Director/PDMR Shareholding

Spire Healthcare Group plc

("Spire Healthcare" or "the Company")

2 October 2017

Acquisition of Spire Healthcare shares by Justin Ash

On 29 September 2017, Justin Ash purchased 89,100 ordinary shares in the Company at an average price of 224.5 pence each.

Justin will become Spire Healthcare's new Chief Executive Officer on 30 October 2017.

For further information please contact:

Antony Mannion, Director, Strategy and Investor Relations

+44 (0)20 7427 9160

Registered office:

Spire Healthcare Group plc

3 Dorset Rise

London

EC4Y 8EN

LEI: 213800IBJPW3SE2RA350