Programme

Registration and Refreshments

Chairman's opening

Funding

• Central Government policy/Dilnott Commission
• Local Authority fees – Judicial Reviews
• Banks

Demand

• Demographics
• Links to residential market – assisted living/care villages

Supply

• Generally limited
• Administrations/NAMA
• Housing Associations
• Development

Values

• Purchasers
• Tiers
• Specialist Sectors
• Assisted living/care villages

Chairman:
Colin Rees-Smith

Keynote:overview of the market

• Implications of central and local government policy on the overall market for care homes and providers of assisted living accommodation
• Department of Health White Paper on ‘engagement process’ and what this means for nursing home providers and care homes

Speaker:
Des Kelly OBE

Demand - from where and for what?

• From owners and investors - the growth of the corporate investor and the recognition of the sector as a serious asset class, particularly at a time of low competing yields
• What are the consequences of homes under bank management and/or in administration?
• Values in the market
• Charges for places - current thinking on per-week charges in the different sectors
• Current thinking on private v LA supported residents
• Finding those profitable niches
   

Speaker:
Anthony Oldfield

Questions

Refreshments

Government actions and their implications

• In-house Local Authority provision – the major trends and impact
• Fee level pressures
• The price of quality
• Care Quality Commission and the implications for trading performance

Speaker:
Nigel Newton Taylor

Opportunities and challenges for care buildings and those providing care for special needs - refurbishment economics

• The challenges in the current financial climate for maintaining buildings
• Refurbishment of care home buildings and those creating special needs’ centres
• The Green Deal introducing funding packages to improve existing buildings repaid out of energy savings
• Exit strategies - threatened by tired and obsolescent buildings including those buildings which are low performing
• Tax relief opportunities with care home refurbishments – Enhanced Capital Allowances
• Maximising some of the financial gain through better tax structures and providing specialists care centres

Speaker:
David Rees

New Developments - what and where is viable

• Size and specification - what are the true costs of construction
• Location – is this important?
• Planning – legislative restrictions
• Land values and rule of thumb ‘per-bed can afford to pay’ levels
   

Speaker:
Peter Tanner

Availability and terms of finance

• Sources of finance and what is happening in reality in the market
• Terms - loan to value, libor plus, repayment arrangements
• Qualifying criteria - are stringent equity measures being employed?
• For acquisition of existing homes - is finance available for this?
• For new development - is this market in good shape?
   

Speaker:
Stephen Brooks

Questions

Lunch

Understanding values in the different market segments, how they are performing and their future prospects

• The Good, the Bad and the Ugly
• When homes have no value
• No place to hide - the need to adapt and improve
• Short term problems and long term opportunities
• Different experiences - geographical and quality
• Levels and trends in operational costs
• The relationship between business and property values
• Exit routes and alternative use
   

Speaker:
Jon Chapman

Current thinking on lease structures and terms

• Duration and terms – issues for care home leases
• Rent reviews – do market rent review clauses work?
• Regulatory issues – how much control should the landlord have?
• What happens when the lease ends?
• Option to renew?
• Case law - highlighting some current issues for commercial leases
   

Speaker:
Roger Woolley

The regulatory role and function of the Care Quality Commission

• Regulating the care home and home care sectors including special needs care
• Delivering an effective risk based regulatory model
• Learning from Southern Cross and Winterbourne View – two case studies
   

Speaker:
Alan Rosenbach

Refreshments

Latest thinking on trends in Assisted Living offerings

• The value ‘your own front door’ brings. The increased value ‘your own front door with on-call quality support services’ brings
• The growth of supported living options
• Doing deals with Housing Associations
• Managing the transition from ‘retired’ to ‘supported’ living. Making selling easier.
• Latest thinking on what works best and yields adequate returns in domiciliary care
• Reaping synergies and improving returns through combined domiciliary care and assisted living schemes
   

Speakers:
Tayo Bilewu
Paul Morgan

Understanding the true cost of hedging when it comes to financing structures for care home provisioning

• Interest rate volatility and covenant calculations
• Restructuring - what price to unwind an interest rate swap?
• Does it make sense to hedge now and with what?
• How do I know the price is right?
• How much will it cost?
   

Speaker:
Graeme Cullens

Questions and Close of Proceedings

Chairman:
Colin Rees-Smith