Care & Support West

Supply & Demand

The estimated value of the homecare market in the UK is £5.1 billion

£1.1 billion is purchased by individuals

8000 organisations registered with CQC for Home Care

6336 are registered for domiciliary services to older people

UKHCA represent 1 in 3 organisations

Workforce

Skills for Care reported 450k people being employed in the homecare

UKHCA estimate it to be nearer 537K

Demographics

Projected population by age , UK, mid-2012 to mid-2037

National Population Projections, 2012-based Statistical Bulletin | 06 November 2013

Mill

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Growth in projected population over 75 year olds, UK, mid-2012 to mid-2037

Source: National Population Projections, 2012-based Statistical Bulletin | 06 November 2013

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The number of people with dementia in the UK will double over the next 40 years

Source: Alzheimer’s Society – Dementia Statistics Infographic

And, these people want to live at home…

9 in 10 people aged 50+ want their care needs met in their own home (Saga/Populus, 2014)

7 in 10 of British adults want to die at home(Dying Matters/ComRes, 2014)

Number of older people receiving state funded social care is declining

Number of older people paying for help projected to increase

Source: Source: ELSA Wave 3 percentages applied to POPPI figures by the Institute of Public Care, Oxford Brookes University – help with moving, washing and dressing, eating and preparing meals

Commissioning and prices

LA Average rates

UKHCA’s Minimum Price for Homecare

• UKHCA publishes aMinimum Price for Homecareo February 2014

• BBC Radio 4 finds:o 97 of 101 councils pay prices

below £15.19/hro Average minimum rate £12.26/hr

• Minimum price updatedo £15.74/hr for 2014-15 NMW

Principles behind the Minimum Price

• Fees calculated solely by reference to “contact time”

• Workers receive flat-rate NMW for all “working time”o Contact timeo Applicable travel time (and reasonable travel costs)o Supervision and training

• Provider can cover:o NI, pensions, training and holiday payo Reasonable operating costso Acceptable profit / surplus

How UKHCA’s minimum priceis calculated (2014-15 rate)

Minimum Wage: £6.50

Travel time/hour: 11.4 min

Travel distance: 4.0 miles

Mileage rate: £0.35/mile

National Insurance: 9.5%

Holiday Pay: 12.07%

Training time: 1.73%

Pensions: 1%

Gross margin: 30%

How can you use UKHCA’s Minimum Price?

• Support discussion with local commissioners

• Send to local councillors asking why council paying below UKHCA’s rate

• Use UKHCA’s Costing Model to calculate your actual costso www.ukhca.co.uk/CostingModel

• Challenge council to open-book costing exercise

Living Wage

The UKHCA’s next campaign is will be Living Wage for care staff

Some Authorities in the UK are insisting on this

UKHCA’s model will make the rate £18.59

Not just about the money…

Being visible to users, including self-funders (Approved lists & NHS Choices)

• Greater council responsibility for information & advice, including self-funders

• Government added all social care providers to NHS Choices websiteo Providers encouraged to

update their free profiles

• Some councils developing other on-line portalso You need to know which ones

o “Approved lists” (should) become less significant

National/Local MessageUKHCA has significantly raised its profile

Involved in many steering groups including the Cavendish Care Certificate and NICE Home Care Guidelines

More and more requests for national media

CSW is an outlet to help with communicating locally