WEBINAR: Homecare and Supported Living · WEBINAR: Homecare and Supported Living In partnership...

WEBINAR: Homecare and Supported Living

In partnership with

Setting the scene• Feedback from our Twitter poll

Key themes• Market outlook

• What will the "new normal" look like and what lessons will be learned from this pandemic?

• How will the future operating model for homecare change following Covid-19?

• The sector remains overcrowded - how can volume be focused to fewer providers to improve

quality?

• How does the sector tackle the challenge of NMW increase outstripping LA rate increases

going forward?

• Will there be more support and clarity for domiciliary providers?

• What is the estimated increase in the size of the market current volume v predicted?

• How will the status of care workers in comparison to the NHS change? A National Care

Service?

• How reliable do you consider the statistics are that the public are given about Home Care

and Supported Living during this time

Market Report

• Homecare and Supported Living

#homecare

WEBINAR: Homecare & Supported

Living

William Laing

Chairman

LaingBuisson

Jonathan Vellacott

Executive Chairman

MiHomecare

& Complete Care

Submit your questions at sli.do

Event code: homecare

Dr Jane Townson

CEO

UKHCA

Bhavna Keane-Rao

Managing Director

BKR Care Consultancy

Tom Speirs

Partner

Addleshaw Goddard

In partnership with

#homecare

William Laing

Chairman

LaingBuissonSubmit

questions at

Sli.do

#homecare

The Market Map

Market size – Homecare & supported living, UK 2018/19

Funding Sources – Homecare, England 2018/19

Total

Funding Sources – Supported Living, England 2018/19

Total

Distribution of services by scale, England 2018/19

0%

2%

4%

6%

8%

10%

12%

14%

16%

18%

20%

Service size (people looked after)% Registered services % People looked after

10,600 registered

services in England

Consolidated EBITDA margin major for-profit providers 2009-18

0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

2009 2010 2011 2012 2013 2014 2015 2016 2017 2018

Market potential

• Digitisation

• Integration of health and social care

• Equality of esteem (and funding) for health and social care

#homecare

Jonathan Vellacott

Executive Chairman

MiHomecare

& Complete Care

Submit

questions at

Sli.do

#homecare

In Hospital:120,000

In CareHomes:400,000

RegualtedHealth &

Social Careat Home:820,000

Health and Social Care Market:

• More people are living

longer with an increasing

number of underlying

health conditions

• Demand for Health and

Social Care will

significantly increase

• Health and Social Care at

Home is a value for money

option

MiHomecare & Complete Care:

• 2,400 Health and Social Care professionals delivering care and

support to 3,250 individuals in their own homes

• Delivering 2.9m hours of domiciliary care, live-in care and complex

health care at home per annum

Resilience in the Face of Covid-19:

Underpinned by enhanced use of technology:

• Fully digital, cloud-based operating model

• Accelerated change in mindset/culture – pushing the boundaries

of traditional ways of working

• Transition to a wholly online recruitment and training model

maximising social media, applicant tracker platform, virtual

classroom

Resulting in:

• Consistent continuation of care operations

• Ability to absorb short-term shock

Challenges to overcome:

• Delivering care to customers with Covid-19

• Requirement for additional PPE and significant cost increases

• Low status of social care professionals amplified by inappropriate

commissioning models

• Impact of revenue reduction and cost increases

Beyond 2020:

For the Health and Social Care System:

• Greater will to create sustainable social care element within a

combined Health and Social Care strategy

• Recognised co-dependency highlighted by pandemic

• Rebalance of funding to enable longer term resilience

• Focus on raising the status of Social Care careers and growing a

valued and proportionately compensated workforce

As Providers:

• Continue to build on an embedded technology base, overlaying

front end applications

• Use data outputs to enhance efficiency, reduce risk and improve

quality

• Focus on areas of expertise to facilitate strong growth in an

expanding market

• Employees are our greatest asset. Invest in attracting, developing

and appropriately rewarding highly capable and motivated

carers

• Engage in market shaping to influence the political direction of

travel

#homecare

Dr Jane Townson

CEO

UKHCASubmit

questions at

Sli.do

#homecare

@ukhca www.ukhca.co.uk

Informal care at home, 7.3

Unmet need for care, 1.5

State-funded homecare, 0.55

Self-funded homecare, 0.36

State-funded care home beds, 0.225

Self-funded care home beds, 0.167

Hospital beds, 0.1

Millions of people

@ukhca www.ukhca.co.uk

0

20

40

60

80

100

120

140

160

NHS Homecare

Government spend (£ billion)

70% state-funded30% self-funded

1.5 m visits per day540 m visits per year

@ukhca www.ukhca.co.uk

@ukhca www.ukhca.co.uk

@ukhca www.ukhca.co.uk

Homecare sector would require approximately £424K per day to support 8,600 new patients moved from the NHS compared with £2.9m in the NHS system.

@ukhca www.ukhca.co.uk

@ukhca www.ukhca.co.uk

Few councils are meeting providers’ costsUKHCA: “The Homecare Deficit 2018”

£1

8.2

0

£1

8.2

0

£1

7.2

3

£1

6.9

9

£1

6.7

8

£1

6.5

4

£1

5.7

5

£1

5.6

5

£1

5.5

1

£1

4.6

0

£1

4.1

5

£1

3.7

0

UKHCA’s Minimum Price for Homecare 2017-18 - £18.01 per hour

@ukhca www.ukhca.co.uk

@ukhca www.ukhca.co.uk

£7.68 / hour funding gap during COVID-19

@ukhca www.ukhca.co.uk

Prevention Innovation

People Transformation

02

03

04

01

#homecare

Bhavna Keane-Rao

CEO

BKR Care ConsultingSubmit

questions at

Sli.do

#homecare

Improving care, improving lives…Improving care, improving lives…

Social support work has largely been withdrawn

Clients loved ones are being asked to support two handed calls

Dom Care and Supported living settings are requiring a higher amount of PPE

Improving care, improving lives…Improving care, improving lives…

Increased difficulties in staff attending calls

The challenge of responding to LA requests for contingency plans

Increased numbers of safeguarding notifications being raised

#homecare

Tom Speirs

Partner

Addleshaw GoddardSubmit

questions at

Sli.do

#homecare

HEALTH AND SAFETY

○ What if not enough PPE

○ Breach of contract

○ Material Adverse Change

○ Litigation / Reputational Risk

FINANCE

○ Directors Duties / Insolvency

○ Events of Default under lending arrangements

○ CBILS / CLBILS / BBL

Thank you again to our partners

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Media

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