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                            <title><![CDATA[ Latest from MoneyWeek in National-health-service ]]></title>
                <link>https://moneyweek.com/tag/national-health-service</link>
        <description><![CDATA[ All the latest national-health-service content from the MoneyWeek team ]]></description>
                                    <lastBuildDate>Thu, 23 Feb 2023 15:25:18 +0000</lastBuildDate>
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                                                            <title><![CDATA[ The cost of care: how to pay for long term care? ]]></title>
                                                                                                                                                                                                <link>https://moneyweek.com/personal-finance/605721/how-to-pay-for-long-term-care</link>
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                            <![CDATA[ Six in 10 over 45s underestimate the cost of self-funding a care home place by  thousands of pounds a year, according to new research. Whether you’re planning ahead for yourself or thinking about care for an elderly relative we look at ways you can pay it. ]]>
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                                                                        <pubDate>Thu, 23 Feb 2023 15:25:18 +0000</pubDate>                                                                                                                                <updated>Mon, 08 Dec 2025 15:06:36 +0000</updated>
                                                                                                                                            <category><![CDATA[Personal Finance]]></category>
                                                                                                                    <dc:creator><![CDATA[ Nicole García Mérida ]]></dc:creator>                                                                                    <dc:source><![CDATA[ https://cdn.mos.cms.futurecdn.net/NorKt3xUG93UkpHy3PQfyR.png ]]></dc:source>
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                                                                                                        <dc:contributor><![CDATA[ Laura Miller ]]></dc:contributor>
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                                                                                                                                                                                                                                    <media:description><![CDATA[Three generations of women ]]></media:description>                                                            <media:text><![CDATA[Three generations of women ]]></media:text>
                                <media:title type="plain"><![CDATA[Three generations of women ]]></media:title>
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                                <p>Most over 45s are unaware of the true cost of funding a care home place according to latest research, which suggests a massive underestimation of the cost of going into care. </p><p><a href="https://moneyweek.com/9885/investment-basics-pensions-guide-59427">Pensions</a>, <a href="https://moneyweek.com/32213/the-best-savings-accounts-59730">savings </a>and <a href="https://moneyweek.com/investments/property">property</a> wealth, can all be used up paying for private care, with as many as 85% of those who had previously helped find care for a loved one were shocked at the cost, a report for the Just Group – <em>Care Report 2025: Social Care Reform Stuck in the Waiting Room</em> – found.</p><p>Data from the report showed more than half (60%) think the cost of a year’s residential care is less than £60,000. This is significantly lower than industry estimates for self-funders of £66,456. </p><p>More than three in 10 (31%) expected the cost would be up to £30,000 a year, less than half the true figure. About a third of people (32%) estimated the cost at more than £70,000 a year. </p><p>Stephen Lowe, group communications director at Just Group, said: “Year after year, our Care Report  shows people are unprepared for the true cost of care and those who do have experience of the system are left shocked at the level of fees when they come to help loved ones find a residential home. </p><p>“With an estimated four in five people aged 65+ likely to require some level of care before they die,  millions of families are sleepwalking towards a nasty shock.”</p><h2 id="care-costs-biggest-worry-for-over-55s">Care costs ‘biggest worry’ for over 55s</h2><p>The cost of care is one of the biggest concerns for over 55s, pushing many to work well past the state pension age to cover the costs. Whether you think you may need care or you have to consider it for an elderly relative, additional costs can run into thousands. </p><p>Research from Canada Life in 2023 found of the third (37%) of over 55s who say they will work beyond their state pension age, a fifth (20%) say this is due to concerns over the cost of long-term care – scoring within the top five factors of what those who are likely to work beyond their retirement age are concerned about.</p><p>While some might be able to rely on their <a href="https://moneyweek.com/personal-finance/savings/isas/605575/isa-vs-private-pension">ISA or pension</a> to pay for care, it’s worth having a clear idea of what this would cost to make sure you will have the necessary funds to cover it. </p><h2 id="how-much-does-care-cost">How much does care cost?</h2><p>Medical care is provided by the NHS, but social care is paid for by you. </p><p>According to the NHS, the typical hourly rate for a carer to come to you is around £20, but this will depend on where you live. </p><p>A live-in carer costs from around £800, and can cost up to £1,600. </p><p>Residential homes, which don’t offer nursing care, cost around £700 a week, or £36,400 a year. Nursing homes, which offer 24-hour nursing care, cost around £850 a week, or £44,200 a year. However costs will vary depending on where you live and the care you need and these NHS estimates are significantly lower than the £66,456 a year industry experts report.</p><h2 id="how-can-i-pay-for-care">How can I pay for care?</h2><p>There are several ways to pay for care. First, you have to determine how much you need. That will vary depending on location, your needs, and the provider among others. </p><p>“There are some great online calculators which will help work out care costs,” says Alice Watson, head of marketing communications at Canada Life UK. “So much depends on your individual circumstances, for example if you require support in your own home or if you or your loved one requires support from a care home.”</p><p>You can use this <a href="https://www.payingforcare.org/calculators" target="_blank">care cost calculator</a> by Paying For Care to determine how much your care might cost.</p><p>“Much will also depend on the level of support provided, the individual provider costs and even the area in which you live,” continues Watson. “You may also want to seek an assessment of your care needs and finances by the adult social care team which will be part of your local authority.”</p><p>“Seeking advice from a regulated <a href="https://moneyweek.com/personal-finance/should-i-get-a-financial-adviser">financial adviser</a> who specialises in care costs is an important first step,” says Watson. “An adviser can determine the best way for you to not only fund care costs, but equally ensure you don’t run out of money. Having conversations with family members should be part of any conversation, especially if you are considering using property equity to pay for care.”</p><h3 class="article-body__section" id="section-1-deferred-payment-agreement"><span>1. Deferred Payment Agreement</span></h3><p>You might be able to get a Deferred Payment Agreement via your local authority. That is a loan or arrangement with your local authority that you are eligible for if you have savings of less than £23,250 and all your money is tied up in your property. </p><p>After a means test, which will take into account your earnings, pensions, benefits, savings and property, the council will decide whether to contribute or pay for your care home, and you can repay it once you sell your home or after your death. </p><p>Check with your council to make sure you’re eligible for a deferred payment scheme. </p><h3 class="article-body__section" id="section-2-rent-out-your-home"><span>2. Rent out your home </span></h3><p>If you move into a care home and your property is empty, you could rent it out to cover the costs of your care home. </p><p>But renting comes with its own set of issues. While it might offer a continuous stream of income, you will have to deal with the responsibilities of being a landlord. If you can enlist family members to help, it might be more viable. But if it’s just you, consider whether this is a responsibility you want to take on. </p><h3 class="article-body__section" id="section-3-sell-your-home-or-release-equity"><span>3. Sell your home or release equity </span></h3><p><a href="https://moneyweek.com/personal-finance/605317/downsizing-or-equity-release-which-is-best">Equity release</a> products allow homeowners over 55 to borrow against the value of their home to release cash. This is paid upon death when the home is sold. But interest compounds quickly, meaning your loved ones could be left with a hefty bill. </p><p>You could also consider selling your home, or downsizing. Both options incur their own costs, but the profit you make from a sale could help fund your care. </p><h3 class="article-body__section" id="section-4-use-your-pension-or-income-from-investments"><span>4. Use your pension or income from investments </span></h3><p>Perhaps the most obvious way to pay for your care is to dip into your pension pot. You can normally access your state pension aged 66, and your private pension aged 55. </p><p>You could also buy an annuity. <a href="https://moneyweek.com/personal-finance/pensions/605406/buy-an-annuity">Annuity rates recently hit a 14-year high</a> thanks to more attractive interest rates. </p><p>You can use part or all of your pension pot to buy an annuity. You can choose what age to buy it, and continue paying into your pension pot even after you have. Keep in mind the income is taxable, and there are several types of annuities you could purchase, so speak to a financial advisor to know which would be right for you.</p>
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                                                            <title><![CDATA[ Are you missing out on Pension Credit? How to claim the benefit worth £4,500 a year ]]></title>
                                                                                                                                                                                                <link>https://moneyweek.com/512630/make-sure-you-dont-lose-your-pension-credit</link>
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                            <![CDATA[ Hundreds of thousands of eligible households are still failing to apply for Pension Credit. We explain who qualifies for the benefit and how to apply. ]]>
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                                                                        <pubDate>Fri, 16 Dec 2022 12:03:00 +0000</pubDate>                                                                                                                                <updated>Fri, 29 May 2026 14:27:52 +0000</updated>
                                                                                                                                            <category><![CDATA[Pensions]]></category>
                                                    <category><![CDATA[Personal Finance]]></category>
                                                                                                <author><![CDATA[ editor@moneyweek.com (Laura Miller) ]]></author>                    <dc:creator><![CDATA[ Laura Miller ]]></dc:creator>                                                                                    <dc:source><![CDATA[ https://cdn.mos.cms.futurecdn.net/m7zapjF4G94ZGZzBpPD4Lf.png ]]></dc:source>
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                                                                                                                                                                        <media:description><![CDATA[&lt;em&gt;Pension Credit can be worth thousands of pounds a year, plus it unlocks access to other benefits&lt;/em&gt;]]></media:description>                                                            <media:text><![CDATA[Pensioner looking at personal finances on computer]]></media:text>
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                                <p>The number of claims for Pension Credit has fallen year-on-year – and hundreds of thousands of families are still missing out on the benefit.</p><p>The Department for Work and Pensions (<a href="https://moneyweek.com/tag/dwp">DWP</a>) received 211,125 Pension Credit applications in 2025/26, latest data shows – a 34% decrease from 321,035 in 2024/25.</p><p>In 2025/26, the DWP cleared and awarded 138,165 Pension Credit claims – a 24% drop from 180,970 in 2024/25.</p><p>The fall in applications is likely because of a surge in people applying for the benefit the year before, after the government controversially narrowed eligibility rules for the <a href="https://moneyweek.com/personal-finance/605595/winter-fuel-payments">Winter Fuel Payment</a>. It meant, in winter 2024, only those on certain means-tested benefits, including Pension Credit, could get the payment.</p><p>Applications for Pension Credit appear to now be dropping back to pre-2024 levels.</p><p>However, up to 910,000 pensioner households are estimated to be eligible for the benefit but not claiming it, the government says.</p><p>David Brooks, head of policy at consultancy Broadstone, says: “The sharp rise in Pension Credit claims following the government’s decision to link Winter Fuel Payments to Pension Credit eligibility shone a helpful spotlight on just how many retirees were missing out on valuable support to which they were entitled.</p><p>“However, as the issue declined in salience, claims activity is now falling back towards lower, more normal levels and there is a risk that awareness once again fades.”</p><h2 class="article-body__section" id="section-what-is-pension-credit"><span>What is Pension Credit?</span></h2><ul><li>Pension Credit is a government benefit worth around £4,500 a year</li><li>You must have reached state pension age to qualify, among other eligibility rules</li><li>Once you start claiming Pension Credit you can also qualify for other benefits</li><li>You can check Pension Credit eligibility using the online <a href="https://www.gov.uk/pension-credit-calculator" target="_blank">Pension Credit calculator</a></li></ul><p>Pension Credit is worth £4,500 a year on average, but could be worth more to certain households.</p><p>Anyone who is unsure whether they or a loved one is entitled to Pension Credit can check using the government's online <a href="https://www.gov.uk/pension-credit-calculator">Pension Credit calculator</a>.</p><p>It is separate from the <a href="https://moneyweek.com/personal-finance/pensions/state-pensions/605948/how-much-state-pension-will-i-get">state pension</a>, and paid to people of state pension age on low incomes, even if they have <a href="https://moneyweek.com/32213/the-best-savings-accounts-59730">savings</a>, a personal or <a href="https://moneyweek.com/personal-finance/pensions/605274/should-i-use-a-workplace-pension-or-a-sipp">workplace pension</a>, or own their own home.</p><p>The benefit is made up of two parts: guarantee credit and savings credit. The former tops up your pension income to a certain level. The latter is only available to those who reached state pension age before 6 April 2016 and had some money saved for retirement, for example in a personal or workplace pension.</p><p>Even if Pension Credit will only provide a small amount of money to you, it’s worth claiming as it means you will qualify for a host of other benefits:</p><ul><li><a href="https://www.gov.uk/support-for-mortgage-interest" target="_blank">Support for mortgage interest</a> (SMI) if you own the property you live in</li><li>Housing benefit if you rent the property you live in</li><li><a href="https://moneyweek.com/personal-finance/tax/605774/council-tax-reduction">Council tax reduction</a></li><li>A free TV licence if you’re aged 75 or over</li><li>Help with NHS dental treatment, glasses and transport costs for hospital appointments</li><li>Cold Weather Payments</li><li>£150 Warm Home Discount</li><li>Christmas bonus (only for those who receive the guarantee element of Pension Credit)</li><li>A discount on Royal Mail redirection service for those moving home</li></ul><p>The Warm Home Discount was previously limited to those on the guaranteed element of Pension Credit, or those receiving the savings element who had high energy costs, but Labour has widened the scheme.</p><p>Individuals on Pension Credit, who are the named billpayer in their household, get the £150 discount off their energy bills. Do note, most major energy suppliers are signed up to the Warm Home Discount scheme, but not all. You can find the full list of participating firms on <a href="https://www.gov.uk/the-warm-home-discount-scheme/energy-suppliers">gov.uk</a>.</p><h2 class="article-body__section" id="section-how-much-is-pension-credit-worth"><span>How much is Pension Credit worth?</span></h2><ul><li>Basic Pension Credit tops up a single pensioner’s weekly income to £238</li><li>For couples, Pension Credit is worth an extra £363.25 a week</li><li>You may qualify for additional Pension Credit if you have other responsibilities</li></ul><p>The minimum guarantee for Pension Credit – the minimum amount that someone on Pension Credit will receive – rose by 4.8% in April 2026, thanks to the <a href="https://moneyweek.com/personal-finance/state-pensions/what-is-state-pension-triple-lock">state pension triple lock</a>. This is a mechanism which increases the state pension by the highest out of <a href="https://moneyweek.com/economy/inflation/605514/what-is-inflation">inflation</a>, average earnings growth and 2.5%.</p><p>Pension Credit tops up a pensioner’s weekly income to £238 if they're single. For couples, it’s £363.25.</p><p>You may be entitled to extra amounts if you have other responsibilities and costs. For those with a severe disability, a further £86.05 per week is available. If both members of a couple qualify, the rate is £172.10 per week. You are classed as having a disability if you receive one of the following benefits:</p><ul><li><a href="https://moneyweek.com/personal-finance/state-pension-age-attendance-allowance-back-pain">Attendance Allowance</a></li><li>The middle or highest rate from the care component of Disability Living Allowance</li><li>The daily living component of Personal Independence Payment (PIP)</li><li>Armed Forces Independence Payment</li><li>Daily living component of Adult Disability Payment (ADP) at the standard or enhanced rate</li></ul><p>If you care for another adult, you could receive an extra £48.15 per week, provided you get Carer’s Allowance (or you’ve claimed Carer’s Allowance but are not being paid because you receive another benefit that pays a higher amount). If you and your partner have both claimed or are currently receiving Carer’s Allowance, you can both receive this extra amount. It is known as the Carer’s Addition.</p><p>For those responsible for a child or young person, you could get a further £69.98 a week (which increases to £81.07 a week for the first child if they were born before 6 April 2017). The child or young person must normally live with you and be aged 19 or younger. If the child or young person is disabled, you may get another payment.</p><p>The final top-up helps with housing costs. An extra payment may be made to cover ground rent if your home is leasehold, or to cover service charges. The above payments are all known as "guarantee credit", and form one element of Pension Credit.</p><p>The other part of Pension Credit is savings credit, which is worth up to £17.96 a week if you’re single, or up to £20.10 if you have a partner.</p><h2 class="article-body__section" id="section-who-is-eligible-for-pension-credit"><span>Who is eligible for Pension Credit? </span></h2><ul><li>You must live in England, Scotland or Wales and have reached state pension age</li><li>Pension Credit eligibility and the amount you receive depends on total household income</li><li>You can claim Pension Credit four months before reaching state pension age (66)</li></ul><p>You must live in England, Scotland or Wales and have reached state pension age (currently 66, but rising to 67 between April 2026 and April 2028) to be eligible for Pension Credit. When applying for guarantee credit, your income is calculated; if you have a partner, your joint income will be calculated.</p><p>The DWP defines income as your state pension and other pensions (even if they’ve been deferred), earnings from a job or self-employment, and most benefits.</p><p>However, not all benefits are counted as income. Attendance Allowance, <a href="https://moneyweek.com/personal-finance/child-benefit-how-it-works-eligibility-criteria-and-how-to-claim">Child Benefit</a>, Disability Living Allowance, Personal Independence Payment, Housing Benefit, council tax reduction and the Christmas bonus are excluded.</p><p>Your savings and investments are also taken into account, which includes shares and any property you own (apart from the home you live in). If you have £10,000 or less, this will not affect your eligibility for Pension Credit.</p><p>If you have more than £10,000, every £500 over £10,000 will count as £1 income a week. So, if you have £11,000 in savings and shares, this counts as £2 income a week. If your income is below £238 a week then guarantee credit will top you up to that amount. If you’re claiming as a couple and your weekly income is below £363.25, it will be topped up to that level.</p><p>The criteria to claim savings credit is different. You can only access it if you reached state pension age before 6 April 2016, and you have some savings and/or a private pension. There isn’t a savings limit, however, if you have over £10,000 in savings, this will affect how much you receive. You might still get some savings credit even if you do not get the guarantee credit part of Pension Credit.</p><h2 class="article-body__section" id="section-how-to-claim-pension-credit"><span>How to claim Pension Credit</span></h2><ul><li>You can claim Pension Credit online, via the helpline (0800 99 1234) or by post</li><li>To claim Pension Credit you’ll need your NI number and full details of household income</li><li>You can backdate your claim for Pension Credit by up to three months</li><li>If your Pension Credit claim fails, you can ask for a "mandatory reconsideration"</li></ul><p>You can apply for Pension Credit in several ways. Options include <a href="https://apply-for-pension-credit.service.gov.uk/start">applying online on the government website</a>, phoning the helpline (0800 99 1234), or submitting an application by post. If you haven’t reached state pension age yet, you can still apply up to four months before this date.</p><p>You’ll need your National Insurance number when you apply, plus information about your income, savings and investments. If you have a partner, you’ll need the same details about them too.</p><p>Government figures show that the majority of people apply for Pension Credit online or over the phone.</p><p>Sarah Pennells, consumer finance specialist at Royal London, comments: "You can backdate your claim for Pension Credit by up to three months, and the sooner you claim, the sooner you could start receiving payments. Not only that, but, if you’re entitled to Pension Credit, you’ll be able to get extra help with costs such as rent and council tax, which could make a big difference."</p><p>If you apply for Pension Credit and your claim is turned down, you can ask the Pension Service to look at your claim again if you think the decision is wrong. Asking them to change their decision is called a "mandatory reconsideration". It’s free to do and you don’t need to use a solicitor.</p><p>Some of the reasons for a claim being refused include having too much income, not being a UK resident, failure to provide all requested information and not being the right age.</p><h2 class="article-body__section" id="section-why-have-so-many-pensioners-failed-to-claim-pension-credit-in-the-past"><span>Why have so many pensioners failed to claim Pension Credit in the past?</span></h2><p>The eligibility criteria for Pension Credit is complex. This could be putting some pensioners off claiming it, although there are a number of other barriers which could be stopping people from putting in an application.</p><p>Some pensioners believe they would get such a small amount of Pension Credit, it’s not worth applying for, DWP research suggests.</p><p>Others mistakenly believe they won’t qualify if they have savings, while some think if they own their own home they’re not eligible for the benefit.</p><p>Some pensioners who have previously applied for Pension Credit and been rejected think they will never be eligible – this is false. Their personal circumstances could have changed, making them eligible.</p><p>Emma Walker, director at retirement firm Just Group, says: “Pension Credit is the key ‘top-up’ benefit for low-income pensioners, but it’s not well understood, particularly the eligibility criteria and the access it gives to a range of other benefits.”</p>
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                                                            <title><![CDATA[ How the NHS sprung Dr Harry Brünjes to success ]]></title>
                                                                                                                                                                                                <link>https://moneyweek.com/116211/profile-of-entrepreneur-dr-harry-bruenjes-63142</link>
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                            <![CDATA[ Dr Harry Brünjes combined his acting skills with his medical experience to set up a multi-million-pound private healthcare business. ]]>
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                                                                                                                            <pubDate>Tue, 19 Mar 2013 13:25:00 +0000</pubDate>                                                                                                                                <updated>Thu, 13 Feb 2025 13:48:27 +0000</updated>
                                                                                                                                            <category><![CDATA[People]]></category>
                                                                                                <author><![CDATA[ moneyweek@futurenet.com (James McKeigue) ]]></author>                    <dc:creator><![CDATA[ James McKeigue ]]></dc:creator>                                                                                    <dc:source><![CDATA[ https://cdn.mos.cms.futurecdn.net/9KtHcLNMdvZBQSLsucopRD.png ]]></dc:source>
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                                <p>Few doctors have put their amateur-dramatics skills to such profitable use as Dr Harry Brnjes. As a teenager he balanced his studies with a budding career as a redcoat at Butlins.</p><p>Later, while he studied medicine at Guy's Hospital, he spent his spare time playing small roles in TV shows and musicals. But aged 25 he packed in his part-time acting, for the time being, and devoted his time to his medical career.</p><p>After a few years working as a GP, by 1993 Brnjes had spotted a business opportunity. "I noticed that patients were increasingly willing to pay for private healthcare." Usually that was because they were covered by insurance, or needed a specific check-up for legal reasons. Brnjes realised the NHS was set up as the perfect springboard for a would-be entrepreneur.</p><p>"You could scale down your NHS hours to three-quarters or half-time, which allowed you to try other things." So he decided to take the plunge and rent rooms in London's Harley Street. That immediately opened up a large market of insurance companies and legal firms for his new firm, Premier Medical Group.</p><p>"I tried all of the marketing tricks in the book. But building a good reputation was one of the most important." Brnjes also employed his secret weapon those rusty showbiz skills. "I would perform at clients' charity auctions and speak after dinners." Brnjes soon became very well known in legal medical circles.</p><p>By 1996 he had decided to recruit some doctor friends into the business. "I would find the work, rent offices around the country and handle the administration, while they would take care of some of the medical duties."</p><p>As sales grew, Brnjes began to invest in new, larger offices, administration staff and marketing. "It was a stretch financially. I took out loans with the banks and had my house on the line."</p><p>Then, in 2003, he persuaded Bupa's head of innovation, Jason Powell, to quit the healthcare giant and join Premier Medical Group. Powell received a chunk of equity in the business and immediate promotion to CEO.</p><p>"I didn't mind sharing my business and handing over some power. The biggest mistake proprietary entrepreneurs make is that they don't want to share." Together the duo drew up plans to take the firm to the next stage. "So far I'd grown the business organically, but now it was time to go down the acquisition path."</p><p>They began buying up smaller competitors and merging them with Premier Medical Group. Most of the purchases were funded by Premier's cash flow, but for really big buys, such as the 2007 £30m deal for Medico-Legal Reporting, a large competitor, he partnered with private-equity firms. Even when the crisis hit, Premier Medical Group, now in solid shape, continued to grow. Indeed, in 2010 Capita made a £60m offer, which Brnjes accepted.</p><p>With cash in his pocket Brnjes began looking for new business opportunities. Last year, he founded the Woodsta Investment Fund to invest in pioneering healthcare companies.</p><p>To date, its main purchase is Dr Newman's Clinic, a firm that uses proprietary microwave technology to remove thread veins. Having attracted investment from some of his former doctors Brnjes is now expanding Newman's nationwide and expects sales to hit £20m next year.</p><p>He's also keenly looking for investments in obesity or elderly care, two rising challenges that he expects to create "massive investment opportunities" in the coming years.</p>
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                                                            <title><![CDATA[ David Murray-Hundley: Bankruptcy made me a better businessman ]]></title>
                                                                                                                                                                                                <link>https://moneyweek.com/30536/profile-of-entrepreneur-david-murray-hundley-59836</link>
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                            <![CDATA[ After losing everything when the dotcom bubble burst, David Murray-Hundley took up a job at an outsourcing company. Shocked by how much the NHS was wasting, he set up his company do do something about it. ]]>
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                                                                                                                            <pubDate>Tue, 24 Jul 2012 15:11:00 +0000</pubDate>                                                                                                                                <updated>Thu, 13 Feb 2025 13:48:29 +0000</updated>
                                                                                                                                            <category><![CDATA[People]]></category>
                                                                                                <author><![CDATA[ moneyweek@futurenet.com (James McKeigue) ]]></author>                    <dc:creator><![CDATA[ James McKeigue ]]></dc:creator>                                                                                    <dc:source><![CDATA[ https://cdn.mos.cms.futurecdn.net/9KtHcLNMdvZBQSLsucopRD.png ]]></dc:source>
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                                <p>Declaring bankruptcy "was pretty painful", says David Murray-Hundley. But it made him "a better businessman". The IT specialist had "made millions" in the late 1990s working as a trouble-shooter for American bank Chase Manhattan and later as the CEO of various internet start-ups.</p><p>"It was the dotcom boom and firms were making a lot of money." Unfortunately, Murray-Hundley, now 38, reinvested all his profits in the shares of other tech firms. As the dotcom bubble burst in 2001/2002, he lost everything. "I remember taking a flight from the US to the UK. By the time I landed in Heathrow I had lost £400,000."</p><p>After declaring personal bankruptcy he returned to Britain and took a job at outsourcing specialist Serco. In late 2008, the firm assigned him to the medical sector, where he oversaw its IT contracts with the NHS. His good work was soon noticed by NHS management. "I received a call from a struggling trust. They wanted me to come in and help them turn around their fortunes."</p><p>He quit Serco and worked as a self-employed contractor for the Barnet, Enfield and Haringey Mental Health Trust. "The more I got to know the NHS the more shocked I became about the waste. Money was spent on computer parts that ended up sitting unused in warehouses while the trust didn't have money for frontline medical care."</p><p>This presented a business opportunity, so in 2009 he set up a consultancy firm to help trusts deliver IT projects more cost-effectively. He teamed up with NHS supplier Adaro in a 50-50 joint venture called Adaro Red. "I bought a 12-year-old Passat, so that I didn't stand out in the car park as a flashy IT contractor."</p><p></p><p>The joint venture soon won work: "I knew a lot of skilled staff at all levels of the business, so I persuaded them to work with me." Soon his team began connecting the IT systems of all the hospitals in the trust. But how to win business elsewhere in the NHS?</p><p>He decided to gamble by opening his books and revealing exactly how much margin he would make on every contract he bid for. It worked. "Some NHS trusts feel like they're getting a bad deal from IT firms so this was a way to win them over." He even got angry calls from competitors who complained that they couldn't match his rates.</p><p>Murray-Hundley also focused his bids on ways of getting a trust's costs down. "We act as consultants and help them use best practices and the right methodology." The tactics helped him pick up more sales and hire more staff. Yet "cash flow was always a challenge. I have to pay my staff on time but the NHS can be a slow payer." Still, by 2011 Adaro Red had 40 staff and annual sales of £10m. "When you're winning contracts it is quite easy to scale up revenues."</p><p>For now, further expansion could be a challenge. "Sadly, in some NHS trusts it's about who you know. We are beaten in some tenders by more expensive bids, just because of a special relationship somewhere." But Murray-Hundley isn't put off. "There are a lot of very good people in the NHS, but often various trusts are working on the same problem at the same time. If they teamed up to solve problems it would prove more effective."</p>
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