisation. The Committee believes that the median pay ratio 
for the year is consistent with Assura’s wider pay, reward and progression policies for its employees and takes into account the pay and 
incentives available to employees at or around the median level. The ratio reflects the differentials between the CEO’s pay and others 
within the organisation, most notably in terms of the incentives received by the CEO during the year under review. Together, the 
performance-related incentives for the CEO (annual bonus and PSP) make up the largest component of his single figure for 2020/21. The 
bonus payment reflects a high level of achievement against the financial and non-financial targets set for the year, as discussed on page 97, 
and the value ascribed to the PSP award reflects partial achievement of the performance conditions, as disclosed on page 99. Although 
the vast majority of other colleagues participate in a bonus scheme, the level of award for the CEO is the highest in the organisation, 
reflecting the responsibilities of the role. In addition, PSP awards have been limited to Executive Directors and other members of the 
Executive Committee, and therefore the employee remuneration disclosed in the table above does not include a value for long-term 
incentives. The Committee has noted that the pay ratio for the 25th percentile is notably higher for 2020/21 than for 2019/20. This reflects 
the appointment during the financial year of a number of new junior colleagues whose salary and total pay is at the lower end of the overall 
spectrum within the organisation.

Relative importance of spend on pay
The table below sets out the overall spend on pay for all employees compared with the returns distributed to shareholders:

Significant distributions
Overall spend on pay for employees, including Executive Directors
Distributions to shareholders by way of dividends

2020/21
£m
6.5
73.6

2019/20
£m
5.8
66.2

% change
12.0
11.2

Payments to past Directors or for loss of office
No Executive Director left the Company during the year. No payments for compensation for loss of office were paid to, or receivable by, 
any Director for that or any earlier year.

Statement of shareholder voting
The table below shows the results of voting on remuneration resolutions at recent AGMs:

AGM resolution
Remuneration Policy (2019 AGM)
Annual Report on Remuneration (2020 AGM)

Votes for
1,615,726,915
1,732,647,243

%
89.43
83.74

Votes against
190,877,698
336,543,380

% Votes withheld
151,645
59,655

10.57
16.26

After the 2020 AGM, the Chair of the Committee wrote to a number of shareholders who it was understood had voted against the Annual 
Report on Remuneration but who had not communicated their rationale for doing so ahead of the AGM. This process was helpful in 
gaining some additional feedback on matters of concern to specific investors. The Committee gave further attention to these matters later 
in the financial year when determining Directors’ remuneration for 2021/22 and will also revisit some of the points made during the 
upcoming review of the Remuneration Policy.

Assura plc  Annual Report and Accounts 2021

103

Strategic reportGovernanceFinancial statementsAdditional informationDIRECTORS’ REMUNERATION REPORT 
CONTINUED

Statement of implementation of Remuneration Policy for 2021/22

Executive Directors
Salary
As explained in the Annual Statement from the Chairman of the Remuneration Committee, the salaries of the Executive Directors were 
increased with effect from 1 October 2020, this increase representing the deferred implementation of the increase the Committee 
originally envisaged making in April 2020. The Committee has decided to apply a further increase to the Executive Directors’ salaries with 
effect from 1 April 2021, up to the limit set out in the Remuneration Policy. The full rationale for this further increase is set out in the Annual 
Statement from the Chairman of the Committee.

The salaries with effect from 1 April 2021 and the relative increases are set out below:

Executive Director
Jonathan Murphy
Jayne Cottam

1 Oct 2020
salary
£’000
430
242

1 April 2021
salary
£’000
466
262

% change
8.5%
8.5%

Pension and benefits
Jonathan Murphy and Jayne Cottam will continue to receive payments in lieu of pension contributions equivalent to 13.5% of salary 
respectively. Benefits will be provided in line with the Remuneration Policy.

Annual bonus
The maximum bonus opportunity for 2021/22 will remain at 125% of salary for Jonathan Murphy and 100% of salary for Jayne Cottam. The 
on-target levels will remain at the current level of 75% of salary for Jonathan and 56.25% of salary for Jayne. The Committee remains aware 
that these on-target levels are slightly higher than the 50% of total opportunity recommended by some investors and advisory bodies as 
the maximum applicable for on-target levels of performance. The Committee believes that the current framework is appropriate given the 
levels of stretch inherent in the bonus targets, but will review this matter again as part of the wider review of the Remuneration Policy later 
in 2021.

The performance objectives under the annual bonus plan for 2021/22 will continue to relate to measures which are critical to Assura’s 
strategic goals and will include a mixture of financial and non-financial goals. The metrics will be similar to those in place for 2020/21 
although there will be a slightly increased weighting on financial measures, recognising the importance of these metrics to Assura’s 
short-term goals. The metrics and weightings will therefore be: total accounting return (20%), EPRA earnings (25%), growth in total 
contracted rental roll (25%) and personal objectives (20%). The final 10% of the bonus will be based on key strategic and operational goals 
specific to each Executive Director. For the CEO, payments will depend on his success in overseeing the continued successful roll-out of 
the strategic plan. For the CFO, this final element will be linked to further progress in improving operational excellence. The Committee is 
of the opinion that the precise performance targets for the bonus plan are commercially sensitive and that it would be detrimental to the 
interests of the Company to disclose them before the start of the financial year. Appropriate levels of disclosure of the actual targets, 
performance achieved and awards made will be published at the end of the performance period so shareholders can fully assess the basis 
for any pay-outs.

As was the case with the bonus for earlier years, a deferred share element will apply, under which up to 50% of any bonus earned by an 
Executive Director will be deferred into shares for two years to the extent that the Executive Director does not already hold shares worth 
at least equal to the relevant shareholding guideline (300% of salary for the CEO and 200% of salary for the CFO). In addition, any bonus 
earned above 100% of salary will be similarly deferred (regardless of shareholding).

Long-term incentives
A further grant of awards will be made under the PSP to Jonathan Murphy and Jayne Cottam over shares worth 150% of salary. These will 
vest subject to the extent to which three-year TSR, EPRA EPS and key ESG performance targets are satisfied. No changes will be made to 
the required growth ranges for the TSR and EPRA EPS measures. As such, the performance targets for the 2021 PSP awards, which are 
expected to be granted in July 2021, will be as follows:

33% of awards

33% of awards

EPRA EPS growth
< 5% p.a.
5% p.a.

Vesting schedule 
(% of the EPS part which vest)
0%
10%
Between 5% and 15% p.a. Pro-rata between 10% and 100%
100%

15% p.a. or more

Absolute average 
annual compound TSR
< 5% p.a.
5% p.a.

Vesting schedule 
(% of the TSR part which vest)
0%
10%
Between 5% and 15% p.a. Pro-rata between 10% and 100%
100%

15% p.a. or more

104

Assura plc  Annual Report and Accounts 2021

The final 33% of the awards will vest subject to the proportion of buildings receiving an EPC rating of B or higher (for one half of this 
element) and the Committee’s assessment of the success of Assura’s social impact strategy (for the other half of this element), as set 
out below:

Proportion of portfolio receiving an EPC rating 
of B or higher by 31 March 2024
< 45%
45%
Between 45% and 65%
65%
Between 65% and 100%
100%

Vesting schedule 
(% of the EPC element which vest)
0%
10%
Pro-rata between 10% and 50%
50%
Pro-rata between 50% and 100%
100%

The EPC targets are similar to those which are in place for the PSP award granted in July 2020. The Committee has, however, agreed to 
reduce the threshold and intermediate vesting targets from 60% (threshold) and 80% (intermediate) to 45% (threshold) and 65% 
(intermediate), as set out in the table above. This follows further assessment of the expected levels of achievement against this measure 
over the coming three-year period, taking into account the impact of the pandemic on progress during 2020/21 and the desire to set 
challenging but achievable targets. Assura has a stated goal of 100% of the portfolio having an EPC rating of B or higher by March 2026 (see 
page 25) and the revised targets are consistent with what can realistically be achieved by March 2024. Notwithstanding these adjustments, 
the Committee wishes to ensure that full vesting continues to require stretching outperformance, and therefore full vesting of this portion 
of the PSP award will continue to require 100% of the portfolio having an EPC rating of B or higher. This target is unchanged from the award 
granted in July 2020.

For the element of the PSP based on Assura’s social impact strategy, the Committee will judge the extent to which targets linked to the 
main elements of the strategy are met. These targets involve metrics linked to:

 – Buildings (including additional measures to the EPC rating set out above)
 – Operations (including suppliers and the use of contractors)
 – People (including diversity and employee engagement)
 – Communities
 – Investors

In considering the extent to which awards vest under this element of the PSP, the Committee will review progress against the targets by 
the end of the 2023/24 financial year. In the Directors’ Remuneration Report for that year, the Committee will explain in detail its rationale 
for determining the appropriate vesting percentage, taking into account the performance against the targets set and other relevant 
factors.

In addition, the Committee will also reflect on Assura’s overall financial and business performance over the course of the performance 
period when determining the extent of vesting.

A two-year post vesting holding period will also apply.

Non-Executive Directors
The following table sets out the fee rates for the Non-Executive Directors from 1 April 2021:

Executive Director
Chairman fee
Non-Executive Director base fee
Additional fee for chairing of Audit and Remuneration Committee
Additional fee for Senior Independent Director

By order of the Board

Jenefer Greenwood
Chair of the Remuneration Committee 
17 May 2021

2020/21
£’000
155.8
40.1
9.1
9.1

2021/22
£’000
158.1
40.7
9.2
9.2

% change
1.5
1.5
1.5
1.5

Assura plc  Annual Report and Accounts 2021

105

Strategic reportGovernanceFinancial statementsAdditional informationDIRECTORS REPORT

Financial and business reporting
The Directors present their annual report 
and accounts on the affairs of the Group, 
together with the financial statements and 
auditor’s report, for the year ended 31 
March 2021. The Corporate Governance 
Statement set out on page 70 forms part of 
this report.

Dividends
Details of the dividend can be found in Note 
18 to the accounts. The Group benefits from 
brought forward tax losses, which resulted 
in two of the four dividends paid during the 
year being paid as ordinary dividends. The 
April 2020 and October 2020 dividend were 
both paid as a PID.

The Directors’ Report and the other 
sections of this Annual Report contain 
forward-looking statements. The extent to 
which the Company’s shareholders or 
anyone may rely on these forward-looking 
statements is set out on page 145.

Principal activities
Assura plc is a leading primary care 
property investor and developer. It owns 
and procures good quality primary care 
properties across the UK.

The subsidiary and associated undertakings 
are listed in Note 8 to the accounts.

CFO review
The Group is required to include a business 
review in this report. The information that 
fulfils the requirements of the business 
review can be found in the CFO Review on 
pages 62 to 67, which are incorporated in 
this report by reference.

Future developments
Details of future developments are 
discussed on page 64 in the CFO Review.

Going concern
The Company’s going concern statement is 
on page 68.

Long-term viability statement
The Company’s viability statement is on 
page 68.

Internal controls and risk management 
The Board accepts and acknowledges that 
it is both accountable and responsible for 
ensuring that the Group has in place 
appropriate and effective risk management 
and internal control systems, including 
financial, operational and compliance 
control systems.

The Board monitors these systems on an 
ongoing basis and this year’s review found 
them to be operating effectively.

Price risk, credit risk, liquidity risk and 
cash flow risk
Full details of how these risks are mitigated 
can be found in Note 22 to the accounts.

Details of the Group’s dividend policy can 
be found in the CFO review on page 65.

Supplier payment policy
The Group has not signed up to any specific 
supplier payment code; it is Assura’s policy 
to comply with the terms of payment 
agreed with its suppliers. Where specific 
payment terms are not agreed, the Group 
endeavours to adhere to the suppliers’ 
standard payment terms. As at 31 March 
2021, the average number of days taken by 
the Group to pay its suppliers was 20 days 
(2020: 28 days). 

Further details of how the Group manages 
and monitors relationships with suppliers, 
and our supplier policies can be found on 
page 46.

Donations
In the year to 31 March 2021, Assura donated 
£2,608,700 to charities (2020: £103,500), 
with all activity through the Assura 
Community Fund which is administered by 
the Cheshire Community Foundation, and 
no contributions were made for political 
purposes (2020: nil). More details of our 
chosen charities can be found on our 
website and pages 42 to 43. 

Employees
Employees are encouraged to maximise 
their individual contribution to the Group. 
In addition to competitive remuneration 
packages, they participate in an annual 
bonus scheme which links personal 
contribution to the goals of the business.

Outperformance against the annual targets 
can result in a bonus award proportionate 
to the individual’s contribution. Employees 
are provided regularly with information 
regarding progress against the budget, 
financial and economic factors affecting the 
business’s performance and other matters 
of concern to them. In addition, all staff are 
eligible to participate in a defined 
contribution pension scheme. The views of 
employees are taken into account when 
making decisions that might affect their 
interests. Assura encourages openness and 
transparency, with staff having regular 
access to the Directors and being given the 
opportunity to express views and opinions.

Further details of how the Directors engage 
with employees can be found in the 
Employees section on pages 48 to 49 and in 
the Corporate Governance section on 
pages 80 to 81.

The Group is committed to the promotion 
of equal opportunities, supported by its 
Equal Opportunity and Diversity Policy. The 
policy reflects both current legislation and 
best practice. It highlights the Group’s 
obligations to race, gender and disability 
equality.

Full and fair consideration is given to 
applications for employment from disabled 
persons and appropriate training and career 
development are provided. Further details 
are provided on page 49.

Share capital
Assura has a single class of share capital 
which is divided into Ordinary Shares of 
nominal value 10 pence each ranking pari 
passu. No other securities have been issued 
by the Company. At 31 March 2021, there 
were 2,671,853,938 Ordinary Shares in issue 
and fully paid, none of which are held in 
treasury. No shares were bought back 
during the year. Further details relating to 
share capital, including movements during 
the year, are set out in Note 17 to the 
financial statements.

Subsequent to the year end, the Company 
issued 3,011,418 Ordinary Shares via scrip in 
respect of the April 2020 dividend paid and 
a further 682,128 Ordinary Shares as part 
consideration for the acquisition of a 
medical centre. As at 17 May 2021, the 
number of Ordinary Shares in issue is 
2,675,547,484.

The Board manages the business of Assura 
under the powers set out in the Articles of 
Association. These powers include the 
Directors’ ability to issue or buy back 
shares. Shareholders’ authority to empower 
the Directors to make market purchases of 
up to 10% of its own Ordinary Shares is 
sought at the AGM each year.

All the issued and outstanding Ordinary 
Shares of Assura have equal voting rights 
with one vote per share. There are no 
special control rights attaching to them 
save that the control rights of Ordinary 
Shares held in the Employee Benefit Trust 
(“EBT”) can be directed by the Company to 
satisfy the vesting of outstanding awards 
under the PSP.

106

Assura plc  Annual Report and Accounts 2021

Amendments to the Articles 
of Association 
The Articles can only be amended, or new 
Articles adapted, by a resolution passed by 
shareholders in a general meeting and 
being approved by at least three quarters 
of the votes cast.

Change of control
The Group’s financing agreements afford 
the lender a right to mandatory repayment 
on change of control following a takeover. 
The Company’s PSP contains provisions that 
take effect in such an event but do not 
entitle participants to a greater interest in 
the shares of the Company than created by 
the initial grant or award under the relevant 
plan.

Annual General Meeting
The AGM will be held on 6 July 2021. The 
principal meeting location will be at the 
offices of CMS, Cannon Place, 78 Cannon 
Street, EC4N 6AF. However, if it is not 
possible or advisable for the Board to meet 
in person, the AGM will be held at the 
Chairman’s private residence in Kent. 
The AGM will address formal matters only. 
A question and answer session for  
investors will be hosted by the Chairman  
on the Investor Meet Company platform for  
which investors can register at this link 
(https://www.investormeetcompany.com/
assura-plc/register-investor). Shortly after 
the meeting, the Company will publish on 
its website the result of the AGM.

Both the Directors’ Report on pages 106 
and 107 and the Strategic Report on pages 1 
to 68 were approved by the Board and 
signed on its behalf.

Orla Ball
Company Secretary 
17 May 2021

The rights, including full details relating to 
voting of shareholders and any restrictions 
on transfer relating to Assura’s Ordinary 
Shares, are set out in the Articles and in the 
explanatory notes that accompany the 
Notice of the 2020 AGM. These documents 
are available on Assura’s website at: 
www.assuraplc.com. Assura is not aware of 
any agreements or control rights between 
existing shareholders that may result in 
restrictions on the transfer of securities or 
on voting rights. The EBT is used to act as a 
vehicle for the issue of new shares under 
the PSP. As at 31 March 2021, the EBT held 
213,319 Ordinary Shares (2020: nil) related to 
restricted share awards under the PSP. A 
dividend waiver is in place from the Trustee 
in respect of all dividends payable by 
Assura on shares which it holds in trust.

Interests in voting rights
As at 17 May 2021, the Company had been 
notified of the following interests in 
accordance with Disclosure Guidance and 
Transparency rules 5:

31 March 2021

17 May 2021

Percentage 
of Ordinary 
Shares
10.67

Percentage 
of Ordinary 
Shares
11.01

Name of 
shareholder
BlackRock, Inc.
Resolution 
Capital Limited
Legal & General 
Group plc

Subject to provisions of the Act, the 
Articles, and to any directions given by 
special resolution, the business of the 
Company shall be managed by the Board, 
which may exercise all the powers of the 
Company.

The Directors may exercise all the powers of 
the Company to borrow money.

There are no agreements between the 
Company and its Directors or employees 
providing for compensation for loss of 
office or employment or otherwise that 
occurs specifically because of a takeover.

The Company has arranged qualifying 
third-party indemnity insurance cover in 
respect of legal action against its Directors, 
including all Directors of the wholly owned 
subsidiaries within the Group structure.

Competition and Markets Authority 
(“CMA”) Order
The Company confirms that it has complied 
with the Statutory Audit Services for Large 
Companies Market Investigation (Mandatory 
use of Competitive Tender Processes and 
Audit Committee Responsibilities) Order 
2014 published by the CMA on 26 
September 2014.

5.17 No change

3.01 No change

GHG emissions and energy usage
Details of greenhouse gas emissions from 
employee and head office activities can be 
found on page 53.

Directors
The appointment and replacement of 
Directors is governed by Assura’s Articles of 
Association, the UK Corporate Governance 
Code, the Companies Act 2006 (“The Act”) 
and related legislation. The Board may 
appoint a Director either to fill a casual 
vacancy or as an addition to the Board so 
long as the total number of Directors does 
not exceed the limit prescribed in the 
Articles. An appointed Director must retire 
and seek election to office at the next AGM. 
In addition to any power of removal 
conferred by the Act, Assura may by 
ordinary resolution remove any Director 
before the expiry of their period of office 
and may, subject to the Articles, by ordinary 
resolution appoint another person who is 
willing to act as a Director in their place. In 
line with the Code and the Board’s policy, 
all Directors are required to stand for 
re-election at each AGM.

The annual quantity of energy consumed 
from activities for which the company is 
responsible is 324,140 kWh. This is the 
energy consumed by employees either 
through our head office activities or 
through homeworking.

Auditor
Each of the persons who is a Director at the 
date of approval of this annual report 
confirms that:

 – So far as the Director is aware, there is no 
relevant audit information of which the 
Company’s auditor is unaware; and 
 – The Director has taken all the steps that 

he/she ought to have taken as a Director 
in order to make himself/herself aware of 
any relevant audit information and to 
establish that the Company’s auditor is 
aware of that information.

This confirmation is given and should be 
interpreted in accordance with the 
provisions of section 418 of the Act.

The Directors, on recommendation from the 
Audit Committee, intend to place a 
resolution before the AGM to appoint EY as 
auditor for the year ending 31 March 2022.

Assura plc  Annual Report and Accounts 2021

107

Strategic reportGovernanceFinancial statementsAdditional informationDIRECTORS’ RESPONSIBILITY STATEMENT

The Directors are responsible for the 
maintenance and integrity of the corporate 
and financial information included on the 
Company’s website. Legislation in the 
United Kingdom governing the preparation 
and dissemination of financial statements 
may differ from legislation in other 
jurisdictions.

We confirm that to the best of our 
knowledge:

 – The financial statements, prepared in 
accordance with IFRSs as adopted 
pursuant to Regulation (EC) 1606/2002 as 
it applies in the EU, give a true and fair 
view of the assets, liabilities, financial 
position and profit of the Company and 
the undertakings included in the 
consolidation taken as a whole;

 – The Strategic Report includes a fair review 
of the development and performance of 
the business and the position of the 
Company and the undertakings included 
in the consolidation taken as a whole, 
together with a description of the 
principal risks and uncertainties that they 
face; and

 – The annual report and financial 

statements, taken as a whole, is fair, 
balanced and understandable and 
provides the information necessary for 
shareholders to assess the Company’s 
position and performance, business model 
and strategy.

By order of the Board

Orla Ball
Company Secretary
17 May 2021

The Directors are responsible for preparing 
the annual report and the financial 
statements in accordance with applicable 
law and regulations.

Company law requires the Directors to 
prepare financial statements for each 
financial year. Under that law the Directors 
are required to prepare the Group financial 
statements in accordance with international 
accounting standards in conformity with 
the requirements of the Companies Act 
2006 and International Financial Reporting 
Standards (“IFRSs") adopted pursuant to 
Regulation (EC) No 1606/2002 as it applies 
in the EU. The Directors have also chosen to 
prepare the Parent Company financial 
statements under IFRSs adopted pursuant 
to Regulation (EC) 1606/2002 as it applies in 
the EU. Under company law the Directors 
must not approve the financial statements 
unless they are satisfied that they give a 
true and fair view of the state of affairs of 
the Company and of the profit or loss of the 
Company for that period.

In preparing these financial statements, IAS 
1 requires that Directors:

 – Properly select and apply accounting 

policies;

 – Present information, including accounting 

policies, in a manner that provides 
relevant, reliable, comparable and 
understandable information;

 – Provide additional disclosures when 

compliance with the specific requirements 
in IFRSs are insufficient to enable users to 
understand the impact of particular 
transactions, other events and conditions 
on the entity’s financial position and 
financial performance; and

 – Make an assessment of the Company’s 
ability to continue as a going concern.

The Directors are responsible for keeping 
adequate accounting records that are 
sufficient to show and explain the 
Company’s transactions and disclose with 
reasonable accuracy at any time the 
financial position of the Company and 
enable them to ensure that the financial 
statements comply with the Companies Act 
2006. They are also responsible for 
safeguarding the assets of the Company 
and hence for taking reasonable steps for 
the prevention and detection of fraud and 
other irregularities.

108

Assura plc  Annual Report and Accounts 2021

INDEPENDENT AUDITOR’S REPORT TO THE MEMBERS OF ASSURA PLC

Report on the audit of the financial statements 

1. Opinion
In our opinion:
 – the financial statements of Assura plc (the “Parent Company”) and its subsidiaries (the “Group”) give a true and fair view of the state of 

the Group’s and of the Parent Company’s affairs as at 31 March 2021 and of the Group’s profit for the year then ended;

 – the Group financial statements have been properly prepared in accordance with international accounting standards in conformity with 
the requirements of the Companies Act 2006 and International Financial Reporting Standards (“IFRSs”) adopted pursuant to Regulation 
(EC) No 1606/2002 as it applies in the European Union (“EU”); 

 – the Parent Company financial statements have been properly prepared in accordance with international accounting standards in 

conformity with the requirements of the Companies Act 2006; and

 – the financial statements have been prepared in accordance with the requirements of the Companies Act 2006.

We have audited the financial statements, which comprise:

 – the Consolidated and Parent Company Income Statement;
 – the Consolidated and Parent Company Balance Sheets;
 – the Consolidated and Parent Company Statements of Changes in Equity; 
 – the Consolidated and Parent Company Cash Flow Statement;
 – the related Notes 1 to 24 and the Parent Company Notes A to G.

The financial reporting framework that has been applied in the preparation of the Group financial statements is applicable law and 
international accounting standards in conformity with the requirements of the Companies Act 2006 and IFRSs adopted pursuant to 
Regulation (EC) No 1606/2002 as it applies in the EU. The financial reporting framework that has been applied in the preparation of the 
Parent Company financial statements is applicable law and international accounting standards in conformity with the requirements of the 
Companies Act 2006.

2. Basis for opinion
We conducted our audit in accordance with International Standards on Auditing (UK) (“ISAs (UK)”) and applicable law. Our responsibilities 
under those standards are further described in the auditor’s responsibilities for the audit of the financial statements section of our report. 

We are independent of the Group and the Parent Company in accordance with the ethical requirements that are relevant to our audit of 
the financial statements in the UK, including the Financial Reporting Council’s (the ”FRC’s”) Ethical Standard as applied to listed public 
interest entities, and we have fulfilled our other ethical responsibilities in accordance with these requirements. The non-audit services 
provided to the Group and Parent Company for the year are disclosed in Note 4 to the financial statements. We confirm that the non-audit 
services prohibited by the FRC’s Ethical Standard were not provided to the Group or the Parent Company.

We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion.

3. Summary of our audit approach
Key audit matters
The key audit matter that we identified in the current year was:

 – Valuation of the completed investment property (excluding properties under development).

Within this report, key audit matter is identified as follows:

(>) denotes similar level of risk

Materiality
The materiality applied for the Group financial statements was £30.6 million which was determined on the basis of 2% of net assets and 
specific materiality applied was £3.3 million which was determined on the basis of 5% of EPRA earnings (as defined in Note 6 to the 
financial statements).

Scoping
The Group audit team performed full scope audit procedures giving a coverage of 100% of the Group’s profit and net assets.

Significant changes in our approach
There were no significant changes in our approach in the current year.

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4. Conclusions relating to going concern
In auditing the financial statements, we have concluded that the Directors’ use of the going concern basis of accounting in the preparation 
of the financial statements is appropriate.

Our evaluation of the Directors’ assessment of the Group and Parent Company’s ability to continue to adopt the going concern basis of 
accounting included:

 – obtaining an understanding of relevant controls related to management’s process for evaluating the Group’s ability to continue as a going 
concern, including the identification and evaluation of the relevant business risks and the method, model and assumptions applied by 
management; 

 – obtaining management’s approved going concern model, including the sensitivities performed; 
 – performing a retrospective review of management’s historical accuracy of forecasting; 
 – challenging the assumptions and sensitivities used in management’s going concern model with reference to analyst reports, market data 

and other external information; 

 – assessing the appropriateness of the scenario analysis, including the ‘additional stress-testing’ performed by management with reference 

to analyst reports and forecasts, historical performance and other external data; 

 – assessing the Group’s position in relation to its debt facilities and respective covenants at the period end date and throughout the going 

concern period using forecast performance with management’s going concern model; and 

 – evaluating the appropriateness of management’s disclosures in the financial statements on going concern.
 – Based on the work we have performed, we have not identified any material uncertainties relating to events or conditions that, individually 
or collectively, may cast significant doubt on the Group and Parent Company’s ability to continue as a going concern for a period of at 
least twelve months from when the financial statements are authorised for issue.

In relation to the reporting on how the Group has applied the UK Corporate Governance Code, we have nothing material to add or draw 
attention to in relation to the Directors’ statement in the financial statements about whether the Directors considered it appropriate to 
adopt the going concern basis of accounting.

Our responsibilities and the responsibilities of the Directors with respect to going concern are described in the relevant sections of this 
report.

5. Key audit matters
Key audit matters are those matters that, in our professional judgement, were of most significance in our audit of the financial statements 
of the current period and include the most significant assessed risks of material misstatement (whether or not due to fraud) that we 
identified. These matters included those, which had the greatest effect on the overall audit strategy, the allocation of resources in the 
audit; and directing the efforts of the engagement team.

These matters were addressed in the context of our audit of the financial statements as a whole, and in forming our opinion thereon, and 
we do not provide a separate opinion on these matters.

5.1. Valuation of Investment property (excluding properties under development) (>) 

Key audit matter 
description

The Group owns and manages a portfolio of 609 (2020: 576) modern primary healthcare properties that are 
carried at fair value in the financial statements. The portfolio is valued at £2,410 million as at 31 March 2021 (2020: 
£2,082 million) and comprises the majority of the assets in the Group balance sheet. 

The Group uses professionally qualified external valuers, (the “Valuers”), to fair value the Group’s portfolio at half-
yearly intervals. The Valuers are engaged by the Directors and perform their work in accordance with the Royal 
Institution of Chartered Surveyors (“RICS”) Valuation – Professional Standards. The Valuers used by the Group are 
independent and have considerable experience in the markets in which the Group operates.

In determining a property’s valuation, the Valuers take into account property specific information such as current 
tenancy agreements and rental income attached to the asset. The portfolio (excluding development properties) 
is valued by the investment method of valuation. 

The fair value of the Group’s property portfolio is primarily derived by net initial yield (“NIY”) with the Valuers and 
Assura looking to market based factors such as net equivalent yield (“NEY”) and estimated rental value (“ERV”) to 
support the valuation number. 

The estimation of the property valuations, by reference to net initial yield adopted, is a significant judgement 
area, underpinned by a number of assumptions relating to the volume of transactional evidence in the sector and 
the characteristics of the individual property and lease like current tenancy agreements, rental income, condition 
and location of the property and future rental prospects. Further, the judgemental nature of the yields used in 
the valuation process is compounded by the uncertainty caused by COVID-19 and Brexit, which has resulted 
in fluctuations in the investment and occupier markets. Recent market information supports that the primary 
healthcare market has shown resilience however there remains judgement in the estimations made. 

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Key audit matter 
description 
continued

We considered a variety of factors and inputs to focus our key audit matter on those investment properties 
within the portfolio that carry the highest level of risk. This involved identifying a common range for NIY across 
the portfolio of 4% – 6.5%, through reference to market reports and data. This in combination with other factors 
such as weighted average unexpired lease terms (“WAULTs”), unusual market value changes, NIY and NEY 
changes year on year informed our determination of the assets that had the greatest characteristics of risk 
associated with them. 

Given the high level of judgement involved, we determined that there was a potential for fraud through 
manipulation of the net initial yield year on year to result in optimistic valuations on an asset level. The inherent 
subjectivity in relation to estimation of yields, coupled with the fact that only a small percentage difference in 
individual property valuations, when aggregated, could result in a material misstatement on the Statement of 
Comprehensive Income and the Statement of Financial Position, warrants specific audit focus in this area.

Valuation of property represents a key source of estimation uncertainty for the Group, as described in the 
Group’s accounting policies in Note 2, and a significant financial reporting matter considered by the audit 
committee, as described in page 85. Further details are disclosed in Note 9 to the financial statements.
Given the inherent subjectivity involved in the valuation of investment properties, the need for detailed 
market knowledge when determining the most appropriate assumptions, and the technicalities of a valuation 
methodology, we involved our internal valuation specialists (qualified chartered surveyors) in addressing the key 
audit matter. 

How the scope of 
our audit responded 
to the key audit 
matter

In conjunction with our internal valuation specialists, the following procedures were performed on those assets 
in the portfolio having the highest level of risk:

 – We obtained an understanding of management’s and the Valuers controls over data, model and assumptions, 
including assessing management’s process and control for reviewing and challenging the work of the external 
Valuers as well as management’s experience and knowledge to undertake this activity. We observed discussions 
between Assura’s portfolio managers and the Valuers, which demonstrated appropriate challenge before final 
valuations were determined.

 – We assessed the accuracy and completeness of information provided to the Valuers by agreeing (on a sample 

basis) to underlying leases and other supporting documents for observable inputs.

 – We compared the portfolio of assets used by the Valuers to an estimated range of expected yields, determined 

via reference to published benchmarks, and to recent transactions. Where assumptions were outside the 
expected range or otherwise deemed unusual, and/or valuations appeared to experience unexpected 
movements, we undertook further investigations and, where necessary, held further discussions with 
management and the Valuers in order to challenge the assumptions and impacts upon the valuations.

 – We reviewed the valuation reports prepared by the Valuers and in order to assess whether the valuations are 
based on RICS valuation standards. We obtained explanations directly from the Valuers and management, 
relating to specific considerations with regards to COVID-19 and Brexit, and any events subsequent to 31 March 
of relevance to the market and associated valuation trend.

 – We assessed NIY movements on an asset-by-asset basis against the prior year to understand whether any lease 

events have occurred to justify the movement in NIY and therefore the valuation itself.

 – We assessed the assumptions adopted by the Valuer within the valuations and review of responses provided by 
the Valuers and liaised with the Assura in-house property team and the Valuers to challenge the appropriateness 
of the explanations and evidence provided.

 – We evaluated variances between NEY and NIY to determine whether any assets present a risk of being 

overvalued or undervalued due to rentals currently achieved not being in line with ERV.

 – We assessed the competence, capabilities, independence and objectivity of the external Valuers and read their 
terms of engagement with the Group to determine whether there were any matters that might have affected 
their objectivity or may have imposed scope limitations on their work.

Key observations

We also assessed the appropriateness of the Group’s disclosures about the degree of the estimation and 
sensitivity to key assumptions made when valuing these properties, including the impact of the COVID-19 
and Brexit.
We concluded that the assumptions applied in relation to NIY, and any supporting judgements relating to NEY 
and ERV, in arriving at the fair value of the Group’s property portfolio were appropriate and reasonably disclosed.

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6. Our application of materiality
6.1. Materiality
We define materiality as the magnitude of misstatement in the financial statements that makes it probable that the economic decisions of 
a reasonably knowledgeable person would be changed or influenced. We use materiality both in planning the scope of our audit work 
and in evaluating the results of our work.

Based on our professional judgement, we determined materiality for the financial statements as a whole as follows:

Materiality

Basis for 
determining 
materiality

Group financial statements
£30.6 million (2020: £26.0 million) and a lower materiality of 
£3.3 million (2020: £3.3 million) for balances affecting EPRA 
earnings.
2% (2020: 2%) of net assets 

The lower materiality used for balances affecting EPRA 
earnings was determined using 5% (2020: 5%) of EPRA 
earnings.

Parent Company financial statements
£1.64 million (2020: £2.97 million).

The Parent Company materiality represents 2% 
(2020: 2%) of net assets, which is capped at 50% 
(2020: 90%) of lower level Group materiality.

Rationale for the 
benchmark applied

In arriving at this judgement we considered the primary 
performance measure of the Group is the carrying value of 
property investments and therefore set the overall Group 
materiality level based on net assets. 

As a non-trading parent Company, equity is the key 
driver of the company. The cap is applied against 
the lower level group materiality due to the EPRA 
earnings affecting transactions within the company.

In addition to net assets, we consider EPRA earnings to be 
a critical financial performance measure for the Group and 
we applied a lower threshold of £3.3 million based on 5% of 
that measure for testing of all impacted balances, classes of 
transactions and disclosures.

1. Net Assets
2. Group materiality

Net Assets £1,531m

1.

2.

Group materiality £31m

Company materiality £2.9m

Materiality for items affecting EPRA earnings £3.3m

Audit Committee reporting threshold impacting EPRA £0.16m

6.2. Performance materiality
We set performance materiality at a level lower than materiality to reduce the probability that, in aggregate, uncorrected and undetected 
misstatements exceed the materiality for the financial statements as a whole. 

Performance 
materiality
Basis and rationale 
for determining 
performance 
materiality

Group financial statements
70% (2020: 70%) of Group materiality

Parent Company financial statements
70% (2020: 70%) of Parent Company materiality 

We set performance materiality at a level lower than materiality to reduce the probability that, in aggregate, 
uncorrected and undetected misstatements exceed the materiality for the financial statements as a whole. 

In determining performance materiality, we considered factors including: 

 – our assessment of the group’s overall control environment; and 
 – our past experience of the audit, which has indicated a low number of uncorrected misstatements identified in 

prior periods.

6.3. Error reporting threshold
We agreed with the Audit Committee (the “Committee”) that we would report to the Committee all audit differences in excess of £1.5 
million (2020: £1.3 million) or £163,000 (2020: £165,000) for differences impacting EPRA earnings, as well as differences below that threshold 
that, in our view, warranted reporting on qualitative grounds. We also report to the Committee on disclosure matters that we identified 
when assessing the overall presentation of the financial statements.

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7. An overview of the scope of our audit
7.1. Identification and scoping of components
Our Group audit was scoped by obtaining an understanding of the Group and its internal and external environment, including group-wide 
controls and assessing the risks of material misstatement at the Group level. This also involved looking at where the directors make 
subjective judgements, for example in respect of significant accounting estimates or adoption of accounting policies that are underpinned 
by a number of assumptions. 

Audit work to respond to the risks of material misstatement was performed directly by the Group engagement team and led the Senior 
Statutory Auditor. 

Our audit work on the individual subsidiary entities was executed at levels of materiality applicable to each individual entity which were 
lower than Group materiality, and ranged between £0.01 million and £1.8 million (2020: £0.2 million and £8.1 million). This result in full scope 
audit procedures performed on 100% (2020: 100%) of the Group’s profit and net assets. We also tested the consolidation process and 
carried out analytical procedures to conclude that there were no significant risks of material misstatement of the aggregated financial 
information. 

7.2. Our consideration of the control environment
We have also obtained an understanding of the processes and controls operated by the Group in relation to certain key business cycles 
including the property valuations and revenue processes.

8. Other information
The other information comprises the information included in the annual report, other than the financial statements and our auditor’s report 
thereon. The directors are responsible for the other information contained within the annual report.

Our opinion on the financial statements does not cover the other information and, except to the extent otherwise explicitly stated in our 
report, we do not express any form of assurance conclusion thereon.

Our responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistent with 
the financial statements or our knowledge obtained in the course of the audit, or otherwise appears to be materially misstated.

If we identify such material inconsistencies or apparent material misstatements, we are required to determine whether this gives rise to a 
material misstatement in the financial statements themselves. If, based on the work we have performed, we conclude that there is a 
material misstatement of this other information; we are required to report that fact.

We have nothing to report in this regard.

9. Responsibilities of Directors
As explained more fully in the Directors’ Responsibilities Statement, the Directors are responsible for the preparation of the financial 
statements and for being satisfied that they give a true and fair view, and for such internal control as the directors determine is necessary 
to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error.

In preparing the financial statements, the Directors are responsible for assessing the Group’s and the Parent Company’s ability to continue 
as a going concern, disclosing as applicable, matters related to going concern and using the going concern basis of accounting unless the 
Directors either intend to liquidate the Group or the Parent Company or to cease operations, or have no realistic alternative but to do so.

10. Auditor’s responsibilities for the audit of the financial statements
Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement, 
whether due to fraud or error, and to issue an auditor’s report that includes our opinion. Reasonable assurance is a high level of assurance, 
but is not a guarantee that an audit conducted in accordance with ISAs (UK) will always detect a material misstatement when it exists. 
Misstatements can arise from fraud or error and are considered material if, individually or in the aggregate, they could reasonably be 
expected to influence the economic decisions of users taken on the basis of these financial statements.

A further description of our responsibilities for the audit of the financial statements is located on the FRC’s website at: 
www.frc.org.uk/auditorsresponsibilities. This description forms part of our auditor’s report.

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CONTINUED

11. Extent to which the audit was considered capable of detecting irregularities, including fraud
Irregularities, including fraud, are instances of non-compliance with laws and regulations. We design procedures in line with our 
responsibilities, outlined above, to detect material misstatements in respect of irregularities, including fraud. The extent to which our 
procedures are capable of detecting irregularities, including fraud is detailed below. 

11.1. Identifying and assessing potential risks related to irregularities
In identifying and assessing risks of material misstatement in respect of irregularities, including fraud and non-compliance with laws and 
regulations, we considered the following:

 – the nature of the industry and sector, control environment and business performance including the design of the Group’s remuneration 

policies, key drivers for Directors’ remuneration, bonus levels and performance targets;

 – results of our enquiries of management and the audit committee about their own identification and assessment of the risks of irregularities; 
 – any matters we identified having obtained and reviewed the Group’s documentation of their policies and procedures relating to:

 – identifying, evaluating and complying with laws and regulations and whether they were aware of any instances of non-compliance;
 – detecting and responding to the risks of fraud and whether they have knowledge of any actual, suspected or alleged fraud;
 – the internal controls established to mitigate risks of fraud or non-compliance with laws and regulations; and

 – the matters discussed among the audit engagement team and relevant internal specialists, including valuations specialists regarding how 

and where fraud might occur in the financial statements and any potential indicators of fraud.

As a result of these procedures, we considered the opportunities and incentives that may exist within the organisation for fraud and 
identified the greatest potential for fraud through the manipulation of the net initial yield year on year to result in optimistic valuations on an 
asset level in respect of the valuation of completed investment property (excluding properties under development). In common with all 
audits under ISAs (UK), we are also required to perform specific procedures to respond to the risk of management override.

We also obtained an understanding of the legal and regulatory frameworks that the Group operates in, focusing on provisions of those laws 
and regulations that had a direct effect on the determination of material amounts and disclosures in the financial statements. The key laws 
and regulations we considered in this context included the UK Companies Act, Listing Rules, pensions legislation, REIT and tax legislation.

In addition, we considered provisions of other laws and regulations that do not have a direct effect on the financial statements but 
compliance with which may be fundamental to the Group’s ability to operate or to avoid a material penalty. 

11.2. Audit response to risks identified
As a result of performing the above, we identified valuation of completed investment property (excluding properties under development) 
as a key audit matter related to the potential risk of fraud. The key audit matters section of our report explains the matter in more detail and 
also describes the specific procedures we performed in response to that key audit matter. 

In addition to the above, our procedures to respond to risks identified included the following:

 – reviewing the financial statement disclosures and testing to supporting documentation to assess compliance with provisions of relevant 

laws and regulations described as having a direct effect on the financial statements;

 – enquiring of management, the audit committee and in-house legal counsel concerning actual and potential litigation and claims;
 – performing analytical procedures to identify any unusual or unexpected relationships that may indicate risks of material misstatement due 

to fraud;

 – reading minutes of meetings of those charged with governance, reviewing internal audit reports and reviewing correspondence with 

HMRC; and

 – in addressing the risk of fraud through management override of controls, testing the appropriateness of journal entries and other 

adjustments; assessing whether the judgements made in making accounting estimates are indicative of a potential bias; and evaluating the 
business rationale of any significant transactions that are unusual or outside the normal course of business.

We also communicated relevant identified laws and regulations and potential fraud risks to all engagement team members including 
internal specialists, and remained alert to any indications of fraud or non-compliance with laws and regulations throughout the audit.

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Report on other legal and regulatory requirements

12. Opinions on other matters prescribed by the Companies Act 2006

In our opinion, the part of the Directors’ Remuneration Report to be audited has been properly prepared in accordance with the 
Companies Act 2006.

In our opinion, based on the work undertaken in the course of the audit:

 – the information given in the Strategic Report and the Directors’ Report for the financial year for which the financial statements are 

prepared is consistent with the financial statements; and

 – the Strategic Report and the Directors’ Report have been prepared in accordance with applicable legal requirements.
 – In the light of the knowledge and understanding of the Group and the Parent Company and their environment obtained in the course of 

the audit, we have not identified any material misstatements in the Strategic Report or the Directors’ Report.

13. Corporate Governance Statement
The Listing Rules require us to review the Directors’ statement in relation to going concern, longer-term viability and that part of the 
Corporate Governance Statement relating to the Group’s compliance with the provisions of the UK Corporate Governance Code specified 
for our review.

Based on the work undertaken as part of our audit, we have concluded that each of the following elements of the Corporate 
Governance Statement is materially consistent with the financial statements and our knowledge obtained during the audit: 

 – the Directors’ statement with regards to the appropriateness of adopting the going concern basis of accounting and any material 

uncertainties identified set out on page 68;

 – the Directors’ explanation as to its assessment of the group’s prospects, the period this assessment covers and why the period is 

appropriate set out on page 68;

 – the Directors’ statement on fair, balanced and understandable set out on page 108;
 – the Board’s confirmation that it has carried out a robust assessment of the emerging and principal risks set out on pages 56 to 61;
 – the section of the annual report that describes the review of effectiveness of risk management and internal control systems set out on 

page 86; and

 – the section describing the work of the Audit Committee set out on pages 85 to 86.

14. Matters on which we are required to report by exception
14.1. Adequacy of explanations received and accounting records
Under the Companies Act 2006, we are required to report to you if, in our opinion:

 – we have not received all the information and explanations we require for our audit; or
 – adequate accounting records have not been kept by the Parent Company, or returns adequate for our audit have not been received from 

branches not visited by us; or

 – the Parent Company financial statements are not in agreement with the accounting records and returns.

We have nothing to report in this regard.

14.2. Directors’ remuneration
Under the Companies Act 2006 we are also required to report if in our opinion certain disclosures of Directors’ remuneration have not 
been made or the part of the Directors’ Remuneration Report to be audited is not in agreement with the accounting records and returns.

We have nothing to report in this regard.

15. Other matters which we are required to address
15.1. Auditor tenure
Following the recommendation of the Audit Committee, we were appointed by the Board of Directors on 21 January 2012 to audit the 
financial statements for the year ending 31 March 2012 and subsequent financial periods. The period of total uninterrupted engagement 
including previous renewals and reappointments of the firm is 10 years, covering the years ending 31 March 2012 to 31 March 2021.

15.2. Consistency of the audit report with the additional report to the audit committee
Our audit opinion is consistent with the additional report to the audit committee we are required to provide in accordance with ISAs (UK).

16. Use of our report
This report is made solely to the Company’s members, as a body, in accordance with Chapter 3 of Part 16 of the Companies Act 2006. Our 
audit work has been undertaken so that we might state to the Company’s members those matters we are required to state to them in an 
auditor’s report and for no other purpose. To the fullest extent permitted by law, we do not accept or assume responsibility to anyone 
other than the Company and the Company’s members as a body, for our audit work, for this report, or for the opinions, we have formed.

Scott Bayne, FCA (Senior statutory auditor)
For and on behalf of Deloitte LLP
Statutory Auditor
Manchester, United Kingdom
17 May 2021

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Strategic reportGovernanceFinancial statementsAdditional informationCONSOLIDATED INCOME STATEMENT
For the year ended 31 March 2021

Gross rental and related income
Property operating expenses
Net rental income

Administrative expenses
Revaluation gains
Gain on sale of property
Share-based payment charge
Finance income
Finance costs
Profit before taxation
Taxation
Profit for the year attributable to 
equity holders of the parent

EPS               – basic & diluted
EPRA EPS     – basic & diluted

Note

3

4
9
9
19

5

21

6
6

2021

 Capital and 
non-EPRA 
£m
3.8
(3.8)
–

–
41.6
0.9
–
–
(7.1)
35.4
–

35.4

EPRA 
£m
117.0
(5.0)
112.0

(13.5)
–
–
(0.5)
0.2
(25.3)
72.9
–

72.9

2.7p

Total 
£m
120.8
(8.8)
112.0

(13.5)
41.6
0.9
(0.5)
0.2
(32.4)
108.3
–

108.3

4.1p

2020

Capital and  
non-EPRA 
£m
3.7
(3.7)
–

–
9.7
1.7
–
–
–
11.4
–

11.4

EPRA 
£m
107.8
(4.1)
103.7

(9.9)
–
–
(0.2)
–
(26.1)
67.5
–

67.5

2.8p

Total 
£m
111.5
(7.8)
103.7

(9.9)
9.7
1.7
(0.2)
–
(26.1)
78.9
–

78.9

3.3p

There were no items of other comprehensive income or expense and therefore the profit for the year also reflects the Group’s total 
comprehensive income. All income arises from continuing operations in the UK.

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CONSOLIDATED BALANCE SHEET
As at 31 March 2021

Non-current assets
Investment property
Property work in progress
Property, plant and equipment
Investments
Deferred tax asset

Current assets
Cash, cash equivalents and restricted cash
Trade and other receivables
Property assets held for sale 

Total assets
Current liabilities
Trade and other payables
Borrowings
Head lease liabilities
Deferred revenue

Non-current liabilities
Borrowings
Head lease liabilities
Deferred revenue

Total liabilities
Net assets
Capital and reserves
Share capital
Share premium
Merger reserve
Retained earnings
Total equity

NAV per Ordinary Share 

  – basic 
  – diluted

EPRA NTA per Ordinary Share     – basic

  – diluted

Note

2021 
£m

2020 
£m

9

10
8
21

11
12
9

13
16
14
15

16
14
15

17

17

7
7
7
7

2,453.3
13.6
0.3
0.7
0.5
2,468.4

46.6
27.4
14.7
88.7
2,557.1

40.7
–
0.1
25.4
66.2

948.7
5.4
6.1
960.2
1,026.4
1,530.7

267.2
763.1
231.2
269.2
1,530.7

57.3p
57.3p
57.3p
57.2p

2,139.0
11.1
0.2
0.2
0.5
2,151.0

18.5
19.1
20.7
58.3
2,209.3

32.2
11.0
0.1
22.8
66.1

830.5
5.5
4.8
840.8
906.9
1,302.4

241.3
595.5
231.2
234.4
1,302.4

54.0p
53.9p
54.0p
53.9p

The financial statements were approved at a meeting of the Board of Directors held on 17 May 2021 and signed on its behalf by:

Jonathan Murphy   
CEO 

Jayne Cottam 
CFO

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CONSOLIDATED STATEMENT OF CHANGES IN EQUITY
For the year ended 31 March 2021

1 April 2019
Profit attributable to equity holders
Total comprehensive income
Dividends
Employee share-based incentives
31 March 2020

Profit attributable to equity holders
Total comprehensive income
Issue of Ordinary Shares
Issue costs
Dividends
Employee share-based incentives
31 March 2021

Note

18

17
17
18

Share capital
£m
239.8
–
–
1.5
–
241.3

Share premium
£m
587.4
–
–
8.1
–
595.5

Merger reserve
£m
231.2
–
–
–
–
231.2

–
–
24.2
–
1.6
0.1
267.2

–
–
161.8
(4.3)
10.1
–
763.1

–
–
–
–
–
–
231.2

Retained 
earnings
£m
221.5
78.9
78.9
(66.2)
0.2
234.4

108.3
108.3
–
–
(73.6)
0.1
269.2

Total equity
£m
1,279.9
78.9
78.9
(56.6)
0.2
1,302.4

108.3
108.3
186.0
(4.3)
(61.9)
0.2
1,530.7

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CONSOLIDATED CASH FLOW STATEMENT
For the year ended 31 March 2021

Operating activities
Rent received
Interest paid and similar charges
Fees received
Interest received
Cash paid to suppliers and employees
Net cash inflow from operating activities

Investing activities
Purchase of investment property
Development expenditure
Proceeds from sale of property
Other investments and property, plant and equipment
Net cash outflow from investing activities

Financing activities
Issue of Ordinary Shares
Issue costs paid on issuance of Ordinary Shares
Dividends paid
Repayment of loan/borrowings
Long-term loans drawn down
Early repayment costs
Interest on head lease liabilities
Loan issue costs
Net cash inflow from financing activities

Increase in cash, cash equivalents and restricted cash

Opening cash, cash equivalents and restricted cash
Closing cash, cash equivalents and restricted cash

Note

20

17
17

16
16
16

16

11

2021 
£m

117.2
(24.6)
1.1
0.2
(16.5)
77.4

(236.1)
(56.9)
26.2
(0.7)
(267.5)

186.0
(4.3)
(61.9)
(190.0)
298.1
(6.4)
(0.1)
(3.2)
218.2

28.1

18.5
46.6

2020 
£m

104.6
(23.7)
0.9
–
(15.5)
66.3

(132.4)
(53.7)
20.1
(0.2)
(166.2)

–
–
(56.6)
–
157.0
–
(0.1)
(0.2)
100.1

0.2

18.3
18.5

Assura plc  Annual Report and Accounts 2021

119

Strategic reportGovernanceFinancial statementsAdditional informationNOTES TO THE ACCOUNTS
For the year ended 31 March 2021

1. Corporate information and operations
The Company is a public limited company, limited by shares, incorporated and domiciled in England and Wales, whose shares are publicly 
traded on the main market of the London Stock Exchange.

With effect from 1 April 2013, the Group has elected to be treated as a UK REIT. See Note 21 for further details.

2. Significant accounting policies
Basis of preparation
The consolidated financial statements have been prepared on a historical cost basis, except for investment properties, including 
investment properties under construction and land which are included at fair value. The financial statements have been prepared in 
accordance with international accounting standards in conformity with the requirements of the Companies Act 2006 and IFRSs adopted 
pursuant to Regulation (EC) No 1606/2002 as it applies in the European Union.

The financial statements are prepared on a going concern basis, having factored in considerations for Brexit, COVID-19 and climate change, 
as explained in the Directors’ Report on pages 106 to 107 and are presented in pounds sterling.

The accounting policies have been applied consistently to the results, other gains and losses, liabilities and cash flows of entities included 
in the consolidated financial statements. All intragroup balances, transactions, income and expenses are eliminated on consolidation.

Standards affecting the financial statements
The following standards and amendments became effective for the Company in the year ended 31 March 2021. The pronouncements 
either had no material impact on the financial statements or resulted in changes in presentation and disclosure only (effective for periods 
beginning on or after the date in brackets):

 – Amendments to IFRS 3 regarding the definition of a business (1 January 2020)
 – Amendments regarding the definition of materiality (1 January 2020)
 – Amendments to references to the Conceptual Framework in IFRS Standards (1 January 2020)

Standards in issue not yet effective
The following standards and amendments are in issue as at the date of the approval of these financial statements but are not yet effective 
for the Company. The Directors do not expect that the adoption of the standards listed below will have a material impact on the financial 
statements of the Company in future periods but are continuing to assess the potential impact (effective for periods beginning on or after 
the date in brackets).

 – Amendments to IAS 1 regarding the classification of Liabilities as Current or Non-Current (1 January 2023)
 – Annual improvements to IFRS Standards 2018–2020 (1 January 2022)

There are no other standards or interpretations yet to be effective that would be expected to have a material impact on the financial 
statements of the Group.

Key sources of estimation uncertainty
The key assumptions concerning the future, and other key sources of estimation uncertainty at the balance sheet date, that have a 
significant risk of causing a material adjustment to the carrying amounts of assets and liabilities within the next financial year, are discussed 
below.

Property valuations
The key source of estimation uncertainty relates to the valuation of the property portfolio, where a valuation is obtained twice a year from 
professionally qualified external valuers. The evidence to support these valuations is based primarily on recent, comparable market 
transactions on an arm’s-length basis. However, the assumptions applied are inherently subjective and so are subject to a degree of 
uncertainty. Property valuations are one of the principal uncertainties of the Group and details of the accounting policies applied in 
respect of valuation are set out below. The valuation is most subjective to the inputs of net initial yield, equivalent yield and Estimated 
Rental Value (“ERV”), which are considered by the Group to be the assumptions with the highest risk of causing a material movement in the 
next financial year. Note 9 includes details and sensitivities of these outputs. 

Critical judgements in applying the Group’s accounting policies
In the process of applying the Group’s accounting policies, which are described below, the Directors do not consider there to be 
significant judgements applied with regard to the policies adopted, other than in respect of property valuations as described above.

Basis of consolidation
Subsidiaries and associates
Subsidiaries are fully consolidated from the date of acquisition, being the date on which the Group obtains control, and continue to be 
consolidated until the date that such control ceases. Control comprises power over the entity, exposure to variable returns and the ability 
to use its power over the entity to affect the amount of returns.

Investments in associates are initially held at cost, and then applying equity accounting rules. Investments which are not deemed to be 
subsidiaries or associates due to insufficient control are initially held at cost and subsequently remeasured to fair value through the income 
statement.

In the Company financial statements, investments in subsidiaries are held at cost less any provision for impairment. In addition, the 
Company recognises dividend income when the rights to receive payment have been established (normally when declared and paid).

120

Assura plc  Annual Report and Accounts 2021

2. Significant accounting policies (continued) 
Where properties are acquired through the purchase of a corporate entity but the transaction does not meet the definition of a business 
combination under IFRS 3, the purchase is treated as an asset acquisition. Where the acquisition is considered a business combination, the 
excess of the consideration transferred over the fair value of assets and liabilities acquired is held as goodwill, initially recognised at cost 
with subsequent impairment assessments completed at least annually. Where the initial calculation of goodwill arising is negative, this is 
recognised immediately in the income statement.

Property portfolio
Properties are externally valued on an open market basis, which represents fair value, as at the balance sheet date and are recorded at 
valuation.

Investment property under construction (“IPUC”) is valued as if complete, with appropriate deductions for expected cost to complete and 
theoretical developer’s margin on remaining costs.

Any surplus or deficit arising on revaluing investment property and IPUC is recognised in the income statement.

All costs associated with the purchase and construction of IPUC are capitalised including attributable interest. Interest is calculated on the 
expenditure by reference to specific borrowings where relevant and otherwise on the average rate applicable to short-term loans. When 
IPUC are completed, they are classified as investment properties.

Leasehold properties that are leased out to occupiers under operating leases are classified as investment properties or development 
properties, as appropriate, and included in the balance sheet at fair value.

Where an investment property is held under a head lease it is initially recognised as an asset as the sum of the premium paid on acquisition 
and the present value of minimum ground rent payments. The corresponding rent liability to the head leaseholder is included in the 
balance sheet as a head lease liability. Short-term leases (less than 12 months) or those of low value assets are kept off balance sheet in 
accordance with IFRS 16.

The market value of investment property as estimated by an external valuer is increased for the unamortised pharmacy lease premium held 
at the balance sheet date. Properties are classified as assets held for sale when it is considered highly probable that it will be disposed in 
the next financial year and are recorded at the lower of carrying value and fair value less costs to sell.

Costs incurred prior to a development being legally committed (“on site”) are recorded as property work in progress and held at cost, 
being transferred to investment property under construction when legally committed. With the increase in value of the acquisition, 
development and asset enhancement pipelines, the Group has deemed it appropriate to present property work in progress as a separate 
line item on the face of the balance sheet.

Net rental income
Rental income is recognised on an accruals basis and recognised on a straight-line basis over the lease term. A rent adjustment based on 
open market estimated rental value is recognised from the rent review date in relation to unsettled rent reviews. Pharmacy lease premiums 
received from occupiers are spread over the lease term, even if the receipts are not received on such a basis. The lease term is the 
non- cancellable period of the lease. Property operating expenses are expensed as incurred and property operating expenditure not 
recovered from occupiers through service charges is charged to the income statement.

In accordance with IFRS 15, service charge income and expenditure is shown gross on the face of the income statement, presented within 
the capital and non-EPRA column in accordance with EPRA guidelines.

Gains on sale of properties
Gains on sale of properties are recognised on the completion of the contract and are calculated by reference to the carrying value at the 
end of the previous reporting period, adjusted for subsequent capital expenditure.

Financial assets and liabilities
Trade receivables are recorded at transaction value and trade payables are recorded at invoice value (including VAT where applicable). 
Appropriate provisions are made for expected credit losses considering historical credit losses incurred and future expected losses.

Other investments are shown at amortised cost and held as loans and receivables. Loans and receivables are initially valued at fair value 
less directly attributable transaction costs. After recognition, loans and receivables are measured at amortised cost using the effective 
interest method, less any impairment. Interest income is recognised by applying the effective interest rate.

Debt instruments are stated at their net proceeds on issue. Finance charges including premiums payable on settlement or redemption and 
direct issue costs are spread over the period to redemption at a constant rate on the carrying amount of the liability.

Financial assets are derecognised only when the contractual rights to the cash flows from the asset expire or when substantially all the risks 
and rewards of ownership of the asset have been transferred to another entity. Any difference between the asset’s carrying value and any 
consideration received is recognised in the income statement.

Financial liabilities are derecognised only when the Group’s obligations have been discharged, cancelled or have expired. The difference 
between the carrying amount of the financial liability derecognised and the consideration paid is recognised in the income statement.

Assura plc  Annual Report and Accounts 2021

121

Strategic reportGovernanceFinancial statementsAdditional informationNOTES TO THE ACCOUNTS CONTINUED
For the year ended 31 March 2021

2. Significant accounting policies (continued) 
Financial instruments
Cash equivalents are limited to instruments with a maturity of less than three months measured at amortised cost.

Tax
Current tax is expected tax payable on any non-REIT taxable income for the period and is calculated using tax rates that have been 
enacted or substantively enacted at the balance sheet date. Taxable profit differs from net profit as reported in the income statement 
because it excludes items of income or expense that are not taxable (or tax deductible).

Deferred tax is provided on items that may become taxable at a later date, on the difference between the balance sheet value and tax 
base value.

Alternative performance measures
In the reporting of financial information, the Group uses certain measures (non-GAAP measures, also known as “Alternative Performance 
Measures”) that are not required under IFRS, the generally accepted accounting principles (“GAAP”) under which the Group reports. 
The Board believes that these measures, as described in the CFO review, provide additional useful information on performance and trends 
to shareholders, in particular where EPRA measures are used to aid comparability between real estate companies. These are used by the 
Board for internal performance analysis and incentive compensation arrangements for employees. They are not intended to be a substitute 
for, or superior to, GAAP measures.

Income statement definitions
EPRA earnings represents profit calculated in accordance with the guide published by the European Public Real Estate Association. See 
Note 6 for details of the adjustments.

Capital and non-EPRA represents all other statutory income statement items that are excluded from EPRA earnings.

Employee costs
Defined contribution pension plans
Obligations for contributions to defined contribution pension plans are charged to the income statement as incurred.

Share-based employee remuneration
Share-based employee remuneration is determined with reference to the fair value of the equity instruments at the date at which they are 
granted and charged to the income statement over the vesting period on a straight-line basis. The fair value of share options is calculated 
using an appropriate valuation model and is dependent on factors including the exercise price, expected volatility, option life and risk-free 
interest rate. IFRS 2 Share-based Payment has been applied to share options granted.

Segmental information
The Group is run and management assess performance as one business and as such no segmental analysis is presented for the current or 
prior year results.

3. Net rental income 

Rental revenue
Service charge income
Other related income
Gross rental and related income

Gross rental and related income
Direct property expenses
Service charge expenses
Net rental income

4. Administrative expenses

Wages and salaries
Social security costs

Auditor’s remuneration
Directors’ remuneration and fees
Assura Community Fund contribution
Other administrative expenses

122

Assura plc  Annual Report and Accounts 2021

2021
£m
115.9
3.8
1.1
120.8

2021
£m
120.8
(5.0)
(3.8)
112.0

2021
£m
4.7
0.7
5.4
0.4
1.8
2.5
3.4
13.5

2020
£m
106.9
3.7
0.9
111.5

2020
£m
111.5
(4.1)
(3.7)
103.7

2020
£m
4.0
0.7
4.7
0.2
1.5
–
3.5
9.9

Note

4(a)

4. Administrative expenses (continued)
The Group operates a defined contribution pension scheme, available to all employees. The Group contribution to the scheme during the 
year was £315,100 (2020: £205,600), which represents the total expense recognised through the income statement. As at 31 March 2021, 
contributions of £33,300 (2020: £17,800) due in respect of the reporting period had not been paid over to the plan but were all paid in 
April 2021.

The average number of employees in the year was 77 (2020: 66).

Full disclosure of Directors’ emoluments, as required by the Companies Act 2006, can be found in the Remuneration Report on pages 
87 to 105.

Key management staff (Executive Committee)
Salaries, pension holiday pay, payments in lieu of notice and bonus
Cost of employee share-based incentives (including related social security costs)
Social security costs

(a) Auditor’s remuneration

Fees payable to auditor for audit of Company’s annual accounts
Fees payable to auditor for audit of Company’s subsidiaries
Total audit fees
Other assurance services (total non-audit fees) – half year review and bond comfort letters

5. Finance costs

Interest payable
Interest capitalised on developments
Amortisation of loan issue costs
Interest on head lease liability
Total finance costs – presented through EPRA earnings
Write-off of loan issue costs
Early repayment costs
Total finance costs

2021
£m
3.0
0.2
0.5
3.7

2021
£m
0.2
0.1
0.3
0.1
0.4

2021
£m
25.8
(1.8)
1.2
0.1
25.3
0.7
6.4
32.4

2020
£m
2.1
0.2
0.3
2.6

2020
£m
0.1
0.1
0.2
–
0.2

2020
£m
25.6
(1.0)
1.4
0.1
26.1
–
–
26.1

Interest was capitalised on property developments at the appropriate cost of finance at commencement. During the year this ranged from 
4% to 5% (2020: 4% to 5%).

Loan costs written off related to facilities terminated prior to their maturity, and early repayment costs were amounts paid in the year to 
terminate the secured bond due 2021. 

6. Earnings per Ordinary Share

Profit for the year
Revaluation gains
Gain on sale of property
Loan early repayment cost
EPRA earnings
Additional Company-specific adjustment
Add back: One-off Assura Community Fund contribution
Adjusted EPRA earnings (exc. Community Fund contribution)

EPS – basic & diluted
EPRA EPS – basic & diluted
Adjusted EPRA EPS (exc. Community Fund contribution)

Earnings
2021
£m
108.3

4.1p

EPRA
earnings
2021
£m
108.3
(41.6)
(0.9)
7.1
72.9

2.5
75.4

2.7p
2.8p

Earnings
2020
£m
78.9

3.3p

EPRA
earnings
2020
£m
78.9
(9.7)
(1.7)
–
67.5

–
67.5

2.8p
2.8p

Assura plc  Annual Report and Accounts 2021

123

Strategic reportGovernanceFinancial statementsAdditional informationNOTES TO THE ACCOUNTS CONTINUED
For the year ended 31 March 2021

6. Earnings per Ordinary Share (continued)

Weighted average number of shares in issue
Potential dilutive impact of share options
Diluted weighted average number of shares in issue

2021

2020
2,658,745,619 2,407,359,922
2,506,034
2,660,384,290 2,409,865,956

1,637,671

The current number of potentially dilutive shares relates to nil-cost options under the share-based payment arrangements and is 1.6 million 
(2020: 2.5 million).

7. NAV per Ordinary Share

2021
£m
IFRS net assets
Deferred tax
Fair value of debt
Real estate transfer tax
EPRA adjusted NAV
NTA per Ordinary Share  

NRV per Ordinary Share  

NDV per Ordinary Share  

2020 
£m
IFRS net assets
Deferred tax
Fair value of debt
Real estate transfer tax
EPRA adjusted
NTA per Ordinary Share  

NRV per Ordinary Share  

NDV per Ordinary Share  

– basic
– diluted
– basic
– diluted
– basic
– diluted

– basic
– diluted
– basic
– diluted
– basic
– diluted

Number of shares in issue
Potential dilutive impact of share options
Diluted number of shares in issue

IFRS
1,530.7

57.3p
57.3p

IFRS
1,302.4

54.0p
53.9p

EPRA NTA
1,530.7
(0.5)
–
–
1,530.2
57.3p
57.2p

EPRA NTA
1,302.4
(0.5)
–
–
 1,301.9
54.0p
53.9p

EPRA NRV
1,530.7
(0.5)
–
158.8
1,689.0

63.2p
63.2p

EPRA NRV
1,302.4
(0.5)
–
137.5
1,439.4

59.6p
59.6p

EPRA NDV
1,530.7
–
(34.6)
–
1,496.1

56.0p
56.0p

EPRA NDV
1,302.4
–
(30.9)
–
1,271.5

52.6p
52.6p

2021

2020
2,671,853,938 2,413,241,827
2,506,034
2,415,747,861

1,637,671
2,673,491,609

The EPRA measures set out above are in accordance with the Best Practices Recommendations of the European Public Real Estate 
Association dated October 2019. 

Mark to market adjustments have been provided by the counterparty or by reference to the quoted fair value of financial instruments.

124

Assura plc  Annual Report and Accounts 2021

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
8. Investments
Below is a listing of all subsidiaries of Assura plc:

Property investment companies
Apollo Capital Projects Development Ltd* Assura Trellech Ltd*
Assura (SC1) Ltd*
Assura (SC2) Ltd*
Assura Aspire Ltd*
Assura Aspire UK Ltd*
Assura Development Hub Ltd*
Assura GHC Ltd*
Assura HC Ltd*
Assura HC UK Ltd*
Assura Health Investments Ltd*
Assura Medical Centres Ltd*
Assura Primary Care Properties Ltd*
Assura Properties plc*
Assura Properties UK Ltd*

BHE (Heartlands) Ltd* 
BHE (St James) Ltd*
Bicester HC Developments Ltd*
Cheltenham Family Health Care Centre Ltd*
Community Ventures Windmill Ltd*
Donnington Healthcare Ltd*
Holywell House Ltd*
Malmesbury Medical Enterprise Ltd*
Medical Properties Limited*
Meridian Medical Services Ltd*
Metro MRH Ltd*
Metro MRI Ltd*
Metro MRM Ltd*

Newton Healthcare Ltd*
Park Medical Services Ltd*
Pentagon HS Ltd*
Prime Hereford Hub Ltd*
Prospect Medical (Malvern) Ltd*
Ridge Medical Ltd*
Shotfield Development Business Partnership Ltd*
SJM Developments Ltd* 
Surgery Developments Ltd*
Trinity Medical Properties Ltd* 
Upton Community Health Care Ltd*
Whitton Property Limited*

Holding or dormant companies
Assura Property Ltd* (Guernsey)
Assura (AHI) Ltd*
Assura Property Management Ltd*
Assura Banbury Ltd*
Assura Services Ltd*
Assura Beeston Ltd*
Broadfield Surgery Ltd*
Assura CS Ltd*
Community Ventures Hartlepool Ltd*
Assura CVSK Ltd*
Community Ventures Hartlepool Midco Ltd* Stratford Healthcare Ltd*
Assura Financing plc*
The 3P Development Ltd*
Destra Hartlepool Ltd*
Assura Group Ltd (Guernsey)
Upton Medical Ltd*
Destra Windmill Ltd*
Assura IH Ltd
General Practice Investment Corporation Ltd* Xantaris Investments (March) Ltd*
Assura Investments Ltd*
GP Premises Ltd*
Assura Management Services Ltd*
Assura PCP UK Ltd*
GP Premises Holdings Ltd*
Assura Pharmacy Holdings Ltd* (Guernsey) Mapleoak Investments Ltd*

Oakcastle Investments (XXI) Ltd*
PCD Pembrokeshire Ltd*
PCI Management Ltd*
Primary Care Properties (Manchester) Ltd*
SHC Holdings Ltd* (Jersey)

Xantaris Investments (XXI) Ltd*
Whitton Limited* (Jersey)

*  Indicates subsidiary owned by intermediate subsidiary of Assura plc.

All companies are wholly owned by the Group (holding the Ordinary Shares) and registered in England unless otherwise indicated.

All companies registered in England have a registered address of The Brew House, Greenalls Avenue, Warrington WA4 6HL. The 
companies registered in Guernsey have a registered address of PO Box 286, Floor 2, Trafalgar Court, Les Banques, St Peter Port, Guernsey 
and the Jersey company registered addresses are 44 Esplanade, St Helier, Jersey (SHC) and 2nd Floor, Gaspe House, 66–72 Esplanade, 
St Helier, Jersey (Whitton). Taking into consideration the facts of each transaction, acquisitions of companies completed during the years 
ended 31 March 2021 and 31 March 2020 have been accounted for as asset purchases as opposed to business combinations.

During the year ended 31 March 2020, a 100% subsidiary of the Group committed to invest up to £5 million in PI Labs III LP, a limited 
partnership registered in England (LP020025, registered address 151 Wardour Street, London, W1F 8WE). £0.7 million had been invested as 
at 31 March 2021. The first £3 million can be drawn on demand to cover investments the fund makes in qualifying, selected PropTech 
businesses. The remaining £2 million may only be drawn in tranches of £1 million when total investment in the fund exceeds £40 million and 
£50 million respectively (currently £10 million of committed investors of which Assura represents 30%). This investment has initially been 
recorded at cost and will subsequently be recorded at fair value through the income statement. At 31 March 2021, the Directors believe the 
cost is equal to the fair value.

The Group also holds an investment in Virgin Healthcare Holdings Limited, made up of a 0.7% equity holding (book value £nil) and 
a £4 million loan note receivable (book value £nil, 2020: £nil). The registered address is Lynton House, 7–12 Tavistock Square, London 
WC1H 9LT.

Assura plc  Annual Report and Accounts 2021

125

Strategic reportGovernanceFinancial statementsAdditional informationNOTES TO THE ACCOUNTS CONTINUED
For the year ended 31 March 2021

9. Property assets
Investment property and investment property under construction (“IPUC”).

Properties are stated at fair value, which has been determined for the Group by Savills Commercial Limited and Jones Lang LaSalle as at
31 March 2021. The properties have been valued individually and on the basis of open market value (which the Directors consider to be the 
fair value) in accordance with RICS Valuation – Professional Standards 2020 (“the Red Book”). Valuers are paid on the basis of a fixed fee 
arrangement, subject to the number of properties valued.

Opening market value
Additions:
– acquisitions
– improvements

Development costs
Transfers
Transfer to assets held for sale
Capitalised interest
Disposals
Unrealised surplus on revaluation
Closing market value
Add head lease liabilities recognised 
separately
Closing fair value of investment property

Investment
2021
£m
2,075.9

228.9
4.6
233.5
–
77.7
(14.3)
–
(5.2)
36.7
2,404.3

5.5
2,409.8

IPUC
2021
£m
57.5

–
–
–
56.9
(77.7)
–
1.9
–
4.9
43.5

–
43.5

Total
2021
£m
2,133.4

228.9
4.6
233.5
56.9
–
(14.3)
1.9
(5.2)
41.6
2,447.8

5.5
2,453.3

Investment
2020
£m
1,952.9

119.4
1.7
121.1
–
15.1
(18.9)
–
(2.7)
8.4
2,075.9

5.6
2,081.5

Market value of investment property as estimated by valuer
Add IPUC
Add capitalised lease premiums and rental payments
Add head lease liabilities recognised separately
Fair value for financial reporting purposes
Completed investment property held for sale
Land held for sale
Total property assets

Investment property
Investment property held for sale
Total completed investment property

Assets held for sale at 1 April 2020
Disposals during the year
Net transfers from investment property
Assets held for sale at 31 March 2021

IPUC
2020
£m
23.0

–
–
–
47.3
(15.1)
–
1.0
–
1.3
57.5

–
57.5

2021
£m
2,400.4
43.5
3.9
5.5
2,453.3
14.3
0.4
2,468.0

2021
£m
2,400.4
14.3
2,414.7

Total
2020
£m
1,975.9

119.4
1.7
121.1
47.3
–
(18.9)
1.0
(2.7)
9.7
2,133.4

5.6
2,139.0

2020
£m
2,073.3
57.5
2.6
5.6
2,139.0
20.3
0.4
2,159.7

2020
£m
2,073.3
20.3
2,093.6

2021
£m
20.7
(20.3)
14.3
14.7

At March 2021, 11 assets are held as available for sale (2020: 24 assets). These properties are either being actively marketed for sale or have 
a negotiated sale agreed which is currently in legal hands.

Fair value hierarchy
The fair value measurement hierarchy for all investment property and IPUC as at 31 March 2021 was Level 3 – Significant unobservable 
inputs (2020: Level 3). There were no transfers between Levels 1, 2 or 3 during the year.

Descriptions and definitions relating to valuation techniques and key unobservable inputs made in determining fair values are as follows:

Valuation techniques used to derive Level 3 fair values
The valuations have been prepared on the basis of fair market value which is defined in the Red Book as “the estimated amount for which 
an asset or liability should exchange on the valuation date between a willing buyer and a willing seller in an arms-length transaction after 
proper marketing and where the parties had each acted knowledgeably, prudently and without compulsion”.

126

Assura plc  Annual Report and Accounts 2021

9. Property assets (continued)
Unobservable inputs
The key unobservable inputs in the property valuation are the net initial yield, the equivalent yield and the ERV, which are explained in 
more detail below. It is also worth noting that the properties are subject to physical inspection by the valuers on a rotational basis (at least 
once every three years).

In respect of 95% of the portfolio by value, the net initial yield ranges from 3.4% to 8.1% (2020: 3.6% to 8.3%) and the equivalent yield ranges 
from 3.8% to 8.1% (2020: 3.9% to 8.3%). A decrease in the net initial or equivalent yield applied to a property would increase the market 
value. Factors that affect the yield applied to a property include the weighted average unexpired lease term, the estimated future 
increases in rent, the strength of the occupier covenant and the physical condition of the property. Lower yields generally represent 
properties with index-linked reviews, 100% NHS tenancies and longer unexpired lease terms, ranging from 3.80% to 4.65%. Higher yields 
(range 5.15% to 8.00%) are applied for a weaker occupier mix and leases approaching expiry. Our properties have a range of occupier 
mixes, rent review basis and unexpired terms. A 0.25% shift in either net initial or equivalent yield would have approximately a £132 million 
(2020: £111.8 million) impact on the investment property valuation.

The ERV ranges from £100 to £427 per sq.m (2020: £100 to £427 per sq.m), in respect of 97% of the portfolio by value. An increase in the 
ERV of a property would increase the market value. A 2% increase in the ERV would have approximately a £48.3 million (2020: £41.9 million) 
increase in the investment property valuation. The nature of the sector we operate in, with long unexpired lease terms, low void rates, 
low occupier turnover and upward only rent review clauses, means that a significant fall in the ERV is considered unlikely.

10. Property, plant and equipment
The Group holds computer and other equipment assets with cost of £1.3 million (2020: £1.1 million) and accumulated depreciation of
£1.0 million (2020: £0.9 million), giving a net book value of £0.3 million (2020: £0.2 million).

There were £0.2 million additions during the year (2020: £0.1 million) and depreciation charged to the income statement was £0.1 million 
(2020: £0.1 million).

11. Cash, cash equivalents and restricted cash

Cash held in current account
Restricted cash

2021
£m
46.3
0.3
46.6

Restricted cash arises where there are rent deposits, interest payment guarantees or cash is ring-fenced for committed property 
development expenditure, which is released to pay contractors’ invoices directly.

12. Trade and other receivables

Trade receivables
Accrued income
Prepayments
Other debtors

2021
£m
18.4
5.4
1.4
2.2
27.4

2020
£m
18.3
0.2
18.5

2020
£m
12.8
4.3
1.1
0.9
19.1

Trade receivables are recognised initially at their transaction price and subsequently measured at amortised cost less loss allowance for 
expected credit losses.

The Group’s principal customers are invoiced and pay quarterly in advance, usually on the English quarter days. Other debtors are 
generally on 30–60 days’ terms. No bad debt provision was required during the year (2020: £nil). As at 31 March 2021 and 31 March 2020, 
the analysis of trade debtors that were past due but not impaired is as follows:

2021
2020

Neither past due 
nor impaired
£m
13.7
9.8

Total
£m
18.4
12.8

Past due but not impaired

>30 days
£m
1.2
0.9

>60 days
£m
0.5
0.7

>90 days
£m
3.0
1.4

The Group has not recognised a loss allowance as historical experience has indicated that the risk profile of trade receivables is deemed 
low and the bulk of the Group’s income derives from the NHS or is reimbursed by the NHS; the risk of default is not considered significant.

Assura plc  Annual Report and Accounts 2021

127

Strategic reportGovernanceFinancial statementsAdditional informationNOTES TO THE ACCOUNTS CONTINUED
For the year ended 31 March 2021

13. Trade and other payables

Trade creditors
Other creditors and accruals
VAT creditor

The maturity of trade and other payables is disclosed in Note 22.

14. Head lease liabilities

Current
Non-current

2021
£m
5.2
31.9
3.6
40.7

2021
£m
0.1
5.4
5.5

2020
£m
4.8
25.6
1.8
32.2

2020
£m
0.1
5.5
5.6

Head lease liabilities are amounts payable in respect of leasehold investment property held by the Group. The fair value of the Group’s 
lease liabilities is approximately equal to their carrying value. The minimum payments due under head lease liabilities is disclosed in 
Note 22.

15. Deferred revenue

Arising from rental received in advance
Arising from pharmacy lease premiums received in advance

Current
Non-current

16. Borrowings

At 1 April
Amount drawn down in year
Amount repaid in year
Loan issue costs
Amortisation of loan issue costs
Write-off of loan issue costs
At 31 March

Due within one year
Due after more than one year
At 31 March

2021
£m
24.9
6.6
31.5

25.4
6.1
31.5

2021
£m
841.5
298.1
(190.0)
(3.2)
1.6
0.7
948.7

–
948.7
948.7

2020
£m
22.3
5.3
27.6

22.8
4.8
27.6

2020
£m
683.3
157.0
–
(0.2)
1.4
–
841.5

11.0
830.5
841.5

The Group has the following bank facilities:

1.   10-year senior unsecured bond of £300 million at a fixed rate of 3% maturing July 2028 and 10-year senior unsecured Social Bond of 

£300 million at a fixed interest rate of 1.5% maturing September 2030. The Social Bond was launched in accordance with Assura’s Social 
Finance Framework to be used for eligible investment in the acquisition, development and refurbishment of publicly accessible primary 
care and community healthcare centres. The bonds are subject to an interest cover requirement of at least 150%, maximum LTV of 65% 
and priority debt not exceeding 0.25:1. In accordance with pricing convention on the bond market, the coupon and quantum of the 
facility are set to round figures with the proceeds adjusted based on market rates on the day of pricing.

2.   Five-year club revolving credit facility with Barclays, HSBC, NatWest and Santander for £225 million on an unsecured basis at an initial 
margin of 1.60% above LIBOR, expiring in November 2024. The margin increases based on the LTV of the subsidiaries to which the 
facility relates, up to 1.95% where the LTV is in excess of 45%. The facility is subject to a historical interest cover requirement of at least 
175% and maximum LTV of 60%. As at 31 March 2021, the facility was undrawn (2020: £80 million drawn). 

128

Assura plc  Annual Report and Accounts 2021

16. Borrowings (continued)
3.   10-year notes in the US private placement market for a total of £100 million. The notes are unsecured, have a fixed interest rate of 2.65% 

and were drawn on 13 October 2016. An additional £107 million of notes were issued in two series, £47 million in August 2019 and 
£60 million in October 2019, with maturities of 10 and 15 years respectively and a weighted average fixed interest rate of 2.30%. 
The facilities are subject to a historical interest cover requirement of at least 175%, maximum LTV of 60% and a weighted average lease 
length of seven years.

4.   £150 million of unsecured privately placed notes in two tranches with maturities of eight and ten years drawn on 20 October 2017. The 
weighted average coupon is 3.04%. The facility is subject to a historical cost interest cover requirement of at least 175%, maximum LTV 
of 60% and a weighted average lease length of seven years.

In October 2020, the Group repaid in full the £110 million 10-year senior secured bond that was due to mature in December 2021. The loan 
carried an interest rate of 4.75% and an early termination fee of £6.4 million was paid.

The Group has been in compliance with all financial covenants on all of the above loans as applicable throughout the year. Debt 
instruments held at year-end have prepayment options that can be exercised at the sole discretion of the Group. As at the year end no 
prepayment option has been exercised. Borrowings are stated net of unamortised loan issue costs and unamortised bond pricing 
adjustments totalling £8.3 million.

17. Share capital

Ordinary Shares issued and fully paid
At 1 April
Issued 17 April 2019 – scrip
Issued 17 July 2019 – scrip
Issued 9 August 2019
Issued 16 October 2019 – scrip
Issued 15 January 2020 – scrip
Issued 9 April 2020
Issued 15 April 2020 – scrip
Issued 15 July 2020 – scrip
Issued 22 July 2020
Issued 4 September 2020
Issued 14 October 2020 – scrip
Issued 4 November 2020
Issued 13 January 2021 – scrip
Issued 5 February 2021
At 31 March
Own shares held
Total share capital

Number
of shares
2021

2,413,241,827
–
–
–
–
–
240,207,920
6,543,440
1,290,983
676,549
213,319
1,879,606
1,199,598
6,433,015
167,681
2,671,853,938
–
2,671,853,938

Share 
capital
2021
£m

Number
of shares
2020

–
–
–
–
–
24.0
0.7
0.1
0.1
–
0.2
0.1
0.7
–

241.3 2,398,371,795
3,707,485
3,664,995
323,781
4,478,732
2,695,039
–
–
–
–
–
–
–
–
–
267.2 2,413,241,827
–
267.2 2,413,241,827

–

Share 
capital
2020
£m

239.8
0.4
0.4
–
0.4
0.3
–
–
–
–
–
–
–
–
–
241.3
–
241.3

There is no difference between the number of Ordinary Shares issued and authorised. At the AGM each year, approval is sought from 
shareholders giving the Directors the ability to issue Ordinary Shares, up to 10% of the Ordinary Shares in issue at the time of the AGM.

The Ordinary Shares issued in April 2019, July 2019, October 2019, January 2020, April 2020, July 2020, October 2020 and January 2021 were 
issued to shareholders who elected to receive Ordinary Shares in lieu of a cash dividend under the Company scrip dividend alternative. In 
the year to 31 March 2021 this increased share capital by £1.6 million and share premium by £10.1 million (2020: £1.5 million and £8.1 million 
respectively). 

In April 2020, a total of 240,207,920 new Ordinary Shares were placed at a price of 77 pence per share. The equity raise resulted in gross 
proceeds of £185.0 million which has been allocated appropriately between share capital (£24.0 million) and share premium (£161.0 million). 
Issue costs totalling £4.3 million were incurred and have been allocated against share premium.

On 4 November 2020, 1,199,598 Ordinary Shares were issued as part consideration for the acquisition of a medical centre, which further 
increased share capital and share premium.

The Ordinary Shares issued in August 2019, July 2020, September 2020 and February 2021 relate to employee share awards under the 
Performance Share Plan. Full details of amounts paid to Executive Directors can be found in the Directors’ Remuneration Report.

The merger reserve relates to the capital restructuring in January 2015 whereby Assura plc replaced Assura Group Limited as the top 
company in the Group and was accounted for under merger accounting principles.

Assura plc  Annual Report and Accounts 2021

129

Strategic reportGovernanceFinancial statementsAdditional informationNOTES TO THE ACCOUNTS CONTINUED
For the year ended 31 March 2021

18. Dividends paid on Ordinary Shares

Payment date
17 April 2019
17 July 2019
16 October 2019
15 January 2020
15 April 2020
15 July 2020
14 October 2020
13 January 2021

Pence per
share

Number of 
Ordinary 
Shares
0.685 2,398,371,795
0.685 2,402,079,280
0.685 2,406,068,056
0.697 2,410,546,788
2,413,241,824
0.697
0.71 2,654,993,187
0.71 2,662,174,038
0.71 2,665,253,242

2021
£m
–
–
–
–
16.9
18.9
18.9
18.9
73.6

2020
£m
16.4
16.5
16.5
16.8
–
–
–
–
66.3

The April dividend for 2021/22 of 0.71 pence per share was paid on 14 April 2021 and the July dividend for 2021/22 of 0.74 pence per share 
is currently planned to be paid on 14 July 2021 with a record date of 11 June 2021.

A scrip dividend alternative was introduced with effect from the January 2016 quarterly dividend. Details of shares issued in lieu of dividend 
payments can be found in Note 17.

The October 2019, April 2020, October 2020 and April 2021 dividends were PIDs as defined under the REIT regime. Future dividends will be 
a mix of PID and normal dividends as required.

19. Share-based payments
As at 31 March 2021, the Group has two long-term incentive schemes in place – the Performance Share Plan (“PSP”) and the newly 
introduced Share Incentive Plan (“SIP”). Further details in respect of the PSP can be found in the Remuneration Committee Report on pages 
87 to 105.

The long-term incentive arrangements are structured so as to align the incentives of relevant Executives with the long-term performance of 
the business and to motivate and retain key members of staff. To the extent practicable long-term incentives are provided through the use
of share-based (or share-fulfilled) remuneration to provide alignment of objectives with the Group’s shareholders. Long-term incentive 
awards are granted by the Remuneration Committee, which reviews award levels on a case by case basis. 

The SIP is open to all permanent employees that have passed their probationary period and works on the principle of the Group matching 
voluntary employee contributions deducted from the monthly payroll. This scheme is accounted for as an expense when the shares are 
granted to the employees, with the fair value based on the share price on the day of grant. 

As at 31 March 2021, the Employee Benefit Trust held 213,319 (2020: nil) Ordinary Shares of 10 pence each in Assura plc. The Trust remains in 
place to act as a vehicle for the issuance of new shares under the PSP and holding any restricted shares awarded to employees.

Performance Share Plan
During the year, 1,406,933 nil-cost options were awarded to senior management under the PSP. Participants’ awards will vest after a 
three-year period if certain targets relating to TSR, EPS and ESG are met, as detailed in the Remuneration Committee Report.

The following table illustrates the movement in options (all of which were nil-cost options) outstanding:

Options outstanding at 1 April 2020
Options issued during the year
Options exercised during the year
Options lapsed during the year
Options outstanding at 31 March 2021

4,920,356
1,406,933
(743,253)
(418,084)
5,165,952

Of the options outstanding at 31 March 2021, 1,836,919 have a performance period ending 31 March 2021, 1,922,100 for the period ending 
31 March 2022 and 1,406,933 for the period ending 31 March 2023.

The fair value of the newly issued PSP equity settled options granted during the year was estimated as at the date of grant using the Monte 
Carlo Model, taking into account the terms and conditions upon which awards were granted. The following table lists the key inputs to the 
models used:

Expected share price volatility (%)
Risk free interest rate (%)
Expected life units (years)

2021
22
(0.06)
3

2020
22
0.46
3

The expected volatility reflects the assumption that the historical volatility is indicative of future trends, which may not necessarily be the 
actual outcome.

130

Assura plc  Annual Report and Accounts 2021

19. Share-based payments (continued)
The fair value of the awards granted in 2021 was £869,583 based on the market price at the date the units were granted. This cost is 
allocated over the vesting period. The cost allocation for all outstanding units in the period was a charge of £0.5 million (2020: £0.2 million).

20. Note to the consolidated cash flow statement

Reconciliation of net profit before taxation to net cash inflow from operating activities:
Net profit before taxation
Adjustments for:

Increase in debtors
Increase in creditors
Revaluation gain
Interest capitalised on developments
Gain on disposal of properties
Depreciation
Employee share-based incentive costs
Early repayment costs
Amortisation of loan issue costs

Net cash inflow from operating activities

2021
£m

108.3

(5.2)
9.5
(41.6)
(1.9)
(0.9)
0.1
0.4
7.1
1.6
77.4

21. Tax and deferred tax
There were no amounts relating to corporation tax recorded in the income statement during 2021 or 2020. The differences from the 
standard rate of tax applied to the profit before tax may be analysed as follows:

Profit before taxation

UK income tax at rate of 19% (2020: 19%)
Effects of:
Non-taxable income (including REIT exempt income)
Movement in unrecognised deferred tax

2021
£m
108.2

20.6

(20.6)
–
–

2020
£m

78.9

(5.8)
3.9
(9.7)
(1.0)
(1.7)
0.1
0.2
–
1.4
66.3

2020
£m
78.9

15.0

(14.9)
(0.1)
–

The Group elected to be treated as a UK REIT with effect from 1 April 2013. The UK REIT rules exempt the profits of the Group’s property 
rental business from corporation tax. Gains on properties are also exempt from tax, provided they are not held for trading or sold in the 
three years post completion of development. The Group will otherwise be subject to corporation tax at 19% in 2021/22 (2020/21: 19%).

Any Group tax charge/(credit) relates to its non-property income. As the Group has sufficient brought forward tax losses, no tax is due in 
relation to the current or prior period.

As a REIT, the Group is required to pay Property Income Distributions (“PIDs”) equal to at least 90% of the Group’s rental profit calculated 
by reference to tax rules rather than accounting standards. During the year, the April 2020 and October 2020 dividends paid by the Group 
were PIDs. Future dividends will be a mix of PID and normal dividends as required. To remain as a UK REIT there are a number of conditions 
to be met in respect of the principal company of the Group, the Group’s qualifying activities and the balance of business. The Group 
remains compliant at 31 March 2021.

The deferred tax asset consists of the following:

At 1 April
Income statement movement
At 31 March

2021
£m
0.5
–
0.5

The amounts of deductible temporary differences and unused tax losses (which have not been recognised) are as follows:

Tax losses
Other timing differences

2021
£m
212.3
0.9
213.3

2020
£m
0.5
–
0.5

2020
£m
211.9
1.1
213.0

The majority of tax losses carried forward relate to capital losses generated on the disposal of former divisions of the Group.

Assura plc  Annual Report and Accounts 2021

131

Strategic reportGovernanceFinancial statementsAdditional informationNOTES TO THE ACCOUNTS CONTINUED
For the year ended 31 March 2021

21. Tax and deferred tax (continued)

Tax losses
Other temporary differences

2021
£m
40.3
0.2
40.5

2020
£m
40.3
0.2
40.5

The March 2021 Budget announced a further increase to the main rate of corporation tax to 25% from April 2023. This rate has not been 
substantively enacted at the balance sheet date, as a result deferred tax balances as at 31 March 2021 continue to be measured at 19%. If all 
of the deferred tax was to reverse at the amended rate the impact to the closing deferred tax position would be to increase the deferred 
tax asset by £0.1m.

22. Derivatives and other financial instruments
The Group holds cash and liquid resources as well as having debtors and creditors that arise directly from its operations.

The main risks arising from the Group’s financial instruments and properties are credit risk, liquidity risk, interest rate risk and capital risk. 
The Board regularly reviews and agrees policies for managing each of these risks and these are summarised below.

Credit risk
Credit risk is the risk that an issuer or counterparty will be unable or unwilling to meet a commitment that it has entered into with the Group.

In the event of a default by an occupational occupier, the Group will suffer a rental income shortfall and may incur additional costs, 
including legal expenses, in maintaining, insuring and re-letting the property. Given the nature of the Company’s occupiers and enhanced 
rights of landlords who can issue proceedings and enforcement by bailiffs, defaults are rare and potential defaults are managed carefully 
by the credit control department. The maximum credit exposure in aggregate is one quarter’s rent of circa £30 million; however, this 
amount derives from all the occupiers in the portfolio and such a scenario is hypothetical. The Group’s credit risk is well spread across circa 
1,250 occupiers at any one time. Furthermore the bulk of the Group’s property income derives from the NHS or is reimbursed by the NHS, 
which has an obligation to ensure that patients can be seen and treated and steps in when GPs are unable to practise, hence the risk of 
default is minimal.

The maximum credit risk exposure relating to financial assets is represented by their carrying values as at the balance sheet date.

Liquidity risk
Liquidity risk is the risk that the Group will encounter in realising assets or otherwise raising funds to meet financial commitments. 
Investments in property are relatively illiquid; however, the Group has tried to mitigate this risk by investing in modern purpose-built 
medical centres which are let to GPs and NHS PropCo. In order to progress its property investment and development programme, the 
Group needs access to bank and equity finance, both of which may be difficult to raise notwithstanding the quality, long lease length, NHS 
backing, and geographical and lot size diversity of its property portfolio.

The Group manages its liquidity risk by ensuring that it has a spread of sources and maturities. The current £225 million revolving credit 
facility is due to mature in November 2024 and the next maturity of the long-term fixed facilities is 2025.

The Group has entered into commercial property leases on its investment property portfolio. These non-cancellable leases have remaining 
terms of up to 30 years and have a WAULT of 11.9 years. All leases are subject to revision of rents according to various rent review clauses.
Future minimum rentals receivable under non-cancellable operating leases along with trade and other receivable as at 31 March are as 
follows:

Receivables as at 31 March 2021
Non-cancellable leases
Trade and other receivables

Receivables as at 31 March 2020
Non-cancellable leases
Trade and other receivables

On
demand
£m
–
–
–

On
demand
£m
–
–
–

Less than
3 months
£m
30.4
27.4
57.8

Less than
3 months
£m
27.3
19.1
46.4

3 to 12
months
£m
91.2
–
91.2

3 to 12
months
£m
81.8
–
81.8

1 to 5
years
£m
475.2
–
475.2

1 to 5
years
£m
436.2
–
436.2

>5 years
£m
970.7
–
970.7

>5 years
£m
880.6
–
880.6

Total
£m
1,567.5
27.4
1,594.9

Total
£m
1,425.9
19.1
1,445.0

The table below summarises the maturity profile of the Group’s financial liabilities, including interest, at 31 March 2021 and 31 March 2020 
based on contractual undiscounted payments at the earliest date on which the Group can be required to pay.

132

Assura plc  Annual Report and Accounts 2021

22. Derivatives and other financial instruments (continued)

Payables as at 31 March 2021
Non-derivative financial liabilities:

Interest bearing loans and borrowings
Trade and other payables

Total financial liabilities

Payables as at 31 March 2020
Non-derivative financial liabilities:

Interest bearing loans and borrowings
Trade and other payables

Total financial liabilities

On
demand
£m

Less than
3 months
£m

–
–
–

6.3
32.9
39.2

On
demand
£m

Less than
3 months
£m

–
–
–

6.4
25.7
32.1

3 to 12
months
£m

18.8
7.8
26.6

3 to 12
months
£m

30.3
6.6
36.9

1 to 5
years
£m

177.2
0.2
177.4

1 to 5
years
£m

262.1
0.2
262.3

>5 years
£m

1,018.3
5.1
1,023.4

>5 years
£m

715.0
5.3
720.3

Total
£m

1,220.6
46.0
1,266.6

Total
£m

1,013.8
37.8
1,051.6

Interest rate risk
The Group’s exposure to market risk for changes in interest rates relates primarily to the Group’s cash deposits and, as debt is utilised, 
long-term debt obligations. The Group’s policy is to manage its interest cost using fixed rate debt, or by interest rate swaps, for the 
majority of loans and borrowings although the Group will accept some exposure to variable rates where deemed appropriate and 
restricted to one third of the loan book. 

The ageing analysis of the financial assets and liabilities excluding trade receivables and payables of the Group at 31 March 2021 was as 
follows:

Floating rate asset
Cash, cash equivalents and restricted cash

Liabilities (fixed rate unless stated)
Long-term loans:

Revolving credit facility (variable rate)
Private placements

Unsecured bonds (inc. Social Bond)
Payments due under finance leases

Within 
1 year
£m

46.6

–
–
–
0.1

1 to 5 
years
£m

–

–
–
–
0.4

>5 years
£m

–

Total
£m

46.6

–
(357.0)
(600.0)
5.0

–
(357.0)
(600.0)
5.5

Details of the principal amounts, maturities, interest rates and covenants of all debt instruments are provided in Note 16.

The ageing analysis of the financial assets and liabilities excluding trade receivables and payables of the Group at 31 March 2020 was 
as follows:

Floating rate asset
Cash, cash equivalents and restricted cash

Liabilities (fixed rate unless stated)
Long-term loans:

Revolving credit facility (variable rate)
Private placements
Secured bond
Unsecured bond

Payments due under finance leases

Within 
1 year
£m

18.5

–
–
(11.0)
–
(0.1)

1 to 5 
years
£m

–

(80.0)
–
(99.0)
–
(0.4)

>5 years
£m

–

–
(357.0)
–
(300.0)
(5.1)

Total
£m

18.5

(80.0)
(357.0)
(110.0)
(300.0)
(5.6)

Assura plc  Annual Report and Accounts 2021

133

Strategic reportGovernanceFinancial statementsAdditional informationNOTES TO THE ACCOUNTS CONTINUED
For the year ended 31 March 2021

22. Derivatives and other financial instruments (continued)
Sensitivity analysis
The table below shows the book and fair value of financial instruments. As at 31 March 2021, 100% of debt drawn by the Group is subject to 
fixed interest rates and the only current variable rate facility is the RCF. A 0.25% movement in interest rates (deemed to be a reasonable 
approximation of possible changes in interest rates) would cause no change to profit (2020: change of £0.2 million), based on the amount 
of variable rate debt drawn at the period end.

Long-term loans – fair value hierarchy Level 1
         – fair value hierarchy Level 2
         – Other

Cash, cash equivalents and restricted cash
Payments due under head leases

Book value

Fair value

2021
£m
596.9
357.0
–
46.6
5.5

2020
£m
408.5
357.0
80.0
18.5
5.6

2021
£m
627.0
364.5
–
46.6
5.5

2020
£m
422.7
375.2
80.0
18.5
5.6

The Group is exposed to the valuation impact on investor sentiment of long-term interest rate expectations, which can impact transactions 
in the market and increase or decrease valuations accordingly. The fair value of long-term loans has been included by reference to either 
quoted prices in active markets (Level 1), calculated by reference to observable estimates of interest rates (Level 2), or book value is 
determined to be approximately equal to fair value for variable rate debt (other).

Capital risk
The Group manages its capital structure and makes adjustments to it in light of changes in economic conditions. To maintain or adjust 
the capital structure, the Group may make disposals, adjust the dividend payment to shareholders, return capital to shareholders or issue 
new shares.

The Group monitors capital structure with reference to LTV, which is calculated as net debt divided by total property. The LTV percentage 
on this basis Is 37% at 31 March 2021 (31 March 2020: 38%).

Investment property
Investment property under construction
Held for sale
Total property

Borrowings
Head lease liabilities
Cash, cash equivalents and restricted cash
Net debt

2021
£m
2,409.8
43.5
14.7
2,468.0

2021
£m
948.7
5.5
(46.6)
907.6

2020
£m
2,081.5
57.5
20.7
2,159.7

2020
£m
841.5
5.6
(18.5)
828.6

LTV

37%

38%

Financial liabilities, which comprise loans and head lease liabilities in the table above, have increased from £847.1 million to £954.2 million as 
at 31 March 2021. The movement primarily relates to loans drawn (movement reconciled in Note 16) which, combined with the equity raise 
completed during the year, has been used to fund the growth in the investment property portfolio.

23. Commitments
At the year end the Group had 16 (2020: 15) committed developments which were all on site with a contracted total expenditure of
£72.5 million (2020: £80.5 million) of which £36.6 million (2020: £50.3 million) had been expended.

As detailed in Note 8, the Group is committed to invest up to £5 million in PropTech investor PI Labs III LP. £0.7 million had been invested 
as at 31 March 2021. The first £3 million can be drawn on demand to cover investments the fund makes in qualifying, selected PropTech 
businesses. The remaining £2 million may only be drawn in tranches of £1 million when total investment in the fund exceeds £40 million and 
£50 million respectively.

24. Related party transactions
Details of transactions during the year and outstanding balances at 31 March 2021 in respect of investments held are detailed in Note 8.

Details of payments to key management personnel are provided in Note 4.

134

Assura plc  Annual Report and Accounts 2021

 
 
 
 
 
 
 
 
 
 
 
 
 
 
COMPANY INCOME STATEMENT
For the year ended 31 March 2021 

Revenue
Dividends received from subsidiary companies
Group management charge
Total revenue
Administrative expenses
Share-based payment charge
Impairment of investment in subsidiary
Operating profit

Profit before taxation
Taxation
Profit attributable to equity holders

Note

19
B

2021 
£m

70.0
3.0
73.0
(6.1)
(0.4)
–
66.5

66.5
–
66.5

2020 
£m

76.0
3.1
79.1
(3.1)
(0.2)
(30.9)
44.9

44.9
–
44.9

All amounts relate to continuing activities. There were no items of other comprehensive income or expense and therefore the profit for the 
period also reflects the Company’s total comprehensive income.

Assura plc  Annual Report and Accounts 2021

135

Strategic reportGovernanceFinancial statementsAdditional informationCOMPANY BALANCE SHEET
As at 31 March 2021

Non-current assets
Investments in subsidiary companies
Amounts owed by subsidiary companies

Current assets
Cash and cash equivalents
Other receivables

Current liabilities
Trade and other payables
Amounts owed to subsidiary companies

Net assets

Capital and reserves
Share capital
Share premium
Merger reserve
Retained earnings
Total equity

Note

2021 
£m

2020 
£m

1 April 2019 
£m

B
C

D

E

17

B

266.1
1,162.8
1,428.9

0.1
0.3
0.4

(1.5)
(146.2)
(147.7)
1,281.6

267.2
763.1
77.3
174.0
1,281.6

266.1
917.2
1,183.3

–
0.2
0.2

(1.3)
(87.3)
(88.6)
1,094.9

241.3
595.5
77.3
180.8
1,094.9

297.0
926.1
1,223.1

0.1
0.1
0.2

(1.1)
(115.8)
(116.9)
1,106.4

239.8
587.4
108.2
171.0
1,106.4

Amounts owed by subsidiary companies of £917.2 million were previously presented within current receivables in 2020. As explained in 
Note A, these have been reclassified as non-current receivables and following this change, amounts owed to subsidiary companies have 
been split out as current liabilities. As required under IFRS, a third balance sheet has also been presented to illustrate the effect of this 
change at the beginning of the comparative period. 

The financial statements were approved at a meeting of the Board of Directors held on 17 May 2021 and signed on its behalf by:

Jonathan Murphy   
CEO 

Jayne Cottam 
CFO

Company registered number: 9349441

136

Assura plc  Annual Report and Accounts 2021

 
 
COMPANY STATEMENT OF CHANGES IN EQUITY
For the year ended 31 March 2021

1 April 2019
Profit attributable to equity holders
Total comprehensive income
Merger reserve release
Dividends
Employee share-based incentives
31 March 2020

Profit attributable to equity holders
Total comprehensive income
Issue of Ordinary Shares
Issue costs
Dividends
Employee share-based incentives
31 March 2021

Note

B
18

17
17
18

Share  
capital
£m
239.8
–
–
–
1.5
–
241.3

–
–
24.2
–
1.6
0.1
267.2

Share  
premium
£m
587.4
–
–
–
8.1
–
595.5

–
–
161.8
(4.3)
10.1
–
763.1

Merger  
reserve
£m
108.2
–
–
(30.9)
–
–
77.3

–
–
–
–
–
–
77.3

Retained 
earnings
£m
171.0
44.9
44.9
30.9
(66.2)
0.2
180.8

66.5
66.5
–
–
(73.6)
0.3
174.0

Total  

equity
£m
1,106.4
44.9
44.9
–
(56.6)
0.2
1,094.9

66.5
66.5
186.0
(4.3)
(61.9)
0.4
1,281.6

Assura plc  Annual Report and Accounts 2021

137

Strategic reportGovernanceFinancial statementsAdditional informationCOMPANY CASH FLOW STATEMENT
For the year ended 31 March 2021

Operating activities
Amounts received from subsidiaries
Amounts paid to suppliers and employees
Amounts paid to subsidiaries
Net cash (outflow)/inflow from operating activities

Investing activities
Dividends received from subsidiaries
Amounts paid to subsidiaries
Net cash (outflow)/inflow from investing activities

Financing activities
Issue of Ordinary Shares 
Issue costs paid on issuance of Ordinary Shares
Dividends paid
Net cash inflow/(outflow) from financing activities

Increase/(decrease) in cash and cash equivalents
Cash and cash equivalents at start of period
Cash and cash equivalents at end of period

Note

D

2021 
£m

3.0
(6.1)
(0.8)
(3.9)

70.0
(186.0)
(116.0)

185.0
(4.3)
(61.7)
119.0

0.1
–
0.1

2020 
£m

3.1
(3.0)
–
0.1

56.4
–
56.4

–
–
(56.6)
(56.6)

(0.1)
0.1
–

138

Assura plc  Annual Report and Accounts 2021

NOTES TO THE COMPANY ACCOUNTS
For the year ended 31 March 2021

A. Accounting policies and corporate information
The accounts of the Company are separate to those of the Group.

The accounting policies of the Company are consistent with those of the Group which can be found in Note 2 to the Group accounts.

The auditor’s remuneration for audit and other services is disclosed in Note 4(a) to the Group accounts. Disclosure of each Director’s 
remuneration, share interests, share options, long-term incentive schemes, pension contributions and pension entitlements required by the 
Companies Act 2006 and those specified for audit by the Listing Rules of the Financial Conduct Authority are shown in the Remuneration 
Report on pages 87 to 105 and form part of these accounts.

The average number of employees in the Company during the year was 2 (2020: 2).

Amounts owed by subsidiary companies of £917.2 million were previously presented within current receivables in 2020. The amounts are 
not expected to be settled within the Company’s normal operating cycle and have therefore been presented as non-current receivables. 
Accordingly amounts presented in current receivables in 2020 have been reclassified to non-current receivables. Additionally, amounts 
that were owed by the Company (£87.3 million) had been aggregated with the receivables. These amounts have been separated and 
included in current payables. As required under IFRS, a third balance sheet has also been presented illustrating the effect of this change at 
the beginning of the comparative period, at which point the amount reclassified to non-current receivables was £926.1 million and the 
amount shown as current liabilities was £115.8 million.

B. Investments in subsidiary companies

Cost
Provision for diminution in value

2021
£m
484.2
(218.1)
266.1

2020
£m
484.2
(218.1)
266.1

Details of all subsidiaries as at 31 March 2021 are shown in Note 8 to the Group accounts.

The Company directly holds investments in Assura Group Limited and Assura IH Limited, which are both intermediate holding companies 
for the property-owning subsidiaries in the Assura plc group.

During the prior period the Company received a dividend of £40 million from its wholly owned subsidiary company, Assura Group Limited, 
which was settled by clearing an intercompany balance owed by Assura plc to Assura Group Limited. The resulting reduction in net assets 
of Assura Group Limited led to management completing an impairment assessment of the investment held in Assura Group Limited. 
Following this assessment, an impairment charge of £30.9 million was recorded, which was determined by reference to the net assets of 
subsidiaries, which is considered to be equivalent to the fair value less costs to sell. The net assets are driven by the investment property 
valuations, in addition to intragroup dividends, and sensitivities in respect of property valuations and appropriate Level 3 unobservable 
input disclosures are provided in Note 9 to the Group accounts. A corresponding amount was transferred from the merger reserve to 
retained earnings which is considered distributable.

C. Amounts owed by subsidiary companies – non-current

Amounts owed by Group undertakings

2021
£m
1,162.8 

2020
£m
917.2

The above amounts are unsecured, non-interest bearing and repayable upon demand. As explained in Note A, the amounts have been 
included as non-current as the Company believes it is more representative as they are not expected to be settled in the normal operating 
cycle.

The recoverable amount of amounts receivable from subsidiaries is reviewed annually by reference to the subsidiary balance sheet and 
expected future activities, with a provision recorded to the extent the amount is not considered recoverable. No provision has been 
deemed necessary.

D. Cash and cash equivalents

Cash held in current account

E. Amounts owed to subsidiary companies – current

Amounts owed to Group undertakings

2021
£m
0.1 

2021
£m
(146.2) 

2020
£m
–

2020
£m
(87.3)

Amounts owed to Group undertakings are unsecured, non-interest bearing and repayable on demand. 

Assura plc  Annual Report and Accounts 2021

139

Strategic reportGovernanceFinancial statementsAdditional informationNOTES TO THE COMPANY ACCOUNTS CONTINUED
For the year ended 31 March 2021

F. Related party transactions

Group undertakings
31 March 2021
31 March 2020

The above transactions are with subsidiaries.

Charges 
received 
£m

Dividends 
received 
£m

Amounts  
owed by 
£m

Amounts  
owed to 
£m

3.0
3.1

70.0
76.0

1,162.8
917.2

(146.2)
(87.3)

G. Risk management
Credit risk
Credit risk is the risk that an issuer or counterparty will be unable or unwilling to meet a commitment that it has entered into with the 
Company.

Credit risks within the Company derive from non-payment of loan balances. However, as the balances are receivable from subsidiary 
companies the risk of default is considered minimal.

The maximum credit risk exposure relating to financial assets is represented by the carrying value as at the balance sheet date.

The Company balance sheet largely comprises illiquid assets in the form of investments in subsidiaries and loans to subsidiaries, which 
have been used to finance property investment and development activities. Accordingly the realisation of these assets may take time and 
may not achieve the values at which they are carried in the balance sheet.

The Company had trade and other payables of £1.5 million at 31 March 2021 (31 March 2020: £1.3 million).

There are no differences between the book value of cash and trade payables, nor is there any meaningful interest rate sensitivity.

140

Assura plc  Annual Report and Accounts 2021

APPENDIX A

Medical centres valued over £10 million

Building official name
Ashfields Health Centre
Aspen Centre
Birkenhead Medical Building
Bonnyrigg Medical Centre
Centre for Diagnostics, Oncology & Wellbeing
Cheltenham Family Health Centre
Church View Medical Centre
Church View Primary Care Centre
Crompton Health Centre
Dene Drive Primary Care Centre
Dickson House
Durham Diagnostic Treatment Centre
Eagle Bridge Health and Wellbeing Centre
Fleetwood Health and Wellbeing Centre
Freshney Green Primary Care Centre
Frome Medical Centre
Hall Green Health Centre
Heysham Primary Care Centre
Hillside Primary Care Centre
Jubilee Health Centre
Malmesbury Primary Care Centre
Market Drayton Primary Care Centre
Moor Park Medical Centre
North Ormesby Health Village
Northgate Health Centre
One Life Building
Parkshot Medical Centre
Priory Health Park
Prospect View Medical Centre
Rothbury Community Hospital & Medical Centre
Severn Fields Health Village
South Bar House
St Annes Health Centre
Station Medical Centre
Stratford Healthcare Centre
Sudbury Community Health Centre
Tees Valley Treatment Centre
The Duchy
The Montefiore Medical Centre
The Ridge
The Surgery @ Wheatbridge
Todmorden Medical Centre
Turnpike House Medical Centre
Upton Surgery
Waters Green Medical Centre
Well Street Surgery
Centre for Diagnostics, Oncology & Wellbeing

Town
Sandbach
Gloucester
Birkenhead
Bonnyrigg
Bristol
Cheltenham
South Kirkby
Nantwich
Bolton
Winsford
Basingstoke
Durham
Crewe
Fleetwood
Grimsby
Frome
Birmingham
Heysham
Harlesden
Shotfield
Malmesbury
Market Drayton
Blackpool
North Ormesby
Bridgnorth
Middlesbrough
Richmond
Wells
Malvern
Rothbury
Shrewsbury
Banbury
Lytham St Annes
Hereford
Stratford-upon-Avon
Sudbury
Middlesbrough
Harrogate
Ramsgate
Bradford
Chesterfield
Todmorden
Worcester
Upton
Macclesfield
Hackney
Windsor

Build date
2004
2014
2010
2005
2014
1999
2013
2008
2007
2007
2007
2018
2007
2012
2009
2012
2003
2012
2008
2012
2008
2005
2011
2005
2007
2005
2014
2003
2011
2007
2012
2009
2009
2020
2005
2014
2018
1990
2006
2008
2008
2008
2006
2006
2006
2008
2017

Sq.m
1,567
3,481
2,636
4,083
1,729
3,732
2,812
3,271
2,964
2,793
2,316
2,069
6,809
5,204
6,590
4,062
2,409
3,127
1,945
3,011
3,205
3,589
4,964
7,652
3,588
3,326
1,221
4,628
2,316
1,476
6,003
3,692
3,393
2,562
5,988
2,937
4,389
3,978
2,339
3,763
2,862
4,166
4,132
1,685
6,018
1,080
1,831

List size
26,328
30,042
19,988
22,168
–
47,884
14,889
24,930
12,832
24,935
46,849
–
45,959
12,063
27,578
29,326
26,921
53,779
15,926
29,644
16,075
17,771
28,157
15,566
16,247
10,420
14,704
19,355
13,951
5,873
16,893
54,312
19,104
47,404
19,380
10,184
–
–
27,696
23,639
15,382
16,239
29,439
11,493
61,689
13,945
–

NHS rent %
88%
86%
92%
97%
n/a
79%
90%
89%
87%
88%
66%
100%
90%
91%
86%
79%
85%
93%
100%
90%
91%
90%
94%
64%
89%
91%
100%
83%
91%
100%
94%
89%
96%
100%
98%
100%
n/a
n/a
85%
89%
74%
91%
90%
94%
94%
100%
n/a

Assura plc  Annual Report and Accounts 2021

141

Strategic reportGovernanceFinancial statementsAdditional informationAPPENDIX A CONTINUED

Portfolio statistics

Portfolio 
statistics
North East
Midlands
North West
South East
London
South West
Wales
Scotland & NI

Number
139
104
104
51
74
54
58
25
609

Rent (£m)
29.0
22.7
18.8
15.7
14.1
10.1
7.7
3.6
121.7

WAULT
(years)
12.6
13.4
9.6
10.8
11.5
14.6
10.4
11.1
11.9

Total floor  
area (sq.m)
147,328
119,949
96,122
81,060
58,071
57,849
48,692
22,210
631,281

Value (£m)
552.4
465.8
359.8
326.2
299.2
202.7
140.6
68.0
2,414.7

<£1m
10.2
7.0
7.7
5.1
1.5
7.7
6.7
2.9
48.8

£1–5m
228.2
175.0
190.4
62.3
160.1
77.3
78.6
29.4
1,001.3

£5–10m
138.7
141.7
115.4
39.8
62.0
33.5
55.3
19.7
606.1

>£10m
175.3
142.1
46.3
219.0
75.6
84.2
–
16.0
758.5

142

Assura plc  Annual Report and Accounts 2021

GLOSSARY

AGM is the Annual General Meeting.

Average Debt Maturity is each tranche of Group debt multiplied by 
the remaining period to its maturity and the result divided by total 
Group debt in issue at the year end.

Average Interest Rate is the Group loan interest and derivative 
costs per annum at the year end, divided by total Group debt in 
issue at the year end.

British Property Federation (“BPF”) is the membership 
organisation, the voice, of the real estate industry.

EPRA Net Reinstatement Value (“EPRA NRV”) is the balance sheet 
net assets excluding deferred tax and adjusted to add back 
theoretical purchasers’ costs that are deducted from the property 
valuation. See Note 7.

EPRA Net Tangible Assets (“EPRA NTA”) is the balance sheet net 
assets excluding deferred taxation. See Note 7.

EPRA NIY is annualised rental income based on cash rents passing 
at the balance sheet date, less non-recoverable property operating 
expenses, divided by the market value of property, increased with 
(estimated) purchasers’ costs.

Building Research Establishment Environmental Assessment 
Method (“BREEAM”) assess the sustainability of buildings against a 
range of criteria.

EPRA “topped up” NIY incorporates an adjustment to the EPRA 
NIY in respect of the expiration of rent-free periods or other 
unexpired lease incentives. See page 67.

Clinical Commissioning Groups (“CCGs”) are the groups of GPs 
and other healthcare professionals responsible for commissioning 
primary and secondary healthcare services in their locality.

EPRA NNNAV is EPRA NAV adjusted to include the fair value of 
debt, financial instruments and deferred tax This has now been 
replaced by EPRA NDV. See Note 7.

Code or New Code is the UK Corporate Governance Code 2018, a 
full copy of which can be found on the website of the Financial 
Reporting Council.

EPRA Vacancy Rate is the ERV of vacant space divided by the ERV 
of the whole portfolio. See page 67.

Company is Assura plc.

Direct Property Costs comprise cost of repairs and maintenance, 
void costs, other direct irrecoverable property expenses and rent 
review fees.

District Valuer (“DV”) is the commercial arm of the Valuation Office 
Agency. It provides professional property advice across the public 
sector and in respect of primary healthcare represents NHS bodies 
on matters of valuations, rent reviews and initial rents on new 
developments.

Earnings per Ordinary Share from Continuing Operations (“EPS”) 
is the profit attributable to equity holders of the parent divided by 
the weighted average number of shares in issue during the period.

EBITDA is EPRA earnings before tax and net finance costs. In the 
current period this is £98.0 million, calculated as net rental income 
(£112.0 million) less administrative expenses (£13.5 million) and 
share-based payment charge (£0.5 million). 

European Public Real Estate Association (“EPRA”) is the industry 
body for European REITs. EPRA is a registered trade mark of the 
European Public Real Estate Association. 

EPRA Cost Ratio is administrative and operating costs divided by 
gross rental income. This is calculated both including and excluding 
the direct costs of vacant space. See page 67.

EPRA earnings is a measure of profit calculated in accordance with 
EPRA guidelines, designed to give an indication of the operating 
performance of the business, excluding one-off or non-cash items 
such as revaluation movements and profit or loss on disposal. 
See Note 6.

EPRA EPS is EPRA earnings, calculated on a per share basis. See 
Note 6.

EPRA NAV is IFRS NAV adjusted to adjust certain assets to fair value 
and exclude long-term items not expected to crystallise. This has 
now been replaced by EPRA NTA. See Note 7.

Equivalent Yield is a weighted average of the Net Initial Yield and 
Reversionary Yield and represents the return a property will 
produce based upon the timing of the income received. The true 
equivalent yield assumes rents are received quarterly in advance. 
The nominal equivalent assumes rents are received annually in 
arrears.

Estimated Rental Value (“ERV”) is the external valuers’ opinion as 
to the open market rent which, on the date of valuation, could 
reasonably be expected to be obtained on a new letting or rent 
review of a property.

GMS is General Medical Services.

Gross Rental Income is the gross accounting rent receivable.

Group is Assura plc and its subsidiaries.

IFRS is International Financial Reporting Standards adopted 
pursuant to Regulation (EC) 1606/2002 as it applies in the EU.

Interest Cover is the number of times net interest payable is 
covered by EBITDA. In the current period net interest payable is 
£25.1 million, EBITDA is £98.0 million, giving interest cover of 3.9 
times. 

KPI is a Key Performance Indicator.

Like-for-like represents amounts calculated based on properties 
owned at the previous year end. 

Loan to Value (“LTV”) is the ratio of net debt to the total value of 
property assets. See Note 22.

Mark to Market is the difference between the book value of an 
asset or liability and its market value.

MSCI is an organisation that provides performance analysis for most 
types of real estate and produces an independent benchmark of 
property returns. The MSCI All Healthcare Index refers to the MSCI 
UK Annual Healthcare Property Index, incorporating all properties 
reported to MSCI for the 12 months to December that meet the 
definition of healthcare.

EPRA Net Disposal Value (“EPRA NDV”) is the balance sheet net 
assets adjusted to reflect the fair value of debt and derivatives. 
See Note 7.

NAV is Net Asset Value.

Assura plc  Annual Report and Accounts 2021

143

Strategic reportGovernanceFinancial statementsAdditional informationGLOSSARY CONTINUED

Net debt is total borrowings plus head lease liabilities less cash. 
See Note 22. 

Net Initial Yield (“NIY”) is the annualised rents generated by an 
asset, after the deduction of an estimate of annual recurring 
irrecoverable property outgoings, expressed as a percentage of 
the asset valuation (after notional purchasers’ costs). Development 
properties are not included.

Net Rental Income is the rental income receivable in the period 
after payment of direct property costs. Net rental income is quoted 
on an accounting basis.

Operating efficiency is the ratio of administrative costs (before 
one-off charitable donation of £2.5 million) to the average gross 
investment property value. This ratio during the period equated to 
0.48%. This is calculated as administrative expense of £11.0 million 
(£13.5 million less the £2.5 million donation) divided by the average 
property balance of £2,296 million (opening £2,139 million plus 
closing £2,453 million, divided by two).

Primary Care Network (“PCN”) is a GP practice working with local 
community, mental health, social care, pharmacy, hospital and 
voluntary services to build on existing primary care services and 
enable greater provision of integrated health services within the 
community they serve. 

Primary Care Property is the property occupied by health services 
providers who act as the principal point of consultation for patients 
such as GP practices, dental practices, community pharmacies and 
high street optometrists.

Property Income Distribution (“PID”) is the required distribution of 
income as dividends under the REIT regime. It is calculated as 90% 
of exempted net income.

PSP is Performance Share Plan.

Real Estate Investment Trust (“REIT”) is a listed property company 
which qualifies for and has elected into a tax regime which exempts 
qualifying UK profits, arising from property rental income and gains 
on investment property disposals, from corporation tax, but 
requires the distribution of a PID.

Total Accounting Return is the overall return generated by the 
Group including the impact of debt. It is calculated as the 
movement on EPRA NTA (see glossary definition and Note 7) for the 
period plus the dividends paid, divided by the opening EPRA NTA. 
Opening EPRA NTA (i.e. at 31 March 2020) was 53.9 pence per share, 
closing EPRA NTA was 57.2 pence per share, and dividends paid 
total 2.82 pence per share giving a return of 11.4% in the year.

Total Contracted Rent Roll or Total Contracted Rental Income is 
the total amount of rent to be received over the remaining term of 
leases currently contracted. For example, a lease with rent of £100 
and a remaining lease term of ten years would have total 
contracted rental income of £1,000. At March 2021, the total 
contracted rental income was £1.57 billion (March 2020: £1.43 billion) 
and the growth in the year was £142 million.

Total Property Return is the overall return generated by properties 
on a debt-free basis. It is calculated as the net rental income 
generated by the portfolio plus the change in market values, 
divided by opening property assets plus additions. In the year to 
March 2021, the calculation is net rental income of £112.0 million plus 
revaluation of £41.6 million giving a return of £153.6 million, divided 
by £2,420.9 million (opening investment property £2,066.7 million 
and IPUC £57.5 million plus additions of £233.2 million and 
development costs of £56.9 million). This gives a Total Property 
Return in the year of 6.3%.

Total Shareholder Return (“TSR”) is the combination of dividends 
paid to shareholders and the net movement in the share price 
during the period, divided by the opening share price. The share 
price at 31 March 2020 was 83.5 pence, at 31 March 2021 it was 72.1 
pence, and dividends paid during the period were 2.82 pence per 
share.

UK GBC is the UK Green Building Council.

Weighted Average Unexpired Lease Term (“WAULT”) is the 
average lease term remaining to first break, or expiry, across the 
portfolio weighted by contracted rental income.

Yield on cost is the estimated annual rent of a completed 
development divided by the total cost of development including 
site value and finance costs expressed as a percentage return.

Rent Reviews take place at intervals agreed in the lease (typically 
every three years) and their purpose is usually to adjust the rent to 
the current market level at the review date.

Yield shift is a movement (usually expressed in basis points) in the 
yield of a property asset or like-for-like portfolio over a given 
period.

Yield compression is a commonly used term for a reduction in 
yields. 

Rent Roll is the passing rent (i.e. at a point in time) being the total of 
all the contracted rents reserved under the leases, on an annual 
basis. At March 2021 the rent roll was £121.7 million (March 2020: 
£108.9 million) and the growth in the year was £12.8 million.  

Retail Price Index (“RPI”) is an official measure of the general level 
of inflation as reflected in the retail price of a basket of goods and 
services such as energy, food, petrol, housing, household goods, 
travelling fares, etc. RPI is commonly computed on a monthly and 
annual basis.

Reversionary Yield is the anticipated yield which the initial yield will 
rise to once the rent reaches the ERV and when the property is fully 
let. It is calculated by dividing the ERV by the valuation.

RPI Linked Leases are those leases which have rent reviews which 
are linked to changes in the RPI.

144

Assura plc  Annual Report and Accounts 2021

Forward-looking statements
This document contains certain statements that are neither 
reported financial results nor other historical information. These 
statements are forward-looking in nature and are subject to risks 
and uncertainties. Actual future results may differ materially from 
those expressed in or implied by these statements. Many of these 
risks and uncertainties relate to factors that are beyond Assura’s 
ability to control or estimate precisely, such as future market 
conditions, the behaviour of other market participants, the actions 
of governmental regulators and other risk factors such as the 
Company’s ability to continue to obtain financing to meet its 
liquidity needs, changes in the political, social and regulatory 
framework in which the Company operates or in economic or 
technological trends or conditions, including inflation and 
consumer confidence, on a global, regional or national basis. 
Readers are cautioned not to place undue reliance on these 
forward-looking statements, which speak only as of the date of this 
document. Assura does not undertake any obligation to publicly 
release any revisions to these forward-looking statements to reflect 
events or circumstances after the date of this document. 
Information contained in this document relating to the Company 
should not be relied upon as a guide to future performance.

CORPORATE INFORMATION

Registered Office
The Brew House
Greenalls Avenue
Warrington
WA4 6HL
Company Number: 9349441

Directors 
Sam Barrell
Emma Cariaga
Jayne Cottam
Jonathan Davies
Louise Fowler
Noel Gordon
Jonathan Murphy
Ed Smith

Company Secretary 
Orla Ball

Auditor 
Deloitte LLP
The Hanover Building
Corporation Street
Manchester
M4 4AH

Legal Advisors 
CMS Cameron McKenna Nabarro Olswang LLP
DWF Law LLP

Stockbrokers 
J.P. Morgan Securities plc
25 Bank Street
Canary Wharf
London
E14 5JP

Stifel Nicolaus Europe Limited
150 Cheapside
London
EC2V 6ET

Bankers
Barclays Bank plc
HSBC plc
NatWest Bank plc  
Santander UK plc

Designed by Gather
+44 (0)20 7610 6140
www.gather.london

Assura plc
The Brew House
Greenalls Avenue
Warrington
WA4 6HL

T: 01925 420660
F: 01925 234503

E: info@assura.co.uk
www.assuraplc.com