webinar: homecare and supported living · webinar: homecare and supported living in partnership...
TRANSCRIPT
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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