Asset Management, HealthTech

November 19, 2025

People of Harley Street Health District: Paul Bakker

photo of paul bakker head healthcare asset manager for howard de walden estate in the harley street health district

The Howard de Walden Estate is the majority owner of Marylebone, overseeing a community of major healthcare providers, retailers and residents. It manages the buildings across the Harley Street Health District, maintaining, leasing and developing the properties used by clinicians, hospitals and research organisations.

Paul’s position as Head of Healthcare Asset Management is fundamental in Howard de Walden’s role as the steward of Harley Street’s historic legacy and reputation, and the curator of its future in the modern medical world.

Paul’s role in the District

As we walked through the District, his knowledge of Harley Street’s history and its pioneers came to life. He illustrated its remarkable journey – from just 20 doctors in 1860 to the 2,000 clinicians in the world-renowned District today.

“From the 1860s, doctors started to congregate in the area. The buildings worked very well. The doctors could have their consulting and practicing rooms on the lower floors and live above their practices. That started the catalyst for more established hospitals to move into the area and some institutions as well.”

But Paul’s role extends far beyond managing a portfolio of properties in the Marylebone Village and Harley Street Health District. As he puts it himself, he’s “not your average landlord”.

He is steering the evolution of the District beyond a collection of world-class clinics to a connected ecosystem of leading healthcare innovation. By personally fostering the relationships between providers, research organisations, and businesses, he is unlocking new partnerships and opportunities for growth.

Perspectives

When asked what he would want the world to know about the District, Paul highlights the fact that behind it’s Georgian façades lies a world far more dynamic than many realise.

“You wouldn’t realise the innovation, the professionalism, the amazing equipment that lies behind these period facades, and the difference they’re making to patients’ outcomes, and saving lives.”

One of the major pulls of the District for both UK patients and health tourists is the density of London’s premium restaurants, cafes, and shops within a 5-minute walk. We asked Paul where he likes to go to unwind outside of work, he told us:

“The Cavendish, the Wigmore. We have some great pubs, cafés, and restaurants. Cavita is excellent for Mexican food, and Delamina is very good for Mediterranean. We’re spoiled for choice.”

Looking ahead, Paul and The Howard de Walden Estate, have a sharp focus on the Harley Street Health District’s future.
When asked what the District will look like in 2030, he replies:

“Well, pretty much the same! The facades won’t change, but where the changes will be is the innovation, the technology and the professionalism behind them. More and more new techniques are coming in. More and more innovation. Equipment’s coming in. And there’s a lot of investment.”

We publish a new People of Harley Street Health District profile each month. Keep an eye on our YouTube channel for more. 

Watch our last episode with Jack Porter, UCLPartners here.

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