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. Contents 3 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 Sub-Group 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 Wales •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 Scotland •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 Media •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 administrations 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, including: •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. Wales 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 •Workforce 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. Scotland 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 www.ukhca.co.uk/downloads.aspx?ID=422. 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 www.ukhca.co.uk/CostingModel. “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. Resources 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 practice.” UKHCA England Conference 2013 delegate Workshops 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 •Tendering •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 13% 1% Membership 1% Disclosure service 13% Advertising Resources and events 81% Commission 72% 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 Treasurer 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 Committee • 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 (Scotland) (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 (Wales) (resigned 15th April 2013) Wayne Rees, Board Member (Wales) (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. Directors 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 -2- 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; and - 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 Director Approved by the directors on 9 July 2014 -3- 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 Reading 16 July 2014 31 UKHCA Impact Statement 2013-14 -4- United Kingdom Homecare Association Limited Company Limited by Guarantee Income and expenditure account Year ended 31 March 2014 2014 £ Note Turnover 1,922,415 1,705,385 (1,081,299) Cost of sales Gross surplus (955,681) ─────────── ─────────── (794,968) (811,505) 841,116 Administrative expenses 3 Other operating income Other operating expenses 2 370,713 (350,936) ─────────── Operating surplus / (deficit) 3 Interest receivable 4 19,777 65,925 5 Tax on surplus / (deficit) on ordinary activities ─────────── 21,465 ─────────── (40,336) 476 976 ─────── ─────── 66,401 (39,360) (7,882) (4,539) ─────── Surplus / (deficit) for the financial year 749,704 591,201 (569,736) ─────────── Surplus / (deficit) on ordinary activities before taxation 2013 £ 58,519 ═══════ ─────── (43,899) ═══════ 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 Note Fixed assets Tangible assets 6 Current assets Stocks Debtors Cash at bank 7 Creditors: amounts falling due within one year 8 Net current assets Total assets less current liabilities 2014 £ 28,565 12 Members' funds 19,865 ───────────── ───────────── 3,040 51,605 330,116 3,680 229,593 275,591 ───────────── ───────────── ───────────── ───────────── 109,684 59,865 ───────────── ───────────── ═════════════ ═════════════ 384,761 275,077 138,249 Reserves Income and expenditure account 2013 £ 138,249 508,864 448,999 79,730 79,730 ───────────── ───────────── ═════════════ ═════════════ 138,249 79,730 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 Director 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 Meeting. 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 Homecare •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 Homecare 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 Services 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 Homecare 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. Scotland 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. Notes UKHCA Impact Statement 2013-14 36 Notes 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 accessibility@ukhca.co.uk 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 Wallington SM6 7AH Telephone: 020 8661 8188 Email: enquiries@ukhca.co.uk Registered in England, number: 3083104 39 UKHCA Impact Statement 2013-14