SPHERE – Growth through M&A – Due Diligence Case Study

SPHERE – M&A Due Diligence – An Intuitus Case Study

Intuitus logo

Sector: IT Services, Healthcare
Region: UK
Date: September 2017

Summary

Organisations in the healthcare sector, including the NHS, are increasingly reliant on technology to ensure the smooth-running of day-to-day business. It’s important that costs are reduced wherever possible, including within technology and IT operations, to help alleviate the financial pressure faced by businesses in this sector.

West Middlesex University Hospital Trust was acquired by Chelsea and Westminster Hospital NHS Foundation Trust in 2015. IT service provider SPHERE, which is co-owned by Chelsea and Westminster, will be incorporating the IT infrastructure of West Middlesex into their existing IT service provision. Intuitus was approached to provide M&A IT due diligence on West Middlesex in order to identify potential synergies and key risks ahead of the integration by SPHERE.

The Client

SPHERE (Systems Powering Healthcare Ltd) is an IT service provider delivering IT service management and shared IT infrastructure services to the healthcare sector.

The company is jointly and wholly owned by Chelsea and Westminster Hospital and the Royal Marsden NHS Foundation Trusts – SPHERE represents a collaboration and pooling of resources between the Trusts to deliver improved IT services to its members.

Challenges

The management team at SPHERE required full visibility of the current status of the IT services currently in place at West Middlesex, including data centre management, network and communications, computing infrastructure and storage, end-user computing, IT service management, and IT security. This would allow management to plan for the integration of the IT infrastructure at West Middlesex into the existing service offering provided by SPHERE.

The recent transition and merger of the two Trusts, coupled with SPHERE’s planned acquisition of the IT infrastructure at West Middlesex, meant that the merger of the two IT teams had to be handled with sensitivity. This had to be taken into account by any third-party consultant brought in.

How we helped

Intuitus was approached to undertake M&A due diligence on the IT infrastructure and associated service contracts and service provisions at West Middlesex, and advise on how these services align with the service proposition provided by SPHERE. The Intuitus team included Alan Lorimer, who has 20 years’ experience in IT, including many years reviewing the processes and operations of managed service companies in order to provide investment advice.

“Intuitus brought a wealth of experience, wisdom and knowledge to the engagement,” says Renier Botha, Managing Director at SPHERE. “It was a sensitive situation and we needed to get an expert, unbiased, impartial opinion. The Intuitus team was respected by everyone involved because they had been in similar situations many times before and knew exactly where to look and which questions to ask.”

The result was a comprehensive report that clearly outlined what actions were required to ensure the successful integration of the West Middlesex IT infrastructure. This report was then converted into a project initiation document, which acted as a foundation for the entire project. SPHERE was also able to use the report findings to compile a full remediation project scope with costings, which was presented to the senior management team. This clearly outlined the key risks and remediation required to successfully onboard the new infrastructure environment.

Results, Return on Investment and Future Plans

In the short term, SPHERE is focusing on delivering the IT services as they are outlined in the SLAs, and meeting the service expectations of the West Middlesex staff.

The major strategic benefit of the incorporation of the West Middlesex infrastructure in the longer term is in the economies of scale, as Renier Botha points out: “With the onboarding of West Middlesex, the scale of the service delivered by SPHERE has increased by 27%. As a result, we’ve been able to reduce the cost per user by 12%. Furthermore, the cost of running the service is 24% lower than what it would have cost the trusts individually were they to run the IT service without SPHERE. If SPHERE can successfully identify additional trusts to work with then there will be an opportunity to further drive down the total cost of providing a shared service.”

About our M&A Due Diligence

Intuitus’ M&A due diligence is an independent, bespoke assessment on behalf of an acquiring company (or strategic buyer) of a target company’s technology and/or IT operations and, where required, either an assessment or production of the technology and/or IT integration strategy and plan, including potential synergies and key risks. The buyer gains commercially focused, pragmatic insight in the form of an actionable report. Our findings and recommendations form an important part of the (integration) plan going forward and overall value enhancement strategy.

http://www.intuitusadvisory.com

 

Testimonial

“Intuitus brought a wealth of experience, wisdom and knowledge to the engagement. As a result of the M&A due diligence we’ve been able to make significant cost-savings, without compromising the quality of the IT service offering.”; Renier Botha, Managing Director at SPHERE

Original Case Study – intuitusadvisory.com

SPHERE grows – delivering shared IT services to the NHS’ West-Middlesex University Hospital

West-Mid logo

SPHERE grows – delivering IT Shared Services to West Middlesex University Hospital NHS Trust

SPHERE, Systems Powering Healthcare Ltd, is incorporating West Middlesex University Hospital NHS Trust into the shared IT service provision that they supply to a number of NHS Trusts. This includes Chelsea & Westminster Hospital NHS Foundation Trust, which acquired West Middlesex in 2015.

The project results from several months of preparatory work by SPHERE, assessing its scope and provisioning the service transfer, with completion scheduled for October 2017.

SPHERE is an IT shared services provider to the healthcare sector, primarily NHS Foundation Trusts. It was set up by Chelsea and Westminster and the Royal Marsden NHS Foundation Trusts to deliver and support IT infrastructure for both trusts to achieve economies of scale and bring down the cost per user, says Renier Botha, Managing Director of SPHERE:

“Chelsea and Westminster NHS Foundation Trusts is one of the founding members of SPHERE and it made sense for the West Middlesex Trusts to join the shared services management that we provide. We have a proven services model that we can take to a range of other healthcare providers to realise cost savings whilst improving service quality.

“SPHERE will now be supporting an additional 2,000 end users with the commissioning of West Middlesex. This financial year will see the cost per user for member trusts fall substantially through economies of scale,” says Renier Botha.

SPHERE is currently gearing up to support the deployment of the Cerner EPR (Electronic Patient Record) system across the Chelsea Westminster and West-Middlesex NHS Trusts for which it provides shared services.

West Middlesex will be the first Trust to go live with Cerner. Sphere will manage the provision of infrastructure and the overall IT support services and are currently assessing which first line support services will be prioritised for the Cerner platform.

In 2014 Kevin Jarrold, Director on the SPHERE board and CIO at Imperial Healthcare Trust and Chelsea and Westminster, oversaw the deployment of Cerner at Imperial. Sphere will look to capitalise on the learnings of the Imperial team to ensure trouble-free integration of the support services.

To take advantage of the capabilities of cloud computing, SPHERE is moving its primary data centre and specific systems to Equinix, a leading colocation provider, in London.

Equinix has hosted the Cerner platform since 2010 and SPHERE says that this offers a robust solution for the Trusts, improving the IT infrastructure resilience and business continuity capabilities mitigating the key business risks associated with location and services required from IT hosting facilities.

“SPHERE is well positioned to provide improved IT services to the healthcare sector – expanding on the presence of Cerner within the same data centre and utilising the capabilities of the Microsoft Azure cloud platform at Equinix,” says Renier Botha.

For further information please contact SPHERE Head Office – Systems Powering Healthcare Ltd, Unit 101, Harbour Yard London, SW10 0XD – Tel: 020 331 5888.

 

 

Welcome to Systems Powering Healthcare Limited (SPHERE)

Letter to new joiners…
On behalf of everyone at SPHERE, I would like to welcome you to our dynamic ITservices company.
We’re excited that you have joined our team and I hope our excitement here at SPHERE will soon be your excitement as well.
Our culture puts our people first and for that reason we provide a progressive working environment that is supportive, diverse and flexible.
We care are about our clients, our members and have a passion for providing exceptional IT services.
We hope that you will enjoy working with us, and that this guide gives you an insight into life at SPHERE. It contains much of the information you’ll need in understanding
the context and culture of our business, including pertinent policies that we operate
under.
You can discover a little more about the business, and what is important to SPHERE
in delivering a fantastic service.
You will see that we have an energetic business proposition in SPHERE, and we looking forward to your contribution to add to our continued success and growth.
I sincerely hope that you enjoy your time with us, and that the challenges and rewards meet all of your expectations.
Best regards,
Renier Botha
Managing Director