1. #EldersForum2018 #AgeingInCommon #NCF2018

2. #EldersForum2018 #AgeingInCommon #NCF2018
SKY 3 – The Future of Homecare
Andy Cole, Operational Manager Locality Services, Vale of Glamorgan
Dr Jane Townson, CEO, Somerset Care
#EldersForum #AgeingInCommon #NCF2018

3. Home Care Drivers for Change and Future Developments Dr Jane Townson
Chief Executive, Somerset Care Group
Vice Chairman, UK Homecare Association

4. Outline Home care market Future developments in home care Key features
Drivers for change
Future developments in home care
Disruptors & new business models
New operating models
Technology solutions

5. Somerset Care

6. Outline Home care market Future developments in home care Key features
Drivers for change
Future developments in home care
Disruptors & new business models
New operating models
Technology solutions

7. Home care market less than half the value of the residential care market

9. Home care market is complex and made up of different elements

10. Home Care Market
Source: Laing and Buisson, 2016

11. Majority of home care still funded by local authorities but private market is growing

12. Home Care Market
Source: Laing and Buisson, 2016

13. Value of home care by age
Source: Laing and Buisson, 2016

14. Value of home care by type of support
Source: Laing and Buisson, 2016

15. Since 1990’s shift from local authority to independent providers and reduction in people receiving state support

16. Home Care Market
Source: Laing and Buisson, 2016

17. Home care market very fragmented
Numerous small providers
Large providers each have small market share

18. Home Care Market
8500 home care agencies registered with CQC – majority are small
500 new registrations per quarter
400 cease trading before first CQC inspection
Personal assistants and other micro- providers unregistered with CQC
Source: Laing and Buisson, 2016

21. Local authority fee rates for home care generally inadequate to cover provider costs and not meeting UKHCA minimum price for home care

23. Graph produced by Rachel Ayling from National Returns

24. Providers with high exposure to low LA fee rates have lower profits and some are losing money

25. Profitability
Source: Laing and Buisson, 2016

26. A number of providers doing LA-funded home care have handed back contracts or quit altogether

28. are
Care quality
83 per cent of home care agencies rated good or outstanding by CQC
Most outstanding ratings are achieved by small providers doing private work – easier work, able to personalise, focus on outcomes
Large providers doing mostly LA-funded work tend to achieve lower compliance with CQC standards – funding and commissioning are major barriers – high dependency of need, min visits, time and task

31. In a nutshell
Funding and commissioning model for state-funded home care is bust
Small home care providers doing private work are profitable and achieving outstanding ratings

32. Demand for home care continues to rise – more people want to remain at home

33. Workforce
Recruitment, retention, workforce capacity is a major challenge for all providers
Source: Skills for Care, NMDS-SC, 2017

34. Outline Home care market Future developments in home care Key features
Drivers for change
Future developments in home care
Disruptors & new business models
New operating models
Technology solutions

35. Disruptors On-line introducers, i.e., on-line employment agencies
Collective workforce arrangements, including unregulated PAs
Local Authority Trading Companies
Local authorities taking home care back in-house
NHS and GPs starting to commission home care directly
Non-personal care below regulatory threshold, e.g., companionship
Alternative models of support - non-personal care, e.g., “CareBnB”
Technology innovators – e.g., voice recognition / sensors / robotics / care delivery management apps

38. Buurtzorg Nurse led – more like district nursing model
14,000 field staff
1000 teams
50 back office staff
Technology solution to enable

39. Somerset Care

40. Somerset Care Not-for-Profit Home Care, Supported Living, Housing with Care, Care Homes, Training

41. Somerset Care Not-for-Profit Home Care, Supported Living, Housing with Care, Care Homes, Training

42. £72m turnover, c. 3600 employees
Somerset Care
£72m turnover, c employees
Home Care
4 branches in Somerset, 1 in Wilts/BANES, 1 in Hants/Surrey
14K hours per week, 1000 staff, >2700 customers
Income split LA : self-funding – 76:24
Supported Living
5K hours per week – complex care, learning & physical disabilities
Somerset, Wilts
Care Homes
27 in Somerset, 1 on IOW
1531 beds, residential, dementia, nursing
Income split LA : self-funding – 40:60
Housing with Care (CQC registered home care)
2 SCL developments in Somerset and IOW
JV with McCarthy & Stone – 64 developments nationally

44. Somerset Care JV with McCarthy & Stone Retirement Living Plus
64 developments open nationwide by April 2018
3506 home owners
1000 employees
126 developments by August 2020
7000 home owners
2000 employees

47. Pod
12 carers
Locality Manager

48. Registered Manager Pod 12 carers Pod 12 carers Pod 12 carers Pod
Locality Manager
Pod
12 carers
Locality Manager
Pod
12 carers
Locality Manager
Pod
12 carers
Locality Manager
Registered Manager

52. Other technologies, e.g., Voice recognition Health monitoring apps
Robotics

60. Chief Executive, Somerset Care Group
Dr Jane Townson
Chief Executive, Somerset Care Group
@drjanetownson

61. #EldersForum2018 #AgeingInCommon #NCF2018