United Kingdom Homecare Association (UKHCA) Impact Statement 2013–14 UKHCA Impact Statement 2013-14

United Kingdom
Homecare Association (UKHCA)
Impact Statement 2013–14
UKHCA Impact Statement 2013-14 i
Welcome to the Impact Statement 2013-14 for
United Kingdom Homecare Association (UKHCA).
Our mission is to promote high quality, sustainable
care services so that people can live at home and in
their local community.
This report provides an update on our activities and
work in pursuit of our mission during 2013-14.
Executive summary - representing UKHCA members
5 Message from the Chief Executive
7 Leadership, profile and influence
11 A Minimum Price for Homecare
and National Minimum Wage
13 Quality enhancement
15 Training and events
17 Membership and membership benefits
19 A sustainable association - Treasurer’s statement
21 Officers and staff representing UKHCA’s membership
during 2013-14
28 Extracts from the audited accounts
34 Annual General Meeting 2013
UKHCA Impact Statement 2013-14 2
Executive summary representing members
UKHCA is the national professional
and representative association for
homecare providers across the UK.
During 2013-14, UKHCA represented
our members’ interests to
Government, regulators, the public,
stakeholders and in the Media,
across a wide variety of issues
and groups, including:
Department of Health
• Developing Care Markets for Quality
and Choice
• Care and Support Transformation Group
• Cavendish Governance Advisory Board
• Homecare Innovation Panel
• Adult Safeguarding Advisory Board
• Adult Safeguarding Task & Finish
Group on multi-agency working
• Transparency Compact Group
• Employers for Carers Task and Finish Group
• Prime Minister’s Dementia Champion Group
• Dementia Health and Care - Homecare
Care Quality Commission (CQC)
• Adult Social Care Co-Production Group
• Fees Advisory Panel
• Market Oversight Working Group
• Advisory group for thematic probe
on careworker induction
• Trade Association Group
• Evaluation Expert Advisory Group
3 UKHCA Impact Statement 2013-14
Skills for Care
•Recruitment and Retention working group
•Market Dynamics and Workforce
Advisory Group
•National Board Membership
•Health Education England / Cavendish
Reference Group
National Institute for
Clinical Excellence (NICE)
• Homecare Guidance Development Group
• Social Care Programme Board
• External Reference Group
Think Local Act Personal (TLAP)
•National Market Development Forum
•Programme Board
•Personal Budgets and Personal Health
Budgets Alignment Project
Cross sector representative bodies
•Care Provider Alliance
•Care and Support Alliance
•Five Nations Care Forum
Parliamentary committees
•Health Select Committee
•Treasury Select Committee
Other Government commissions and agencies
•Low Pay Commission
•National Audit Office
•Her Majesty’s Revenue and Customs (HMRC)
•Equalities and Human Rights Commission
Think tanks
•Resolution Foundation
•Kingsmill Review
•Guardian Social Care Network
•Institute of Public Care
•Nuffield Trust
Devolved Administrations
•Policy Group, Welsh Government Social
Services Regulation and Inspection
•Welsh Government Commissioning
and Procurement Task Group
•Welsh Government Measure on Domiciliary
Care Charging Advisory Group
•Welsh Government Paying for Care
Advisory Group
•Care Council for Wales - Social Care
Managers Development Programme
•Expert Reference Group Domiciliary
Care Wales
•Welsh Reablement Alliance
•Social Care in Partnership S/E
Strategic Group
•Older People and Ageing Research
Steering Group
•Alzheimer’s Scotland: Council Member,
Chair Service Audit Committee, Executive
Committee and International Committee
•Scottish Government Health and Sport
Committee Enquiry into Regulation of
Care and Self Directed Support Bill
Northern Ireland
•Independent Health & Care Providers
•UKHCA Members’ Forum
•“Can we trust the Trusts?” report
•BBC Breakfast
•BBC News Channel
•BBC Newsnight
•Sky News
•ITN News
•BBC Radio 4 “File on Four”
•BBC Radio 4 “Today”
•BBC Radio 5 Live
•BBC Wales
•BBC local radio
•@ukhca Twitter account
UKHCA Impact Statement 2013-14 4
Message from the Chief Executive
“There must rarely have been years as
eventful as the one we are reviewing
here - with the passage through
Parliament of the Bill that has now been
enacted as the Care Act 2014, continuing
constraints on Government spending
and major challenges surrounding local
authority commissioning. Despite the
prevailing conditions, our members
continue to deliver quality and lifechanging care.”
The economy, although recovering slowly,
has been met with yet more cuts by
Government; leading to some worryingly low
fees for homecare being offered by many local
authorities. This is together with a reduction
in time commissioned and in some cases a
raising of the eligibility threshold to a point
where our members worry about the quality
of care they can offer, and some even fear
that a client’s safety may be compromised.
And yet, homecare across the UK continues
to be life enhancing for its users and their
families; promoting and protecting people’s
independence and dignity and freeing up family
members to continue to work and protect their
special bond. The drive for personalisation
continues through such partnerships as Think
Local Act Personal, of which UKHCA is an
active member, and the roll out of personal
health budgets and personal budgets helps
that development. Of course people who pay
for their own care have always received a
truly personalised service, so we know what
5 UKHCA Impact Statement 2013-14
is possible with appropriate resourcing.
Our Costing Model (available to all on our
website) has been used extensively, both by
homecare providers and by commissioners
in establishing the real costs of delivering
quality homecare. During the year, and based
on the actual values from this model, we
calculated and published the “Minimum Price
for Homecare”, which has attracted a great deal
of attention and produced some evidence of
enhanced awareness by local authorities of the
challenges faced by providers. HMRC’s findings
that a number of providers were failing to
meet the National Minimum Wage requirement
added further to the debate. We have delivered
a toolkit to members explaining the complex
rules and requirements relating to the National
Minimum Wage, in order to protect them from
inadvertently breaking the law and help ensure
staff are properly paid. We also played a major
part in helping Government balance its view
on the advantages and disadvantages of zero
hours contracts for both employers and staff.
Much of the year was spent debating and
negotiating elements of the Care Bill. This
Government and its civil servants reached out
to stakeholders in a thorough and genuine way
to consider aspects of the Bill and UKHCA was
not found wanting when opportunities arose to
influence its development. Now enshrined in
the Care Act 2014, there is much to welcome in
the new legislation. The underlying philosophy
of maintaining people’s independence and
well-being; of putting the user of services at
the centre and of supporting family carers,
as well as requiring closer collaboration
between health and social care are all aspects
we welcome. They also potentially provide
real opportunities for creative and flexible
homecare providers. The resources available,
however, will not increase (and indeed may
decrease). The watering down of Andrew
Dilnot’s financial proposals to protect some
individuals from the “catastrophic costs of
care”, is disappointing and will do little to
prevent severe hardship for many. The Act
is, however, a major and fundamental piece
of reform which will require our time and
attention in the current year as the regulations,
statutory and good practice guidance are
developed to underpin its introduction.
In all of this, I am delighted that another
301 members joined UKHCA during the year;
further enhancing our ability to represent the
whole care at home sector throughout the UK.
Our extensive membership survey showed us
that members value our information-giving,
campaigning, training and representation
of the sector with key decision makers and
influencers. We have held members’ days and
a highly successful England conference this
year and are keeping our training and events
programme under constant review to ensure
we are meeting members’ needs. In addition,
we have run Policy, Constructive Solutions and
Live-In Care fora; examining with members
and others key issues facing the sector.
There have been some changes on our elected
Board; Sushil Radia, Jo Guy, Steve Mills, Val
Robson and John Strangwick left us after
many combined years of very active service
to the organisation and we welcomed Raina
Summerson, Dominique Kent and Richard
Smith as new Board members. We are
truly grateful for the support and guidance
the Board delivers to the Association.
On the staff side; we completed a major review
of staffing and salary structure, increased the
size of our Policy and Campaigns team and
restructured Membership and Marketing. We
bid farewell to Morfoula Bretton and were very
sad to lose Jenny Roberts through her untimely
death. During the year we welcomed Claire Miles
on a short term contract and Ben Carter to the
Membership team, Duncan White and Jonathon
Holmes to Policy, Paul Newcomb to Corporate
Services and Trevor West to Disclosure.
As we look forward towards the General
Election, I believe we are in good shape to
continue our work to ensure high quality
sustainable homecare is available to all, so
that people can continue to live independently
and safely in their homes and communities.
We will do this through aiming to improve
the operating environment and helping
members continuously to improve the
quality, flexibility and sustainability of their
services. I feel honoured to be in a position
to do this work with and for our members
and their clients, ably supported by a hardworking team and a committed Board.
Bridget Warr
Chief Executive
UKHCA Impact Statement 2013-14 6
Leadership, profile and influence
Some of the UKHCA members and staff team who attended our meeting with Paul Burtsow MP
and Baroness Brinton at the House of Commons.
Significant changes to the legislative
framework for social care in England went
through Parliament in 2013-14. The new Care
Act 2014 will have far-reaching consequences
for local authority commissioners and
organisations that provide homecare services.
Having given evidence to the original Bill
Committee in January 2013, considerable
staff time has been spent on engagement
with Government officials and opposition
parties during the passage of the Bill.
UKHCA largely supported the policy intentions
of the Act, however, the Association has argued
for greater monitoring of the commissioning
functions of local authorities. UKHCA worked
closely to brief the Equality and Human Rights
Commission (EHRC) and Leonard Cheshire
Disability when we discovered that Government
had amended its own draft legislation
to remove the routine oversight of local
authority commissioning by the Care Quality
7 UKHCA Impact Statement 2013-14
Commission (CQC). We continue to draw
attention to the negative impact this will have
for people who receive state-funded support.
During the passage of the Bill, the Association
played an active part in Government’s
engagement in the following areas,
arguing that:
•Statutory guidance on commissioning must require councils to take providers’ actual costs into consideration;
•Councils should involve their local providers
when devising accurate and informative
market position statements about the
needs of their local community; and
•Those measures to predict and manage
the potential failure of the largest
providers as part of a market oversight
regime should be proportionate and not carry unnecessary administrative burdens.
Considerable staff time will be spent in
the coming year in consultations over the
Regulations and Statutory Guidance which
will be created to underpin the Act.
Public spending constraints continue to
challenge statutory sector commissioners
and the independent and voluntary
sector providers who deliver the vast
majority of homecare services.
The pay and conditions of the homecare
workforce has attracted considerable public
attention during the year, particularly in
relation to the use of zero-hours contracts
and payment of the National Minimum Wage
(NMW). UKHCA delivered robust messages
in connection with both issues, highlighting
the link between state-funded care and the
terms and conditions of the workforce.
In addition to our annual evidence to the
Low Pay Commission - which was again
quoted extensively in their annual report closer engagement with HM Revenue and
Customs (HMRC) enabled the Association
to influence the publication of a report on
NMW non-compliance. Media attention to
these damaging findings was relatively
subdued, but the findings have had a strong
influence on Government. The Association
published its National Minimum Wage Toolkit
for UKHCA member organisations to coincide
with the publication of HMRC’s findings.
UKHCA presented evidence on zerohours contracts to the Labour Party, the
Resolution Foundation and the recent
Kingsmill Review. We undertook interviews on
national news channels and were published
by the Guardian Social Care Network.
UKHCA continued its work with EHRC by
advising the Commission on lines of enquiry to
assess the implementation of recommendations
to local councils made as a result of its earlier
homecare enquiry. EHRC’s subsequent “Close
to Home Recommendations Review”, found
evidence of underfunding of homecare services
by some councils to a point which risked the
human rights of people who use services.
EHRC’s findings were replicated under the
Freedom of Information Act by BBC Radio 4,
at the suggestion of UKHCA. The publication,
UKHCA’s “Minimum Price for Homecare” was
provided to the BBC on the day of broadcast,
gathering extensive media coverage.
Inadequate local authority commissioning
has required the Association to engage
repeatedly with senior civil servants and
parliamentarians, including Ian Swales MP,
Emma Lewell-Buck MP and Andrew George MP,
all of whom had an interest in the Care Bill.
A highly successful House of Commons event,
hosted by Paul Burstow MP and Baroness
Sally Brinton provided UKHCA members with
an opportunity to influence politicians directly
during the passage of the Bill. UKHCA’s series
of Policy Fora place members in contact
with policy-makers and regulators and the
Association remains indebted to members of
our Provider Reference Group, who regularly
inform our campaigning and influencing work.
UKHCA has increasing expectations from
members (and non-members) that it will
intervene in local disputes with commissioners,
particularly during tendering processes. While
the Association has given particular support
to providers re-tendering in Worcestershire,
Herefordshire and Powys, intervening in such
processes is sensitive for local providers, and
has significant resource implications for the
Association. During the year, UKHCA’s Board
approved criteria for such future action to
ensure maximum effectiveness and
cost efficiency.
UKHCA Impact Statement 2013-14 8
The Association has dedicated significant
time to the Care Quality Commission’s
(CQC) strategic review of regulation, and the
development of regulations to support new
“Fundamental Standards” of care (a result of
the Francis Review). The Association argued
strongly in favour of a return of quality
ratings for providers regulated by CQC in an
independent review by the Nuffield Trust,
whose recommendations were adopted by
Department of Health.
Our staff have accepted more speaking
engagements for local provider associations,
which usually involve representation from local
authority commissioners. We meet with the
national Association of Directors of Adult Social
Services (ADASS) and the Local Government
Association directly, and through a range of
events hosted by Government and arms-length
bodies and continue to be active members of
the Care Provider Alliance and Think Local
Act Personal.
UKHCA is regularly represented with
policymakers by the Chief Executive and
Policy Director, with increasing support
from our newly recruited Senior Campaigns
Officer and two policy officers. Our Corporate
Services Director and Membership and
Marketing Director are leading in the devolved
administrations. UKHCA policy alerts, bimonthly magazine and Twitter accounts keep
members and stakeholders up-to-date with
the Association’s representational activity.
Working in the devolved
In July 2013 the Board approved a project
group to be formed with the mandate to
review activities and services in Devolved
Administrations. This group called on
the expertise of our Board member and
Ambassadors in each Administration and
also involved three other Board members.
9 UKHCA Impact Statement 2013-14
In October 2013 the Executive reported to
the full board on the findings of the project and
proposed developments to increase our profile
and influence in each devolved administration.
Specific plans for the devolved
administrations are integrated into the
2014-15 business priorities and budget.
The action plans for each devolved
administration are at different stages of
development, but they include a number of
common elements for all administrations,
•Creating an administration specific variant
of the brand identity as part of a brand
refresh project.
•Setting up a “virtual presence” in each
administration (e.g. local phone number;
address; display material etc.).
•Establishing routine contact points between
UKHCA staff and administration based
board members and ambassadors.
•Organising independent media
relations resources.
As well as a number of administration
specific initiatives.
The Welsh Government published a White
Paper in September 2013 on regulating and
inspecting social care services in Wales. It
sets out proposals for legislation – a Bill,
planned for 2015. We responded to the
consultation to reinforce our concerns with
parts of the White Paper that will have a
significant effect on homecare providers.
As a result UKHCA has been invited to
sit on four Technical Groups to cover:
•Services, Registration and Enforcement
•Quality Standards
•Sector Stability
We responded to and have met with
Albert Heaney, Director of Social Services
and Integration, Welsh Government,
on the Integration Framework for
Older People with Complex Needs.
Welsh Government have committed
to improving the quality of social care
commissioning in Wales and improving
constructive engagement between
commissioners and providers. A core
requirement was the establishment of
a National Commissioning Board and
a National Provider Forum to provide
strategic leadership to a range of national,
regional and local activities designed to
improve commissioning and, crucially, to
co-ordinate ongoing engagement between
commissioners and providers. UKHCA is
seen to be an essential part of the formation
and development of the Providers’ Forum
and we will continue to prioritise this as
a major piece of work during 2014-15.
Northern Ireland
We held a well-attended open forum for
UKHCA members in Northern Ireland in April
2013. Speakers from the Government, the
regulator (RQIA), Health and Social Care
Board, and the Patient and Client Council
presented a range of different perspectives.
This was followed in June 2013 by the release
of our report “Can we trust the Trusts?”. Jointly
commissioned and published in partnership
with Independent Health and Care Providers
(IHCP), the report highlighted the gap
between the Northern Ireland Government’s
aspirations contained in “Transforming your
care” proposals and the reality of “cost
before quality” commissioning practised
by the Health and Social Care Trusts.
the platform for follow up discussions
with other influential stakeholders,
such as the Commissioner for Older
People in Northern Ireland (COPNI).
We have appointed a Public Relations agency
in Northern Ireland to work with us in raising
the profile and understanding, amongst both
the public and wider stakeholder communities,
of the challenges care providers face.
We held a successful medication workshop
in Belfast in September 2013.
With the sad loss of Jenny Roberts we are
having to review our activities and re-channel
our focus. UKHCA were approached by
Scottish Care about ways in which we can
work together to deliver greater impact to
benefit providers of care at home services.
The invitation was received as part of our
involvement with the Five Nations Care Forum.
To this end, we were asked to attend the
Scottish Care conference in May 2014,
both as speakers and exhibitors.
Next year will be challenging, as we analyse
and assess the impact of the political
commitments to greater devolution made
during the Scottish referendum debate.
Our workshop programme continues to
attract delegates and we intend to introduce
further workshops as demand increases.
Our action plan for Scotland will focus on
areas of research, engagement with the
media and engagement with policy-makers.
The report secured coverage for the issue in
the Northern Irish media and has provided
UKHCA Impact Statement 2013-14 10
A Minimum Price for Homecare
and National Minimum Wage
Growing awareness of the impact of
public spending cuts on social care
has been met head-on by two major
pieces of work from UKHCA.
National Minimum Wage Toolkit
Increasing allegations that employers may
fail to comply with the National Minimum
Wage were highlighted after a series of
investigations by HM Revenue and Customs
(HMRC). On the day of its report, in November
2013, UKHCA launched our comprehensive
“National Minimum Wage Toolkit”.
The Toolkit assists providers’ understanding of
the application of the National Minimum Wage
Regulations to the complex rostering patterns
used in homecare services and offers
a methodology for providers to self-audit
their compliance.
11 UKHCA Impact Statement 2013-14
The Toolkit is the only sector-specific guidance
available. It was made possible by obtaining
HMRC’s technical manuals under the Freedom
of Information Act and using UKHCA’s indepth knowledge of the homecare sector, with
the expertise of Anthony Collins Solicitors
LLP. The toolkit is free to all UKHCA member
organisations and can be downloaded from
Minimum Price for Homecare
While compliance with the Minimum Wage, the
use of zero hours contracts and inadequate
commissioning of short homecare visits
continued to receive public and government
attention, UKHCA’s “Minimum Price for
Homecare” was published in February 2014.
This is the first time that UKHCA has
published a figure for the minimum rate
necessary to meet legal compliance with
care and employment legislation and
maintain sustainable homecare services.
“We’re strongly recommending that
people use the UKHCA costing
model to work through with
providers, alongside looking at all
local conditions that would then
determine what is a reasonable
price for care.”
Sandie Keene, President 2013-14, ADASS
UKHCA’s figure of £15.19/hour on the prevailing
National Minimum Wage was provided as an
exclusive report for BBC Radio 4’s “File on Four”
current affairs programme, “Cut-Price Care”.
UKHCA worked extensively with the BBC,
assisting the programme makers to reveal
that only four (4) out of 101 councils
responding to a Freedom of Information
Act request were paying consistently above
UKHCA’s minimum rate, an issue which
gained extensive national media coverage.
UKHCA’s Minimum Price was developed using
our on-line Costing Model and was based
on robust assumptions tested with UKHCA’s
Provider Reference Group. All the assumptions
are published openly and transparently in
the accompanying briefing, available to
commissioners, providers and the public.
UKHCA’s Minimum Price for Homecare can
be found at www.ukhca.co.uk/downloads.
aspx?ID=434 and our Costing Model at
“Out of more than a hundred councils
which were prepared to tell us their
minimum hourly rate, only four were
paying £15.19. Several were paying
less than what it would’ve cost just
to employ the staff on minimum
wage, without any allowance for
overheads or training at all.
The average was just £12.26.”
Fran Abrams, Journalist, BBC Radio 4
UKHCA Impact Statement 2013-14 12
Quality enhancement
Bob Ricketts CBE, Director of Commissioning Support Services & Market Development, NHS England, Sharon Allen,
CEO, Skills for Care and Stephen Airey, Policy Lead for Social Care markets, Department of Health at UKHCA England
Conference 2013
The quality of care services has been
under increasing public scrutiny during
the year. Failures in the health and social
care system have featured heavily in the
media, and amongst policy-makers.
The Francis Review into Mid-Staffordshire
NHS Foundation Trust has impacted on social
care, with the Department of Health (DH)
commissioning Camilla Cavendish to undertake
a review into the induction and training of
social care workers, for which UKHCA and its
member organisations provided evidence.
The Association has direct involvement in
the Department of Health’s oversight of
implementation of the recommendations
and input into the most significant work
streams, including the development of
the “Care Certificate”, where we have
13 UKHCA Impact Statement 2013-14
argued strongly that health colleagues
should maximise the benefit from the
work already undertaken by Skills for
Care on Common Induction Standards.
The use of short (15-minute) homecare
visits has received considerable publicity. The
Association has provided extensive broadcast
interviews during the year to ensure that the
pubic understand that this issue is largely the
result of inappropriate commissioning. Briefings
have been undertaken with parliamentarians
on this issue, and its connection with
payment of the National Minimum Wage.
UKHCA has worked with the DH on the
planning and delivery of their “Homecare
Innovation Challenge”, encouraging member
organisations to submit positive ideas for high
quality services. The Association published
three articles on the Guardian’s “Homecare
Hub” and participated in a ministerial webchat as part of the Challenge. UKHCA has
also created both a “Constructive Solutions”
forum and a forum for live-in care providers
to address quality and awareness of the
public of available service options.
The launch of the Government’s Homecare
Summit coincided with national media coverage
that used CCTV footage to expose inadequate
care. UKHCA provided sensitive interviews
at the request of broadcast journalists. Our
response to this and other negative coverage
of homecare services is to reinforce our belief
that high quality services predominate in
the sector and that inappropriate services
are unacceptable. The Association has
also provided appropriate responses to
failures in care to local broadcast media.
A review of adult safeguarding practices
resulting from the passage of the Care Act
2014 has provided UKHCA with the opportunity
to oversee delivery through the Department
of Health’s Safeguarding Adults Advisory
Group and to chair the accompanying ‘taskand-finish’ group on multi-agency working.
Positive moves to address quality have
included the appointment of UKHCA’s
Chief Executive, Bridget Warr, as the Chair
of the Guidance Development Group for
research-based homecare guidance at
the National Institute of Health and Care
Excellence (NICE), where UKHCA’s Policy
Director, Colin Angel, has also been a Social
Care Fellow for the last three years.
Westminster Government has strongly
promoted transparency in social care. UKHCA
has played a leading role in the Transparency
& Quality Compact Measures, developing
transparency measures for homecare services
and encouraging providers individualise their
profiles on the NHS Choices website. UKHCA
supported proposals to develop a national
user-satisfaction survey for people who use
social care, which while not being progressed,
also enabled us to urge the alternative
solution of a return of quality ratings for
providers by the Care Quality Commission.
The Association has also supported a
range of quality initiatives, including the
Department of Health’s Dementia Care and
Support Compact, support for the Social
Care Commitment and Think Local, Act
Personal’s “Making it Real” commitments.
Launched in June 2013, the UKHCA Homecare
Workers’ Handbook has been completely
re-written to bring it right up to date. The
handbook has been well received by members
and is already into its third re-print.
Designed to be easy for careworkers to use,
the handbook is both a complement to their
training and a valuable reference tool. It is
being purchased by members of all types of
organisation right across the homecare sector.
In addition to the standard edition of the
handbook, in the latter part of the financial
year 2013-14, we also took our first orders
for use of content under licence and for
member specific customised editions. We
will continue to explore ways of extending
distribution further during 2014-15.
Factsheets and publications
The Association’s factsheets have been
systematically reviewed, updated or
withdrawn and Homecarer magazine
continues to bring quality-related learning
to our member organisations.
UKHCA Impact Statement 2013-14 14
Training and events
UKHCA England Conference
The England Conference held in November
2013, at The Oval Cricket Ground, on the
theme of “Homecare - Meeting the quality
challenge – today and into the future” – was
our largest and most ambitious to date.
Delegates had the opportunity to hear
from (and in most cases put questions
to) a selection of high profile speakers,
who are all playing a key role in shaping
the social care agenda, including:
•Norman Lamb, Minister of
State for Care & Support
•Jon Rouse, Director General for Social
Care, Department of Health
•Bob Ricketts, Director of Commissioning
Support Services and Market
Development, NHS England
•Sharon Allen, Chief Executive, Skills for Care
•Sandie Keene, President, ADASS (Association
of Directors of Adult Social Services)
•David Behan, Chief Executive, CQC
(Care Quality Commission).
The afternoon offered delegates practical
workshops on issues of real importance to
homecare providers - such as the National
Minimum Wage; recruiting and retaining staff;
service integration; homecare leadership;
online review sites and dementia.
“I’ve really enjoyed the conference
today. I think it gives us a very
good opportunity to hear the
leaders in our field and also, more
importantly, it gives every one of us
the opportunity to put questions to
these people.”
UKHCA England Conference 2013 delegate
15 UKHCA Impact Statement 2013-14
With such a rich mix of content the
break sessions were full of lively debate,
as delegates were able to network and
exchange views with colleagues.
Feedback from delegates and
commercial partners exhibiting
was overwhelmingly positive.
Our thanks to all of the speakers, exhibitors,
workshop leaders, and delegates for making
the day so successful and to conference
sponsors Towergate Patrick, Malinko, NRS
Healthcare and media partner The Guardian
Social network for supporting the event. With
the advent of Twitter, the message from the
conference was also able to reach far beyond
the Oval’s boundary rope on the day, with
250 Tweets using the conference #ukhca
hashtag, reaching over 65,000 different
Twitter accounts.
“I don’t think I’ve ever been to a
UKHCA conference where I’ve not
met somebody different, somebody
new and got some new ideas to take
back to use and to inform my own
UKHCA England Conference 2013 delegate
Our range of workshops continues to offer
support to members on enhancing care
practices; improving business performance
and complying with regulation.
“Having attended your workshop
I have a better knowledge of
medication and can provide better
training to caregivers and care
to clients.”
Over 420 delegates attended a total of 26
workshops held in venues across the UK,
including: Belfast, Birmingham, Bristol, Cardiff,
Edinburgh, London, Manchester and at the
UKHCA offices in Sutton on topics, including:
Improving business performance
•Challenging Procurement decisions (New)
•Selling your business
•Registered Managers workshop (New)
•Being a homecare employer –
Key HR issues (New)
Developing care practice
•End of life care
•Medication train the trainer
•Safeguarding (New)
Complying with regulations
•Preparing for CQC inspections
•National Minimum Wage (New)
With a number of new workshops introduced
we will continue to review and develop our
workshop programme to support members
on the issues which are important to them.
Training funds
UKHCA members benefitted from £350K
of funding towards training care staff
during 2013-14, through our partnership
agreement with Skills for Care.
We have been awarded a three year
national partnership with Skills for Care
and will continue to be able to support
members through access to the Workforce
Development Fund during 2014-15.
UKHCA Impact Statement 2013-14 16
Membership and
membership benefits
With over 2100 member organisations
UKHCA is the leading UK-wide professional
and representative association for homecare
providers. We welcomed 301 new members
during the last year.
Highlights for the year
• Membership grew to 2,169
homecare providers
• Membership survey conducted
• Constructive Solutions Forum formed
• Live-in Care Providers Forum formed
• Active Provider Reference Group
• Extensive media broadcasts
• Continued recognition of UKHCA’s
expertise by stakeholders
• New Homecare Workers’ Handbook published
• Further training funds from
Skills for Care secured
• National Minimum Wage Toolkit published
• Minimum Price for Care published
• House of Commons events held
• Devolved administrations action plan agreed
• Highly successful England conference
• 26 workshops held
• Members’ views incorporated
into consultation responses
17 UKHCA Impact Statement 2013-14
301 New Members
During 2013-14 we welcomed 301 new
homecare provider branches into membership
resulting in a membership base of 2,169.
“We became members of the UKHCA
as soon as we started our company
ten years ago. We were advised to
become members and I’ve never
regretted it.”
Director, UKHCA Member, Yorkshire
New members continue to come from a
variety of different providers – from newly
formed, single branch independent providers
just setting up - to new branches being
added to existing member organisations.
With members representing the full spectrum
of independent, voluntary and statutory
homecare providers - both large and small
– UKHCA are recognised as the “voice of the
homecare sector”. This position is founded on
the depth and breadth of our membership.
“We always feel well supported by the
UKHCA whenever we have to contact
you for support.”
Director, UKHCA Member, Suffolk
We estimate that our member organisations
employ over 149,000 homecare workers,
who deliver over 1.7 million hours of care
per week for around 141,000 service
users, valued at £1.4 billion per annum.
“I think UKHCA do a very good job - I
like the emails that I get about your
involvement and your responses
to statements in the media - I think
this is a very good thing and makes
us look like a professional engaged
industry. I think what you do
is great.”
Quality Manager, UKHCA Member, London
In order that we can continue to serve
and represent our member organisations
in the most effective way, it is important
that we understand their priorities. As part
of this we undertook a comprehensive
membership survey during September 2013.
The findings from the membership
survey reflected the importance and
value that members place on UKHCA’s
representation of the sector to Government,
regulators and the media as well as the
information updates and briefings.
We will continue to maintain our focus
on these areas. We are also using the
results from the survey to inform our work
around raising awareness of the full range
of benefits available to members and the
development of new membership benefits.
We are committed to listening and responding
to our members’ needs as they change over
the coming years, and we will be repeating the
survey on annual basis to track and monitor
our performance and to seek members’
views on the services we provide for them.
Over the next 12 months we are committed
to increasing growth in our membership,
as we continue to represent the interests
of the sector to Government, service
commissioners, regulators, the media and
the wider community of stakeholders.
In our commercial membership category we
have maintained our position from the previous
year and will continue to develop this category,
both in terms of the number of members, and
the opportunities for involvement in projects
and initiatives supporting provider members.
UKHCA Impact Statement 2013-14 18
A sustainable association Treasurer’s statement
UKHCA has achieved its major goal of financial
stability this year, adding substantially to
reserves. This has been achieved by stringent
cost containment and improved membership
renewal procedures.
UKHCA has been able to achieve its goal
of financial stability by actively containing
costs and improving the membership renewal
processes. This, coupled with the introduction
of the Homecare Workers’ Handbook (2013)
and the marketing of membership benefits,
products and services helped to strengthen
our income streams and financial position.
As a direct result the Association was able
to improve the resilience of critical ICT
infrastructures that assisted with improved
membership benefits and services.
During the period of this report the
Association re-located to new premises with
all associated and accrued cost included
in the financial accounts for 2013-2014.
The short to medium term financial and
capital strategy provide the funding
framework within which the Association will
achieve the aspirations and expectations
19 UKHCA Impact Statement 2013-14
of the Corporate Strategy. Detailed risk
analysis covers the unexpected variations
to the revenue budget and the approach
to be adopted towards planning any
capital programme for future years.
Inevitably any plans will need to change as the
demands on the Association’s services change
in the future. We will continue the process
of reprioritising spending with reductions in
lower priority areas being used to support
increases elsewhere. All spending areas will be
kept under review, cost reduction maintained
and inefficiencies reduced wherever possible.
To ensure that resources are allocated
in an appropriate way and to ensure the
Association is operating within means,
systems have been enhanced and advanced
Sources of Income
Disclosure service
Resources and events
to limit, contain and deal with the emergence
of imbalances before they constitute a
threat to the viability of the Association.
The Disclosure Service continues to show
strength with an ever-increasing throughput
of applications to process. The development
and introduction of the Disclosure and Barring
Service (DBS) Update Service did not impact
on the level of disclosures processed.
As the public sector and in particular local
government is in the midst of a period
of sustained change and uncertainty, the
Association must endeavour to find long
term financial solutions rather than relying
on short term or temporary funding streams
to complement membership income.
Trevor Brocklebank
UKHCA Impact Statement 2013-14 20
Officers and staff representing UKHCA’s
membership during 2013-14
Lucianne Sawyer CBE, President
• Editorial Board, Community Care Market News
• Editorial Board, Journal of Care Services Management
• Member, TLAP National Market Development Forum
Yvonne Apsitis, Ambassador
• Policy Group, Welsh Government Social Services Regulation
and Inspection White Paper
• WG Commissioning and Procurement Task Group
• WG Measure on Domiciliary Care Charging Advisory Group
• WG Paying for Care Advisory Group
• CCW Social Care Managers Development Programme
• Member,
• Member,
• Member,
• Member,
Expert Reference Group Domiciliary Care Wales
Welsh Reablement Alliance
Social Care in Partnership S/E Strategic Group
Older People and Ageing Research Steering Group
Noni Cobban, Ambassador
• Member, UKHCA Scottish Working Group
• Council Member, Alzheimer’s Scotland, Chair Service Audit
Committee, Member Executive Committee and International
• Evidence to Scottish Government Health and Sport
Committee Enquiry into Regulation of Care and Self Directed
Support Bill
• Non-Executive Director, Highland Home Carers Ltd
• Non- Executive Director, Stewartry Care Ltd
21 UKHCA Impact Statement 2013-14
Mike Padgham, Chair
• Chair, Independent Care Group, York and North Yorkshire
• Non-Executive Director, English Community Care Association
• Joint Chair, Market Development Board, North Yorkshire
• Representative, 5 Nations Forum
• Representative, TLAP Partnership
Stephen Allen, Vice Chair and Chair of Audit and
Remuneration Committees
• Director, Coast to Capital Local Enterprise Partnership
Stephen Mills, Honorary Treasurer
(resigned 23rd October 2013)
• Fellow Chartered Management Accountant
UKHCA Impact Statement 2013-14 22
Lynda Gardner, Honorary Secretary
• Board member, Oxfordshire Association of
Care Providers (OACP)
Jo Guy, Board Member
(resigned 23rd October 2013)
• National High Level Steering Group Care Ambassadors
• Steering Group Care Ambassadors West Yorkshire
• West Yorkshire Social Care Network for the sector
skills council
• Yorkshire Coalition Group
Dominique Kent, Board Member
(elected 23rd October 2013)
Lesley Megarity, Board Member
(Northern Ireland)
• Director, Independent Health & Care Providers
• Director, Domestic Care Group
23 UKHCA Impact Statement 2013-14
Sushil Radia, Board Member
(resigned 23rd October 2013)
• Trustee, Centre for Policy on Ageing
• Trustee, Royal Masonic Benevolent Institution
Valerie Robson, Board Member
(resigned 23rd October 2013)
• Affiliate member, Chartered Institute of Housing
Richard Smith, Board Member
(elected 23rd October 2013)
• Director of Care & Support West
John Strangwick, Board Member
(resigned 23rd October 2013)
• Director, Surrey Care Association
• Director, Skills for Care (National)
• Vice Chair, Regional Member, Skills for Care (South East)
UKHCA Impact Statement 2013-14 24
Raina Summerson, Board member
(elected 23rd October 2013)
Noel Williams, Board Member
(resigned 15th April 2013)
Wayne Rees, Board Member
(elected 17th July 2013)
Peter King, Board Member
25 UKHCA Impact Statement 2013-14
Trevor Brocklebank, Board Member
(appointed Honorary Treasurer 23rd October 2013)
Max Wurr, Board Member
• Member of the NICE Homecare Guidance Development Group
Bridget Warr, Chief Executive
• Member, Think Local Act Personal (TLAP) Partnership and
Programme Board
• Chair, TLAP’s Personal Budgets and Personal Health Budgets
Alignment Project
• Representative, Care Provider Alliance
• Representative, 5 Nations Care Forum
• Member, Adult Safeguarding Advisory Board (DH)
• Member, Prime Minister’s Dementia Champion Group
• Chair, Dementia Health and Care Homecare Sub-Group
• Member, Developing Care Markets for Quality and Choice
(DH and IPC)
• Member, Care and Support Transformation Group (DH)
• Representative, Adult Safeguarding Advisory Group (DH)
• Member, Cavendish Governance Advisory Board (DH)
• Member, Homecare Innovation Panel (DH)
• Chair, Homecare Guidance development Group (NICE)
UKHCA Impact Statement 2013-14 26
Peter Randall, Corporate Services Director
• Fellow of the Institute of Association Management
Colin Angel, Policy and Campaigns Director
• NICE Social Care Fellow (2011-13)
• Chair, Department of Health’s Adult Safeguarding Task &
Finish Group on multi-agency working
• Member, CQC’s Adult Social Care Co-Production Group
• Member, CQC’s Fees Advisory Panel
• Member, Health Education England / Skills For Care
Cavendish Reference Group
• Member, TLAP’s National Market Development Forum
• Member, Department of Health’s Transparency
Compact Group
• Member, Skills for Care’s Market Dynamics and
Workforce Advisory Group
• Representative, Care Provider Alliance
• CQC’s Advisory group for thematic probe on
careworker induction
• NICE Social Care Programme Board
• NICE External Reference Group
• Skills for Care’s Recruitment and Retention working group
• Employers for Carers Task and Finish Group
Andrew Heffernan, Membership and Marketing Director
27 UKHCA Impact Statement 2013-14
Extracts from the audited accounts
The following pages contain the statutory extracts
from the audited accounts and the minutes of the
18th Annual General Meeting of United Kingdom
Homecare Association Ltd.
UKHCA Impact Statement 2013-14 28
United Kingdom Homecare Association Limited
Company Limited by Guarantee
Directors' report
Year ended 31 March 2014
The directors present their report and the audited financial statements of the company for the year ended
31 March 2014.
Principal activities and results
The principal activity of the company during the year continues to be that of a non-profit making association for
the benefit of its members in domiciliary care and the promotion of the highest standards in home care.
Membership income has increased as a result of system changes that have been introduced as part of the
operational changes previously reported. Disclosure Services continues to provide an increase in income with no
impact being felt as a result of the introduction of the Update Service and changes to legislation that allows time
limited portability of existing Disclosure certificates.
During the year under review the Association has relocated to new premises as the previous location was subject
to planning permission which was given to convert to apartments so additional overhead expenditure in respect of
relocation expenses were experienced. No dilapidation costs were incurred but there were exceptional non recurring costs of £24,727.
With this in mind the directors have considered the position regarding the company's ability to continue as a going
concern. The Association had at the balance sheet date cash in hand and at the bank of £330,116 and reserves
of £138,249 and made a surplus for the year of £58,519 after tax. As a result the directors have adopted the going
concern basis of accounting and do not consider there are any material uncertainties in this respect.
The directors who served the company during the year were as follows:
M Padgham
S B Allen
P Randall
L Gardner
G B Warr
L C Megarity
T J Brocklebank
P G King
M Wurr
W Rees
D Kent
R Smith
R Summerson
N A Williams
J Strangwick
S C Radia
V Robson
J K Guy
S A J Mills
(Appointed 18 June 2013)
(Appointed 23 October 2013)
(Appointed 23 October 2013)
(Appointed 23 October 2013)
(Resigned 7 May 2013)
(Resigned 23 October 2013)
(Resigned 23 October 2013)
(Resigned 23 October 2013)
(Resigned 23 October 2013)
(Resigned 23 October 2013)
Directors' responsibilities
The directors are responsible for preparing the directors' report and the financial statements in accordance with
applicable law and regulations.
Company law requires the directors to prepare financial statements for each financial year. Under that law the
directors have elected to prepare the financial statements in accordance with United Kingdom Generally Accepted
Accounting Practice (United Kingdom Accounting Standards and applicable law). Under company law the
directors must not approve the financial statements unless they are satisfied that they give a true and fair view of
the state of affairs of the company and of the surplus or deficit of the company for that year.
In preparing these financial statements, the directors are required to:
select suitable accounting policies and then apply them consistently;
make judgements and accounting estimates that are reasonable and prudent;
29 UKHCA Impact Statement 2013-14
United Kingdom Homecare Association Limited
Company Limited by Guarantee
Directors' report (continued)
Year ended 31 March 2014
prepare the financial statements on the going concern basis unless it is inappropriate to presume that the
company will continue in business.
The directors are responsible for keeping adequate accounting records that are sufficient to show and explain the
company's transactions and disclose with reasonable accuracy at any time the financial position of the company
and enable them to ensure that the financial statements comply with the Companies Act 2006. They are also
responsible for safeguarding the assets of the company and hence for taking reasonable steps for the prevention
and detection of fraud and other irregularities.
Each of the persons who is a director at the date of approval of this report confirms that:
so far as they are aware, there is no relevant audit information of which the company's auditor is unaware;
they have taken all steps that they ought to have taken as a director to make themselves aware of any
relevant audit information and to establish that the company's auditor is aware of that information.
Small company provisions
This report has been prepared in accordance with the provisions applicable to companies entitled to the small
companies exemption.
Signed on behalf of the directors
T J Brocklebank
Approved by the directors on 9 July 2014
UKHCA Impact Statement 2013-14 30
United Kingdom Homecare Association Limited
Company Limited by Guarantee
Independent auditor's report to the members of United Kingdom Homecare
Association Limited
Year ended 31 March 2014
We have audited the financial statements of United Kingdom Homecare Association Limited for the year ended
31 March 2014 which comprise the income and expenditure account, balance sheet and the related notes. The
financial reporting framework that has been applied in their preparation is applicable law and the Financial
Reporting Standard for Smaller Entities (effective April 2008) (United Kingdom Generally Accepted Accounting
Practice applicable to Smaller Entities).
This report is made solely to the company's members, as a body, in accordance with Chapter 3 of Part 16 of the
Companies Act 2006. Our audit work has been undertaken so that we might state to the company's members
those matters we are required to state to them in an auditor's report and for no other purpose. To the fullest extent
permitted by law, we do not accept or assume responsibility to anyone other than the company and the
company's members as a body, for our audit work, for this report, or for the opinions we have formed.
Respective responsibilities of directors and auditor
As explained more fully in the directors' responsibilities statement set out on pages 2 to 3, the directors are
responsible for the preparation of the financial statements and for being satisfied that they give a true and fair
view. Our responsibility is to audit and express an opinion on the financial statements in accordance with
applicable law and International Standards on Auditing (UK and Ireland). Those standards require us to comply
with the Auditing Practices Board's Ethical Standards for Auditors.
Scope of the audit of the financial statements
An audit involves obtaining evidence about the amounts and disclosures in the financial statements sufficient to
give reasonable assurance that the financial statements are free from material misstatement, whether caused by
fraud or error. This includes an assessment of: whether the accounting policies are appropriate to the company's
circumstances and have been consistently applied and adequately disclosed; the reasonableness of significant
accounting estimates made by the directors; and the overall presentation of the financial statements. In addition,
we read all the financial and non-financial information in the annual report to identify material inconsistencies with
the audited financial statements and to identify any information that is apparently materially incorrect based on, or
materially inconsistent with, the knowledge acquired by us in the course of performing the audit. If we become
aware of any apparent material misstatements or inconsistencies we consider the implications for our report.
Opinion on financial statements
In our opinion the financial statements:
give a true and fair view of the state of the company's affairs as at 31 March 2014 and of its surplus for the
year then ended;
have been properly prepared in accordance with United Kingdom Generally Accepted Accounting Practice
applicable to Smaller Entities; and
have been prepared in accordance with the requirements of the Companies Act 2006.
Opinion on other matter prescribed by the Companies Act 2006
In our opinion the information given in the directors' report for the financial year for which the financial statements
are prepared is consistent with the financial statements.
Matters on which we are required to report by exception
We have nothing to report in respect of the following matters where the Companies Act 2006 requires us to report
to you if, in our opinion:
adequate accounting records have not been kept, or returns adequate for our audit have not been received
from branches not visited by us; or
the financial statements are not in agreement with the accounting records and returns; or
certain disclosures of directors' remuneration specified by law are not made; or
we have not received all the information and explanations we require for our audit; or
the directors were not entitled to prepare the financial statements in accordance with the small companies
regime and take advantage of the small companies' exemption in preparing the directors' report and take
advantage of the small companies' exemption from the requirement to prepare a strategic report.
IAN B JOHNSON (Senior Statutory Auditor)
for and on behalf of CHANTREY VELLACOTT DFK LLP
Chartered Accountants and Statutory Auditor
16 July 2014
31 UKHCA Impact Statement 2013-14
United Kingdom Homecare Association Limited
Company Limited by Guarantee
Income and expenditure account
Year ended 31 March 2014
Cost of sales
Gross surplus
Administrative expenses
Other operating income
Other operating expenses
Operating surplus / (deficit)
Interest receivable
Tax on surplus / (deficit) on ordinary activities
Surplus / (deficit) for the financial year
Surplus / (deficit) on ordinary activities before taxation
There is no difference between the results shown above and their historical cost equivalents.
The notes on pages 7 to 13 form part of these financial statements.
-5UKHCA Impact Statement 2013-14 32
United Kingdom Homecare Association Limited
Company Limited by Guarantee
Balance sheet
As at 31 March 2014
Fixed assets
Tangible assets
Current assets
Cash at bank
Creditors: amounts falling due within one year
Net current assets
Total assets less current liabilities
Members' funds
Income and expenditure account
These accounts have been prepared in accordance with the provisions applicable to companies subject to the
small companies regime and with the Financial Reporting Standard for Smaller Entities (effective April 2008).
These financial statements were approved by the directors and authorised for issue on 9 July 2014, and are
signed on their behalf by:
T J Brocklebank
Company Registration Number: 3083104
The notes on pages 7 to 13 form part of these financial statements.
-633 UKHCA Impact Statement 2013-14
Annual General Meeting 2013
Minutes of the 18th Annual General
Meeting of United Kingdom
Homecare Association
Held at the United Kingdom Home Care
Association, Group House, Sutton Court Road,
Sutton, Surrey, SM1 4SL
On Wednesday 23rd October 2013
The meeting commenced at 10.00am
•Cedric Frederick, Avante Partnership
•Robert Stephenson-Padron, Penrose Care
•William Pugh, Cambridgeshire Care Agency
•Lin Barnes, Christies Care
•Elise Law-Kwang, L K Recruitment
2. Approval of the minutes of the 2012 AGM
The Hon Secretary, Lynda Gardner, commended
the Minutes of the 2012 Annual General
The Company Secretary announced that the
meeting was not quorate as a result of too
few eligible members being in attendance. As
allowed in the Articles of Association of UKHCA,
the meeting was adjourned at 10.03. It was
convened at 10.20am and the members there
present then formed a quorum.
Motion for approval:
In the absence of the Chair and Vice Chair, the
Hon Secretary, Lynda Gardner, acted as Chair.
3. A
cceptance of the annual
impact statement
1. Apologies for absence
The Company Secretary, Bridget Warr,
commended the Annual Impact Statement for
the period April 2012 to March 2013.
The acting Chair, Lynda Gardner, had received
apologies of absence from:
•Proposed by John Strangwick – Clarendon
•Seconded by Peter King – Kemble Care
Declared carried on a show of hands.
Motion for approval:
•Mike Padgham, Chair
•Steve Allen, Vice Chair
•Sushil Radia, Westminster Homecare
•Steve Mills, Do Care
•Jo Guy, A J Group
•Max Wurr, City and County Healthcare Group
•Simon Buxton, Prestige Homecare Ltd
•Mark Ferguson, 1 to 1 Care
•Noni Cobban, Ambassador
•Yvonne Apsitis, Ambassador
•Proposed by Lesley Megarity, Domestic
Care Ltd
•Seconded by John Strangwick, Clarendon
Declared carried on a show of hands.
UKHCA Impact Statement 2013-14 34
4. E
lection of non-executive
board directors
Band 1
There were 12 nominations received by the
Hon Secretary, Lynda Gardner, for the 3
available places within Band 1. An election was
held and the following were duly elected
•Simon Buxton, Prestige Homecare
•Dominique Kent, The Good Care Group
•Richard Smith, Way Ahead Community
5. Appointment of the auditor
In the absence of the Treasurer, Steve Mills,
the Company Secretary, Bridget Warr, proposed
the appointment of Chantrey Vellacott DFK as
auditors for the year 2013/2014 at a fee to be
decided by the Board.
•Proposed by Peter King, Kemble Care
•Seconded by John Strangwick, Clarendon
Declared carried on a show of hands.
6. Debate of motions
Band 2
No motions had been received.
There was 1 nomination received by the Hon
Secretary, Lynda Gardner for the 1 available
place within Band 2.
•Raina Summerson, Agincare UK.
Elected unopposed.
There were no nominations received by the
Hon Secretary, Lynda Gardner, for the 1
available place in Scotland.
A separate election will be called.
35 UKHCA Impact Statement 2013-14
The meeting closed at 10.29am.
UKHCA Impact Statement 2013-14 36
37 UKHCA Impact Statement 2013-14
UKHCA Impact Statement 2013-14 38
If you have particular needs which
make it difficult to read this document,
please contact us on 020 8661 8188 or
[email protected] and we will try
to find the most suitable format for you.
For more information www.ukhca.co.uk
United Kingdom Homecare Association Ltd
Sutton Business Centre
Restmor Way
Telephone: 020 8661 8188
Email: [email protected]
Registered in England, number: 3083104
39 UKHCA Impact Statement 2013-14