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Domiciliary Care - UK - October 2019

What you need to know

The UK market for domiciliary care rose in value between 2014/15 and 2018/19 by a cumulative 5% - from £81.6 billion to £85.9 billion.

While the market is believed to have remained at a fairly consistent value over the last five years, the commercial sector is expected to represent just over a fifth of total market value. This also comprises the direct private sector supply and voluntary informal sectors, which meet the needs of the vast majority of low intensity contacts.

“Those operating in the industry are continually looking for new solutions with the main objective of being able to care for patients effectively in their own home. Domiciliary care providers who manage to offer personalised, affordable and clinically-led care solutions will be best positioned to gain opportunities from the ever-ageing population in the UK.”
– Lewis Cone, Senior B2B Analyst

This report looks at the following areas:

  • Despite numerous consultations and government pledges, adult social care still faces significant challenges
  • Rising number of people requesting care but fewer people are receiving it, whilst number of carers and home care agencies decline

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Table of contents

  1. Overview

    • What you need to know
      • Covered in this Report
      • Executive Summary

          • The market
            • Market value continues to rise but at an insufficient level for demand
              • Figure 1: UK market for domiciliary care, 2014/15-2018/19, (£ million)
            • Slower growth in informal care curtails overall market
              • Figure 2: Segmentation of the UK domiciliary care market, by type of purchaser, 2014/15-2018/19, (£ million)
            • Market value to rise by 6% to 2023/24
              • Figure 3: Forecast UK domiciliary care market value, 2019/20-2023/24, (£ million at 2019 prices)
            • Companies and brands
              • Despite tight margins, several providers expand service provision
                • The consumer
                  • Help with daily tasks and use of technology most commonly sought service features
                    • Figure 4: Domiciliary care features, April 2019, (% of respondents)
                  • What we think
                  • Issues and Insights

                    • Despite numerous consultations and government pledges, adult social care still faces significant challenges
                      • The facts
                        • The implications
                          • Rising number of people requesting care but fewer people are receiving it, whilst number of carers and home care agencies decline
                            • The facts
                              • The implications
                              • The Market – What You Need to Know

                                • Market value continues to rise but at an insufficient level for demand
                                  • Slower growth in informal care curtails overall market
                                    • Market value to rise by 6% to 2023/24
                                    • Market Size

                                      • Market value continues to rise but at an insufficient level for demand
                                          • Figure 5: UK market for domiciliary care, 2014/15-2018/19, (£ million)
                                          • Figure 6: UK commercial market for domiciliary care, 2013/14-2017/18, (£ million)
                                      • Market Segmentation

                                        • Slower growth in informal care curtails overall market
                                            • Figure 7: Segmentation of the UK domiciliary care market, by type of purchaser, 2014/15-2018/19, (£ million)
                                          • Local authority expenditure
                                              • Figure 8: Segmentation of local authority expenditure on domiciliary care for older people (65+) in the UK, by type, 2013/14-2017/18, (£ million)
                                              • Figure 9: Segmentation of local authority expenditure on domiciliary care for adults aged 18-64 in the UK, by client type, 2013/14-2017/18, (£ million)
                                              • Figure 10: Segmentation of UK local authority expenditure on domiciliary care, all adults, by client type, 2013/14 and 2017/18, (%)
                                            • Regional LA expenditure
                                              • Figure 11: Local authority expenditure, all adults, by region, 2013/14-2017/18, (£ million)
                                              • Figure 12: Local authority expenditure, older people (65+), by region, 2013/14-2017/18, (£ million)
                                              • Figure 13: Local authority expenditure, adults (18-64), by region, 2013/14-2017/18, (£ million)
                                            • NHS expenditure
                                                • Figure 14: Segmentation of NHS expenditure on social care community services, by country, 2014/15-2018/19, (£ million)
                                              • Private expenditure
                                                  • Figure 15: Segmentation of private expenditure on domiciliary care in the UK, by type, 2014/15-2018/19, (£ million)
                                                • Informal care
                                                    • Figure 16: Informal carers by relationship to person receiving care in England, 2013/14-2017/2018, (% of informal carers)
                                                    • Figure 17: The UK market for informal domiciliary care, 2014/15 - 2018/19, (£ billion and hours)
                                                • Market Forecast

                                                  • Market value to rise by 6% to 2023/24
                                                      • Figure 18: Forecast UK domiciliary care market value, 2019/20-2023/24, (£ million at 2019 prices)
                                                    • Informal care to remain dominant domiciliary care provider, but its growth continues to diminish
                                                        • Figure 19: Forecast UK domiciliary care market segmentation value, by type, 2019/20-2023/24, (£ million at 2019 prices)
                                                    • Market Trends

                                                      • Old age support ratio continues to decline, with dependency on the rise
                                                          • Figure 20: UK population projections, by age group, 2019-44, (000 people)
                                                        • Minimum price for home care rises yet again, but majority are still not paying this rate
                                                            • Figure 21: Estimated minimum price for home care, April 2019-March 2020, (£)
                                                          • Turnover and vacancy rates remain high despite slight improvement in average wages
                                                              • Figure 22: Annual workforce turnover rates in the independent and voluntary domiciliary care sector, England, 2015-17, by employee position, (%)
                                                              • Figure 23: Average annual pay in the independent and voluntary domiciliary care sector, England, 2015-17, by employee position, (£)
                                                            • Home care accounts for majority of delays in transfer of care from NHS hospitals, with further issues arising once people return home
                                                            • Market Drivers

                                                              • A decline in the number of state pensioners is creating the need for operating model changes
                                                                • APPG launched to tackle crisis whilst green paper is delayed
                                                                  • Implications of Brexit
                                                                  • Legislation

                                                                    • Community Care Act
                                                                      • Care Standards Act
                                                                        • Regulation and Inspection of Social Care (Wales) Act
                                                                          • The Carers (Scotland) Act
                                                                            • The Care Act 2014 and Better Care Fund
                                                                              • Pensions Act
                                                                                • Other legislation
                                                                                • Companies and Brands – What You Need to Know

                                                                                  • Despite tight margins, several providers expand service provision…
                                                                                    • …whilst others look to unique offerings to create business opportunities
                                                                                    • Industry Structure

                                                                                      • Industry development
                                                                                        • M&As and other industry movements
                                                                                          • Market share
                                                                                              • Figure 24: Independent sector domiciliary care providers’ market share, 2019, (% of total independent sector market)
                                                                                            • Changes in the structure of the industry
                                                                                              • Figure 25: Analysis of changes in the structure of the ‘other human health activities’ industry, 2014-2018, (number of local units and businesses)
                                                                                              • Figure 26: Analysis of changes in the structure of the ‘social work activities without accommodation for the elderly and disabled’ industry, 2014-2018, (number of local units and businesses)
                                                                                            • Structure by employment
                                                                                              • Figure 27: Analysis of the employment structure of the ‘other human health activities’ industry, 2017 and 2018, (number of local units and local unit employment size)
                                                                                              • Figure 28: Analysis of the employment structure of the ‘social work activities without accommodation for the elderly and disabled’ industry, 2017 and 2018, (number of local units and local unit employment size)
                                                                                            • Structure by turnover
                                                                                              • Figure 29: Analysis of the financial structure of the ‘other human health activities’ industry, 2017 and 2018, (£ 000 and % of total turnover)
                                                                                              • Figure 30: Analysis of the financial structure of the ‘social work activities without accommodation for the elderly and disabled’ industry, 2017 and 2018, (£ 000 and % of total turnover)
                                                                                          • Competitive Strategies

                                                                                            • Despite tight margins, several providers expand service provision…
                                                                                              • … whilst others look to unique offerings as a means of creating business opportunities
                                                                                              • Company Profiles

                                                                                                • Allied Healthcare (now part of Aurelius Group)
                                                                                                  • Recent company activity
                                                                                                    • Interserve Healthcare (formerly Advantage Healthcare)
                                                                                                      • Recent company activity
                                                                                                        • Financial information
                                                                                                          • Figure 31: Financial analysis of Interserve Healthcare, 2013-2017, (£000)
                                                                                                        • Lifeways Community Care
                                                                                                          • Recent company activity
                                                                                                            • Financial information
                                                                                                              • Figure 32: Financial analysis of Lifeways Community Care, 2013-2017, (£000)
                                                                                                            • Mears Group
                                                                                                              • Recent company activity
                                                                                                                • Financial information
                                                                                                                  • Figure 33: Financial analysis of Mears Group, 2014-2018, (£ Million)
                                                                                                                • MiHomecare
                                                                                                                  • Recent company activity
                                                                                                                    • Financial information
                                                                                                                      • Figure 34: Financial analysis of MiHomecare, 2014-2018, (£000)
                                                                                                                    • Sevacare
                                                                                                                      • Recent company activity
                                                                                                                        • Financial information
                                                                                                                          • Figure 35: Financial analysis of Sevacare, 2014-2018, (£ million)
                                                                                                                      • The Consumer – What You Need to Know

                                                                                                                        • Government and personal savings expected to fund long-term care
                                                                                                                          • 41% would prefer a family member or friend to provide them with care in their home
                                                                                                                            • Help with daily tasks and use of technology most commonly sought service features
                                                                                                                              • Rising fees affecting care affordability raises largest concern
                                                                                                                              • Care Status

                                                                                                                                • 14% of people have, or have had, a carer help them in their home
                                                                                                                                  • Figure 36: Home care status, April 2019, (% of respondents)
                                                                                                                                • Over a tenth of people have a family member who requires care in their own home
                                                                                                                                  • Figure 37: Family care status, April 2019, (% of respondents)
                                                                                                                              • Care Payment

                                                                                                                                • Government and personal savings expected to fund long-term care
                                                                                                                                  • Figure 38: Long-term care payment method, April 2019, (% of respondents)
                                                                                                                              • Home Care Provider

                                                                                                                                • 41% would prefer a family member or friend to provide them with care in their home
                                                                                                                                  • Figure 39: Domiciliary care provider, April 2019, (% of respondents)
                                                                                                                              • Care Service Features

                                                                                                                                • Help with daily tasks and use of technology most commonly sought service features
                                                                                                                                  • Figure 40: Domiciliary care features, April 2019, (% of respondents)
                                                                                                                              • Future Care Concerns

                                                                                                                                • Rising fees affecting care affordability raises largest concern
                                                                                                                                  • Figure 41: Future domiciliary care concerns, April 2019, (% of respondents)
                                                                                                                              • Appendix – Data Sources, Abbreviations and Supporting Information

                                                                                                                                  • Abbreviations
                                                                                                                                    • Methodology
                                                                                                                                    • Further Sources and Contacts

                                                                                                                                      • Trade associations
                                                                                                                                        • Trade magazines
                                                                                                                                          • Trade events

                                                                                                                                          Domiciliary Care - UK - October 2019

                                                                                                                                          £1,495.00 (Excl.Tax)