| 1 | Receive the Annual Report | Abstain |
| 2 | Approve the Remuneration Report | Oppose |
| 3 | Approve Remuneration Policy | Oppose |
| 4 | Approve the Dividend | For |
| 5 | Re-elect Martin Angle - Non-Executive Director | For |
| 6 | Re-elect Justin Ash - Chief Executive | For |
| 7 | Re-elect Paula Bobbett - Non-Executive Director | For |
| 8 | Re-elect Natalie Ceeney CBE - Non-Executive Director | Oppose |
| 9 | Re-elect Sir Ian Cheshire - Chair (Non Executive) | Oppose |
| 10 | Re-elect Dame Janet Husband - Non-Executive Director | Oppose |
| 11 | Re-elect Jenny Kay - Non-Executive Director | For |
| 12 | Elect Harbant Samra - Executive Director | For |
| 13 | Re-elect Cliff Shearman - Non-Executive Director | For |
| 14 | Re-elect Ronnie van der Merwe - Non-Executive Director | Oppose |
| 15 | Re-elect Debbie White - Senior Independent Director | For |
| 16 | Re-appoint EY as the Auditors | Oppose |
| 17 | Allow the Board to Determine the Auditor's Remuneration | For |
| 18 | Approve Political Donations | For |
| 19 | Issue Shares with Pre-emption Rights | For |
| 20 | Approve Spire Healthcare Group plc 2024 Long Term Incentive Plan | Oppose |
| 21 | Approve Spire Healthcare Group plc 2024 Deferred Share Bonus Plan | For |
| 22 | Issue Shares for Cash | Oppose |
| 23 | Issue Shares for Cash for the Purpose of Financing an Acquisition or Other Capital Investment | Oppose |
| 24 | Authorise Share Repurchase | Oppose |
| 25 | Meeting Notification-related Proposal | For |
