comAnnual Review 2010Spire has successfully grown and transformed to become one of the UK's leading private providers of quality healthcare consistently recommended by both GPs and patients while providing a great place for people to work This is the story of our year.

What's important to usWe aim to be the UK's leading private provider of quality healthcare; for patients and GPs to trust and recommend us, to be the first choice for consultants, for our staff to say Spire is a great place to work and for every premium private medical insurer to have us in their network. We measure our performance against four areas that are reported throughout this document:01 Our year in numbers04 Chairman's statement08 Chief Executive's statement12 Director of Clinical Services' statement16 Business review24 Corporate social responsibility30 Board of Directors32 Corporate governance34 Chief Financial Officer's statementAccounts of Spire Healthcare Limited Partnership39 General Partner's report41 Statement of General Partner's responsibilities42 Auditors' report and financial statementsContentsPeople Shareholder valueService qualityReputationMeasured by EBITDAR delivery, revenue growth and labour management.Measured by Health and Safety audits of compliance and scores against key clinical performance indicators.Measured with an annual, independent employee survey that rates the level of staff engagement, as well as the effectiveness of our managers.Measured using annual, independent satisfaction surveys of our patients and the consultants who work with us.