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2026 FAMILY, PRIVATELY OWNED AND OWNER-MANAGED BUSINESS SURVEY

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Healthcare

Financial Governance, Restructuring & Insolvency

Institutional resilience in a volatile market

While the healthcare sector is often seen as "recession-proof", individual practices and care businesses are under more financial pressure than ever before. Rising wage bills, the "last man standing" risk in GP partnerships, and debt burdens from property developments can push an otherwise healthy business into distress.

Armstrong Watson provides a confidential and highly professional healthcare turnaround service. We help boards and partnerships implement robust financial governance to prevent crises, and we provide decisive restructuring advice when they occur.

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Strengthening financial governance

Prevention is better than cure. We work with GP Boards and Care Home Directors to:

Review Financial Internal Controls

Ensuring that your systems are robust enough to prevent fraud and error.

Working Capital Management

Optimising your cash flow to ensure you can meet your obligations to staff and suppliers even during periods of funding delays.

Partner Liability Protection

Advising on the structure of your Partnership Agreement to ensure that individual partners are protected in the event of practice-wide financial issues.

Turnaround and debt advisory

If your practice is struggling with a mounting deficit or a breach of bank covenants, we provide an objective route to recovery:

Debt Restructuring

We negotiate with lenders to restructure loans and overdrafts, providing the breathing space needed to implement operational changes.

Deficit Recovery Plans

We help you build a credible recovery plan for the ICS, identifying where costs can be cut without compromising patient safety.

Managed Exit and Insolvency

In extreme cases where a practice or care home is no longer viable, our licensed insolvency practitioners manage the process with the utmost sensitivity, ensuring that patient care is protected and that the legal duties of directors and partners are fulfilled.

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Get in touch to speak to one of our specialist advisers and explore how we can help you.

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