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Healthcare Real Estate

We support clients operating across the health and social care real estate sector, helping them navigate complex regulatory, commercial, and operational environments. Our work spans routine estate management to major development and investment activity, ensuring your decisions are informed, compliant, and aligned with long‑term strategic goals.

Overview

We advise across the full breadth of health and social care real estate, supporting public bodies, independent providers, investors and charities on both business‑as‑usual estate matters and complex strategic projects. Our work spans asset management, development, funding, acquisitions and disposals, allowing us to support clients throughout the lifecycle of healthcare and care‑related property.

A core part of our practice is asset management for NHS bodies and independent healthcare providers. We act for NHS Trusts, NHS England, NHS Property Services and ICBs, as well as independent operators and charities, helping clients manage large and diverse estates efficiently while meeting governance, operational and regulatory requirements. This includes ongoing portfolio management, lease arrangements, estate optimisation and strategic support aligned to wider service delivery objectives.

We also advise on grant‑funded healthcare projects, acting for NHS England and, where required, ICBs in connection with funded estate initiatives. Our experience ensures funding conditions, delivery structures and property documentation align with public‑sector requirements and approval pathways.

Our development experience includes acute healthcare projects for NHS bodies, NHS Property Services, independent providers and the MOD, alongside specialist clinical facilities delivered within wider regeneration and health‑led campus schemes. We advise on real estate structuring, site assembly, construction documentation and delivery interfaces, working closely with colleagues in healthcare commercial, construction, infrastructure, energy and PFI to provide joined‑up advice.

Alongside this, we act on care home acquisitions and disposals for operators, charities and investors, and advise on Extra Care and supported living developments for local authorities and developers. We also support charities on a wide range of property matters, including real estate finance, acquisitions, disposals and estate management, reflecting the varied ways property underpins service delivery across the sector.

Featured experience

Estates Outsourcing Strategy

Advising a Foundation Trust on the implementation of estates and facilities outsourcing arrangements with a wholly owned subsidiary, ensuring the contractual framework aligns with operational priorities, estate requirements and long term strategic objectives.

Health Campus Development Structuring

Advising on a multi million forward funded lease and lease back development forming part of a wider health and innovation campus, including a sterile services unit, licensed aseptic pharmacy and office space, with support across real estate structuring, funding and delivery.

Specialist Hospital Development

Supporting an NHS Trust on the development of a new specialist eye hospital on the former Vaux Brewery site, including complex property due diligence and negotiation of transactional and construction documentation to progress a major clinical facility within a regeneration site.

Mixed Use NHS Estate Management

Providing ongoing portfolio management support for a large Central London mixed use NHS estate across two campus sites, covering hospitals, offices, retail, residential and teaching uses, managing high volumes of live matters and delivering commercially focused advice within strict budgets and timescales.

Care Home Portfolio Disposals

Advising on the disposal of two portfolios of care homes valued at approximately 750 million to an international operator and approximately 500 million to an investment fund.

FAQs

We assist with the full lifecycle of real estate transactions, including site acquisition, planning, construction, financing, leasing, and disposal. Our work spans hospitals, primary care facilities, care homes, specialist units, supported living schemes, and wider health‑led developments.
Our team advises on the regulatory frameworks affecting health and social care providers and property owners. This includes compliance with CQC requirements, safeguarding obligations, environmental standards, building safety duties, and contractual responsibilities linked to service delivery.
Yes. We negotiate and manage leases, occupancy arrangements, development agreements, sale and leasebacks, and integrated care models. We also advise on rent reviews, service charges, maintenance obligations, and operational considerations that affect continuity of care.
We advise on planning strategy, land assembly, estate optimisation, construction contracts, decarbonisation considerations, and the complexities of repurposing older or specialist buildings. Our team helps clients ensure projects remain viable, compliant, and fit for long‑term service delivery.
We act for a wide range of clients, including NHS trusts, local authorities, care home operators, developers, funders, REITs, and institutional investors. Our experience covers both portfolio‑wide initiatives and individual site matters in the UK and internationally.
  • Abstract composition of smooth, curved white architectural forms layered to create depth.
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    "DAC provides excellent advice, has good knowledge of our estate and healthcare, and a very personable team."

    Chambers UK 2026, Real Estate

  • Abstract pattern of smooth white wavy lines on a light grey background.
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    "The level of service is excellent and led by the same individuals consistently, which builds trust."

    Chambers UK 2026, Real Estate

  • Abstract composition of glossy, curved white shapes with overlapping three-dimensional forms.
    ”

    "DAC Beachcroft provides high-quality legal advice, effective turnaround of documents and timely responses, and the ability to flex around tight timescales."

    Chambers UK 2026, Real Estate

Healthcare Real Estate key contacts

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Stan Campbell

Partner

Bristol

Stan Campbell

Partner

Bristol

+44 (0) 117 918 2179

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Victoria Armstrong

Partner

Newcastle

Victoria Armstrong

Partner

Newcastle

+44 (0)191 404 4292

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Lisa Geary

Partner

Leeds

Lisa Geary

Partner

Leeds

+44 (0) 113251 4786

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Dean Parrett

Legal Director

London

Dean Parrett

Legal Director

London

+44 (0)20 7894 6113

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Who we are

Why choose DAC Beachcroft?

We’re a broad-based commercial firm serving a wide range of sectors with a strong heritage in insurance,
health and real estate. We combine excellent legal skills and cutting-edge delivery expertise to design
solutions that fit the needs of our clients – often involving clever uses of technology.

More about us