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Health & Education H1 2025 Sector Review

Health & Education

UK Healthcare and Education M&A Review: H1 2025

The UK healthcare and education sectors entered 2025 facing significant operational, financial and regulatory change.

Healthcare providers continued to manage workforce shortages, rising costs and pressure on public services, while government investment created opportunities across diagnostics, digital health, virtual care and medical technology. In education, demand shifted towards skills-based learning, short-form qualifications, artificial intelligence and more flexible delivery models.

Against this background, merger and acquisition activity remained resilient. Strategic buyers and private equity investors continued to target fragmented markets where consolidation can improve scale, strengthen regional coverage and support investment in technology.

This review examines the economic environment, sector developments, public market valuations and UK healthcare and education M&A activity during the first half of 2025.

UK economic performance during H1 2025

The UK economy grew by 0.7% during the first quarter of 2025. Growth was supported by services, manufacturing, household spending and an increase in exports ahead of anticipated tariff changes.

Momentum weakened during the second quarter, with GDP contracting by 0.3% in April. Businesses continued to face fiscal pressure, labour-market uncertainty and disruption to international trade.

Global growth forecasts were also revised downwards. The World Bank and Morgan Stanley projected global GDP growth of approximately 2.3% to 2.5% during 2025, compared with 3.5% in 2024.

The main causes of the slowdown included:

  • US tariffs disrupting international supply chains;
  • weakening investment flows;
  • uncertainty affecting export-led economies;
  • higher costs across labour, energy and imported goods; and
  • geopolitical instability.

Global inflation was expected to ease to approximately 4.2% in 2025. However, tariff-related pressures remained a particular risk for sectors including pharmaceuticals, medical devices and electronics.

Data, artificial intelligence and regulation

The UK Data (Use and Access) Act 2025 introduced changes to the UK’s data protection framework.

Healthcare and education organisations may need to review:

  • privacy policies;
  • Data Subject Access Request procedures;
  • consent mechanisms;
  • direct marketing practices;
  • cookie policies; and
  • cross-border data transfers.

Artificial intelligence and automation are creating opportunities to improve clinical decision-making, administrative efficiency and personalised learning. However, their use also introduces additional compliance, data security and governance requirements.

Organisations operating internationally must monitor the legal requirements applying in every jurisdiction in which patient, learner or customer data is processed.

UK M&A activity

UK private equity and M&A volumes increased modestly year on year.

Activity strengthened between the first and second quarters of 2025, with further momentum anticipated during the second half of the year. Factors supporting activity included interest-rate reductions, pressure on private equity firms to deploy available capital, strategic expansion and greater clarity around valuations.

Corporate buyers completed approximately 62% of UK transactions during H1 2025, broadly in line with the two-year average of 63%.

Private equity buyouts accounted for approximately 31% of transactions, while growth capital investments represented a further 7%.

UK deal activity by sector

The report’s year-on-year deal activity chart compares transactions completed between Q3 2023 and Q2 2024 with those completed between Q3 2024 and Q2 2025.

Approximate transaction volumes were:

Sector Q3 2023–Q2 2024 Q3 2024–Q2 2025
Sustainability 270 285
Business Services 800 790
Software, Media & Technology 650 620
Manufacturing & Industrial 485 575
Healthcare & Education 315 285

Healthcare and education deal volumes declined moderately year on year, although continued activity across fragmented subsectors demonstrated ongoing demand for consolidation and specialist capabilities.

Key developments across healthcare

NHS investment and modernisation

Announced investment in the NHS is creating opportunities for traditional healthcare providers, medical technology companies and digital health businesses.

The government committed approximately £1.5 billion to expand surgical capacity through new surgical hubs and diagnostic equipment. The programme is intended to support an additional 1.2 million tests each year.

More than £2 billion was also committed to accelerating digital health innovation and modernising NHS systems and services.

Areas expected to benefit include:

  • virtual wards;
  • local diagnostic centres;
  • artificial intelligence-assisted triage;
  • digital diagnostics;
  • patient administration systems;
  • remote monitoring;
  • clinical workflow software; and
  • technology designed to reduce waiting times.

Virtual care and diagnostic hubs are expected to be expanded nationally to reduce pressure on hospitals and improve patient access.

MedTech and FemTech investment

FemTech and AI-supported medical imaging were identified as areas with strong clinical and commercial potential.

A £30 million venture capital fund was launched in partnership with NHS trusts to support early-stage medical technology businesses.

The fund is managed by Meridian Health Ventures and is connected to institutions including:

  • King’s College London;
  • Guy’s and St Thomas’ NHS Foundation Trust;
  • University College London; and
  • Cedars-Sinai.

The fund is targeting technologies capable of improving outcomes, reducing costs and achieving adoption across NHS or US hospital systems.

Mental health and workforce pressures

Demand for community mental health services continued to grow, with providers reporting increasingly complex patient needs.

Persistent staff shortages and employee burnout remained significant barriers to improving capacity and access.

These pressures may support further investment in:

  • workforce management;
  • digital mental health services;
  • remote consultations;
  • clinical decision-support tools;
  • automated administration; and
  • technology that allows clinical teams to manage larger caseloads.

Sustainability and healthcare infrastructure

The NHS has committed to achieving net-zero emissions by 2030.

Investment is therefore being directed towards:

  • decarbonisation;
  • energy-efficient healthcare estates;
  • modular construction;
  • lower-carbon medical facilities; and
  • digital-first care environments.

These changes create opportunities for businesses serving the healthcare construction, infrastructure, energy management and technology markets.

The impact of US healthcare and research policy

Changes to healthcare regulation and scientific research funding in the United States created uncertainty for international healthcare businesses during H1 2025.

Companies selling into the US must navigate evolving requirements relating to:

  • reimbursement;
  • patient data;
  • clinical trials;
  • government research funding; and
  • healthcare procurement.

The US administration introduced a 15% limit on indirect costs attached to National Institutes of Health grants. These costs had previously been calculated using documented expenses and were commonly between 30% and 50%.

Indirect costs typically support:

  • research laboratories;
  • facilities;
  • administration;
  • infrastructure; and
  • institutional compliance.

Cuts affecting the Office of Research and Development could result in fewer resources for early-stage research, slower innovation pipelines and fewer international collaboration opportunities.

A decline in US research capacity could eventually benefit European and Asian research centres. The UK may attract additional scientific talent, capital and commercial partnerships where investors seek a more stable research environment.

However, any transition is likely to take time, particularly while investor sentiment towards HealthTech remains unsettled.

Veterinary market reform

The veterinary market faced increasing regulatory scrutiny during H1 2025.

The Competition and Markets Authority identified concerns around:

  • transparency of treatment prices;
  • transparency of treatment options;
  • ownership of veterinary practices;
  • access to lower-cost medicines; and
  • competition in end-of-life services.

Many pet owners remain unaware that veterinary medicines can be purchased online, which may result in customers paying more through veterinary clinics.

End-of-life care was also identified as an area where limited competition could contribute to higher prices.

Stronger regulation is expected, although policymakers will need to consider the cost of compliance for smaller independent practices. Excessive compliance costs could create barriers to entry and further accelerate consolidation.

Key developments across education

Skills-first education

Education and training markets are shifting away from a sole focus on formal qualifications.

Employers are increasingly prioritising demonstrable competencies, practical experience and job-specific skills.

This supports demand for providers offering:

  • vocational training;
  • professional development;
  • employer-led learning;
  • accredited workplace programmes; and
  • measurable skills assessments.

Micro-credentials and modular learning

Demand is increasing for short, stackable qualifications that can be completed individually or combined into wider programmes.

These courses allow employers and employees to address specific skills gaps without committing to a full degree or long-term qualification.

Areas of growing demand include:

  • artificial intelligence adoption;
  • digital transformation;
  • employee wellbeing;
  • environmental, social and governance requirements;
  • leadership; and
  • technical skills.

AI-powered personalisation

Generative AI and adaptive learning platforms are increasingly being used for:

  • lesson planning;
  • real-time feedback;
  • learner assessment;
  • content recommendations; and
  • personalised learning journeys.

AI-supported personalisation has been particularly useful in language learning, where platforms can adapt exercises and feedback to each learner’s progress.

Hybrid and immersive learning

Hybrid delivery is now widely established across further education and professional training.

Virtual reality and immersive technologies are also gaining traction in vocational and science, technology, engineering and mathematics education.

These tools allow learners to practise technical or safety-critical activities in controlled environments before applying them in real-world situations.

Mental health and neurodiversity

Education providers are increasingly embedding wellbeing and inclusive teaching frameworks into their services.

This includes support for:

  • neurodiverse learners;
  • different communication and learning preferences;
  • mental health needs;
  • accessible assessments; and
  • reducing attainment gaps.

Sustainability and climate literacy

Green skills and climate-related education are increasingly being incorporated into curriculums.

There is also growing demand for educators who can teach sustainability, environmental compliance and the practical skills required by lower-carbon industries.

Public market valuation trends

The report tracks public market revenue and EBITDA multiples across HealthTech, managed care, training, hospitals and care centres, and EdTech.

Revenue multiples

HealthTech began 2025 trading at approximately 3.5 times revenue. Its multiple fell sharply during February and March and reached approximately 1.7 times during April, before recovering to around 2.1 times by the end of June.

The fall reflected declining investor confidence and uncertainty around which technologies will achieve sustained adoption.

Other subsectors remained comparatively stable:

  • managed care traded at approximately 1.2 to 1.3 times revenue;
  • EdTech traded at approximately 0.9 to 1.0 times revenue;
  • training traded at approximately 0.9 to 1.0 times revenue; and
  • hospitals and care centres traded at approximately 0.8 to 0.9 times revenue.

EBITDA multiples

HealthTech was excluded from the EBITDA analysis because a significant number of the companies in the sample were loss-making.

EdTech began the year at approximately 11 times EBITDA and rose to nearly 12 times in February. Its multiple subsequently declined and ended June at approximately 9.5 times.

Managed care remained comparatively stable at around 10 to 10.3 times EBITDA.

Training traded broadly between 8.5 and 9 times EBITDA, while hospitals and care centres generally traded between approximately 8 and 9 times.

Traditional healthcare providers remained sensitive to debt costs and interest rates. Bank of England rate reductions offered some relief, but M&A continued to be an important route to growth.

Healthcare and education M&A activity

The report’s quarterly transaction chart shows that overall activity peaked during the final quarter of 2024 before declining in Q1 2025 and recovering during Q2.

Approximate total transaction volumes were:

Quarter Approximate transactions
Q3 2024 71
Q4 2024 102
Q1 2025 66
Q2 2025 75

Hospitals and care centres represented the largest proportion of transactions during each quarter.

HealthTech was the second-largest contributor, while EdTech, training and managed care represented smaller shares of activity.

Mergers and acquisitions accounted for the majority of transactions. Buyouts and growth capital investments represented smaller but meaningful proportions of the market.

Healthcare consolidation

Private equity firms continued to invest in fragmented healthcare markets, including:

  • care homes;
  • dental practices;
  • specialist clinics;
  • HealthTech;
  • diagnostics; and
  • community care.

These are often labour-intensive sectors facing increasing operational costs. Consolidation can improve purchasing power, administration, technology investment and regional coverage.

Cross-border deal activity also increased as international investors continued to recognise the UK’s strength in healthcare innovation.

Oxford and Cambridge research ecosystems remain attractive because of their:

  • research capability;
  • university networks;
  • regulatory environment;
  • digital infrastructure; and
  • links to NHS organisations.

Education and nursery consolidation

Consolidation in the nursery sector continued as operators responded to rising costs and pressure on margins.

Buyers sought to expand regional footprints and achieve economies of scale across staffing, property, administration and procurement.

Medium-sized nursery groups increased their share of nursery acquisitions from 5% of transactions in 2023 to 19% in 2024.

Further consolidation was expected during 2025. In Christie & Co’s annual sentiment survey, 62% of childcare and education providers said they were planning to buy or sell during the year.

Active investors and acquirers

The following investors, acquirers and portfolio companies were active during H1 2025.

HealthTech and analytics

Investor or acquirer Target Date Deal type
AKKR CareLineLive 1 April 2025 Buyout/LBO
YFM Equity Partners Audiological Science 24 February 2025 Buyout/LBO
Foresight NorthWest EHealth 1 April 2025 PE growth/expansion

Hospitals and care centres

Investor or acquirer Target Date Deal type
Foresight Functional Gut Clinic 2 April 2025 PE growth/expansion
BGF Connected Health 20 January 2025 PE growth/expansion
BGF OCL Vision 26 February 2025 PE growth/expansion
Scottish Dental Care, supported by BGF Musselburgh Dental Clinic and Implant Centre 2 April 2025 Buyout/LBO
Bira Care Homes Field Farm House Residential Home / Hereford Living 14 April 2025 Merger/acquisition
Expanding Horizons Enable Care Services 22 May 2025 Merger/acquisition

Training

Investor or acquirer Target Date Deal type
Expanding Horizons Cupcakes ‘N’ Dinosaurs 1 April 2025 Merger/acquisition

EdTech

Investor or acquirer Target Date Deal type
Achieve Partners Wise Music Group’s digital education business 9 January 2025 Buyout/LBO
OneTouch, supported by August Equity Qintil 25 June 2025 Buyout/LBO

BGF and August Equity are identified in the report as add-on sponsors for the relevant transactions.

Selected UK healthcare and education transactions

Total Drive Software

Software Circle acquired Total Drive Software on 14 March 2025.

  • Deal size: £7.5 million
  • Post-transaction value: £7.5 million
  • Revenue multiple: 6.8 times
  • Deal type: merger/acquisition
  • Subsector: EdTech

OrganOx

OrganOx completed a £113.7 million growth investment on 24 February 2025.

  • Deal size: £113.7 million
  • EBITDA multiple: 20 times, based on 2023 accounts
  • Revenue multiple: 3.8 times
  • Deal type: private equity growth/expansion
  • Subsector: HealthTech and analytics

Investors included:

  • Avidity Partners;
  • BGF;
  • HealthQuest Capital;
  • Lauxera Capital Partners;
  • Longwall Ventures;
  • Oxford Technology Management;
  • Oxford University Innovation;
  • Sofina;
  • Soleus Capital;
  • Technikos; and
  • the University of Oxford.

Synergy LMS

Synergy LMS was acquired by K Bro Linen on 13 May 2025.

  • Deal size: £107.2 million
  • Post-transaction value: £107.2 million
  • EBITDA multiple: 8.1 times
  • Revenue multiple: 2 times
  • Deal type: merger/acquisition
  • Subsector: HealthTech and analytics

Antev

Antev was acquired by Medicus Pharma on 28 April 2025.

  • Deal size: £57.5 million
  • Post-transaction value: £302.5 million
  • Deal type: merger/acquisition
  • Subsector: HealthTech and analytics

Induction Healthcare Group

VitalHub acquired Induction Healthcare Group on 10 April 2025.

  • Deal size: £9.7 million
  • Post-transaction value: £9.7 million
  • Revenue multiple: 0.8 times
  • EBITDA position: loss-making
  • Deal type: merger/acquisition
  • Subsector: HealthTech and analytics

Charac

Charac completed a growth investment on 3 April 2025.

  • Deal size: £1.5 million
  • Post-transaction value: £7.7 million
  • Investor: undisclosed
  • Deal type: private equity growth/expansion
  • Subsector: HealthTech and analytics

NorthWest EHealth

Foresight Group invested in NorthWest EHealth on 1 April 2025.

  • Deal size: £0.2 million
  • Deal type: private equity growth/expansion
  • Subsector: HealthTech and analytics

Geri Care Health Services

InvAscent invested in Geri Care Health Services on 25 January 2025.

  • Deal size: £10.3 million
  • Deal type: private equity growth/expansion
  • Subsector: hospitals and care centres

Functional Gut Clinic

Foresight Group invested in Functional Gut Clinic on 2 April 2025.

  • Deal size: £5.8 million
  • Deal type: private equity growth/expansion
  • Subsector: hospitals and care centres

Care First

Optima Health acquired Care First on 6 May 2025.

  • Deal size: £0.4 million
  • Post-transaction value: £0.4 million
  • Revenue multiple: 0.1 times
  • Deal type: merger/acquisition
  • Subsector: hospitals and care centres

The Business of Creativity

Whalar acquired The Business of Creativity on 28 May 2025.

  • Deal size: £15 million
  • Post-transaction value: £15 million
  • Deal type: merger/acquisition
  • Subsector: training

Outlook for healthcare and education M&A

Healthcare and education remain attractive markets for buyers, but investor appetite is becoming increasingly selective.

In traditional healthcare, pressure from staffing costs, debt and regulation is encouraging consolidation. Buyers are likely to favour providers with strong local positions, reliable management teams and clear opportunities to improve operational efficiency.

HealthTech and EdTech present greater growth potential, but valuations increasingly depend on evidence of adoption, customer retention and a credible route to profitability. Investors are distinguishing between technologies that create measurable benefits and those supported primarily by market enthusiasm.

Businesses likely to attract interest include those offering:

  • differentiated intellectual property;
  • recurring or contracted revenue;
  • measurable cost savings;
  • improved patient or learner outcomes;
  • regulatory approval or clinical evidence;
  • access to NHS or institutional customers;
  • scalable technology;
  • strong data governance; and
  • opportunities for international expansion.

Considering a healthcare or education transaction?

Polestar Corporate Finance advises business owners, management teams, investors and corporate acquirers across the UK healthcare and education sectors.

Our team supports clients with:

  • business sales;
  • acquisitions;
  • management buyouts;
  • business valuations;
  • debt and equity funding;
  • investor engagement; and
  • strategic corporate finance advice.

Contact the Polestar Corporate Finance team to discuss your objectives.

 

By Annabel Whelan on 25/07/2025