The Community Equipment Service (CES) market in England is a significant segment of the healthcare industry, providing essential equipment to individuals with various health needs to support independent living.
ECC, with Medequip, are contracted with one of the leading organisations within this market. Medequip is a leading supplier, having achieved a £20m annual increase in turnover between 2022 and 2023. That being said, profit margins in the community equipment service industry have dropped significantly, Medequip’s profit has dropped from £2.7m in 2022 to 0.5m in 2023. This is reflected across the market with the other main market player NRS Healthcare Ltd having maintained a similar turnover in 2023 when compared to 2022, but their profit dropping from £6.4m in 2022 to £0.6m in 2023.
The industry as a whole has been navigating these economic pressures while trying to maintain service quality and secure new contracts. This has led to a focus on efficiency and cost management to sustain profitability. ECC have been affected by this via high level commercial discussions which led to a material contract variation and a collaborative joint action plan to benefit both parties. There has also been the effect of the October 2024 budget on areas of National Insurance Contribution increases and a further increase to the national living wage.
Medequip have been awarded a significant proportion of the recent awarded contracts for community equipment across local authorities in England. NRS Healthcare Solutions Ltd are another leading provider in the Market and hold numerous live contracts but have not been awarded a significant number of contracts over the last couple of years.
The main competitor to Medequip in the market is NRS Healthcare, upon recent reviews of their financial standing via Dun and Bradstreet reports, their failure score is cause for concern and signals a high risk of severe financial stress. Below provides more detail and will be monitored frequently:
In early 2025, several acquisitions and sales occurred among key equipment suppliers to Medequip. Notably, Seating Matters acquired the shower chair division of Care & Independence, and GBUK acquired their sling division—both transactions completed in May 2025.
Due to the confidential nature of these deals, Medequip was informed post-completion, which is standard in such circumstances. However, these changes have prompted operational concerns, particularly regarding significant staff turnover and the potential for alterations in supply chain processes.
Medequip are actively engaging with the affected suppliers to assess any potential impact on the Essex service. Discussions are already scheduled to ensure continuity, address any emerging issues, and maintain service quality.