Share your thoughts on our News & Insights section. Complete our survey to help us improve.

Share research

Primary Health Properties: rent reviews drive H1 growth

Primary Health Properties (PHP) has called a turning point in the market as property values stabilise and rent hikes pull through.
PHP share research - primary health properties.jpg

No recommendation - No news or research item is a personal recommendation to deal. All investments can fall as well as rise in value so you could get back less than you invest.

Prices delayed by at least 15 minutes

PHP issued a trading statement and reported a 3.1% rise in first half net rental income, with growth largely due to extra rental income from rent reviews. Underlying profit rose 2.2% to £47.3mn.

The group has 43 active asset management projects underway (31 December 2024: 37).

The investment portfolio value rose 0.7% over the period, ending at £2.8bn, with a loan to value of 48.6% (31 December 2024: 48.1%).

Dividends totaled 3.55p over the half, up 2.9%. A third quarterly dividend of 1.775p has already been declared, due to be paid in August.

The shares were broadly flat in early trading.

Our view

First-half trading has been positive for PHP, with rent reviews helping to drive the top line forward and property values starting to offer some stability.

The main story remains PHP’s acquisition and combination with Assura, which is making progress. We can see the logic. Valuations for both businesses have been under pressure in recent years, making this a timely opportunity for consolidation.

Both portfolios focus on primary healthcare sites across the UK and Ireland, where demand for high-quality facilities is expected to rise. PHP has historically been the stronger operator, suggesting scope for both cost savings and improvements to Assura’s portfolio.

The deal includes a £1.2bn credit facility from a group of banks. The aim would be to repay this through asset disposals and joint ventures, to bring the loan-to-value down to within 40-50%.

PHP has tended to operate at the upper end of that range, which is also high by industry standards. If interest rates come down as expected, there should be a mechanic improvement as property values increase, but the balance sheet is something to keep an eye on.

A higher cost of capital in today’s market means attractive development sites are limited, and PHP is lobbying hard with bodies like the NHS to make projects more viable. There’s progress, but only in areas where the need for new buildings is strongest.

It’s a bit of a balancing act though, as performance over the past couple of years has been driven by rent hikes. Those same elevated costs that limit development opportunities are giving landlords like PHP more bargaining power at the negotiating table.

Looking ahead, we think PHP (and Assura) have several features that underpin long-term dividend potential. NHS backlogs mean improving access to primary care is a key component of the UK government’s latest plans. And, with 89% of PHP’s rent roll funded by the NHS or its Irish equivalent (targeting 80–90% post-acquisition), tenant risk remains low.

Ireland is also a key growth driver, with arguably better market dynamics than here in the UK. Leases tend to be longer term, with better yields, and it’s a key area of focus for future growth.

We continue to like PHP as a play on a resilient UK property segment and a potential beneficiary of interest rate cuts and the renewed political focus on the NHS. The valuation isn’t stretched, and the dividend yield is attractive, though not guaranteed. In the near term, developments in the Assura deal are likely to drive investor sentiment, so expect more volatility than usual.

Environmental, social and governance (ESG) risk

Real estate is relatively low risk in terms of ESG. One of the principal drivers of this risk is the capacity to integrate material ESG considerations into decision-making, risk management and public reporting; the most material ESG considerations are environmental, like carbon emissions reduction, energy efficiency and physical climate risk. The rise of hybrid working has also reduced demand for commercial property, making product governance and customer satisfaction a top priority. Other risks to monitor include labour relations, business ethics, and emissions & waste.

According to Sustainalytics, PHP’s overall management of material ESG issues is strong.

Responsibility for overseeing ESG issues is assigned to board level and there is an adequate environmental policy in place. Improvements could be made to ESG related disclosures and executive compensation does not appear to be linked to ESG performance. PHP has targets for increasing investment in sustainable buildings and deadlines to meet those targets, in line with industry best practice.

Primary Health Properties key facts

All ratios are sourced from LSEG Datastream, based on previous day’s closing values. Please remember yields are variable and not a reliable indicator of future income. Keep in mind key figures shouldn’t be looked at on their own – it’s important to understand the big picture.

This article is original Hargreaves Lansdown content, published by Hargreaves Lansdown. It was correct as at the date of publication, and our views may have changed since then. Unless otherwise stated estimates, including prospective yields, are a consensus of analyst forecasts provided by Refinitiv. These estimates are not a reliable indicator of future performance. Yields are variable and not guaranteed. Investments rise and fall in value so investors could make a loss.

This article is not advice or a recommendation to buy, sell or hold any investment.No view is given on the present or future value or price of any investment, and investors should form their own view on any proposed investment.This article has not been prepared in accordance with legal requirements designed to promote the independence of investment research and is considered a marketing communication.Non - independent research is not subject to FCA rules prohibiting dealing ahead of research, however HL has put controls in place(including dealing restrictions, physical and information barriers) to manage potential conflicts of interest presented by such dealing.Please see our full non - independent research disclosure for more information.
Latest from Share research
Weekly Newsletter
Sign up for Share Insight. Get our Share research team’s key takeaways from the week’s news and articles direct to your inbox every Friday.
Written by
Matt-Britzman
Matt Britzman
Senior Equity Analyst

Matt is a Senior Equity Analyst on the share research team, providing up-to-date research and analysis on individual companies and wider sectors. He is a CFA Charterholder and also holds the Investment Management Certificate.

Our content review process
The aim of Hargreaves Lansdown's financial content review process is to ensure accuracy, clarity, and comprehensiveness of all published materials
Article history
Published: 7th July 2025