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Domiciliary Care - UK - August 2016

“It is argued that the UK does not have the required infrastructure to move to a model of care that relies so heavily on family and community support, with significant extra investment needed if this were to happen. Without greater support, both financial and through more formal care, greater amounts of unpaid care could risk an erosion in the quality of care provided.”
– Lewis Cone, B2B Analyst

This report answers the following key questions:

  • Does the sector still require a ‘cost cap’?
  • Will the 2% council tax precept be enough to fill the care funding gap?
  • Are domiciliary care providers doing enough to offer suitable care for those with the most intensive needs?
  • What does the future hold for domiciliary care?

The market for domiciliary care covers a broad range of healthcare services provided in the home. This ranges from home help services, such as assistance with shopping, ironing and cleaning, through to the provision of meals and assistance with rising and retiring, as well as high-tech healthcare provision. Much of the market involves the supply of such services to the elderly, but receivers of domiciliary care also include people with long-term illnesses and disabilities, as well as those recently dismissed from hospital care.

This report covers the provision of domiciliary care services by a range of organisations, including:

  • Local authority provision, including the supply of meal services, day centres, occupational therapy and consumer monitoring, social alarms and telecare. Local authorities purchase domiciliary care services through a range of service providers, including the direct purchase of LA providers; voluntary services, which are operated by charities and religious organisations registered with the LA; and private service providers
  • Private purchase of domiciliary care, including informal care, includes the provision of services purchased directly either by, or on behalf of, the customer. Typically, this includes private clients who are either ineligible for LA domiciliary care provision, those who prefer a private provision rather than LA services, and those who are topping up LA packages
  • NHS community health services, including care related to the early hospital discharge and rehabilitation of patients and the provision of high-tech domestic healthcare and healthcare services. This includes community nursing services providing direct nursing services, such as control of incontinence, drug administration and some forms of social care; community psychiatric nursing; community learning disability services; specialist nursing such as HIV, terminal care, continence and ostomy care, as well as occupational therapy, physiotherapy and chiropody services. Community health and para-medical services are typically purchased by health authorities or GP fund-holders and are provided by community NHS trusts
  • Informal domiciliary care refers to care normally provided to individuals requiring low intensity care and is frequently used to supplement LA and private domiciliary care. Informal carers often help with daytoday tasks, such as shopping, housework, ironing and gardening. The sector includes individuals who offer services and assistance, typically in local newspapers. Friends and family, predominantly women, offering companionship also represent a marginal proportion of the informal domiciliary care market. Reliable, official data on the value of informal care is scarce so an evaluation of the market is subject to interpretation, particularly the hourly value of informal carers’ time.

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Table of contents

  1. Executive Summary

      • Market size
        • Figure 1: UK Market for Domiciliary Care, 2011/12-2015/16, (£ Million)
        • Figure 2: Segmentation of the UK Market Domiciliary Care, by Type of Purchaser, 2011/12-2015/16, (£ Million)
      • Market trends
        • Old age support ratio projected to fall
          • Figure 3: UK Population Projections, by Age Group, 2016-2040, (Million People)
        • Rising gap between costs and fees are affecting service provision...
          • ...which is also applying greater pressure on the sector’s workforce
            • Figure 4: Annual Workforce Turnover Rates in the Independent and Voluntary Domiciliary Care Sector, England, 2015 and 2016, by Employee Position, (%)
          • CQC inspections find vast range in quality of service provision
            • Regional analysis
              • Figure 5: Number of Domiciliary Care Service Users per 10,000 Adults, by Region, 2010/11-2014/15, (No. Of Clients per 10,000 adults)
            • Market factors
              • Ageing population and pension changes will increase strain on service provision and care affordability
                • Care fee and cost funding gap has widened due to implementation of higher minimum and living wages
                  • The consumer
                    • Close to three-quarters of people have not thought about how they would pay for care
                      • Figure 6: Domiciliary Care Payment Plans, June 2016, (% of Respondents)
                    • People expect to use personal savings and pension income to fund care
                      • Figure 7: Domiciliary Care Payment Method, June 2016, (% of Respondents)
                    • Carer selection and time duration determine choice
                      • Opinion of current home care users weighs heavy on agency choice
                        • Financial concerns impact desirable care preferences
                          • Figure 8: Domiciliary Care Service Preferences, June 2016, (% of Respondents)
                        • Companies
                          • Affordability concerns leading to changes to, and even termination of, service contracts
                            • Allied Healthcare retains position as market-leading service provider
                              • Figure 9: Independent Sector Domiciliary Providers’ Market Share, 2016, (% of Total Independent Sector Market)
                            • Forecast
                              • Sluggish growth expected in the market over the next five years
                                • Figure 10: Forecast UK Domiciliary Care Market Value, 2016/17-2020/21, (£ Million at 2016 prices)
                              • Informal care expected to continue to reduce the burden placed on formal care providers in the light of a growing number of care users with intensive care needs
                                • Figure 11: Forecast UK Domiciliary Care Market Segmentation Value, by Type, 2016/17-2020/21, (£ Million at 2016)
                              • What we think
                              • Key Insights

                                  • Does the sector still require a ‘cost cap’?
                                    • Will the 2% council tax precept be enough to fill the care funding gap?
                                      • Are domiciliary care providers doing enough to offer suitable care for those with the most intensive needs?
                                        • What does the future hold for domiciliary care?
                                        • Introduction

                                            • Definitions
                                              • Methodology
                                                • Abbreviations
                                                  • Market positioning
                                                  • UK Economy

                                                    • Key points
                                                      • Overview
                                                        • Figure 12: UK GDP, 2005-2015, (% Quarterly Growth and GDP in £ Billion)
                                                        • Figure 13: UK Output, by Industry, 2008-2016, (Index 2012 = 100)
                                                        • Figure 14: Quarters after GDP Peak, 1979, 1990 and 2008, (Number of Quarters and GDP as % of PreDownturn Peak)
                                                      • Inflation
                                                        • Interest rates
                                                          • House prices
                                                            • Figure 15: UK House Price changes, 2004-2016, (12-month % change)
                                                          • Consumer spending
                                                            • Manufacturing
                                                              • Figure 16: UK Manufacturing, 2013-16, (Index, 2012 = 100)
                                                            • Business investment
                                                              • Figure 17: UK GFCF 2003-15, (£ Million)
                                                            • Imports
                                                              • Exports
                                                              • Market Factors

                                                                • Key points
                                                                  • Ageing population, alongside pension changes, will increase strain on service provision and care affordability
                                                                    • Care fee and cost funding gap has widened due to implementation of higher minimum and living wages
                                                                      • High profile care scandals highlight growing pressure on the sector
                                                                        • ‘Brexit’ could lead to further staff turnover pressures
                                                                          • Other factors
                                                                            • NICE guidelines
                                                                              • CQC regulatory fees
                                                                                • Legislation
                                                                                  • Community Care Act
                                                                                    • Care Standards Act
                                                                                      • Regulation and Inspection Bill (Wales)
                                                                                        • The Care Act 2014 and Better Care Fund
                                                                                          • Market oversight
                                                                                            • Care Certificate
                                                                                              • Pensions Act
                                                                                                • The Carers’ Strategy
                                                                                                  • Other legislation
                                                                                                  • Market Size

                                                                                                    • Key points
                                                                                                      • England
                                                                                                        • Wales
                                                                                                          • Scotland
                                                                                                            • Northern Ireland
                                                                                                              • UK
                                                                                                                • Market value
                                                                                                                  • Figure 18: UK Market for Domiciliary Care, 2011/12-2015/16, (£ Million)
                                                                                                                  • Figure 19: UK Market for Domiciliary Care, 2011/12-2015/16, (£ Million)
                                                                                                                  • Figure 20: UK Commercial Market for Domiciliary Care, 2011/12-2015/16, (£ Million)
                                                                                                                  • Figure 21: UK Commercial Market for Domiciliary Care, 2011/12-2015/16, (£ Million)
                                                                                                              • Market Segmentation

                                                                                                                • Key points
                                                                                                                    • Figure 22: Segmentation of the UK Domiciliary Care Market, by Type of Purchaser, 2011/122015/16, (£ Million)
                                                                                                                    • Figure 23: Segmentation of the UK Domiciliary Care Market, by Type of Purchaser, 2011/12-2015/16, (£ Million)
                                                                                                                • Local Authority Expenditure

                                                                                                                  • Key points
                                                                                                                    • Older people (65+)
                                                                                                                      • Figure 24: Segmentation of Local Authority Expenditure on Domiciliary Care for Older People (65+) in the UK, by Type, 2010/11-2014/15, (£ Million)
                                                                                                                      • Figure 25: Segmentation of Local Authority Expenditure on Domiciliary Care for Older People (65+) in the UK, by Type, 2010/11-2014/15, (£ Million)
                                                                                                                    • Adults aged 18-64
                                                                                                                      • Figure 26: Segmentation of Local Authority Expenditure on Domiciliary Care for Adults aged 18-64 in the UK, by Client Type, 2010/11-2014/15, (£ Million)
                                                                                                                      • Figure 27: Segmentation of Local Authority Expenditure on Domiciliary Care for Adults aged 18-64 in the UK, by Client Type, 2010/11-2014/15, (£ Million)
                                                                                                                      • Figure 28: Segmentation of UK Local Authority Expenditure on Domiciliary Care, All Adults, by Client Type, 2010/11-2014/15, (%)
                                                                                                                      • Figure 29: Segmentation of UK Local Authority Expenditure on Domiciliary Care, all adults, by Client Type, 2010/11 and 2014/15, (%)
                                                                                                                      • Figure 30: Number of Contact Hours of Home Care Provided in the UK, by Sector and Country, 2011/12-2015/16, (Million hours)
                                                                                                                      • Figure 31: Number of Contact Hours of Home Care Provided in the UK, by Sector, 2011/12-2015/16, (Million Hours)
                                                                                                                      • Figure 32: Number of Domiciliary Care Service Users, by Region, 2010/11-2014/15, (Thousands)
                                                                                                                      • Figure 33: Number of Domiciliary Care Service Users per 10,000 Adults, by Region, 2010/11-2014/15, (No. Of Clients per 10,000 adults)
                                                                                                                      • Figure 34: Number of Domiciliary Care Service Users per 10,000 Adults, by Region, 2010/11 and 2014/15, (No. of Clients per 10,000 adults).
                                                                                                                      • Figure 35: Local Authority Expenditure, All Adults, by Region, 2010/11-2014/15, (£ Million)
                                                                                                                    • Chart 32: Local Authority Domiciliary Care Expenditure for All Adults, by Age Category, 2010/11-2014/15, (£ Million)
                                                                                                                      • Chart 32: Local Authority Domiciliary Care Expenditure for All Adults, by Age Category, 2010/11-2014/15, (£ Million)
                                                                                                                      • Figure 36: Local Authority Expenditure, Older People (65+), by Region, 2010/11-2014/15, (£ Million)
                                                                                                                      • Figure 37: Local Authority Expenditure, Older People (65+), 2010/11 and 2014/15, (£ Million)
                                                                                                                      • Figure 38: Local Authority Expenditure, Adults (18-64) with Physical or Sensory Disabilities, by Region, 2010/11-2014/15, (£ Million)
                                                                                                                      • Figure 39: Local Authority Expenditure, Adults (18-64) with Learning Disabilities, by Region, 2010/11-2014/15, (£ Million)
                                                                                                                      • Figure 40: Local Authority Expenditure, Adults (18-64) with Mental Health Needs, by Region, 2010/11-2014/15, (£ Million)
                                                                                                                      • Figure 41: Local Authority Expenditure, All Adults (18-64), by Region, 2010/11-2014/15, (£ Million)
                                                                                                                    • Government spending pledge may not be sufficient to plug funding gap
                                                                                                                      • Growing trend away from formal care provision
                                                                                                                      • NHS Expenditure

                                                                                                                        • Key points
                                                                                                                          • Figure 42: Segmentation of NHS Expenditure on Social Care Community Services, by Country, 2011/12-2015/16, (£ Million)
                                                                                                                          • Figure 43: Segmentation of NHS Expenditure on Social Care Community Services, by Country, 2011/12 and 2015/16, (% of Total)
                                                                                                                      • High Tech Domiciliary Care

                                                                                                                        • Key points
                                                                                                                          • Telecare and telemedicine market development
                                                                                                                            • Industry association ensuring standards and service quality remains high
                                                                                                                            • Private Expenditure

                                                                                                                              • Key points
                                                                                                                                  • Figure 44: Segmentation of Private Expenditure on Domiciliary Care in the UK, by Type, 2011/12-2015/16, (£ Million)
                                                                                                                                  • Figure 45: Segmentation of Private Expenditure on Domiciliary Care in the UK, by Type, 2011/12-2015/16, (£ Million)
                                                                                                                                  • Figure 46: Estimated Size of the Self-Funded Home Care Market, by Client Type, 2015/16, (in Units, Hours, Million Hours and £ Million)
                                                                                                                                  • Figure 47: UK Domiciliary Care Self-Funders, by Region, 2015, (Hours Purchased, Expenditure and Number of People)
                                                                                                                              • Informal Care

                                                                                                                                • Key points
                                                                                                                                    • Figure 48: Informal Carers by Relationship to Person Receiving Care in England, 2011/12-2014/2015, (% of Informal Carers)
                                                                                                                                    • Figure 49: The UK Market for Informal Domiciliary Care, 2011/12 - 2015/16, (£ Billion and Hours)
                                                                                                                                    • Figure 50: UK Market for Informal Domiciliary Care, 2011/12-2015/16, (£ Billion and billion hours)
                                                                                                                                • Market Trends

                                                                                                                                  • Key points
                                                                                                                                    • Old age support ratio projected to fall
                                                                                                                                        • Figure 51: UK Population Projections, by Age Group, 20162040, (000 people)
                                                                                                                                        • Figure 52: Estimated and Projected Age Structure of the United Kingdom Population, by Sex, Mid-2016 and Mid-2040, (Thousands)
                                                                                                                                      • Rising gap between costs and fees are affecting service provision...
                                                                                                                                        • Figure 53: Estimated Minimum Price for Home Care, 2016, (£)
                                                                                                                                      • ...that is also applying greater pressure on the sector’s workforce
                                                                                                                                          • Figure 54: Annual Workforce Turnover Rates in the Independent and Voluntary Domiciliary Care Sector, England, 2015 and 2016, by Employee Position, (%)
                                                                                                                                          • Figure 55: Annual Workforce Turnover Rates in the Independent and Voluntary Domiciliary Care Sector, England, 2015 and 2016, by Employee Position, (%)
                                                                                                                                          • Figure 56: Average Annual Pay in the Independent and Voluntary Domiciliary Care Sector, England, 2015 and 2016, by Employee Position, (£)
                                                                                                                                          • Figure 57: Average Annual Pay in the Independent and Voluntary Domiciliary Care Sector, England, 2015 and 2016, by Employee Position, (£)
                                                                                                                                        • CQC inspections find vast range in quality of service provision
                                                                                                                                          • Figure 58: CQC Inspection Outcomes, England, 1 October 2014 - 1 April 2016, (Rating and % of Registered Locations Inspected)
                                                                                                                                      • Regional Analysis

                                                                                                                                        • Key points
                                                                                                                                          • England
                                                                                                                                            • North East
                                                                                                                                              • Figure 59: Analysis of Local Authority Domiciliary Care Expenditure on Older People in the North East of England, by Authority, 2010/11-2014/15, (£000)
                                                                                                                                            • North West
                                                                                                                                              • Figure 60: Analysis of Local Authority Domiciliary Care Expenditure on Older People in the North West of England, by Authority, 2010/11-2014/15, (£ 000)
                                                                                                                                            • Yorkshire & the Humber
                                                                                                                                              • Figure 61: Analysis of Local Authority Domiciliary Care Expenditure on Older People in Yorkshire & The Humber, by Authority, 2010/11-2014/15, (£000)
                                                                                                                                            • East Midlands
                                                                                                                                              • Figure 62: Analysis of Local Authority Domiciliary Care Expenditure on Older People in the East Midlands by Authority, 2010/11-2014/15, (£000)
                                                                                                                                            • West Midlands
                                                                                                                                              • Figure 63: Analysis of Local Authority Domiciliary Care Expenditure on Older People in the West Midlands, by Authority, 2010/11-2014/15, (£000)
                                                                                                                                            • South West
                                                                                                                                              • Figure 64: Analysis of Local Authority Domiciliary Care Expenditure on Older People in South West England, by Authority, 2010/11-2014/15, (£000)
                                                                                                                                            • East of England
                                                                                                                                              • Figure 65: Analysis of Local Authority Domiciliary Care Expenditure on Older People in East of England, by Authority, 2010/11-2014/15, (£000)
                                                                                                                                            • London
                                                                                                                                              • Figure 66: Analysis of Local Authority Domiciliary Care Expenditure on Older People in London, by Authority, 2010/11-2014/15, (£000)
                                                                                                                                            • South East
                                                                                                                                              • Figure 67: Analysis of Local Authority Domiciliary Care Expenditure on Older People in the South East of England, by Authority, 2010/11-2014/15, (£000)
                                                                                                                                            • Scotland
                                                                                                                                              • Figure 68: Domiciliary Care Clients in Scotland, by Client Type and Authority, 2014/15, (Number of Clients)
                                                                                                                                              • Figure 69: Domiciliary Care Clients in Scotland, by Client Type and Authority, 2015/16, (Number of Clients)
                                                                                                                                              • Figure 70: Distribution of Home Care Hours per week in Scotland, 2014/15, by Time Band and District, (% of Clients)
                                                                                                                                              • Figure 71: Distribution of Home Care Hours per week in Scotland, 2015/16, by Time Band and District, (% of Clients)
                                                                                                                                            • Wales
                                                                                                                                              • Figure 72: Number of Domiciliary Care Clients Aged 65+ in Wales, 2010/11-2014/15, by Local Authority, (Number of Clients)
                                                                                                                                              • Figure 73: Number of Domiciliary Care Clients Aged 18-64 in Wales, 2010/11-2014/15, by Local Authority, (Number of Clients)
                                                                                                                                              • Figure 74: Local Authority Domiciliary Care Expenditure in Wales, by Local Authority, 2010/11-2014/15, (£000)
                                                                                                                                              • Figure 75: Hours of Home Care Provided in Wales, by Local Authority, 2010/11-2014/15, (000 Hours)
                                                                                                                                              • Figure 76: Percentage of Home Care Hours Contracted to the Independent Sector, by Local Authority, 2010/11-2014/15, (% of Home Care Hours)
                                                                                                                                            • Northern Ireland
                                                                                                                                              • Figure 77: Number of Clients Receiving Domiciliary Care in Northern Ireland, by Sector and HSC Trust, 2014/15, (Number of Clients during Survey Week)
                                                                                                                                              • Figure 78: Number of Clients Receiving Domiciliary Care in Northern Ireland, by Sector and HSC Trust, 2015/16, (Number of Clients during Survey Week)
                                                                                                                                              • Figure 79: Number of Home Care Hours Provided per Week, by Sector and HSC Trust, 2014/15, (Number of Hours Provided during Survey Week)
                                                                                                                                              • Figure 80: Number of Home Care Hours Provided per Week, by Sector and HSC Trust, 2015/16, (Number of Hours Provided during Survey Week)
                                                                                                                                          • The Consumer – Care Payment

                                                                                                                                            • Key points
                                                                                                                                              • Close to three-quarters of people have not thought about how they would pay for care
                                                                                                                                                  • Figure 81: Domiciliary Care Payment Plans, June 2016, (% of Respondents)
                                                                                                                                                  • Figure 82: Domiciliary Care Payment Plans, June 2016, (% of Respondents)
                                                                                                                                                • Young most likely to have not considered financial consequences of care
                                                                                                                                                  • Figure 83: Domiciliary Care Payment Plans, by Age and Gender, June 2016, (% of Respondents)
                                                                                                                                                • People expect to use personal savings and pension income to fund care
                                                                                                                                                  • Figure 84: Domiciliary Care Payment Method, June 2016, (% of Respondents)
                                                                                                                                                  • Figure 85: Domiciliary Care Payment Method, June 2016, (% of Respondents)
                                                                                                                                              • The Consumer – Service Choice

                                                                                                                                                • Key points
                                                                                                                                                  • Carer selection and time duration determine choice
                                                                                                                                                      • Figure 86: Domiciliary Care Service Choice Factors, June 2016, (% of Respondents)
                                                                                                                                                    • Opinion of current home care users weighs heavy on agency choice
                                                                                                                                                        • Figure 87: Domiciliary Care Agency Choice Factors, June 2016, (% of Respondents)
                                                                                                                                                    • The Consumer – Care Service Preferences

                                                                                                                                                      • Key points
                                                                                                                                                        • Financial concerns impact desirable care preferences
                                                                                                                                                            • Figure 88: Domiciliary Care Service Preferences, June 2016, (% of Respondents)
                                                                                                                                                            • Figure 89: Domiciliary Care Service Preferences, June 2016, (% of Respondents)
                                                                                                                                                          • Older people favour increased support for informal carers
                                                                                                                                                            • Figure 90: Domiciliary Care Service Preferences, by Age and Gender, June 2016, (% of Respondents)
                                                                                                                                                        • Industry Structure

                                                                                                                                                          • Key points
                                                                                                                                                            • Industry development
                                                                                                                                                              • Services are now largely delivered by independent sector providers
                                                                                                                                                                • Cost pressures affecting M&A activity
                                                                                                                                                                  • Affordability concerns leading to changes to, and even termination of, service contracts
                                                                                                                                                                    • Increasing regulatory presence aims to improve industry conduct
                                                                                                                                                                      • Allied Healthcare retains position as market-leading service provider
                                                                                                                                                                          • Figure 91: Independent Sector Domiciliary Care Providers’ Market Share, 2016, (% of Total Independent Sector Market)
                                                                                                                                                                          • Figure 92: Independent Sector Domiciliary Providers’ Market Share, 2016, (% of Total Independent Sector Market)
                                                                                                                                                                        • 2015 saw an increase in the number of businesses operating more local units
                                                                                                                                                                          • Figure 93: Analysis of the Changes in the Structure of the ‘Other Human Health Activities’ Industry, 2011-2015, (Number of Local Units and Businesses)
                                                                                                                                                                          • Figure 94: Analysis of the Changes in the Structure of the ‘Social Work Activities Without Accommodation for the Elderly and Disabled’ Industry, 2011-2015, (Number of Local Units and Businesses)
                                                                                                                                                                        • Structure by employment
                                                                                                                                                                          • Figure 95: Analysis of the Employment Structure of the ‘Other Human Health Activities’ Industry, 2014 and 2015, (Number of Local Units and Local Unit Employment Size)
                                                                                                                                                                          • Figure 96: Analysis of the Employment Structure of the ‘Social Work Activities Without Accommodation for the Elderly and Disabled’ Industry, 2014 and 2015, (Number of Local Units and Local Unit Employment Size)
                                                                                                                                                                        • Structure by turnover
                                                                                                                                                                          • Figure 97: Analysis of the Financial Structure of the ‘Other Human Health Activities’ Industry, 2014 and 2015, (£ 000 and % of Total Turnover)
                                                                                                                                                                          • Figure 98: Analysis of the Financial Structure of the ‘Social Work Activities Without Accommodation for the Elderly and Disabled’ Industry, 2014 and 2015, (£ 000 and % of Total Turnover)
                                                                                                                                                                      • Company Profiles

                                                                                                                                                                        • Allied Healthcare (now part of Aurelius Group)

                                                                                                                                                                              • Figure 99: Financial Analysis of Acromas Holdings, 2011-2015, (£ Million)
                                                                                                                                                                              • Figure 100: Financial Analysis of Allied Healthcare Group, 2011-16, (£ Million)
                                                                                                                                                                            • Company strategy
                                                                                                                                                                            • BUPA Home Healthcare

                                                                                                                                                                                  • Figure 101: Financial Analysis of BUPA Home Healthcare, 2011-15, (£ Million)
                                                                                                                                                                                • Company strategy
                                                                                                                                                                                • Chrysalis Community Care

                                                                                                                                                                                    • Figure 102: Financial Analysis of Chrysalis Community Care Group, 2011-16, (£ 000)
                                                                                                                                                                                  • Company strategy
                                                                                                                                                                                  • Housing & Care 21

                                                                                                                                                                                        • Figure 103: Financial Analysis of Housing & Care 21 (formerly Housing 21), 2011-2015, (£ Million)
                                                                                                                                                                                      • Company strategy
                                                                                                                                                                                      • Interserve Healthcare (formerly Advantage Healthcare)

                                                                                                                                                                                            • Figure 104: Financial Analysis of Interserve, 2010-2014, (£ 000)
                                                                                                                                                                                          • Company strategy
                                                                                                                                                                                          • Mears Group

                                                                                                                                                                                                • Figure 105: Financial Analysis of Mears Group, 2011-15, (£ Million)
                                                                                                                                                                                              • Company strategy
                                                                                                                                                                                              • MiHomecare

                                                                                                                                                                                                    • Figure 106: Financial Analysis of MiHomecare, 2012-2016, (£ 000)
                                                                                                                                                                                                    • Figure 107: Financial Analysis of Complete Care Holdings, 2011-2015, (£ 000)
                                                                                                                                                                                                  • Company strategy
                                                                                                                                                                                                  • Newcross Healthcare Solutions

                                                                                                                                                                                                        • Figure 108: Financial Analysis of Newcross Health Solutions, 2011-2015, (£ 000)
                                                                                                                                                                                                      • Company strategy
                                                                                                                                                                                                      • Sevacare

                                                                                                                                                                                                            • Figure 109: Financial Analysis of Sevacare , 2011-2015, (£ 000)
                                                                                                                                                                                                          • Company strategy
                                                                                                                                                                                                            • Figure 110: Profiled Companies’ Combined Turnover, 2011-2015, (£ Million)
                                                                                                                                                                                                        • Forecast

                                                                                                                                                                                                          • Key points
                                                                                                                                                                                                            • Market size
                                                                                                                                                                                                              • Demographic trends suggest strong demand and higher number of fully dependent care users
                                                                                                                                                                                                                • Residential care market trends also affect the development of the domiciliary care market
                                                                                                                                                                                                                  • Market size forecast
                                                                                                                                                                                                                    • Sluggish growth expected in the market over the next five years
                                                                                                                                                                                                                      • Figure 111: Forecast UK Domiciliary Care Market Value, 2016/17-2020/21, (£ Million at 2016 prices)
                                                                                                                                                                                                                      • Figure 112: Forecast UK Domiciliary Care Market Value, 2016/17-2020/21, (£ Million at 2016 prices)
                                                                                                                                                                                                                    • Commercial market size forecast
                                                                                                                                                                                                                        • Figure 113: Forecast UK Commercial Domiciliary Care Market Value, 2016/17-2020/21, (£ Million at 2016 prices)
                                                                                                                                                                                                                        • Figure 114: Forecast UK Commercial Domiciliary Care Market Value, 2016/17-2020/21, (£ Million at 2016 prices)
                                                                                                                                                                                                                      • Market segmentation
                                                                                                                                                                                                                          • Figure 115: Forecast UK Domiciliary Care Market Segmentation Value, by Type, 2016/17-2020/21, (£ Million at 2016 prices)
                                                                                                                                                                                                                          • Figure 116: Forecast UK Domiciliary Care Market Segmentation Value, by Type, 2016/17-2020/21, (£ Million at 2016 prices)
                                                                                                                                                                                                                        • Service fee pressures force providers to consider market position
                                                                                                                                                                                                                            • Figure 117: Average Hourly Price Paid for Domiciliary Care Services, by Region, 2015, (£ per Hour)
                                                                                                                                                                                                                            • Figure 118: Average Hourly Price Paid for Domiciliary Care Services, by Region, 2015, (£ per Hour)
                                                                                                                                                                                                                          • The ‘subsidy’ effect provided by the self-funding market may be on the decline
                                                                                                                                                                                                                            • Increasing the use of care technology could help expand service provision and make more efficient use of current funding levels
                                                                                                                                                                                                                            • Further Sources and Contacts

                                                                                                                                                                                                                              • Trade associations & organisations
                                                                                                                                                                                                                                • Trade magazines
                                                                                                                                                                                                                                  • Trade exhibitions

                                                                                                                                                                                                                                  Companies Covered

                                                                                                                                                                                                                                  To learn more about the companies covered in this report please contact us.

                                                                                                                                                                                                                                  Domiciliary Care - UK - August 2016

                                                                                                                                                                                                                                  £1,495.00 (Excl.Tax)