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Caretech Holdings PLC

cth · AIM Healthcare
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Employees 10,000+
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FY2019 Annual Report · Caretech Holdings PLC
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Annual Report and Accounts 2019

A bigger business 
bringing high quality 
care to change lives

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Contents

Strategic Review
01  Financial and Operational Highlights
02  CareTech at a Glance
04  Group Chairman’s Statement
08 

 Group Chief Executive’s Statement and 
Performance Review

12  Our Market
16  Our Strategy 
18  Our Business Model
24  Our Key Performance Indicators
 Principal Risks and Our Strategic 
26 
Response 

28  Group Financial Review

Governance
32  Board of Directors
34  Corporate Governance Report
42  Directors’ Report 
44  Directors’ Remuneration Report
50 

 Statement of Directors’ Responsibilities 

Financial Statements 
51 

 Independent Auditor’s Report to the 
Members of CareTech Holdings PLC 

58  Consolidated Income Statement
59  Consolidated Balance Sheet
60 

 Consolidated Statement of Changes  
in Equity

61  Consolidated Statement of Cash Flows
62  Notes to the Financial Statements
93  Company Balance Sheet
94 

 Company Statement of Changes  
in Equity
 Notes to the Company Financial 
Statements
 Appendix – Alternative Performance 
Measures

95 

98 

100  Directors and Advisers

An enlarged group offering extended care pathways
Cambian acquisition 
On 19 October 2018, CareTech Holdings PLC acquired the entire share capital of Cambian Group PLC (“Cambian”). 
Cambian’s services have a specific focus on children who present high severity needs with challenging behaviours 
and complex care requirements. The acquisition has extended our care pathway and given the Group (Caretech 
Holdings PLC and its subsidiaries) a broader geographic and acuity service offering which we will seek to capitalise 
on over the coming years. 

The headline consideration for the acquisition was £359.9m (of which £241.7m was paid in cash), with the net price 
paid being £278.5m reflecting £81.5m of net cash held by Cambian on the date of acquisition. The acquisition was 
funded by the issue of 33.2m shares and new bank facilities. 

Therefore, this report shows significant increases in Revenue, EBITDA and other income statement items reflecting 
the Cambian acquisition as well as presentational changes reflecting the on-going integration of the two businesses, 
most notably our new outcome-based operational segments: Adults Services, Children’s Services and Foster Care. 

2019 Financial and Operational Highlights

Statutory financial highlights

Revenue 

£395.0m 

CareTech like-for-like increased to £196.5m (2018: £185.7m)

Underlying profit before tax (ii)

£50.2m 

increased by 52.5% (2018: £32.9m)

Net cash inflows from operating activities(v)

£66.3m 

(2018: £39.4m) 

Property portfolio valuation(iv)

£774m 

with net debt(iii) of £291.1m

EBITDA(i)

£73.5m 

increased by 67.4% (2018: £43.9m) 
CareTech like-for-like increased to £44.3m (2018: £43.9m)

Underlying basic earnings per share(ii)

37.6p 

increased by 7.2% (2018: 35.07p)

Final dividend per share 

7.95p 

Increased by 6% (2018: 7.5p)

Operating profit 

£39.5m 

Increased by 95.5% (2018: £20.2m) 

Diluted earnings per share 

18.31p 

Increased by 30.2% (2018: 14.06p) 

Operational highlights

Overall care capacity increased by 2,457(v) 

5,079 places

CareTech 2,620 (2018: 2,622)
Cambian 2,459

Quality CQC Group

95% 

(2018: 86%) 

Ofsted Group

82% 

Caretech like-for-like 93% (2018: 86%)

(i)  EBITDA is operating profit stated before depreciation, share-based payments charge and non-underlying items (see page 58).
(ii)  Underlying profit before tax and underlying basic earnings per share are stated before non-underlying items.
(iii)  Net Debt comprises cash and cash equivalents net of all loans and borrowings (see page 85).
(iv)  September 2018 market value of CareTech property portfolio of £424m and Cambian £350m.
(v)  Cash flow from operations before non-underlying items and tax (and excluding capex) (see page 61).

CareTech Holdings PLC
Annual Report and Accounts 2019
1

Strategic reviewGovernanceFinancial StatementsCareTech at a Glance

Extraordinary 
days every day

About Us
Focusing on the high acuity special education social care population 
we support children and adults through solutions that are tailor made 
to each of our service users.

Our core services provide for adults with learning disabilities, 
individuals who have or are recovering from mental illness, people 
with autistic spectrum disorder, people who have one or more 
physical impairments and provide care and rehabilitation for men with 
acquired brain injury (“ABI”). We deliver support through residential 
services and a wide choice of creative home-based options.

Our children’s services cover assessment, residential care, education 
and fostering options, including specialist provision for very complex 
young people. We carefully and professionally support any child 
irrespective of their reasons for being in social care. CareTech provides 
the right solution for complex and difficult situations through our 
nationally recognised expertise in provision for children and young 
people including those with challenging behaviours, sexually 
offending behaviours or who have emotional and behavioural 
disorders. Our comprehensive service includes education in Ofsted 
registered schools of very high quality.

CareTech has pioneered outcomes and progression along Care 
Pathways including transition services for young people leaving care 
and for adults who are making the move into their own home after  
a lifetime in residential or institutional settings. We remain a national 
leader in the drive to enable people to live as independently as 
possible in a home of their own.

We believe in career development and creating learning opportunities 
and have developed an enviable reputation as a leading provider and 
organiser of modern apprenticeships across the UK, to members of 
staff, those we care and support for other organisations seeking to 
develop their teams.

Find out more online:
www.caretech-uk.com/about-us

CareTech Holdings PLC
Annual Report and Accounts 2019
2

Strategic review
Governance
Financial Statements

Caring everyday 
The CareTech Group provides education, care and support to 
individuals in need. This is both children and adults who present with 
special and high severity needs, challenging behaviours and who 
have complex care requirements. 

Since CareTech came to the AIM market 14 years ago, it has evolved 
through a mix of organic and acquisitive growth that has led to our 
current position as one of the best established and reputable national 
specialist education and social care providers. We provide services 
across England, Scotland and Wales in a highly fragmented UK social 
care market, covering the majority of the social care spectrum or  
care pathways.

Many of the tailor-made services are offered in specialist schools, 
residential care and community based settings. All the residential 
homes are registered with the UK Government regulator: Care 
Quality Commission (“CQC”), Office for Standards in Education, 
Children’s Services and Skills (“Ofsted”) and other relevant regulators. 
CareTech also provides care and support to a significant number  
of people who have their own tenancies (supported living) and in 
various day or support centres.

We provide services to over 4,000 adults and children across  
550 locations. We work with the majority of Local Authorities  
and Clinical Commissioning Groups in England, Scotland and  
Wales and employ approximately 10,000 people. 

The total market value is estimated (Laing and Buisson 2017) to be 
worth £7bn for children’s services and £6bn for the care of adults 
(below 65 years of age) in the learning disability and specialist services 
categories. The private sector share of this market has developed 
through successful outsourcing of services over the last 20 years  
and this trend is expected to continue. Local Authorities have largely 
protected their budgets for children and complex younger adults.  
The Group observes an increased political and societal awareness 
concerning the funding of Social Care budget for adults and children. 
We believe budgets require additional funding, given the importance 
to the healthcare and social fabric of society in supporting an 
increasing population of the most vulnerable. 

CareTech Holdings PLC
Annual Report and Accounts 2019
3

Adults Services: 258 sites
Children’s Services: 281 sites
Foster Care: 11 registered offices

Group Chairman’s Statement

A year of delivery 
and change

CareTech Holdings PLC
Annual Report and Accounts 2019
4

I am privileged to present our results for the period ending 30 September 
2019. In the year we are celebrating our 25th Anniversary in care, the 
Group has become a leading national social care provider to young 
people and adults and is now the largest provider of care and education 
services to children in the UK. This is a real milestone for CareTech. 2019 
has proved to be another exceptionally busy and successful year, with 
the acquisition of Cambian delivering: 

 – an extended care pathway and broader geographic and acuity  

service offering;

 – operational best practices across the Group to better service partners 

and service users;

 – improved Ofsted quality ratings to 80%;
 – synergies of £3m PBT synergies as set out in our acquisition plan;
 – margin improvement to 13.4% pre-synergies; and
 – delivering a transformational business which is earnings accretive  

for shareholders.

Whilst Cambian has been the largest acquisition in CareTech’s history 
and significant progress has been made on its integration, our core 
business continues to grow and perform well. In this regard, I am pleased 
to report:

 – like-for-like underlying performance in the CareTech business has 

increased;

 – improvement on CQC and Ofsted Quality Ratings;
 – accelerated organic growth initiatives including property purchases 

and reconfigurations;

 – strong occupancy levels have been maintained throughout the year;
 – staff retention initiatives have proven successful with retention rates 

ahead of sector average; and

 – exciting initiatives and partnerships launched by the CareTech 

Charitable Foundation. 

Management have performed extremely well to manage these various 
workstreams whilst ensuring that the business moves forward on all 
fronts. The Group has stood out from its peers as a company that can 
successfully combine quality, integrity and sound financial acumen,  
and has consistently achieved good care quality ratings. Our credibility  
as the provider of choice has never been stronger and we continue our 
successful growth strategy with a confident outlook. 

This is only possible due to the dedication, determination and hard work 
of our staff. To acknowledge their success, I was proud to celebrate their 
achievements with them at our fifth National Care Awards in November 
this year. 

In line with our ethos of promoting the CareTech culture, the Group 
announced in October 2019, the most wide-ranging share ownership 
incentive plan to include c.600 individuals across the business including 
home managers, back office staff and executive management. This, 
together with our various training and incentive programmes, gives  
us a highly committed staff team who deliver positive outcomes for  
our service users.

Delivering high quality support 
and care to individuals with 
complex needs to achieve 
positive outcomes

Financial results and position 
The Group’s performance reflects the scale of the acquisition of 
Cambian and delivers a substantial increase in revenue, EBITDA and 
other income statement items together with the cash flows for the 
period following completion on 19 October 2018.

2019 

2018 

Change

Revenue 
  CareTech like-for-like revenue 
EBITDA(i)  
  CareTech like-for-like EBITDA 
Underlying profit before tax(ii) 
Underlying basic earnings per share 
Statutory profit before tax 
Statutory earnings per share 
Cash flow from operating activities(iii)  
Final dividend per share 

£395.0m 
£196.5m 
£73.5m 
£44.3m 
£50.2m 
37.60p 
£24.3m 
18.38p 
£66.3m 
7.95p 

£185.7m 
£185.7m 
£43.9m 
£43.9m 
£32.9m 
35.10p 
£15.4m 
14.07p 
£39.4m 
7.50p 

113%
6%
67%
1%
53%
7%
58%
31%
68%
6%

I am pleased to report that the Group’s trading performance in the  
year to date is in line with market expectations. This report includes 
presentational changes first outlined in the trading update issued on  
1 May 2019 to reflect the ongoing integration of the two businesses, 
most notably in the reporting of operational information which is 
presented as the following three outcome-based operating divisions: 
Adults Services, Children’s Services and Foster Care.

Revenue increased by 112.7% to £395.0m (2018: £185.7m). The split of 
revenue is £196.5m for CareTech and £198.5m for Cambian. Like-for-like 
CareTech’s revenue in the period increased 5.8% from £185.7m.

Group EBITDA of £73.5m (2018: £43.9m) represents growth of 67.4% 
when compared with the same period last year. The split of EBITDA is 
£44.3m for CareTech and £29.3m for Cambian. Like-for-like, CareTech’s 
EBITDA increased by 1% reflecting the effect of re-configurations during 
the year. The EBITDA margin was 18.6% (2018: 23.6%) which reflects the 
acquisition of Cambian whose margins are historically lower than the 
CareTech EBITDA margins. Like-for-like, CareTech EBITDA remained 
broadly flat at 22.5% reflecting business mix and timing of  
re-configurations.

Cambian’s EBITDA margin before synergies was 13.4%, which reflects a 
considerable increase on the last reported margin prior to the acquisition 
of 10.9% and a significant step towards our medium-term target of 16%.

Underlying profit before tax increased by 52.5% to £50.2m (2018: £32.9m) 
and underlying basic earnings per share was 37.60p (2018: 35.07p), 
representing an improved return to shareholders following the Cambian 
acquisition. 

We entered into new banking facilities at the time of the acquisition of 
Cambian which include term loans of £322m and an undrawn revolving 
credit facility of £25m. In January 2019, the Group completed its second 
ground rent transaction with Alpha Capital, raising £31m of net proceeds 
on attractive terms providing further capital for investment. The Group’s 
property valuation of £774m was undertaken in September 2018, 
establishing a loan to value at approximately 40% whilst the net debt to 
EBITDA is just under 4.0x and the Board remain committed on reducing 
net debt to EBITDA in the medium term to under 3.0x.

(i)  EBITDA is operating profit stated before depreciation, share-based payments 

charge and non-underlying items.

(ii)  Underlying profit before tax and underlying basic earnings per share are stated 

before non-underlying items.

(iii)  Cash flow from operating activities before non-underlying items.

CareTech Holdings PLC
Annual Report and Accounts 2019
5

Strategic reviewGovernanceFinancial Statements 
We also welcome Christopher Dickinson (FCA) to the Board as Group 
Chief Financial Officer on 13 January 2020. Christopher has spent the 
last year as Cambian Chief Financial Officer and prior to joining CareTech 
was a Managing Director at Jefferies where he acted for CareTech on  
its acquisition of Cambian. On behalf of the Group, I would also like to 
thank Gareth Dufton who stepped in as Interim Group Finance Director 
and has supported the Group on the sad passing of Michael Hill  
last December. 

It is expected that an additional Non-Executive Director will be appointed 
during early 2020. 

Our people
Our people are our most critical asset. Nothing of what we do to 
improve the lives of the adults and children placed in our care would be 
achievable without the hard work and dedication of the front-line staff 
and managers throughout the organisation. I am always drawn to the 
achievements of our excellent front line staff, which is inevitable as we 
are first and foremost a care organisation. Their care and commitment 
would be much less without the dedicated support of our administrators 
and support teams whose hard work and energy is critical to the success 
of the Group and the care we provide. In terms of staff retention, the 
Group’s retention rate sits at 74% (which is analysed as 77% for CareTech 
employees and 71% for Cambian employees) and compares favourably 
to the industry average of under 70%. 

We continue to strive to be the employer of choice within the sector.  
As part of the Group’s focus on attracting and retaining the best talent  
in the sector, CareTech announced a new ExSOP and CSOP scheme  
in October 2019. This is the most wide-ranging share incentive plan to 
include approximately 600 individuals from across the business including 
home managers, back office staff and executive management, 
demonstrating our commitment to create a culture of share ownership 
and to ensure our staff share in the success of our business. We plan to 
introduce another CareTech Sharesave Scheme in early 2020 as part of 
our staff retention strategy.

To embed our culture across our business we reward our people 
throughout the year culminating in the fifth Care Awards ceremony  
in November 2019. We were delighted to host a number of parents, 
carers and families and also gave an opportunity for our shareholders  
to experience our culture first hand. 

Social responsibility
The CareTech Foundation was created in 2017 and is an independent 
grant-making corporate foundation registered with the Charity 
Commission. It is the first corporate foundation in the UK social care 
sector, demonstrating the Company’s commitment to wider society and 
to its staff and its desire to play a strong leadership role within the social 
care sector. CareTech has continued its support both financially and 
more widely during 2019 and I am pleased to see the Foundation 
growing from strength to strength. Highlights during the year include:

 – launching a new partnership with Birkbeck, University of London  

in the construction and development of the world-first ToddlerLab 
which will incorporate the highest quality of technology to play  
a key role in the research and understanding of autism; 

 – recently supporting Depaul UK for their Mental Health and Wellbeing 

for Homeless Young People programme in the North East; and 

 – a new Staff Hardship Grants fund to enable us to provide small grants 

to CareTech staff was also launched. 

Group Chairman’s Statement 
continued

Progress on Cambian
The acquisition of Cambian was immediately followed by the CMA 
placing a hold separate embargo over the combined business. Following 
the unconditional clearance of the acquisition from the CMA in February 
2019, the integration of the two businesses commenced. Significant 
headway has been made into this. 

Cambian shares CareTech’s commitment to delivering the highest 
standards of care and together the Group will benefit from favourable 
demographics underpinned by the growth in outsourcing to the private 
sector and from the increasingly stringent regulatory environment. 
Ofsted ratings increased from 77% at the date of acquisition to 80%  
Good or Outstanding. Best practice is being shared across the Group 
which we will seek to capitalise on over the coming years. The EBITDA 
margin of the Cambian business was 13.4% before synergies which 
shows considerable improvement when compared with their historic 
announced margins of 10.9% pre-acquisition. This puts us in a good 
position to deliver our medium-term target of 16% pre-synergies as set 
out at the time of acquisition. 

The Group reports that it has delivered £3m of pre-tax profit synergies for 
the year and is on track and already taken action to deliver pre-tax profit 
synergies of £5m for the year ended 30 September 2020. Initiatives that 
have been implemented include, inter alia: 

 – the former CEO, CFO, COO and all Non-Executive Board members 

of Cambian have left the Group;

 – a number of senior management savings have been delivered;
 – a number of back-office functions have been integrated and cost 

savings identified;

 – the Group has exercised a break clause on the lease of the Cambian 
head office in Hammersmith and all employees have been relocated 
to the CareTech head office;

 – a number of ongoing IT costs have been streamlined and a new IT 

strategy put in place; and

 – a number of non-staff synergy savings such as in Procurement and 

Estates have been made.

Following a year of ownership, we have established a strong operational 
fit, enhanced our management team and extended our care pathways. 
This provides us with a solid platform to build upon in the future. 

Dividend
The Board intends to maintain a progressive dividend policy. The Board 
has proposed a final dividend of 7.95p (2018: 7.5p) per share bringing the 
total dividend for the year to 11.7p (2018: 11.0p) per share. This represents 
a full year increase of 6.4% year on year. The final dividend will be paid, 
subject to shareholder approval, on 6 May 2020, with an ex-dividend 
date of 5 March 2020 and an associated record date of 6 March 2020.

Our Board
We were delighted to welcome Professor Moira Livingston to the Board 
as a Non-Executive Director on 1 May 2019. Moira has been involved in 
health and social care for 32 years and spent many years working initially 
as a Doctor in the field of older-age psychiatry and latterly as a senior 
clinical leader and manager in the NHS. Moira has held a number of 
Director level leadership roles in the healthcare sector and she will  
Chair the Group’s Care Quality and Governance Committee as well as 
join the Remuneration Committee and the Audit Committee. 

Mike Adams OBE also became an Executive Director which has enabled 
him to pursue a strategic role within the Group and to push forward the 
Purple business model. Purple’s vision is to transform thinking and 
“change the conversation” by bringing together disabled people and 
business, creating sustainable solutions for the benefit of society and  
to add value to CareTech’s growing service user base.

CareTech Holdings PLC
Annual Report and Accounts 2019
6

We were also delighted to have officially supported the Special Olympics 
Great Britain (Team SOGB) at the March 2019 Special Olympics World 
Summer Games, held in Abu Dhabi, United Arab Emirates (UAE), with 
over 190 countries participating in a truly spectacular and successful 
global event. CareTech’s involvement with Team SOGB and the World 
Games arose from the close pathway affinity between our national 
expertise in supporting people with learning disabilities through our 
living, learning and employment support services and the Special 
Olympics movement using sport to build confidence, skill and 
determination for athletes with intellectual and learning disabilities as  
a gateway to empowerment, competence, acceptance and joy. The 
Games were a real highlight on the 2019 World Sporting Humanitarian 
calendar and Team SOGB excelled against the competition winning  
an outstanding tally of 61 Gold, 57 Silver and 46 Bronze Medals. 

Purple Tuesday was launched again on 12 November 2019 and was a 
huge success. The consumer spending power of disabled people and 
their families is worth £249bn and is rising by an average of 14% per 
annum. Yet, less than 10% of businesses have a targeted plan to access 
the disability market. Purple is driving the agenda to improve awareness 
and the customer experience for disabled people.

Outlook and prospects
Our aim is to be the highest quality provider of quality support and care 
for individuals who often have complex needs. I am proud of our track 
record and the culture we have embedded within the organisation.  
We listen to our service users, their families, to our staff and work closely 
with the local authorities, independent inspectors and regulators to 
continually improve and set best practice.

The next financial year will see CareTech grow through the continued 
integration of the Cambian business together with organic developments 
and reconfigurations. In addition, we will continue to look at bolt-on 
acquisitions as part of our wider strategy to consolidate the market  
in the UK, as well as an opportunity in the Gulf region where we are  
in advanced discussions with a potential partner. We also continue to 
invest time in how we can enhance further the use of technology as a 
validation of our work as well as for diagnostic and assessment purposes.

As the business grows, we will continue to further strengthen our 
management team offering a forceful blend of experience, commercial 
wisdom and dedication to care. I have no doubt that the next few years 
will see continuing growth in line with market expectations and care 
excellence which will help deliver our target of double-digit growth in 
underlying EPS.

On behalf of our Board, I would like to thank our many stakeholders and 
all CareTech employees, including those joining us from Cambian during 
the year, for their dedication and commitment to the Company and for 
going the extra mile. Finally, I would also like to thank our shareholders 
for your continued support. 

Farouq Sheikh
Group Executive Chairman
30 January 2020

CareTech Holdings PLC
Annual Report and Accounts 2019
7

Strategic reviewGovernanceFinancial StatementsGroup Chief Executive’s Statement  
and Performance Review

Delivering 
purposeful 
progress

CareTech Holdings PLC
Annual Report and Accounts 2019
8

Business performance
Following the acquisition of Cambian, it was announced that the Group 
has changed its reporting operating segments to more accurately reflect 
the Group’s management and internal reporting structure. A review of 
each operational division is set out below:

1. Adults Services Year to 30 September 2019

The Group has continued to build on our values driven, and quality 
focused, approach to transforming outcomes for service users in our 
care, and delivering value to commissioners. During the year we have 
deepened our relationships with key stakeholders and are well 
positioned to serve local authority partners and communities with 
responsive and innovative service solutions. Our care priorities drive 
successful outcomes for our service users and follow closely the 
guidance from central Government and commissioning needs locally.

The Group also continues to realise the benefit of organisational 
improvements put in place over the past few years. We have continued 
to strengthen our management structure through the Cambian 
acquisition and plan for further senior appointments. These along with 
investment in our processes and new systems will drive efficiencies 
across the Group. 

Commitment to high quality
Our commitmeant is to provide high quality support and care for all  
our service users. By embedding a culture of quality we have seen  
our quality ratings continually improve and this year is no exception.  
Our rising CQC ratings to 95% demonstrate the high standards of care 
our service users receive. We have also shown improvement in our 
Children’s Services blended quality rating of 82% with both CareTech  
and Cambian showing improvement. This is a Key Performance Indicator 
for the Group. We have built and continue to strengthen an open and 
honest working relationship with our regulators and those who 
commission us to deliver services. 

During the year, I am delighted that our teams have received external 
recognition for the quality of services we deliver. I would like to 
congratulate The Oakleaf Group for winning the Health Investor Awards 
2019 ‘Complex Care Provider of the Year’ award, Spark of Genius winning 
the LaingBuisson ‘Public Private Partnership Award’, and Branas Isaf for 
counting three winners in the National Wales Care Awards. 

We are continually improving and examining ways to improve our quality 
standards including investing significantly in the training and induction  
of our staff and deciding to strengthen our internal compliance team. 
The appointment of Professor Moira Livingston to Chair our independent 
Care Quality and Governance Committee will reinforce our approach 
and ensure we deliver on our strategy.

CareTech
Revenue 

£123.6m 

(2018: £118.7m) 

EBITDA before unallocated costs

£32.7m 

(2018: £31.9m) 

Capacity 

1,968 

(2018: 1,968) 

Our focus remains to provide 
innovative service solutions that 
transform outcomes for service users 
and delivers value to commissioners

CareTech Holdings PLC
Annual Report and Accounts 2019
9

Strategic reviewGovernanceFinancial StatementsGroup Chief Executive’s Statement  
and Performance Review
continued

Adults Services comprises the core CareTech Adult Learning Disabilities 
business, the Specialist Services business and Learning Services business.

2. Children’s Services Year to 30 September 2019

The Group offers a flexible, person-centred approach with support 
offered on an individual planned basis both within a registered residential 
setting and in step-down supported housing. Demand remains high 
across the spectrum for the support of people with learning disabilities 
and the Group recognises an increasing complexity of need for referrals 
to specialist services within the Group. Specialist Services comprise the 
Adult Mental Health Services and Oakleaf Care (Hartwell). Specialist 
Services works in partnerships with the NHS to ensure a successful 
transition out of acute care, delivering pathways to independence.  
We have an outstanding track record for helping people away from  
acute care and supporting them in their own homes.

The market for high acuity care and the support of people with learning 
disability is estimated to be £5.8bn and growing year on year due to 
demographics and individuals living longer. Demand for lower acuity 
support has been impacted by the cuts in Local Authority expenditure, 
but this is not an area of activity in which CareTech operates. Conversely, 
resources for those with the highest level of need are being maintained 
and increased in some Local Authorities.

Across the Group, the focus on quality continues with CQC ratings at 
95% which compares favourably to 86% the previous year and the market 
average of 84%. 

Revenues for the Division were £123.6m (2018: £118.7m) and EBITDA 
was £32.7m (2018: £31.9m). Revenues and EBITDA increased by 4.1% and 
2.5% respectively. EBITDA margins broadly remained flat at 26.5% from 
26.9% reflecting the change in mix of the business as the number of 
supported living beds grew. We expect to see the benefit during 2020 
due to a number of reconfigurations which have come on stream during 
the second half of the year. 

CareTech 
Revenue 

Cambian

During the past year we have withdrawn four adult places in services  
for reconfiguration into new care models, a further 47 supported living 
contracts came to an end plus an additional 51 beds have been brought 
into service. 

£64.8m  £165.7m 

(2018: £58.7m) 

EBITDA before unallocated costs 

£18.2m  £37.4m 

The Group has continued to build  
on our values driven, and quality 
focused, approach to transforming 
outcomes for service users in our care, 
and delivering value to commissioners. 

(2018: £17.0m) 

Capacity 

351 

(2018: 353) 

1,582 

A number of children and young people need to live in specialised 
residential services and receive specialist education. As far as practicable 
we aim to help these children move into a family style environment.  
This segment contains children’s residential care homes, which includes 
facilities for children with learning difficulties and emotional behavioural 
disorders (EBD), and specialist schools. The Group operates services that 
cater for local needs but also manage certain highly specialised services 
that have a national catchment. The Cambian acquisition has increased 
the geographical spread of Children’s Services across the UK as well as 
increasing the types of services being offered including Complex Needs, 
Social, Emotional and Mental Health (SEMH) and Child and Adolescent 
Mental Health Services (CAMHS). 

The Ofsted ratings for the CareTech services are 93% (2018: 86%) Good 
or Outstanding and 80% for the Cambian services compared with 77%  
at the date of acquisition. This results in a blended 82% Good and 
Outstanding ratings for Children’s Services across the Group, an  
increase from 78% when compared with our half year results. 

CareTech Holdings PLC
Annual Report and Accounts 2019
10

 
Foster Care comprises CareTech’s and Cambian’s fostering services.
Foster Care provides for both mainstream and specialist foster care in 
small supportive groups across England and Wales for children with 
disabilities. We also provide foster care family assessments in the home 
rather than in a residential setting. Fostering is an important part of our 
care pathway and considerably less expensive than residential care.  
It is a generally held view that fostering in an ordinary family home 
delivers better quality than any residential setting. However, the rising  
tide of fostering has been constrained by the challenge of finding foster 
carers with the right skill and motivation alongside preference by social 
workers to place within Local Authority services rather than the 
independent sector.

The acquisition of Cambian enhances our Foster Care service through 
offering a more specialist therapeutic service. With a combined capacity 
of 1,178 places, the Group has established one of the largest 
independent fostering agencies in England and Wales. 

Revenues for the Division were £40.8m analysed as CareTech £8.0m  
and Cambian £32.8m. EBITDA for this Division was £7.5m analysed as 
CareTech £1.5m and £6.0m Cambian. 

Looking forward, we are training our foster carers with the skills required 
to manage more complex work and have linked the fostering division 
with our residential team for children so that we can maintain an 
effective care pathway.

Summary and outlook
This has been a year of transformational change for CareTech and I am 
pleased to report that we are delivering all of our key objectives including 
the integration of the Cambian business. 

Our strategy and the fundamentals of the markets we serve remain 
sound. We are integral to providing service solutions to commissioners 
to meet the specialist and complex needs of children and adults. Our 
opportunity over the medium term is to drive organic revenue and 
further consolidate our market position through bolt-on acquisitions  
that fit with our strategic objectives and meet our financial criteria. 

We are a values driven, quality focused Group and I am confident that 
through the energy and commitment of all our people we will continue 
to innovate and transform care pathways. 

I am honoured to lead a Group that is making a real difference to so 
many lives. I would like to conclude by expressing my sincere thanks to 
our staff at all levels in the organisation for their hard work, commitment 
and dedication to the organisation.

Haroon Sheikh
Group Chief Executive Officer
30 January 2020

Revenues and EBITDA before unallocated costs for the Division were 
£230.6m and £55.6m respectively. Like-for-like, CareTech’s revenues 
increased by 10.5% and EBITDA by 7.1%. During the year, we have seen  
an improvement in Cambian’s EBITDA margins through increased staff 
retention and improved quality ratings which lead to increased 
occupancy levels which in turn lead to increased EBITDA margins. 

There has been a net increase of four places in Cambian homes since 
acquisition due to one new home registration occurring in August 2019. 

3. Foster Care Year to 30 September 2019

CareTech 
Revenue 

Cambian

£8.0m  £32.8m 

(2018: £8.2m) 

EBITDA before unallocated costs

£1.5m  £6.0m 

(2018: £1.9m) 

Capacity 

301 

(2018: 301) 

877 

CareTech Holdings PLC
Annual Report and Accounts 2019
11

Strategic reviewGovernanceFinancial StatementsOur Market

The Directors present their Strategic Report on 
the Group for the year ended 30 September 
2019. In preparing this report, the Directors have 
complied with S414C of the Companies Act 
2006. The Strategic Report should be read in 
conjunction with the Strategic Review for the 
Group which includes the Highlights, Group 
at a glance, Chairman’s Statement, the Chief 
Executive’s Statement, Strategic Report and 
Performance Review and Financial Review. 

1. Adults Services*
People that currently live in care 
homes or NHS hospitals or are in 
supported living arrangements

75,000-
80,000

UK population who have  
specific mental disorders

13% 

Market for residential learning 
disabilities and supported  
living worth an annual

£5.8bn

NHS/LA total spend on specialist 
services is worth an annual

Market growth rate

£10.1bn
1.2% pa

2. Children’s Services**
Children in UK looked  
after outside foster care

10,085

Children in independent sector 
special schools and colleges 

16,995

Residential children’s market 
across UK worth

£1.39bn

Education and training in  
special schools and colleges

Market growth rate

£3.7bn
1.2% pa

3. Foster Care**
People placed in foster care  
in England

63,718

Foster care market across 
England worth

Market growth rate

£1.95bn
5.2% pa

CareTech Holdings PLC
Annual Report and Accounts 2019
12

Our market is 
driven by three  
big trends: funding 
for healthcare, 
customer 
expectations and 
access to skilled 
care workers

*  Data from Laing and Buisson Adult Specialist Care 2nd edition 2015/2016 report.
**  Data from Laing and Buisson Children’s Services Market Report 3rd edition 

2017 report.

1.
Funding for 
healthcare 

Key market drivers
The care market in which the Group operates is a UK market worth  
an estimated £13bn per annum and estimated to be growing by more 
than 5% per annum. 

In 2017, the total market for specialist children’s care services was 
worth approximately £7.2bn. The market is growing, driven by 
population growth and increasing survival rates of the current 
addressable population, as well as a greater awareness and,  
in certain cases, increased incidence of certain conditions  
amongst the underlying population. 

The UK has a well established system of public and private providers 
of health and social care. Although the available resources to 
purchase social care remain largely static there is a known increase  
in demand across the whole spectrum, presenting purchasing bodies 
with a conundrum. One response has been to move money away 
from the NHS in order to allow Local Authorities greater purchasing 
power. However, the most significant change has been to a system of 
aggressive rationing. This has focused money on the areas of highest 
need such as complex children, very disabled or complex people with 
learning difficulties and hospital discharge schemes. 

The principal driver for commissioners in Local Authorities and the 
NHS is value. This is interpreted by them as the optimum balance 
between quality and price, but has an underpinning criterion 
determined by “outcomes”. 

Social care funding has been prominent in the main parties’ 2019 
election campaign with both Conservative and Labour pledging to 
increase funding. 

What this means for CareTech
Most providers of social care have fewer than three services and this 
huge, fragmented range of providers represents the vast majority of 
the market. However, the market has been steadily consolidating and 
a very small number of large “corporate” providers have emerged, 
with CareTech being one of the bigger players within the non-elderly 
care sector. 

The market segments served by CareTech is focused on adults and 
children who present with high severity needs, challenging behaviours 
and who have complex care requirements. Hence budget cuts have  
a very limited impact on the Group. One of our differentiating factors 
is the concept of Care Pathways to reflect our optimism that users  
of our services can make progress with their lives. Our commitment 
to maximise independence is great for our service users, rewarding 
for our staff and strongly supported by those who commission and 
support our services. Our “outcome” focused approach for our 
service users has a wider impact on society including more 
individuals back into work, fewer individuals returning to care facilities, 
a reduction of adult prison population having been in care and 
children leaving care achieving educational attainment levels. 

CareTech has been aligned to Local Authorities’ purchasing principals 
and we work closely with Commissioners to ensure that we stay in 
tune with their approach to market management.

CareTech Holdings PLC
Annual Report and Accounts 2019
13

Strategic reviewGovernanceFinancial StatementsOur Market
continued

2.
Customer 
expectations 

Key market drivers
The market that CareTech serves is regulated by Care Quality 
Commission (CQC) and the Office for Standards in Education, 
Children’s Services and Skills (Ofsted) in England and equivalent 
regulatory bodies in Scotland and Wales. These bodies control and 
administer the registration, inspection and complaints procedures  
set out under applicable laws and regulations. In order to open a 
service, it needs to be registered with CQC or Ofsted, and must pass 
regular inspections to ensure it meets the minimum standards and 
requirements prescribed under laws and regulation. Commissioners 
placing adults or children into services expect high quality. 

What this means for CareTech
We work closely with our Regulators and Commissioners across 
England, Scotland and Wales. CareTech is a very well known care 
company in public ownership and offers high quality services with  
a strong ethical and value-based approach. We have leading quality 
ratings for both CQC and Ofsted and have ambitions to improve 
these. Our quality assurance is embedded within the organisation 
from the Home Manager, Regional Manager, and Operations Director 
through to the Chief Operational Officer and the Board. The Group 
uses Acoura and NYAS as independent suppliers, to audit and report 
monthly Health and Safety matters as well as all RIDDORS (Reporting 
of Injuries, Diseases and Dangerous Occurrences). 

CareTech Holdings PLC
Annual Report and Accounts 2019
14

3.
Access to skilled 
care workers 

Key market drivers
The sector has high levels of turnover and vacancies. Following the 
introduction of the national living wage on 1 April 2016, care workers’ 
pay has increased but turnover remains high given tough working 
conditions. Care workers in the sector find it rewarding but there is 
perception of low pay and lack of training or promotional prospects. 

What this means for CareTech
We promote our values and culture by helping our employees and 
supporting them with regular supervision, training and clear career 
development programmes. To embed our culture across our 
business we reward our people throughout the year culminating  
in the Fifth Care Awards ceremony in November 2019. These 
initiatives promote staff continuity and leads to improved standards  
of care quality.

Our annual Staff Engagement Survey which took place in May 2019 
and involved all staff and looked at values and questions across five 
engagement drivers: Trust, Teamwork, Empowering, Corporate Pride 
and Career Progression. The feedback has led to a communication 
plan that will lead to improved communication across the Group.

The Group continuously focuses on employee engagement and  
has launched the most wide-ranging share incentive plan across the 
business to include home managers, back office staff and executive 
management. In addition, it is the Company’s intention to make a 
Save-As-You-Earn issuance for front line staff in due course. This 
scheme, along with regular senior management share option awards, 
contributes to the fulfilment of our desire to reward staff for loyalty, 
diligence and commitment to high standards of service.

CareTech is resilient to a hard Brexit given the Group only trades 
within the UK and has limited exposure to nursing staff and the EU 
labour market. Our primary recruitment is focused on the UK labour 
market for support staff.

CareTech Holdings PLC
Annual Report and Accounts 2019
15

Strategic reviewGovernanceFinancial Statements 
1. Build the industry’s best leadership  
and workforce

Employing approximately 9,000 numerous qualified and skilled care 
workers, foster carers, teachers and managers, the CareTech front 
line teams are supported by a wide range of high level professionals 
such as social workers, nurses, therapists, psychologists with 
oversight of all interventions. Their care, commitment and dedication 
is critical to the success of our Company and the care we provide. 

CareTech places emphasis on the provision of attractive working 
conditions and staff training. Part of our recruitment process is 
focused on matching the needs of the Group’s service users to the 
skills values and behaviour of our staff, which necessitates a person 
centred approach to recruitment and on-boarding. We offer a range 
of learning and development to ensure that staff have the necessary 
knowledge, skills, competencies and attitudes to provide a high 
quality service of support and care in compliance with best practice, 
regulatory requirements and service specifications. 

Our Strategy

We have defined 
three pillars to 
execute our 
strategic objective

CareTech’s strategic objective is to be a leading national integrated 
provider of high quality social care pathways in the UK for children and 
adults, with continued growth and care excellence. We aim to distinguish 
ourselves from other providers by offering a bespoke range of options 
which meet the needs of Commissioners and offer service users a care 
pathway for the medium to long term where required. The CareTech 
Group’s focus is the provision of high acuity specialist social care through 
three outcome-based sectors of Adults Services, Children’s Services and 
Foster Care. 

We achieve our strategic objective and drive growth in the profitability  
of the Group through a range of actions, including, but not limited to:

 – focusing on areas of social care that have a high acuity level across 

the UK where demand for services from Local Authorities is expected 
to remain strong and fee rates are typically higher;

 – targeting organic growth through increases in capacity and 

optimisation/remodelling of existing and acquired properties to  
meet market demand and to achieve enhanced fee rates;
 – maintaining high occupancy through the Group’s facilities by 

attracting continued high level of referrals from Local Authorities  
on the back of strong regulatory ratings;

 – continuing to invest in people and training to deliver social care 

expertise, leadership and high quality care;

 – investing in IT, systems, processes and controls to improve quality 

levels, manage risks effectively and improve occupancy;

 – working closely with Local Authority (“LA”) commissioners to help 

them deliver their statutory duties efficiently and with care and react 
to their changing demands; 

 – continuing to offer a strong national presence with local brands and 
regional service delivery points. This supports development of local 
relationships while offering the comfort, security and governance 
oversight of a well-resourced and strong group; and

 – continuing to identify bolt-on acquisition opportunities offering 

complementary services or expanding the Group’s geographical 
presence which offer the opportunity for the Group to increase 
market share in a highly fragmented market.

CareTech Holdings PLC
Annual Report and Accounts 2019
16

 
2. Have the highest quality ratings 

3. Achieve high occupancy through matching 

Our strategy is to offer a strong national presence with local brands 
and regional service delivery points. This supports development of 
local relationships while offering the comfort and security of a well 
resourced and strong Group.

Our services are in demand and occupancy has remained high 
despite unrecognised fears of Local Authority austerity impacting 
referrals. What’s more, the nature of referrals in recent years has  
been toward the more complex end of the spectrum.

New residents arrive in a CareTech care home following a referral 
from a Local Authority or a Clinical Commissioning Group care 
manager. Once a referral has been received, a resident assessment  
is typically followed by an assessment including a detailed matching 
of the proposed resident with a known or anticipated vacancy. The 
selection of new residents is undertaken with care and sensitivity to 
ensure the ongoing success of the service. This sometimes means 
that a home can have a short-term vacancy. Local Authorities or Care 
Commissioning Groups are more likely to place a resident in a home 
that seeks to match each resident’s need with those of the people 
already living there. This practice is commercially advantageous and 
maintains the success of an existing home and helps to ensure 
continuing high referral levels. 

The driver for social care is an organisation’s ability to deliver high 
quality care, with reliable outcomes at a fair price. We believe that  
the market has recognised that CareTech offers the best possible 
balance between quality and value and understands the need for 
progressive thinking and innovation to deliver ongoing results.

The CareTech brand is strong and our extensive relationships across 
the UK are robust. This is reinforced by our presence at major industry 
events where we have been reliable sponsors and commentators. The 
most effective way that we sustain our reputation is by delivering what 
we promise for the people we support and by treating our staff well.

Quality is not simply compliance with the requirements of regulation. 
Our approach is to embed quality throughout the Group’s operations 
and employ well-qualified and skilled professionals who operate 
within a quality framework. Our quality framework and processes 
include, but are not limited to:

 – recruitment and retention of appropriate staff alongside 

appropriate training and induction;

 – regular reporting from home managers through to locality 

managers, operational directors and divisional senior 
management as well as the CareTech Group’s head of quality;

 – “Line of sight” monitoring which looks for key performance 

indicators which support high quality services. Each service is 
rated internally and high potentials or early warning signs are 
identified and progress monitored by senior management to  
drive continuous improvement;

 – an experienced internal quality and compliance team who operate 
across all divisions, reporting to senior management. The team 
undertake a programme of regular inspection and assessment  
of facilities and services against internal quality assurance 
frameworks and also carries out thematic reviews;

 – A Care Quality and Governance Committee chaired by Professor 
Moira Livingston. The Committee has oversight of all issues and 
reports relating to the well-being of service users; commissions 
enquiries into matters of concern; and strive to ensure that 
CareTech operates to the highest level of professional  
care standards;

 – careful analysis of regulatory inspection reports from external 

regulators; and

 – CareTech Board oversight through monthly reporting of key 

performance indicators and compliance data.

CareTech Holdings PLC
Annual Report and Accounts 2019
17

Strategic reviewGovernanceFinancial Statements 
Our Business Model

Our business 
model represents 
how we aim to 
generate revenue 
and profit from 
our operations

Innovative care pathways

Services segment

Specialism

Our purpose is to deliver innovative social care on behalf of Local 
Authority and Health Service Commissioners throughout the UK  
in three areas: Adults services, Children’s Services and Foster Care. 

Our innovative care pathways and services offered
Care and support is characterised by optimism and a genuine belief in 
the abilities of our service users. Everyone we support has an opportunity 
to make progress in their lives and our professional teams work hard to 
help those people understand how to move forward. Many years ago  
we began to describe our services as a Care Pathway, making clear our 
intention to break away from the old belief that care is for life. We have 
delivered on this commitment and everyone we support, from young 
children to profoundly disabled adults, shares our approach to maximise 
their independence. This is great for service users, rewarding for our  
staff and strongly supported by those who commission and support  
our services.

Adults 
Services

Learning 
disabilities

Mental health

Autism and 
Aspergers

Physical 
disabilities

Brain injury 
rehabilitation

Children’s 
Services

Learning 
disabilities

Mental health

Autism  
spectrum 
conditions

Complex  
social, 
emotional and 
behavioural 
difficulties

Education and 
therapeutic 
support

Young people  
in crisis

Fostering

Therapeutic  
foster  
placement

Challenging  
and complex 
behaviour

Learning 
disabilities

CareTech Holdings PLC
Annual Report and Accounts 2019
18

CareTech Holdings PLC
Annual Report and Accounts 2019
19

Adults ServicesSocial care services for adults over the age of 18 Care capacity 2019 1,968 2018: 1,968. Contribution to Group revenue 31.3% (2018: 63.9%)Quality Rating (CQC): 95%2018: 86%Learning Disabilities Supporting adults with conditions such as autism and learning difficulties including care and education needs.Specialist Services Assessment and specialised rehabilitation focus on providing active rehabilitation. Unique care programmes are developed and centre on the needs and goals of each resident, looking at short and long-term goals. Residents may also have associated complex cognitive impairments, challenging behaviours and/ or physical disabilities.Learning Services Pre-employment, development and apprenticeship programmes  using public funds from the Skills Funding Agency to lay foundations  to achieve their career goals whilst helping to provide businesses with the vital skills they need in their workforce. Adults with learning disabilities are increasingly being provided with direct funding to enable them to purchase their own care and support. We work actively with service users and advisory bodies to deliver self-directed support packages and see this as an increasingly important aspect of our service model, as well as offering  commercial opportunity.For many people with the most complex intellectual or physical challenges, residential care will continue to be the preferred option although the services will change in their approach as we move toward a more enabling, modern type of service. An alternative to residential care is the opportunity for people to live in a home of their own, sometimes shared with others. CareTech is a leader in the provision  of supported living and offers packages of individualised self-directed support to people in their own homes.Specialist Services provision continues to dominate the health and social care agenda. Good Specialist Services is a significant contributor to a healthy community and national economy, while mental ill health is devastating to individuals and their families. Most Commissioners  are driven by a wish to reduce patient time in acute care and rely on creative outsourcing to dramatically cut the cost of Specialist Services care in hospital and within the criminal justice system.CareTech’s Specialist Services team works in partnership with the NHS and Social Service departments to ensure a successful transition out of acute care and the prison service, delivering pathways to an ordinary life. We also have an outstanding track record for diverting people away from acute care and supporting them in their own homes. CareTech’s highly effective care teams are developing new ways to offer community support solutions and we believe that this will be an important growth platform in years to come.Children’s ServicesSocial care services for children and young people up to the age of 18Care capacity 2019 1,933 CareTech 351   Cambian 1,5822018: 353. Contribution to Group revenue 58.4% (2018: 31.6%)Quality (Ofsted): 82%2018: 86% (CareTech only)Residential Care Supporting children and young people with a range of complex conditions such as autism, learning difficulties, challenging social circumstances or traumatic experiences such as abuse, neglect or exploitation in residential care.Education CareTech is the largest provider of education services for children in the UK. Services focus on individuals who present with high severity needs, challenging behaviours and who have complex care requirements.ResidentialFor a relatively small number of children, residential care offers a safe and helpful solution for their care needs and CareTech has developed an extensive range of highly technical care and education environments where those children will thrive. Our residential provision offers high staff ratios and highly skilled carers, capable of ensuring both safety and progression. These are high cost services where we aim for an intensive period of care and a strict timetable that delivers results at a fair price to commissioners. As far as practicable we aim to help these children through our therapeutic care approach to move into a more normalised family style environment as soon as it is practicable to do so. These services are highly integrated operations with dedicated staff ratios and may also include on site or dedicated educational facilities.EducationOur specialist education services are focused on the areas of social, emotional and mental health, further education, Asperger syndrome and across the autism spectrum, from those with severe learning difficulties to those who are gifted and talented. Teachers and assistants are trained to a high standard in order to deal with the behavioural issues that pupils present. Our schools operates a “waking day” curriculum encompassing the UK national curriculum and using modified or differentiated programmes of study to prepare students for the demands of adult life. Strategic reviewGovernanceFinancial StatementsOur Business Model
continued

CareTech Holdings PLC
Annual Report and Accounts 2019
20

Foster careCare capacity 2019 1,178 (2018:301) CareTech 301   Cambian 877 Contribution to Group revenue 10.3% (2018: 4.4%)Quality: 100%2018: 100% Residential care of children and young people Family assessments in the homeMost children enter foster care because they have been abused and/or neglected at home and need a new family care environment which offers the support they need. Other children may be fostered because  a family breakdown (dysfunctional or in acute stress), a family illness or disability, or a death in a family means children need an alternative care solution such as fostering. Foster Care is undoubtedly the best care solution for most “looked after” children. Most children thrive in foster care where they are supported within an ordinary family home and with trained foster carers. CareTech provides for both mainstream and specialist foster care through local agencies across the UK. We offer a highly respected service for physically and intellectually disabled children as well as support for children with sensory impairments. We provide foster care family assessments and ongoing support to children who remain with their birth families and in their family home.Our revenue modelA significant majority of CareTech’s revenue is from Local Authorities (LA) and Clinical Commissioning Group’s (CCGs) for delivery of CareTech’s specialist social care services. The Group works with over 250 Local Authorities, Clinical Commissioning groups and Health Boards. Independent providers typically receive funding for their service  provision in four main ways:Framework agreementsFramework agreements are typically awarded to providers on a non-exclusive basis pursuant to a public tender. These agreements outline various service and reporting obligations as well as pricing terms. Framework agreements can be set up for any period of time, although  a typical framework agreement is at least two years in length. The actual care package to be provided for an individual in a provider’s care and the pricing for such services is agreed on a case by case basis at the time an assessment of their individual needs is made.Spot contractsMost admissions and referrals remain based on “spot” contracts, which are individual placement agreements. Spot contracts generally have a four week notice period to terminate the contract and typically do not have a minimum term. Spot contracts provide greater operational flexibility and are appropriate for bespoke care packages to meet the high severity support needs of the individuals in a provider’s care. Fees are typically negotiated on a case-by-case basis.Block contractsA limited amount of specialist care funding is provided through block contracts. Such block contracts are negotiated for a specific volume  of service, pre-booked over a fixed period of time, usually for a  specified price. Private pay/ insurancePrivate pay services make up a very small part of our revenue as the UK publicly funded bodies will typically provide funding. Our clinical offeringCareTech has an in-house, clinically led multi-disciplinary team including doctors, psychologists, occupational therapists, speech and language therapists and nurses. The overall approach across the group is to ensure primarily a stable, secure and nurturing environment for the young people in its care then focus on individualised care plans for the young people, working closely with the care and educational teams. The strength of the clinical function in the Group is the integrated working. Our clinical team sit as part of the operations team and working very closely with our residential homes or schools and are involved in training and providing consultations and role modelling where needed to the care teams. We care about quality and safety
As a Group, our aim is to provide a safe working environment for service 
users, staff and visitors. Our aim is to be the highest quality provider 
across the breadth of our services. 

For our Adult CQC registered services, quality ratings at 30 September 
2019 were 95% “Good” or “Outstanding” (2018: 86%). For our Ofsted 
registered Children’s services, ratings for the CareTech services at year 
end were 93% “Good” or “Outstanding” (2018: 86%) and 80% for the 
Cambian services, compared with 77% on acquisition. This performance 
is against a backdrop of the continued raising of quality standards in the 
sector reflected in an increasingly stringent regulatory environment. We 
continue to resource our own highly experienced internal quality and 
compliance teams which undertake a programme of regular inspection 
and assessment and give constructive feedback backed by training and 
supervision if the requirement is there. We engage the services of 
outsourced expert advisers ensuring best practice and procedures are 
maintained.

Our independent Care Quality and Governance Committee provides 
rigorous oversight of our regulatory and safeguarding performance and 
has been strengthened by the appointment of Professor Moira Livingston 
as Chair. 

We are continuing to evaluate ways in which we can improve our 
standards of care and are investing significantly in the training and 
induction of staff. 

Our commitment to our service users
We believe the success of those entrusted in our care is our most 
important corporate responsibility. 

We have continued to strive for long-lasting improvements in our 
services in a way that is consistent with the interests and concerns of  
our stakeholder community. As always, the driving force underpinning 
CareTech’s operation continues to be the provision of the highest quality 
of care to our service users.

Service users are the reason for our existence and satisfying their needs 
remains our key objective.

As our organisation grows, we strive to maintain a culture which never 
forgets the important relationship we have with our service users. We 
seek to nurture these relationships and see them as partnerships of 
mutual interest and respect, with our person-centred approach ensuring 
service user interests are safeguarded and vulnerabilities minimised.

The further expansion of our Care Pathway strategy seeks to provide our 
service users with “whole of life” solutions to their needs, maximising 
independence where possible by encouraging education, promoting 
choice, being proactive with family members, providing training for 
employment where feasible and nurturing personal ambition where 
helpful. In the year we have been celebrating the achievements of our 
service users across the country, including an Art Competition held in 
September 2019 and a “Blooming Marvellous” gardening competition. 

We are determined to preserve the dignity of those we care for and fully 
support Government initiatives to this end. We see making each day as 
fulfilled as possible for our service users as a vital ingredient to their, and 
our, success. 

How do  
we operate 
responsibly?

The driving force underpinning CareTech’s operation continues to be 
the provision of the highest quality of care to our service users.

Our commitment to our staff
We remain committed to ensuring employees share in the success of the 
Group and fully appreciate that Group performance is affected by the 
relationship we have with them. We promote our values and culture by 
helping our employees and supporting them with regular supervision, 
training and clear career development programmes. To embed our 
culture across our business we reward our people culminating in the 
Fifth Care Awards ceremony in November 2019. These initiatives 
promote staff continuity and lead to improved standards of care quality.

Out of a total of c.10,000 staff at the end of September 2019, 69% are 
female and equal opportunity for all remains at the heart of our 
recruitment policies and the diversity of our workforce bears this out.  
We value our staff at all levels and work closely with them through our 
robust human resources department to foster consultation in all matters, 
ensure fair pay for all, maximise conditions of service and facilitate 
flexible working where feasible.

The Staff Engagement Survey which took place in May 2019 and involved 
all staff and looked at values and questions across five engagement 
drivers: Trust, Teamwork, Empowering, Corporate Pride and Career 
Progression. The feedback has led to a Communication Plan that will 
lead to improved communication across the Group.

We have a team of in-house training staff delivering courses on all 
relevant subjects, enabling our workforce to gain the skills, knowledge 
and confidence to provide the care and support to our service users  
on a daily basis.

The Group continuously focuses on employee engagement and has 
launched the most wide-ranging share incentive plan across the 
business to include home managers, back office staff and executive 
management. In addition, it is the Company’s intention to make a 
Save-As-You-Earn issuance for front line staff in due course. This 
scheme, along with regular senior management share option awards, 
contributes to the fulfilment of our desire to reward staff for loyalty, 
diligence and commitment to high standards of service.

We paid £1m into the Apprenticeship Levy scheme in FY 18/19 and 
currently have 804 apprentices working across our business. All 
CareTech apprentices benefit from permanent employment contracts 
and are fully embedded in business activities to maximise learning. 

2019 staff count 

Female to male ratio 

10,000+ 

69% 

Female

CareTech Holdings PLC
Annual Report and Accounts 2019
21

Strategic reviewGovernanceFinancial StatementsOur Business Model
continued

Our commitment to the UK social care sector – the CareTech Foundation
Established during 2017, the CareTech Foundation is an independent 
grant-making corporate foundation registered with the Charity 
Commission. Funded and founded by the Group, the Foundation has an 
independent Board of Trustees responsible for delivering its Charitable 
Objects. The Foundation has ambitious and clear-sighted objectives to 
deliver meaningful impact to communities in the UK and Overseas about 
which the staff of the Group and its service users feel proud and strongly 
engaged, providing a unique contribution to the charitable marketplace 
consistent with the Group’s values and approach. 

In the year to September 2019 the Group made charitable donations 
through the Caretech Foundation of £736,000 (2018: £380,000).

The CareTech Foundation is the first corporate foundation in the UK 
social care sector, demonstrating the Company’s commitment to wider 
society and to its staff and its desire to play a strong leadership role within 
the social care sector.

The CareTech Foundation’s work is focused on the following three  
key objectives:

1.  Physical and learning disabilities and Specialist Services. Supporting 

disabled people and those with long-term health difficulties, including 
those with Specialist Services conditions and complex physical and 
learning disabilities.

2.  Skills development for the care sector. Skills development for those 
from deprived and disadvantaged backgrounds for careers in the  
care sector.

3.  Supporting our communities and the CareTech family. Developing an 
ambitious corporate social responsibility programme in partnership 
with the Group, supporting the family and friends of the Group’s staff 
facing significant financial, health or similar challenges.

The Foundation’s focus is devoted to supporting those in need in the  
UK and in developing countries overseas.

The CareTech Foundation delivers its key objectives through the 
following key approaches:

Partnership grant-giving
The CareTech Foundation supports a small number of significant 
partnerships with credible and high quality charities and social 
enterprises consistent with its three key objectives. To be considered  
for the Foundation’s support, any partnership must:

 – Involve medium to long-term investments in innovative and  
high-impact programmes that will deliver one or more of the 
Foundation’s objectives.

 – Demonstrate and be contingent upon any investment by the 

Foundation leveraging additional investment.

 – Enable the Foundation to provide wider in-kind support through 

 the expertise of the Group’s staff, supply chain and wider network.

The Foundation has grown its Partnerships to include seven major 
programmes. During the year, the Foundation has launched a new 
partnership with Birkbeck, University of London in the construction  
and development of the world-first ToddlerLab. The ToddlerLab will 
incorporate the highest quality of technology to play a key role in the 
research and understanding of Autism. The Foundation has also recently 
supported Depaul UK for their Mental Health and Wellbeing for 
Homeless Young People programme in the North East. 

Community grants
The Foundation delivers a small grants programme to support the 
communities, families and friends of CareTech staff facing significant 
financial hardship or for issues affecting local communities in which 
CareTech plc operates. These grants are open to staff members of 
CareTech Holdings plc to support the positive contributions they  
make to their communities and through volunteering.

Match-funding
The Foundation provides match-funding to CareTech staff’s individual 
fundraising efforts for charitable causes in line with the Foundation’s 
Charitable Objects. During the year, the Foundation supported 26 match 
funding grants to support CareTech staff’s charitable fundraising activities.

Staff hardship grants fund
During 2018/19, the Foundation launched a new Staff Hardship Grants 
Fund to enable us to provide small grants to CareTech staff and those 
who may recently have left the Company who find themselves  
in significant financial hardship or at serious risk of becoming in 
significant financial hardship.

We care about our communities
Doing business the right way is of fundamental importance to us.  
A successful business needs to operate in healthy, thriving communities 
and needs to be seen as a good neighbour to those communities.

We have direct involvement in a variety of community-based 
programmes further improving our service reputation and helping  
to foster a strengthened relationship with Local Authorities.

Being a socially responsible organisation with a focus on developing our 
ethical standards aligned with our economic objectives remains a core 
aim and we strive to identify the real value of our organisation, beyond  
its financial bottom line. Considering non-financial values such as 
reputation, employee commitment and service user fulfilment helps  
us develop longer-term opportunities, ultimately adding to the financial 
bottom line.

Behaving responsibly and maximising the benefits of a strong 
relationship with our stakeholders is an integral part of a continuing 
process of building long-term value.

CareTech is delighted to have officially supported Special Olympics Great 
Britain (Team SOGB) at the March 2019 Special Olympics World Summer 
Games, held in Abu Dhabi, United Arab Emirates (UAE), with over 190 
countries participating in a truly spectacular and successful global event. 
CareTech’s involvement with Team SOGB and the World Games arose 
from the close pathway affinity between our national expertise in 
supporting people with learning disabilities through our living, learning 
and employment support services and the Special Olympics movement 
using sport to build confidence, skill and determination for athletes with 
intellectual and learning disabilities as a gateway to empowerment, 
competence, acceptance and joy. The Games were a real highlight  
on the 2019 World Sporting Humanitarian calendar and Team SOGB 
excelled against the competition winning an outstanding tally of 61  
Gold, 57 Silver and 46 Bronze Medals. 

CareTech Holdings PLC
Annual Report and Accounts 2019
22

Bringing disabled people and business together
There are more than 12 million disabled people in the UK who have a 
combined spending power of £249 billion. Purple, led by Mike Adams 
OBE, has been highly influential at a national level in shaping a new  
vision for disability designed to tackle the issues around employment  
and opportunities. The Purple vision is to be the catalyst for change  
in creating opportunities that transform futures by bringing together 
disabled people and business for a single purpose. On 12 November 
2019, Mike Adams launched Purple Tuesday.

Our commitment to the environment
We seek to maximise environmental standards in all areas of our 
organisation. Energy costs are now more closely monitored centrally and 
with the installation of smart meters in our services we are encouraging 
more efficient consumption of energy, without compromising service 
user care.

Clinical waste management has an environmental impact and we are 
focused on ways to make this more effective whilst still adhering to 
statutory requirements.

We aim for minimal waste production and waste-free processes. 
Encouraging the involvement of our workforce in seeking new ways  
to “be green” is important and we are striving to reduce our carbon 
footprint in all commercial areas including promoting recycling initiatives, 
developing a carbon offset scheme for paper usage, using public 
transport where feasible and improving our energy efficiency.

CareTech vehicles typically operate on a rolling four-year contract hire 
agreement from our strategic partner, Fleet Alliance. By outsourcing fleet 
management, CareTech aims to take advantage of the most efficient 
technology when it becomes available. 

Modern Slavery Act 2015
The Modern Slavery Act 2015 came into force in October 2015 
consolidating legislation surrounding modern slavery and human 
trafficking. We have a zero tolerance approach towards modern slavery 
or human trafficking across all areas of our organisation including in our 
supply chain and are committed to acting ethically and with integrity 
throughout all of our dealings. 

Anti-bribery and corruption
The Company maintains a policy for anti-bribery and corruption and  
has a zero tolerance towards such activities. The Company requires 
compliance with the laws of the UK, including the Bribery Act 2010  
in respect of its conduct both in the UK and overseas. 

Internally we operate a suite of policies that are embedded into our 
culture and help govern our activities. Examples of these include:

 – Code of Conduct Policy – this sets out the behaviours we expect  

of our employees when acting for CareTech.

 – Recruitment Policy – all of our employees are recruited after a robust 

recruitment process in line with UK employment laws and are 
required to undertake appropriate CRB checks.

 – Whistleblowing Policy – we want colleagues to feel confident and 

empowered to raise any issues or concerns they may have; however, 
we have a whistleblowing policy in place. Our whistleblowing policy 
helpline is managed by a third-party provider, enabling colleagues to 
raise concerns they may have about issues of safety or wrongdoing, 
anonymously if necessary. All such concerns received through the 
helpline are sent to the Head of Compliance for review, and to ensure 
that they are appropriately investigated and concluded. 

We also continue to regularly monitor the risks we face. All risks are 
reviewed by either our Audit Committee or our Care Quality and 
Governance Committee.

General Data Protection Regulations (GDPR)
CareTech takes its responsibilities as a data controller/processor very 
seriously and is committed to operating within the boundaries of any 
necessary data security regulations to include the Data Protection Act. 
CareTech is conversant with the requirements of both the GDPR and 
Data Protection Bill and is constantly updating its information 
governance practices. 

By order of the Board

We aim to work in partnerships with all of our contractors, suppliers  
and other business partners to ensure that they share and work towards 
the same values we hold against slavery and human trafficking. 

Haroon Sheikh
30 January 2020

A full version of our Anti-Slavery and Trafficking Statement can be found 
on our website. 

CareTech Holdings PLC
Annual Report and Accounts 2019
23

Strategic reviewGovernanceFinancial StatementsOur Key Performance Indicators

KPIs help us 
to measure 
the Group’s 
performance 
against its 
strategy and 
objectives

CareTech Holdings PLC
Annual Report and Accounts 2019
24

Financial
Revenue 

£395.0m 

(2018: £185.7m)

How this is calculated
Revenue measures how we have filled our capacity, the fees we have charged, 
together with the impact of acquisitions.

Performance this year
Revenue has improved by £209.3m – 112.7% year on year. This reflects the 
acquisition of Cambian in October 2018 and organic growth achieved by the 
core business which has been in part reduced by the reconfiguration work on 
some properties, improved margins and acquisitions. Like-for-like, CareTech 
increased  
by 5.8% to £196.5m (2018: £185.7m).

Underlying basic EPS 

37.60p 

(2018: 35.07p)

How this is calculated
Underlying basic earnings per share is the profit after tax divided by the 
weighted number of ordinary shares which are fully described in notes 11 and 
12 to the Financial Statements.

Performance this year
The underlying basic earnings per share has increased by 2.53p in the year.

Operating cash conversion 

90.2% 

(2018: 89.9%)

How this is calculated
Cash flow from operations before non-underlying items and tax (and excluding 
capex) divided by EBITDA.

Performance this year
Operating cash flow increased to 90.2% for the year. Cambian was acquired 
mid-October and in the pre-acquisition period (from 1 October to 18 October 
2018) there were particularly strong cash receipts. The mid-month acquisition 
resulted in the Group being unable to count these receipts in the conversion 
calculation, whilst the payrolls, which typically go out at the end of the month,  
are counted in the combined Group cash flows. Excluding this, for the period  
1 October 2018 to 30 September 2019, Cambian has a 100% EBITDA to cash 
conversion and CareTech has a 101% cash conversion. 

EBITDA 

£73.5m 

(2018: £43.9m)

How this is calculated
EBITDA is operating profit stated before Interest, Tax, Depreciation, 
Amortisation, share-based payments charge and non-underlying items which 
are described in note 4 to the Financial Statements.

Performance this year
The EBITDA has improved by £29.6m – 67.4% year on year. This reflects the 
EBITDA contribution from the Cambian acquisition and organic growth 
achieved by the core business which has been in part reduced by the 
reconfiguration work on some properties, improved margins and acquisitions.

CareTech like-for-like EBITDA increased by 1.0% to £44.3m (2018 £43.9m). 

 
 
 
 
Underlying profit after tax and non-controlling interest 

Blended occupancy  

CareTech 

Cambian

£40.3m 

(2018: £26.5m)

How this is calculated
Underlying profit after tax and non-controlling interest is the Group’s profit after 
provision for taxation excluding non-underlying items such as amortisation of 
intangible assets after tax which are fully described in note 6 to the Financial 
Statements.

Performance this year
The profit after tax is 51.9% more than 2018 representing an improved return to 
shareholders following the Cambian acquisition.

Net Debt 

£291.1m 

(2018: £147.0m)

How this is calculated
Net Debt comprises the balance at the year-end for cash and cash equivalents 
net of bank loans outstanding and finance lease and hire purchase contracts.

Performance this year
Bank debt at 30 September 2019 was £291.1m which is an increase of  
£144.1m from 30 September 2018 of £147.0m. The change reflecting the  
cash consideration and the associated financing necessary for the Cambian 
acquisition together with the receipt from the ground rent transaction.

Operational
Capacity 

80%  87%  73% 

(2018: 86%)

How this is calculated
Blended occupancy is the total number of Adult and Children Service Users 
actually placed as a percentage of the Group’s total capacity and so reflects 
facilities undergoing development and reconfiguration.

Performance this year
The ratio decreased overall reflecting the Cambian business which has a  
lower occupancy level and is also impacted by the timing of the start of the 
educational year because a number of non-residential Cambian schools 
operate on a 38-week basis with the new education term commencing in 
October.

Mature Estate Occupancy   CareTech 

Cambian

85%  92%  74% 

(2018: 93%)

How this is calculated
The Mature Estate Occupancy is the total number of Adult and Children 
Service Users placed in services that were open throughout the year.

Performance this year
CareTech’s ratio has remained broadly unchanged at 92% and reflects the long 
length of stay that the majority of service users have in our services.

The occupancy of the Cambian business as at 30 September each year is 
affected by the timing of the start of the educational year because a number  
of non-residential Cambian schools operate on a 38-week basis with the new 
education term commencing in October. 

Quality
Regulatory rating (%) – facilities rated “Good” or “Outstanding” 
Ofsted CareTech 
CQC Adult 

Cambian

95%  93%  80% 

(2018: 86%) 

(2018: 86%) 

(2018: 77%)

How this is calculated
The market that CareTech operates in is regulated by Ofsted and the Care 
Quality Commission and their equivalents in Scotland and Wales. Each facility 
is inspected and given a score, with a range of outcomes from “Outstanding”, 
“Good”, “Requires Improvement” to “Inadequate” (or equivalent).

Performance this year
Quality ratings continue to improve across the Group.

CareTech 

5,079
2,620
2,459 

Cambian

(2018: 2,622 places)

How this is calculated
The Group’s capacity is the total number of Adults Services (1,968), Children’s 
Services (1,933) and Foster Care (1,178) places that the Group is able to offer at  
that date. It is a total including residential care beds, independent supported 
living accommodation, community support service users and children that 
foster carers can currently look after.

Performance this year
Overall capacity has increased by 2,457 which is a 93.7% increase. 

CareTech added 56 new beds whilst reconfigurations reduced capacity by a 
net 11 beds. A further 47 supported living contracts came to an end, resulting  
in a net decrease of two places for CareTech. There has been a net increase  
of four places in Cambian homes since acquisition due to one new home 
registration occurring in August 2019.

CareTech Holdings PLC
Annual Report and Accounts 2019
25

Strategic reviewGovernanceFinancial Statements 
 
 
 
 
Principal Risks and Our Strategic Response

Social care is a long-term contract with the public sector and is inherently 
free of risk so long as quality is maintained, outcomes are achieved and 
the price is right. However, social care does carry risks that will always 
be at the forefront of our minds. The most obvious risk is that a tragedy 
will occur and that the Company will be held to blame. We take the risk 
very seriously. Our principal risk management strategy is to ensure that 
our staff are recruited well, are trained and supervised properly and are 
subject to rigorous quality oversight. In addition we know from experience 
that processes and documentation must be very carefully observed and 
constantly reviewed to ensure that it protects service users and provides 
the Company with a defendable position in the case of tragedy.

These matters, along with general safeguarding, are subject to intense 
scrutiny by our in-house compliance and quality teams and Board-
level oversight.

Managing and mitigating risk
Social care is not a high risk business proposition but there are several 
unique factors that could cause difficulties. These centre on the way in 
which care and support are provided and the reliability of those front line 
staff who provide it. CareTech approaches these issues with considerable 
care and diligence, building in quality and training wherever it is required 
but also through its established scrutiny protocols and firm leadership. 
We care a great deal about what we do and have established a reputation 
for careful management of all those processes that could expose us 
to risk.

We have thoroughly reviewed our operations. The Group currently trades 
only within the UK and has no foreign exchange exposure. We have 
limited exposure to nursing staff and the EU labour market. Our primary 
recruitment is focused on the UK labour market for support staff and 
the recruitment of new staff is the factor that we are managing and we 
continue to monitor closely.

Our risks
All providers of health and social care are conscious of the need 
for management vigilance and the requirement to have a thorough 
commitment to delivering care that is safe and of a high quality. 
CareTech’s approach to quality and safe service delivery is characterised by 
a mixture of a dedicated compliance team carrying out regular audits of 
inspection and a commitment to building quality into everything we do.

The market for the provision of social care services continues to be 
dynamic, presenting both risks and opportunities. The overall number of 
people needing support will increase, and a smaller proportion of them 
will be placed into residential services. Those who do need a residential 
care solution will have more complex needs and are likely to require 
a wider range of services, including clinical and therapeutic support. 
Our operational management teams are already focusing on the delivery 
of high quality care. As we move forward this will become increasingly 
specialised with the benefit of professional qualified care co-ordinators 
who will prepare and direct personalised care plans within the services.

Most service users will be supported in their own homes through 
domiciliary care or in more formal supported living arrangements. This is 
a major growth area for care providers and CareTech already has a solid 
reputation for its high quality and flexible solutions. We are building this 
to a higher level and refining our organisational structure to build more 
rapidly on our successes to date.

Principal Risks

Service offer and user needs
We have to create and staff a service offering 
which matches the needs of the service user 
and can be communicated to Commissioners 
so it is carefully recorded locally at every service 
in order to reduce the risk of service users 
moving to other service providers.

Service value
The service offer has to be provided to meet 
the needs of the Commissioners at a fair price 
and this is coming under increased scrutiny 
as Commissioners regularly review value for 
money so the Group communicates frequently 
with its Commissioners locally.

Quality and safety
A health and safety breach would impact 
reputation, brand and compromise the safety 
of those in our care. This could impact on 
the demand for our business as well as incur 
costs to rectify. We have to provide and deliver 
safe care of a high quality and the Group 
utilises Acoura, an independent supplier, to 
audit and report monthly on Health and Safety 
matters as well as all RIDDORS (Reporting of 
Injuries, Diseases and Dangerous Occurrences 
Regulations) so that all incidents are recorded 
and acted upon.

Reputation
The Group has to have a reputation for 
delivering a service that is good value and  
takes account of all risks. The Group maintains  
a Risk Register which includes all key risks, 
including reputational risk, and how they  
are mitigated though quality of service and 
good communication with service users and 
Local Authorities and this Risk Register is 
reviewed monthly.

Growth funding
So that the Group can keep growing, adequate 
funding has to be anticipated and put in place, 
and the Group ensures that all of its facilities are 
monitored and reviewed regularly in particular 
during its Budget and forecasting processes.

Manage debt
The level of debt obtained to fund operations 
and ensure that growth can occur has to be 
carefully managed and the different forms of 
leasing and debt are reviewed quarterly when  
all of the covenants are also reviewed.

By order of the Board

Farouq Sheikh
Group Executive Chairman
30 January 2020

CareTech Holdings PLC
Annual Report and Accounts 2019
26

Group Financial Review

Strategic review
Governance
Financial Statements

CareTech Holdings PLC
Annual Report and Accounts 2019
27

The Group reports certain non-IFRS performance measures, known as 
Alternative Performance Measures (APMs). The Directors believe that APMs 
provide useful supplemental information for the readers of the annual 
report and, when read in conjunction with the IFRS financial information, 
assist in providing a balanced view of the Group’s financial performance 
and financial position.

In assessing its performance, the Group has adopted a number of APMs 
because, statutory measures can have limitations as analytical tools 
and are necessary to readers of the accounts when understanding 
our performance relative to other companies in our sector and in the 
wider economy. 

Our APMs referred to in this report and in the financial statements as a 
whole include EBITDA, non-underlying items, underlying earnings and 
non-financial measures such as capacity, occupancy and regulator quality 
ratings. You can read more about APMs on page 98.

Capacity and occupancy
As at the balance sheet, date Group capacity was 5,079. CareTech’s 
capacity was 2,620 with blended occupancy 87% and mature occupancy 
92%. CareTech’s organic developments have continued during the year 
ended 30 September 2019 with the addition of 56 new beds whilst 
reconfigurations reduced capacity by a net 11 beds. A further 47 supported 
living contracts came to an end, resulting in a net decrease of two places 
for CareTech. 

The occupancy of the Cambian business as at 30 September each year 
is affected by the timing of the start of the educational year because 
a number of non-residential Cambian schools operate on a 38-week 
basis with the new educational term commencing in October, with 
total capacity at 2,459 with blended occupancy 73% and mature 
occupancy 74%.

Group Financial Review  
continued

Highlights
 – 2019 has been transformational for CareTech following the £359.9m 

acquisition of Cambian in October 2018

 – 2019 results reported reflect the enlarged Group including the Cambian 

operations since acquisition

 – Integration plan for the combined business is well underway
 – Pre-tax profit synergies of £3m have been delivered 
 – Revenue: £395.0m
 – EBITDA: £73.5m
 – Non-underlying items of £23.3m comprising predominantly £10.3m 

acquisition expenses and £10.2m non-cash amortisation, reflecting the 
acquisition of Cambian in the year
 – Statutory profit before tax: £24.3m
 – Diluted underlying EPS: 37.48p and statutory EPS: 18.31p representing 

real value growth for shareholders

 – Net debt: £291.1m
 – Freehold portfolio valued at £774m on acquisition
 – 90% EBITDA to operating cash conversion(i). 
 – Net assets: £335.4m

(i) 

 Cambian was acquired mid-October and in the pre-acquisition period (from 1 October to 
18 October 2018) there were particularly strong cash receipts. The mid-month acquisition 
resulted in the Group being unable to count these receipts in the conversion calculation, 
whilst the payrolls, which typically go out at the end of the month, are counted in 
the combined Group cash flows. Excluding this, for the period 1 October 2018 to 
30 September 2019 Cambian has a 100% EBITDA to cash conversion and CareTech  
has a 101% cash conversion.

Results
Included in the Group consolidated results for the year ended 
30 September 2019 are Cambian’s revenue, EBITDA and other income 
statement items together with cash flows for the period following 
completion on 19 October 2018. 

Following the acquisition of Cambian and to reflect the ongoing 
integration of the two businesses, we are reporting three 
operating segments: 

 – Adults Services, comprising the core CareTech Adult Learning Disabilities 

business (ALD) as well as the Specialist Services business (SS) and 
Learning Services;

 – Children’s Services, comprising CareTech’s and Cambian’s children’s 

services; and

 – Foster Care, comprising CareTech’s and Cambian’s fostering services

For the year to 30 September 2019, we have also provided segmental 
data in Note 4 for the historic CareTech and Cambian businesses to 
enable a like-for-like analysis in the first year following the acquisition. 
For subsequent financial years, the results of the Group will be combined 
on the basis of the operating segments described above. The change 
in reporting segments reflects the way the business is managed 
and reported.

CareTech Holdings PLC
Annual Report and Accounts 2019
28

Condensed Income Statement before non-underlying items

Revenue

Gross profit

Administrative expenses excluding 
depreciation and share-based payments charge

EBITDA

EBITDA margin

Depreciation

Share-based payments charge

Underlying operating profit

Net financial expenses

Underlying profit before tax

Underlying taxation

Underlying effective tax rate

Underlying profit for the year

Non-controlling interest

Weighted average number of diluted shares (millions)

Underlying basic earnings per share

Full year dividend per share

Growth

112.7%

67.4%

66.4%

52.6%

2019 
£m

395.0

133.0

(59.4)

73.5

2018 
£m

185.7

65.3

(21.4)

43.9

18.6%

23.6%

(10.6)

(0.1)

62.9

(12.7)

50.2

(9.4)

(5.9)

(0.2)

37.8

(4.9)

32.9

(5.8)

18.7%

17.6%

40.7

(0.4)

107.6

37.60p

11.7p

27.1

(0.6)

75.7

35.07p

11.0p

Revenue
Group revenue increased by 112.7% to £395.0m (2018: £185.7m) with like-for-like revenues increasing by 5.8% year on year.

In the established Adults Services segment we continued to experience high levels of occupancy and reported 93% occupancy at 30 September 2019. 
When this is blended with the facilities that are being reconfigured and so are under development, the blended occupancy level at 30 September 2019 
was 89% of capacity (September 2018: 86%). As in recent years the demand for residential services continues to be encouraging for high acuity users.

Annual fee rate negotiations with Local Authorities across the Group have received a favourable response. The National Minimum Wage increased from 
1 April 2019, as did increases to both employer and employee pension contributions. The Group believe this has positively influenced its discussions with 
Local Authorities, who recognise that front line staff are an integral part of quality of delivery. 

In Children’s Services, total revenue has risen by 292.9% reflecting that Cambian was the largest provider of specialist education and behavioural health 
services for children in the UK.

Revenue and EBITDA by division

Adults Services

CareTech

Cambian

Children’s Services

CareTech

Cambian

Foster Care

CareTech

Cambian

Total 

CareTech

Cambian

CareTech Holdings PLC
Annual Report and Accounts 2019
29

2019 
Revenue 
£m

2019 
EBITDA 
£m

2018 
Revenue 
£m

2018 
EBITDA 
£m

123.6

–

123.6

64.9

165.7

230.6

8.0

32.8

40.8

196.5

198.5

395.0

32.7

–

32.7

18.2

37.5

55.7

1.5

6.0

7.5

52.4

43.5

95.9

118.7

–

118.7

58.7

–

58.7

8.2

–

8.2

185.7

–

185.7

31.9

–

31.9

17.0

–

17.0

1.9

–

1.9

50.8

–

50.8

Strategic reviewGovernanceFinancial StatementsEBITDA margin has decreased from 23.6% to 18.6% as a consequence 
of the Cambian EBITDA margin being at a lower rate than the CareTech 
business prior to acquisition. 

EBITDA 

Increase in working capital

Cash flow and net debt 
The cash flow statement and movement in Net Debt for the year is 
summarised below:

Cash inflows from operating activities before 
non-underlying items

Tax paid 

Interest paid

Dividends paid

Capital expenditure

Proceeds from disposal of fixed assets

Acquisition of Cambian net of cash

Non-underlying cash flows 

New HP arrangements

Movement in Net Debt

Opening Net Debt

Net Debt as at 30 September 2019

2019 
£m

73.5

(7.2)

66.3

(5.9)

(10.9)

(10.8)

(31.5)

31.8

(160.3)

(20.4)

(2.4)

(144.1)

(147.0)

(291.1)

2018 
£m

43.9

(4.4)

39.5

(4.1)

(4.7)

(7.5)

(17.1)

–

–

(6.1)

–

0.1

(147.1)

(147.0)

A key feature of this business is its strong cash generation. Cash inflows 
from operating activities before non-underlying items were £66.3m 
(2018: £39.1m). Cash inflows from operating activities including the 
payment of integration and restructuring costs of £5.6m and acquisition 
costs of £14.4m were £45.4m (2018: £34.2m).

For the period 1 October 2018 to 30 September 2019 Cambian has 
a 100% EBITDA to cash conversion and CareTech has a 101% cash 
conversion. Cambian was acquired mid-October and in the pre-
acquisition period (from 1 October to 18 October 2018) there were 
particularly strong cash receipts. The mid-month acquisition resulted in 
the Group being unable to recognise these receipts in the conversion 
calculation, whilst the payrolls, which typically go out at the end of the 
month, are recognised in the combined Group cash flows. Taking this into 
account, the EBITDA to operating cash conversion for the consolidated 
Group is 90%. 

Capital expenditure was £31.5m (2018: £17.1m) which includes software 
development of £2.7m (2018: £3.9m) and payments of deferred 
consideration of £1.0m (2018: £Nil).

Other key cash flows in this period include payment of integration 
costs of £6.5m (2018: £4.3m), payment of acquisition costs of £14.4m 
(2018: £0.9m), bank fees paid on the new facility of £4.7m (2018: £nil), 
dividend payments of £10.8m (2018: £7.5m) and corporation tax payments 
of £5.9m (2019: £4.1m). 

Net Debt at 30 September 2019 was £291.1m (2018: £147.0m), the 
increase reflecting the cash consideration of £160.1m and the associated 
financing necessary for the Cambian acquisition together with the 
£31m receipt of the ground rent transaction and the other cash flows 
identified above. 

Group Financial Review
continued

EBITDA
Divisional EBITDA before unallocated overheads was £95.9m which 
comprises £52.4m for CareTech (and represents an increase of 3.3% year 
on year) and Cambian of £43.5m. Total unallocated corporate overheads 
are £22.3m resulting in EBITDA of £73.5m.

The EBITDA margin of the Cambian business was 13.4%, before synergies, 
showing improvement when compared with their historic announced 
margins (which, in June 2018, were announced at 11%). The medium-term 
margin target for the Cambian business is 16%. 

Operating profit and profit before tax
The Group presents operating profit and profit before tax as both 
underlying and statutory results. Underlying operating profit of £62.9m  
is EBITDA after depreciation and share-based payments charge. 

The depreciation charge is £10.6m (2018: £5.9m) reflecting the investment 
in land and buildings, motor vehicles and fixtures, fittings and equipment 
and the share-based payments charge of £60k (2018: £197k). 

Statutory operating profit of £39.5m is underlying operating profit less 
amortisation of £10.2m (2018: £7.4m), acquisition costs of £10.3m 
(2018: £4.5m), reflecting the costs incurred in acquiring Cambian in 
October 2018 and other non-underlying items of £2.9m (2018: 5.6m). 

Underlying financial expenses increased to £12.7m (2018: £4.9m) due 
to additional bank financing to fund the cash consideration of the 
acquisition of Cambian with non-underlying financial expenses of £2.4m 
(2018: £0.1m) relating to the non-cash movement in derivative financial 
instruments (£1.5m) which do not qualify for hedge accounting and 
£0.4m relating to the write-off of finance fees on facilities extinguished in 
the year.

Underlying profit before tax improved to £50.2m (2018: £32.9m) and 
statutory profit before tax increased to £24.3m (2018: £15.4m). 

Taxation 
The effective underlying tax rate was 18.7% (2018: 17.5%) and reflects 
management’s expectations of future capital investment through organic 
developments and reconfigurations relative to available capital allowances 
and the impact of the reduction in the main rate of corporation tax in 
the year.

Earnings per share
The weighted average number of shares in issue rose to 107.6m mainly 
due to the issue of 33.2m as consideration shares as part of the Cambian 
acquisition in October 2018. 

Underlying basic earnings per share increased by 7.2% to 37.60p from 
35.07p in 2018.

Statutory earnings per share increased by 30.6% to 18.38p (2018: 14.07p).

Dividends
Our policy has been to increase the total dividend per year broadly 
in line with the movement in underlying diluted earnings per share. 
The final dividend will rise broadly in line with the increase in underlying 
earnings per share and increase to 7.95p per share (2018: 7.50p), bringing 
the total dividend for the year to 11.7p (2018: 11.0p), a growth of 6.4%. 
Dividend cover for 2019, based upon diluted earnings per share before 
non-underlying items is 3.18 times (2018: 3.19 times).

CareTech Holdings PLC
Annual Report and Accounts 2019
30

Acquisitions, share issue and bank facilities
On 19 October 2018, CareTech Holdings plc acquired the entire share 
capital of Cambian Group plc, a leading children’s specialist education  
and behavioural health service provider. The headline consideration for the 
acquisition was £359.9m (of which £241.7m was paid in cash), with the net 
price paid being £278.5m reflecting £81.5m of net cash held by Cambian 
on the date of acquisition. The acquisition was funded by the issue of 
33.2m shares and new bank facilities. 

The Group entered into new Banking facilities of £322m and a revolving 
credit facility of £25m to a group of banks comprising Barclays Bank PLC, 
HSBC UK Banks plc, Santander UK plc, AIB Group (UK) plc, Clydesdale 
Bank PLC, Credit Suisse AG, Lloyds Bank plc and National Westminster 
Bank plc.

As part of the acquisition, in September 2018 the Group’s property 
portfolio was revalued by Cushman and Wakefield and the market value 
was £424m and the Cambian Group plc property portfolio was revalued 
by Knight Frank and the market value was £350m, a total of £774m.

CareTech’s three key covenant ratios are leverage (ratio of net debt 
to covenant EBITDA to be no more than 4.9x), interest cover (ratio of 
covenant EBITDA to net finance costs to be no less than 4x) and LTV 
(ratio of property value to net debt to be no more than 62.5%). As at 
30 September 2019, we were operating comfortably within these ratios  
at 3.9x, 6.45 and 42% respectively. The Board are committed to reducing 
Net Debt to under 3.0x in the medium term. 

Ground rent transaction
In January 2019, the Group announced that it had completed a ground 
rent transaction with funds managed by Alpha Real Capital LLP (“Alpha”) 
at a net initial yield of 2.85%. This transaction builds on the previous 
transaction with Alpha in February 2016.

Under the terms of the agreement, the freehold interest in 24 CareTech 
properties (“the Properties”) were transferred to Alpha in exchange for 
a net cash sum of £31m and security of tenure with a 150-year lease 
term returning to CareTech a virtual freehold interest in each property. 
The commencing rent was £1.0m per annum which will rise with the 
Retail Price Index on a yearly basis between 0% and 5% per annum. 
The properties are located across England and Scotland, representing 
less than 8% of the aggregate number of freehold properties owned by 
the Group. 

New accounting standards
IFRS 9
IFRS 9 ‘Financial instruments’ became effective for the Group starting 
1 October 2018 and replaced the requirements of IAS 39 ‘Financial 
Instruments: recognition and measurement’. The main changes 
introduced by the new standard are a new classification and measurement 
requirements for certain financial assets and a new Expected Credit Loss 
(ECL) model for the impairment of financials assets. 

The Group has determined that the transition to IFRS 9 resulted in an 
additional charge of £0.5m. The chosen transition method is to make an 
adjustment against opening reserves and not to restate 2018 comparative 
information. There has been no other impact on the classification of 
assets and liabilities as a result of adopting this standard.

IFRS 15
IFRS 15 ‘Revenue from contracts with Customers’ became effective for 
the Group starting from 1 October 2018 and provides a single, principles-
based approach to the recognition of revenue from all contracts with 
customers. It focuses on the identification of performance obligations 
in a contract and requires revenue to be recognised when or as those 
performance obligations are satisfied. 

The Group has determined that the transition to IFRS 15 has not resulted  
in any significant adjustments to the Group’s reported revenue. 

Future accounting standards – IFRS 16
IFRS 16 ‘Leases’ became effective for the Group from 1 October 2019 
and replaces the requirement of IAS 17 ‘Leases’. An asset representing 
the Group’s right as a lessee to use a leased item, and a liability for 
future lease payments will be recognised for all leases, subject to limited 
exemptions for short-term leases and low-value lease assets. The costs 
of leases will be recognised in the consolidated income statement split 
between depreciation of the lease asset and a finance charge on the lease 
liability. This is similar to the accounting for finance leases under IAS 17, 
but substantially different to the accounting of operating leases (under 
which no lease asset or liability was recognised, and rentals payable were 
charged to the consolidated income statement on a straight-line basis). 

As a result of adopting the new rules, for the year ended 30 September 
2020, the Group anticipate recognising an additional right of use asset of 
£72m and corresponding lease liability of £72m. The Group expects net 
profit before tax to decrease by £0.5m. EBITDA is estimated to increase 
by £8.0m as the operating lease rentals which were previously included in 
operating profit are excluded, with this increase being offset by additional 
estimated depreciation of £6.3m as the right-of-use assets are depreciated 
and estimated a £2.3m of finance charge relating to the lease liability. 

IFRS 16 will not have any impact on the underlying commercial terms of 
each lease, our banking covenants and will not have any impact on the 
commercial performance of the Group, nor the cash flow generated in 
the year.

Christopher Dickinson
Chief Financial Officer
30 January 2020

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Annual Report and Accounts 2019
31

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Board of Directors

Farouq Sheikh
Group Executive Chairman 
Aged 61

Haroon Sheikh BSc
Group Chief Executive Officer  
Aged 63

Karl Monaghan 
Non-Executive Director  
Aged 57

Mike Adams OBE 
Executive Director  
Aged 48

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Farouq has been a key architect 
in CareTech’s growth, having 
been co-founder of the Group 
and involved in the vision and 
strategy from the outset in 1993. 
With a background in law and a 
good understanding of finance 
and commerce, Farouq has been 
instrumental in securing debt and 
equity funding for the Group as 
well as leading the management 
team in winning a number of  
long-term contracts from local  
and health authorities.

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Farouq is a leading business 
entrepreneur, philanthropist 
and investor within the UK. 
Farouq has initiated and overseen 
the successful equity investments 
and the subsequent exits for  
3i Group PLC (in 1996 and 2002) 
and Barclays Private Equity (in  
2002 and 2005). His intimate 
knowledge of the marketplace,  
and his commercial and 
negotiating expertise assisted  
in the Group’s growth.

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Farouq has been presented with a 
number of Entrepreneur of the Year 
awards by prestigious organisations 
including Laing and Buisson, Coutts 
Bank and Ernst & Young. He also 
presents widely at healthcare 
conferences, raising awareness  
of the learning disability sector.

As Patron and Enterprise Fellow 
of the prestigious Prince’s Trust 
and as a member of the Mosaic 
National Advisory Board, Farouq 
supports young people by passing 
on his experience and expertise 
to inspire the next generation 
of entrepreneurs.

Farouq was a Founder Trustee 
of the CareTech Charitable 
Foundation formed in 2017.

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CareTech Holdings PLC
Annual Report and Accounts 2019
32

After graduating from University 
College Dublin with a Bachelor of 
Commerce Degree, Karl trained 
as a chartered accountant with 
KPMG in Dublin. He has worked in 
the corporate finance departments 
at a number of merchant banks 
and stockbrokers, latterly at Credit 
Lyonnais Securities for seven years 
and Robert W. Baird for two years 
until June 2002. Karl set up Ashling 
Capital LLP in December 2002 to 
provide consultancy services to 
quoted and private companies. 
He sits on a number of AIM quoted 
and private company boards.

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Haroon, a London University 
graduate, is one of the UK’s leading 
entrepreneurs, philanthropists 
and community figureheads 
and one of the founders of 
CareTech. Haroon brings 
commercial acumen, related 
industry experience and property 
knowledge which has been 
essential in the growth of the 
business. As Group Chief Executive 
Officer, he is actively involved 
in the day-to-day running of the 
business and over time has been 
instrumental in nurturing and 
supporting the senior management 
team, bringing together disciplines 
in care, commerce and property. 
He has a deep commitment and 
passion to delivering high-quality 
care and support to people with a 
learning disability. 

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Haroon is Patron and Enterprise 
Fellow of the Prince’s Trust and is 
also Vice Chair of the UK Advisory 
Council of the British Asian Trust 
under the patronage of HRH 
The Prince of Wales. He is also 
a Member of the Court of the 
University of Hertfordshire.

In 2008, Haroon and his brother 
Farouq were winners of the highly 
valued Coutts Family Business 
Prize and widely applauded for the 
quality and social integrity of the 
company they created. In 2009 
they were both finalists in the Ernst 
& Young Entrepreneur of the Year 
Awards and in 2016 they received 
the Outstanding Contribution 
Award at the Laing & Buisson 
Annual Healthcare Awards. In 2019 
Haroon and Farouq were winners 
of the “Asian Business of the Year”.

Haroon was a Founder Trustee 
of the CareTech Charitable 
Foundation formed in 2017 and is 
Chairman of the Trustees, working 
closely with the Group’s Executive 
and independent Trustees.

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Mike has a significant track record 
in the social care, health and 
disability sectors. He is currently 
CEO of Purple Zest Limited, 
a disability organisation that 
supports both disabled people 
and businesses. In previous roles 
he was Director of the National 
Disability Team, responsible for 
policy and practice for disabled 
students in higher education; 
Director of Operations for the 
Disability Rights Commission for 
two years; and Chief Executive 
Officer of ecdp, an Essex-based 
user-led disability organisation. 
Mike spent nine months as acting 
Chair of a large acute hospital 
trust in Essex and has previously 
chaired an expert panel on Access 
to Work, the Government’s flagship 
disability employment programme. 
Mike has been awarded an 
Honorary Doctor of Education for 
disability leadership from Anglia 
Ruskin University.

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Mike was honoured with an OBE  
in 2012 for his services to disability.

Mike became a Trustee of the 
CareTech Charitable Foundation 
in 2017.

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Jamie Cumming 
Non-Executive Director  
Aged 69

Gareth Dufton FCA 
Interim Group Finance Director  
Aged 43

Christopher Dickinson 
Chief Financial Officer 
Aged 41

Professor Moira Livingston 
Non-Executive Director 
Aged 57

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Chris has spent the past year as 
Chief Financial Officer of Cambian 
and prior to joining CareTech was 
a Managing Director at Jefferies 
where he acted for the Group on 
its acquisition of Cambian. Prior to 
Jefferies, Chris spent 14 years at 
J.P. Morgan advising on many 
significant M&A transactions and 
debt and equity raises. Chris is 
a chartered accountant, having 
been admitted as a member 
of the ICAEW in 2004 and as a 
Fellow in 2014, and has a degree 
in Computer and Management 
Science from the University 
of Warwick.

Moira has been involved in health 
and social care for 34 years. 
Moira spent many years working 
initially as a Doctor in the field of 
older-age psychiatry and latterly 
as a senior clinical leader and 
manager in the NHS.

Moira has held a number of 
Director level leadership roles in 
the healthcare sector. Moira has 
led national programmes for the 
Department of Health and was 
a specialist advisor with the Care 
Quality Commission. Currently, 
Moira is the Managing Director  
of the healthcare consultancy,  
Dr Livingston Limited. Moira is  
also a Non-Executive Director at 
Leeds Teaching Hospitals NHS 
Trust, where she is a member of 
the Audit Committee and chairs  
the Quality Assurance Committee.

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Jamie joined the Board as a 
Non-Executive Director in 2013. 
Following a long career in 
corporate advisory and broking in 
the City, including acting as Chief 
Executive Officer of N+1Brewin 
LLP, and latterly as Senior Adviser  
to Canter Fitzgerald Europe,  
Jamie has significant experience in 
working with small and mid-sized 
UK companies. Jamie currently 
utilises his commercial experience 
in supporting growth companies in 
non-executive roles, is an associate 
of Ruffena Capital and has qualified 
as a fellow of the Chartered 
Institute of Securities & Investment. 

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Gareth is a graduate of the 
University of Hertfordshire with 
a first class honours degree in 
accounting. He is a qualified 
chartered accountant who was 
admitted as a member of the 
ICAEW in 2001 and as a Fellow 
in 2013. He is a former partner of 
Moore Stephens LLP, the top 10 
City-based accountants where he 
played a key role in client liaison, 
undertaking a mix of audit, tax 
and corporate finance where 
he worked between 2000 and 
2007. Gareth has experience 
working with both privately owned 
businesses and public companies 
assisting in raising finance, 
acquisitions and disposals. 

Gareth has been involved in 
CareTech since 2000, initially 
advising as part of Moore Stephens 
and from 2007 working directly 
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roles, including acting as Associate 
Finance Director between 2009 
and 2016. He has provided support 
to CareTech at a senior level 
with finance matters including 
acquisitions, equity raising, renewal 
of debt facilities, share placement 
and disposals of properties.

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CareTech Holdings PLC
Annual Report and Accounts 2019
33

Strategic reviewGovernanceFinancial StatementsCorporate Governance Report 

Introduction
The Board believes that an effective corporate governance framework  
is essential to underpin the success of the business, supporting 
management while ensuring an appropriate level of challenge and 
exercising proper oversight while facilitating decision making.

The Board is focused on taking steps to enhance standards of 
governance and disclosure towards the levels required for Premium 
Listed companies, should the Board ultimately decide to take that step. 
Board composition has been reviewed with the aim of achieving an 
appropriate level of independence and ensuring appropriate skillsets 
within the Non-Executive Director group, and meeting diversity goals.  
A first step in this process was completed in May 2019, with the 
appointment of Professor Moira Livingston as an Non-Executive Director 
and Chair of the Care Quality and Governance Committee. I am pleased 
to welcome Moira and I am confident that her commercial expertise will 
benefit the Board and the Company enormously. 

Section of the UK Corporate Governance Code
The role of the Board
Every company should be headed by an effective board which is 
collectively responsible for the long-term success of the company 
Details of CareTech’s Board are set out on page 39. The CareTech 
Board has collective responsibility for the management, strategic 

The CareTech Board remains committed to achieving the highest 
standards of integrity, ethics, professionalism and business practice 
throughout its operations. Therefore, the Company has aligned its 
governance with best practice and is reporting against the provisions  
of the UK Corporate Governance Code on a comply or explain basis. 
The Code and associated guidance are available on the Financial 
Reporting Council website at www.frc.org.uk. A revised Code was 
published in July 2018 (the 2018 Code), which will become effective  
for accounting periods beginning on or after 1 January 2019. We have 
commenced our preparations for the key changes and will be examining 
current practices in relation to the requirements of the 2018 Code and 
will report in relation to them at the appropriate time. We have noted the 
Code provisions below where the Company does not comply with the 
Corporate Governance Code in full.

direction and performance of the Company. The CareTech  
Board provides leadership within a framework of prudent and 
effective controls seeking to enable risk to be appropriately  
assessed and managed.

How the Company complies with the UK Corporate Governance Code
The CareTech Board has delivered sustainable and reliable growth 
since its Admission to trading on AIM. CareTech has aimed to be  
a defensible stock even in difficult times and has adopted a progressive 
dividend policy to return 11.7 pence per ordinary share to Shareholders. 
The CareTech Group has also had direct involvement in a variety of 
community-based programmes further improving the CareTech 
Group’s service reputation and helping to foster a strengthened 
relationship with local authorities.

development of a communication plan. The CareTech Board believe 
that its workforce policies, including its in-house training and HR 
systems support the CareTech Group’s focus on the provision of quality 
services and allow for sustainable growth. The CareTech Board believe 
the effectiveness of its staff engagement procedures is reflected in its 
staff turnover levels, which are below the industry average and in the 
CareTech Group’s quality ratings, which are above the industry average. 
The CareTech Board also believe the CareTech Group’s sales and 
marketing function have established strong relationships with care 
commissioners and regulators and actively strives to maintain these 
relationships. Being a socially responsible organisation with a focus on 
ethical standards aligned with economic objectives remains a core aim. 
The CareTech Directors believe that behaving responsibly and 
maximising the benefits of a strong relationship with its stakeholders  
is an integral part of a continuing process of building long-term value.

The CareTech Group’s framework of controls includes identification 
and management of any conflicts of interests. The CareTech Board 
follows specific procedures to identify potential conflicts of interest, 
including those in relation to significant shareholders. Firstly, only 
independent Directors (i.e. those that have no interest in the matter 
under consideration) are able to take relevant decisions. Secondly,  
in taking the decision the Directors must act in a way they consider,  
in good faith, will be most likely to promote CareTech’s success.  
In addition, the CareTech Directors can impose limits or conditions 
when giving authorisation if they think this is appropriate. It remains  
the CareTech Board’s intention to report annually on the Company’s 
procedures for ensuring that the CareTech Board’s power of 
authorisation in respect of conflicts is operated effectively and  
that procedures have been followed.

CareTech’s key strategic priorities include a continual focus on 
improving the quality and scope of its business, increasing market share 
and growing shareholder value. The CareTech Board recognises that 
key to achieving its strategy is the attraction and retention of talented 
and committed personnel at every level of the organisational hierarchy 
and the CareTech Board have put in place policies and procedures to 
achieve this. The CareTech Board ensures that the CareTech Group is 
appropriately funded to deliver its strategy. The CareTech Board 
appreciates that effective communication and engagement with the 
Company’s shareholders and the investment community as a whole is 
a key objective. The views of both institutional and private shareholders 
are important. The Group Executive Chairman has overall responsibility 
for ensuring this communication is effectively conveyed and for making 
the CareTech Board fully aware of key shareholders’ views, comments 
and opinions. Contact with investors throughout the year is a priority 
and the CareTech Board strives to look after their interests. General 
presentations to major shareholders following the publication of the 
CareTech Group’s annual and interim results are conducted by the 
Group Executive Chairman and the Group Finance Director as are 
regular meetings through the year with fund managers and  
investment analysts.

Effective communication with employees and care commissioners  
is also vital to achievement of the CareTech Group’s strategy. The 
CareTech Group has a number of initiatives and policies to engage its 
employees through training and development, supervision, recognition 
of achievement through staff awards, staff engagement surveys and 

CareTech Holdings PLC
Annual Report and Accounts 2019
34

Section of the UK Corporate Governance Code
Division of Responsibilities
There should be a clear division of responsibilities at the head of the 
company between the running of the board and the executive 
responsibility for the running of the company’s business. No one 
individual should have unfettered powers of decision.

The chairman is responsible for leadership of the board and ensuring  
its effectiveness on all aspects of its role.

As part of their role as members of a unitary board, non-executive 
directors should constructively challenge and help develop proposals 
on strategy.

How the Company complies with the UK Corporate Governance Code
As Group Executive Chairman, Farouq Sheikh leads the CareTech Board 
and is responsible for its effective running. 

The roles and responsibilities of certain members of the CareTech 
Board and Company Secretary are explained and their respective 
responsibilities summarised below:

The Group Chief Executive is Haroon Sheikh (brother of Farouq Sheikh) 
and Karl Monaghan, the Senior Independent Director, Professor Moira 
Livingston and Jamie Cumming are the CareTech Group’s three 
Non-Executive Directors. Karl Monaghan, Professor Moira Livingston 
and Jamie Cumming are considered to be independent. Although Karl 
Monaghan has served on the CareTech Board for more than nine years, 
the CareTech Board are satisfied that there are no matters which affects 
the independence of his judgement and as such that Karl continues to 
act independently.

The CareTech Board has identified areas around Board composition 
whereby it currently does not comply with the UK Corporate 
Governance Code:

Group Executive Chairman
 – Overall leadership of the Board;
 – Ensuring the Board as a whole plays a full part in the development 
and determination of the CareTech Group’s strategic objectives;

 – Ensuring the effectiveness of the CareTech Board;
 – Setting the agenda and tone for the CareTech Board;
 – Ensuring the Board receives accurate, timely and clear information;
 – Responsibility for reviewing and agreeing the training and 
development needs of CareTech Board members; and

 – Promoting the highest standards of integrity, probity and corporate 
governance throughout the Company and particularly at CareTech 
Board level.

1.  The Group Executive Chairman of the Board is not independent 

(A.3.1); and

Group Chief Executive Officer
 – Executive leadership of the Company’s business on a  

2.  At least half the Board, excluding the Group Executive Chairman,  

day-to-day basis;

are not independent Non-Executive Directors (B.1.1)

3.  The Chairman did not hold formal meetings with the Non-Executive 
Directors independently of the Executive Directors, and thus has 
chosen not to comply with this provision of the Code (A.4.2)

Collectively, the Non-Executive Directors bring a valuable range of 
expertise and experience in assisting the CareTech Group to achieve  
its strategic aims and provide constructive challenge and strategic 
guidance. In the furtherance of their duties, all CareTech Directors  
are able to take independent professional advice at the expense of  
the Company and those newly-appointed are made aware of their 
responsibilities by the Company Secretary. The CareTech Board 
approves the appointment and removal of the Company Secretary.

The CareTech Board have identified areas where it intends to 
strengthen its corporate governance. In particular the CareTech  
Board intends to appoint at least one additional Non-Executive. 

 – Developing the overall commercial objectives of the CareTech 

Group and proposing and developing the strategy of the CareTech 
Group in conjunction with the Board as a whole;

 – Responsibility, together with the senior management team, for the 
execution of the CareTech Group’s strategy and implementation  
of CareTech Board decisions;

 – Recommendations on senior appointments and development  

of the management team; and

 – Ensuring that the affairs of the CareTech Group are conducted  
with the highest standards of integrity, probity and corporate 
governance.

Senior Independent Non-Executive Director
 – Acting as a sounding board for the Group Executive Chairman;
 – Being available to shareholders if they have concerns which  
cannot be resolved through the Group Executive Chairman  
or other executive management; and

 – Acting as an intermediary for the Directors where necessary.

Non-Executive Directors collectively
 – Constructively challenging the Executive Directors; and
 – Oversight of the delivery of the Company’s strategy within the risk 

and control frameworks.

Company Secretary
 – Ensuring all Board and Committee meetings are properly held;
 – Assisting the Group Executive Chairman and Group Chief Executive 

Officer in ensuring the Directors are provided with all relevant 
information;

 – Organising Directors’ training requirements; and
 – Maintaining the Group’s governance and compliance with the AIM 

Rules for Companies.

 – Details of the CareTech Board’s Committees, including the Audit 
Committee, Remuneration Committee and the Care Quality and 
Governance Committee are set out on pages 39 and 40.

Directors’ and officers’ liability insurance
The Company provides its Directors and officers with the benefit  
of appropriate insurance, which is renewed annually.

CareTech Holdings PLC
Annual Report and Accounts 2019
35

Strategic reviewGovernanceFinancial StatementsCorporate Governance Report
continued

Section of the UK Corporate Governance Code
Effectiveness
The board and its committees should have the appropriate balance of 
skills, experience, independence and knowledge of the company to 
enable them to discharge their respective duties and responsibilities 
effectively.

There should be a formal, rigorous and transparent procedure for the 
appointment of new directors to the board.

All directors should be able to allocate sufficient time to the company 
to discharge their responsibilities effectively.

All directors should receive induction on joining the board and should 
regularly update and refresh their skills and knowledge.

The board should be supplied in a timely manner with information in  
a form and of a quality appropriate to enable it to discharge its duties.

The board should undertake a formal and rigorous annual evaluation  
of its own performance and that of its committees and individual 
directors.

All directors should be submitted for re-election at regular intervals, 
subject to continued satisfactory performance.

How the Company complies with the UK Corporate Governance Code
Matters are delegated to Board Committees, individual Directors or 
executive management where appropriate. To date, given the stage of 
the CareTech Group’s development, it has been felt the functions of a 
Nominations Committee can be adequately fulfilled by deliberation of 
the full CareTech Board; this will nevertheless be kept under review. 
When the need for additional Non-Executive Directors are identified, 
the CareTech Board appoints advisers to nominate experienced 
relevant and appropriate candidates. Currently CareTech Board 
members meet the candidates and come to a collective view  
on appointments.

Currently all CareTech Directors are required to submit themselves  
for re-election at least every three years and new Directors are  
subject to election by shareholders at the first opportunity following 
their appointment.

Whilst the performance of each the CareTech Directors is kept under 
review, no formal evaluation is currently conducted by CareTech. 
CareTech does not comply with the Code provision B.6. This will 
nevertheless be kept under review.

CareTech Holdings PLC
Annual Report and Accounts 2019
36

Section of the UK Corporate Governance Code
Accountability
The board should present a fair, balanced and understandable 
assessment of the company’s position and prospects.

The board is responsible for determining the nature and extent of the 
principal risks it is willing to take in achieving its strategic objectives.  
The board should maintain sound risk management and internal 
control systems.

The board should establish formal and transparent arrangements  
for considering how they should apply the corporate reporting and  
risk management and internal control principles and for maintaining  
an appropriate relationship with the company’s auditors.

How the Company complies with the UK Corporate Governance Code
 – The CareTech Board has established an Audit Committee, details  

 – A process of control and hierarchical reporting provides for a 

of which are set out on pages 39 and 40.

 – The Committee meets at least twice each year and receives reports 
from the Company’s management and external auditor relating to 
the annual and interim accounts and the accounting and internal 
control systems throughout the Group. The Committee has direct 
and unrestricted access to the external auditor and reviews all 
services being provided by them to evaluate their independence 
and objectivity, taking into consideration relevant professional and 
regulatory requirements in order to ensure that said independence 
and objectivity are not impaired by the provision of permissible, 
non-audit services. The Committee has carefully considered the 
level of non-audit services and has concluded that this does not 
impact on the independence of the auditors.

 – The CareTech Board is ultimately responsible for the CareTech 

Group’s system of internal controls and for reviewing its 
effectiveness. The role of management is to implement Board 
policies on risk and control. The system of internal controls is 
designed to manage rather than eliminate the risk of failure of the 
achievement of business objectives. In pursuing these objectives, 
internal controls can only provide reasonable and not an absolute 
assurance against material misstatement or loss.

 – The CareTech Directors consider robust risk management to be 

crucial to the CareTech Group’s success and give a high priority to 
ensuring that adequate systems are in place to evaluate and limit risk 
exposure. They have overseen the further development of 
processes and procedures for identifying, analysing and managing 
the significant risks faced by the CareTech Group. Risks facing the 
CareTech Group are described on page 26 in this report. These 
processes have been implemented during the year under review 
and up to the date of approval of this annual report and financial 
statements. The processes and procedures are regularly reviewed 
by the CareTech Board.

documented and auditable trail of accountability. These procedures 
are relevant across all CareTech Group operations: they provide for 
successive assurances to be given at increasingly higher levels of 
management and, finally, to the Board.

 – The new General Data Protection Regulations (GDPR) have 

changed how the Group manages, protects and administers data.  
A team of Senior Managers are responsible for how data flows in 
and out, and where it is stored throughout the CareTech Group.

 – The processes used by the CareTech Board to review the 

effectiveness of the system of internal controls include the 
following:
 – annual budgets are prepared for each operating business. 

Monthly management reporting focuses on actual performance 
against these budgets for each operating business;

 – management reports and external audit reports on the system  
of internal controls and any material control weaknesses that  
are identified;

 – whistleblowing helpline is managed by a third-party provider, 
enabling colleagues to raise concerns they may have about 
issues of safety or wrongdoing, anonymously if necessary.  
All such concerns received through the helpline are sent to  
the Head of Compliance for review, and to ensure that they are 
appropriate investigated and concluded; 

 – discussions with management including those on the actions 

taken on problem areas identified by CareTech Board members 
or in the external audit reports;

 – policies and procedures for such matters as delegation of 
authorities, capital expenditure and treasury management  
as well as regular updates; and

 – review of the adequacy of the level of experienced and 

professional staff throughout the business and the expertise of 
individual staff members so that they are capable of carrying out 
their individual delegated responsibilities; and

 – review of the external audit work plans.

CareTech Holdings PLC
Annual Report and Accounts 2019
37

Strategic reviewGovernanceFinancial StatementsCorporate Governance Report
continued

Section of the UK Corporate Governance Code
Remuneration
Executive directors’ remuneration should be designed to promote the 
long-term success of the company. Performance-related elements 
should be transparent, stretching and rigorously applied.

There should be a formal and transparent procedure for developing 
policy on executive remuneration and for fixing the remuneration 
packages of individual directors. No director should be involved in 
deciding his or her own remuneration.

How the Company complies with the UK Corporate Governance Code
The composition and role of the Remuneration Committee is 
described below on page 40 and includes details of CareTech 
Directors’ remuneration, shareholdings and share options scheme 
information. A key CareTech Group strategy is to attract and retain 
talented and committed personnel at every level of the organisational 
hierarchy and the Remuneration Committee aims to foster 
remuneration philosophy, policies and procedures to achieve this.

The Remuneration Committee’s principal duties are to review the scale 
and structure of the remuneration and service contracts for Executive 
Directors and Senior Management and it also administers the 
Company’s share option schemes. The Committee takes into 
consideration environmental, social and governance (“ESG”) issues,  
in relation to corporate performance, when setting the remuneration  
of Executive Directors and takes steps to ensure that the incentive 
structure for Senior Management does not raise ESG risks by 
inadvertently motivating irresponsible behaviour. The remuneration  
for Non-Executive Directors is set by the full Board on the 
recommendation of the Executive Directors. In line with the UK 
Corporate Governance Code, remuneration for Non-Executive 
Directors does not include share options or other performance- 
related elements. 

Pensions for Executive Directors are based on their basic salary but 
pension contribution rates are not aligned with those available to  
the workforce.

The CareTech Group operates in a highly competitive environment.  
For the CareTech Group to continue to compete successfully, it is 
essential that the level of remuneration and benefits offered achieve 
the objectives of attracting, retaining, motivating and rewarding the 
necessary high calibre of individuals at all levels across the CareTech 
Group. In 2019, Deloitte LLP were commissioned to prepare a 
benchmarking report which has been used to provide a useful analysis 
of the market for each element of pay. The CareTech Group therefore 
sets out to provide competitive remuneration to all its employees, 
appropriate to the business environment in the market in which it 
operates. To achieve this, the remuneration package is based upon  
the following principles: total rewards should be set to provide a fair 
and attractive remuneration package; appropriate elements of the 
remuneration package should be designed to reinforce the link 
between performance and reward; and Executive Directors’ incentives 
should be aligned with the interests of shareholders. The remuneration 
strategy is designed to be in line with the CareTech Group’s 
fundamental values of fairness, competitiveness and to support the 
CareTech Group’s corporate strategy. A cohesive reward structure 
consistently applied and with links to corporate performance, is seen as 
critical in ensuring attainment of the CareTech Group’s strategic goals.

At every board meeting the CareTech Board covers an AIM continuing 
obligations questionnaire and declaration of connected party 
transactions. This sets the tone for corporate behaviour and helps 
make CareTech’s governance meaningful and focused on improving 
the business and protecting shareholder value.

The CareTech Board meets in formal session regularly, usually once 
each month, and members are supplied with financial and operational 
information in good time for scrutiny in advance of these meetings. 
The CareTech Board holds other board meetings specifically for 
significant transactions involving raising money like a ground rent 
transaction, or spending money like a significant acquisition.

 – financial reporting and controls including statutory matters such  
as the approval of final and interim financial statements and 
dividend declarations;

 – Board membership and other senior, key personnel, appointments;
 – review of corporate governance arrangements;
 – Group strategy matters including the approval of annual budgets, 

acquisitions and disposals;

 – review of the processes for monitoring and evaluating risk and the 

effectiveness of the Group’s system of internal control and 
operational efficiency;

 – review and supervision of treasury and financial policies; and
 – shareholder communications.

The CareTech Board delegates certain of its responsibilities to Board 
Committees, individual Directors or executive management where 
appropriate. However, there are certain matters that are considered  
to be so important to the long-term success of CareTech that they  
are reserved to the CareTech Board for specific consideration and 
decision including:

CareTech Holdings PLC
Annual Report and Accounts 2019
38

Who is on our Board?
As Group Executive Chairman, Farouq Sheikh leads the Board and  
is responsible for its effective running. The Group Chief Executive is 
Haroon Sheikh. The Directors’ biographies appear on pages 32 to 33 
and detail their experience and suitability for leading and managing  
the Group.

Farouq Sheikh as Group Executive Chairman leads the Company’s 
strategic development and takes a special responsibility in respect  
of acquisitions and investor relations.

Haroon Sheikh is the Group Chief Executive and accountable to  
the Board for the day-to-day running of the Company as well as 
management of the strategic plan.

Mike Adams, Executive Director, is a champion of disability and the needs 
of disabled people, adding to the Board a wealth of knowledge around 
the sector with responsibility for policy and practice. In addition, Mike  
is CEO of Purple Zest Limited, a disability organisation, wholly owned 
by the Group, which supports both disabled people and businesses.

Karl Monaghan, the Senior Non-Executive Director, Professor Moira 
Livingston and Jamie Cumming are the three Non-Executive Directors 
and the Board considers each of them as independent. Collectively,  
the Non-Executive Directors bring a valuable range of expertise and 
experience in assisting the Group to achieve its strategic aims.

Karl Monaghan is the Chair of the Audit Committee and a member  
of the Care Quality and Governance Committee and the  
Remuneration Committee.

Professor Moira Livingston is the Chair of Care Quality and Governance 
Committee and a member of the Audit Committee and the 
Remuneration Committee.

Jamie Cumming is the Chair of the Remuneration Committee  
and a member of the Audit Committee and Care Quality and  
Governance Committee.

Gareth Dufton was appointed the Interim Group Finance Director 
following the death of Michael Hill. Gareth was accountable to  
the Board for all financial matters. Following the appointment of 
Christopher Dickinson as Chief Financial Officer, Gareth resigned  
on 13 January 2020. 

Christopher Dickinson was appointed Chief Financial Officer on  
13 January 2020. Christopher is accountable to the Board for all 
financial matters.

In the furtherance of their duties, all Directors are able to take 
independent professional advice at the expense of the Company and 
those newly-appointed are made aware of their responsibilities by the 
Company Secretary. The Board approves the appointment and removal 
of the Company Secretary.

All Directors are required to submit themselves for re-election at  
least every three years and new Directors are subject to election by 
shareholders at the first opportunity following their appointment.

How do we deal with conflicts of interest?
Following amendments to the Company’s Articles of Association in 2008 
to reflect certain provisions of the Companies Act 2006 relating to 
conflicts of interest that came into force on 1 October 2008, the Board 
will follow a specific procedure when deciding whether to authorise a 
conflict or potential conflict of interest. Firstly, only independent Directors 
(i.e. those that have no interest in the matter under consideration) will be 
able to take the relevant decision. Secondly, in taking the decision the 
Directors must act in a way they consider, in good faith, will be most 
likely to promote the Company’s success. In addition, the Directors will 
be able to impose limits or conditions when giving authorisation if they 
think this is appropriate. It remains the Board’s intention to report annually 
on the Company’s procedures for ensuring that the Board’s power of 
authorisation in respect of conflicts is operated effectively and that 
procedures have been followed.

Board and Committee meetings
The Board meets in formal session regularly, usually once each month, 
and members are supplied with financial and operational information  
in good time for scrutiny in advance of these meetings.

The Directors attended the following meetings in the year to  
30 September 2019:

Board

Audit 
Committee

Remuneration 
Committee

Care Quality 
and 
Governance 
Committee

Farouq Sheikh

Haroon Sheikh

Michael Hill

Karl Monaghan

Mike Adams

Jamie Cumming

Gareth Dufton

Professor Moira 
Livingston
*  by invitation.

11

11

3

11

11

11

7

3

–

–

1

2

1

2

–

–

–

–

*1

3

3

3

*2

–

–

–

–

3

3

3

–

–

The Board holds other Board Meetings specifically for significant 
transactions like the Cambian acquisition and its financing.

What decision-making responsibilities does the Board have?
Matters which are reserved to the Board for specific consideration and 
decision include:
 – financial reporting and controls including statutory matters such as 
the approval of final and interim financial statements and dividend 
declarations;

 – Board membership and other senior, key personnel, appointments;
 – review of corporate governance arrangements;
 – Group strategy matters including the approval of annual budgets, 

acquisitions and disposals;

 – review of the processes for monitoring and evaluating risk and the 

effectiveness of the Group’s system of internal control and 
operational efficiency;

 – review and supervision of treasury and financial policies; and
 – shareholder communications.

Matters are delegated to Board Committees, individual Directors or 
executive management where appropriate. 

CareTech does not comply with the Code provision B.2 as it does not 
have a Nomination’s Committee. The Directors believe the Board is 
soundly constituted although, at this stage of the Group’s development, 
it is felt the functions of a Nominations Committee can be adequately 
fulfilled by deliberation of the full Board; this will nevertheless be kept 
under review. When the need for an additional Non-Executive Director 
is identified the Board appoints advisors to nominate experienced 
relevant and appropriate candidates. Board members meet the 
candidates and come to a collective view on appointments.

Who is on the Audit Committee and what do they do?
The Audit Committee comprises Karl Monaghan (Chairman), Professor 
Moira Livingston and Jamie Cumming. The Interim Group Finance 
Director and representatives of the external auditor attend meetings by 
invitation as required. The Committee meets at least twice each year and 
is responsible for the following:
 – monitor the integrity of the financial statements of the Company 

including results and other announcements of financial performance;

 – review significant financial reporting issues and judgements; 
 – review and, where necessary, challenge the consistency of 

accounting policies and whether appropriate accounting standards 
have been used;

 – review the contents of the annual report and Group financial 

statements and advise the Board on whether it is fair, balanced  
and understandable and provides the information necessary for 
shareholders to assess the Group’s position, performance, business 
model and strategy;

CareTech Holdings PLC
Annual Report and Accounts 2019
39

Strategic reviewGovernanceFinancial StatementsCorporate Governance Report
continued

 – review the effectiveness of the Company’s internal controls and risk 

management systems;

 – consider the need for an internal audit function and make a 

John Ivers and the Director of Compliance and Regulation 
Amanda Sherlock.

recommendation to the Board (there is currently no internal audit 
function given the Group’s size and business model; this will be 
reviewed for future years);

The Committee will closely examine and pursue improvement to  
all matters relating to care governance and the safeguarding of those 
we support.

 – review the Company’s whistleblowing system and procedures for 

detecting fraud;

 – review the Company’s procedures for the prevention of bribery  

and receive reports on non-compliance; 

 – oversee the relationship with the external auditor, including 

assessing their independence and objectivity, and approval of 
auditor remuneration including the level of audit and non-audit 
fees’. Details of the amount paid to the external auditor during the 
year, for audit and other services, are set out in note 7 to the 
financial statements.

 – review and approve the annual audit plan, and review the 

effectiveness and findings of the audit; and 

 – reporting to the Board on the proceedings of the Committee and 
make recommendations to the Board on any area within the 
Committee’s remit.

As a new adopter of the Code, CareTech has elected not to comply 
with the Code provision C.3.8, this will nevertheless be kept under 
review as the Company continues to expand its compliance.

Who is on the Remuneration Committee and what do they do?
The composition and role of the Remuneration Committee is set out  
in the Remuneration Report on pages 44 to 49. Also detailed in that 
report are Directors’ remuneration, shareholdings and share options 
scheme information.

The Committee will review the performance of executive directors and 
set the scale and structure of their remuneration. The committee will 
review the basis of the executive service agreements with due regard  
to the interests of shareholders and determine from time to time the 
allocation of share options to employees.

A key Group strategy is to attract and retain talented and committed 
personnel, at every level of the organisational hierarchy and the 
Committee aims to foster remuneration philosophy, policies and 
procedures to achieve this.

The Committee was formed because the Board is sensitive to the 
public’s increased awareness and anxiety about care governance  
and safeguarding. 

The Group has always been regarded as a careful and thoughtful 
provider of care and the Committee was formed to closely examine 
and pursue improvements to all matters relating to the care 
governance and the safeguarding of those we support, including health 
and safety, across the Group. Last year it included external attendees to 
its meetings such as the Head of Safeguarding for Hertfordshire County 
Council and received external presentations such as Conflict 
Management from Maybo to help the Committee understand best 
practice and in 2017 met with CQC. 

We have held several useful meetings with regulators and also invited 
key regulation managers to attend our Care Quality and Governance 
Committee. The Committee is seen as a pioneering initiative that has 
won friends and encouragement from regulators and commissioners 
alike. The Committee brings Non-Executive Directors into a much 
closer relationship with our everyday work and they have adopted a 
robust scrutiny approach to care practice. This in itself has had a 
positive impact on care quality and the executive team has been 
encouraged to introduce quality initiatives across the Company.

The Group’s Adults Services are regulated by the Care Quality 
Commission (CQC) who assess the services against approved essential 
standards of quality and safety. The regulators test and publicly record 
whether services are compliant or non-compliant against those 
standards. 

The new monitoring system has four levels of CQC reporting 
outcomes and has been applied so far by CQC to all of our Adults 
Services. The National distribution across the four outcomes is shown 
in the table below with 95% of our services being either “Outstanding” 
or “Good”. For the Group’s services the published reports are as follows 
with the services in the outcomes as set out:

The Group operates in a highly competitive environment. For the 
Group to continue to compete successfully, it is essential that the level 
of remuneration and benefits offered achieve the objectives of 
attracting, retaining, motivating and rewarding the necessary high 
calibre of individuals at all levels across the Group. In 2019 Deloitte LLP 
were commissioned to prepare a Benchmarking report which has been 
used to provide a useful analysis of the market for each element of pay.

CQC

Ratings

National

Group

Outstanding

4%

3%

Good

80%

92%

Requires 
Improvement

Inadequate

15%

4%

1%

1%

The Group therefore sets out to provide competitive remuneration  
to all its employees, appropriate to the business environment in the 
market in which it operates. To achieve this, the remuneration package 
is based upon the following principles:
 – total rewards should be set to provide a fair and attractive 

remuneration package;

 – appropriate elements of the remuneration package should  

be designed to reinforce the link between performance and  
reward; and

 – Executive Directors’ incentives should be aligned with the interests 

of shareholders.

The remuneration strategy is designed to be in line with the Group’s 
fundamental values of fairness, competitiveness and to support the 
Group’s corporate strategy. A cohesive reward structure, consistently 
applied and with links to corporate performance, is seen as critical in 
ensuring attainment of the Group’s strategic goals.

Who is on the Care Quality and Governance Committee and what  
do they do?
The Care Quality and Governance Committee is chaired by Professor 
Moira Livingston and the other members of the Board Committee are 
Karl Monaghan and Jamie Cumming plus the Chief Operating Officer 

CareTech Holdings PLC
Annual Report and Accounts 2019
40

Adults Services in Wales are regulated under different national 
legislation and are not currently rated on any form of scale, though  
all are compliant.

Our Children’s Services division is regulated by the Office for Standards 
in Education (Ofsted) in England and these services are rated as 
Outstanding, Good, Requires Improvement or Inadequate. 82% of our 
services are either “Outstanding” or “Good”. For the Group’s services 
the published reports are as follows with the services in the outcomes 
as set out:

Ofsted

Ratings

National*

Group

Outstanding

17%

3%

Good

62%

79%

Requires 
Improvement

Inadequate

20%

14%

1%

4%

*  Ofsted statistics refer to residential children’s homes 
(excludes Education).

A process of control and hierarchical reporting provides for a 
documented and auditable trail of accountability. These procedures  
are relevant across all Group operations: they provide for successive 
assurances to be given at increasingly higher levels of management 
and, finally, to the Board.

In 2019 there have been changes to the governance of data and the 
new General Data Protection Regulations (GDPR) changed how the 
Group manages, protects and administers data. A team of Senior 
Managers looked at how data flows in and out, and where it is stored 
throughout the Group.

Long-term viability of the Group
The Group does not comply with provision C2.2 to produce a viability 
statement in the form required by the Code. As an AIM listed company, 
it is not required to produce a formal viability statement and has chosen 
not to, given the Group’s size and business model, though the Group 
will keep this under review for future years. However, the Board has 
considered the general viability of the Group, using a period of three 
years for their assessment. The assessment conducted considered  
the Group’s revenue, EBITDA, operating profit, cash flows, risk 
management controls and loan covenants over the three-year period. 
The longer-term prospects of the Group are driven by its strategy and 
business model, as outlined on pages 12 to 26. 

These metrics were subject to downside stress testing over the 
assessment period, taking account of the Group’s current position,  
the Group’s experience of managing adverse conditions in the past and 
the impact of a number of severe yet plausible scenarios based on the 
principal risks set out in the Strategic Report. 

This review included the following key assumptions:
 – No change in capital structure given the Group entered into new 
banking facilities in August 2018 to mature in 2022 and 2023. 

 – The Government will not change its existing policy towards utilising 
private provision of social care services to supplement the Local 
Authority offering. 

Based on the results of this analysis, the Directors confirm that they 
have a reasonable expectation that the Group will be able to continue 
in operation and meet its liabilities as they fall due over the next  
three years. 

By order of the Board

Farouq Sheikh
Group Executive Chairman
30 January 2020

The Foster Care services in England are regulated by Ofsted and all 
services are rated Good. In Wales the services are regulated by the Care 
and Social Services Inspectorate Wales (CSSIW) and are not currently 
rated on any form of scale. The Care Inspectorate of Scotland who 
regulate both Adults and Children’s Services have the majority of the 
Group’s rated Residential Services as Excellent or Very Good for both 
the established services and the acquired services in Scotland.

The Care Quality and Governance Committee has oversight of all 
issues and reports relating to the well-being of service users, 
commissions enquiries into matters of concern and ensures that the 
Executive Team operates to the highest possible level of professional 
care standards. Throughout the past year the Care Quality and 
Governance Committee has invited operational managers, regulators 
and local safeguarding lead officers to attend its meetings.

The Care Quality and Governance Committee works in close 
association with the Group’s internal regulatory compliance team  
who operate across all divisions, reporting direct to the CEO.

Have we maintained an effective relationship with our Shareholders? 
The Board appreciates that effective communication with the 
Company’s shareholders and the investment community as a  
whole is a key objective.

The views of both institutional and private shareholders are important, 
and these can be varied and wide-ranging, as is their interest in the 
Company’s strategy, reputation and performance.

The Group Executive Chairman has overall responsibility for ensuring 
this communication is effectively conveyed and for making the Board 
fully aware of key shareholders’ views, comments and opinions.

Contact with investors throughout the year is a priority and the Board 
strives to look after their interests. General presentations to major 
shareholders following the publication of the Group’s annual and 
interim results are conducted by the Executive Chairman and the 
Group Finance Director as are regular meetings through the year  
with fund managers and investment analysts.

Robust year-on-year dividend growth is an objective and all 
shareholders are encouraged to attend the Company’s Annual  
General Meeting, which all Board members attend, as this provides  
an opportunity to address questions to the Directors. 

The Group’s annual and interim reports are sent to all shareholders and 
all results, Company announcements and related investor information 
can be accessed via the Group’s website, www.caretech-uk.com.  
The website is under constant review in an effort to maximise the 
effectiveness of information made available to shareholders.

How do we manage our internal controls and risks?
The Board is ultimately responsible for the Group’s system of internal 
controls and for reviewing its effectiveness. The role of management is 
to implement Board policies on risk and control. The system of internal 
controls is designed to manage rather than eliminate the risk of failure 
of the achievement of business objectives. In pursuing these objectives, 
internal controls can only provide reasonable and not absolute 
assurance against material misstatement or loss.

The recent challenging business climate has resulted in a sustained 
focus on the approach to risk. The Directors consider robust risk 
management to be crucial to the Group’s success and give a high 
priority to ensuring that adequate systems are in place to evaluate and 
limit risk exposure. They have overseen the further development of 
processes and procedures for identifying, analysing and managing  
the significant risks faced by the Group. These risks have been 
discussed in the Strategic Report on page 26. These processes have 
been implemented during the year under review and up to the date  
of approval of this annual report and financial statements. The 
processes and procedures are regularly reviewed by the Board.

CareTech Holdings PLC
Annual Report and Accounts 2019
41

Strategic reviewGovernanceFinancial StatementsDirectors’ Report

The Directors present their report and the audited Group financial 
statements for the year ended 30 September 2019.

Principal activities
The principal activity of the Company is the provision of high quality 
support and care for individuals who often have complex needs. 

Business review and future developments
The results for the financial year ended 30 September 2019 are set out 
in the consolidated statement of comprehensive income detailed on 
page 58. Revenues for the year amount to £395.0m, operating profit 
for the year before non-underlying items amounted to £62.9m and 
operating profit after non-underlying items amounted to £39.5m.

On 19 October 2018, CareTech Holdings plc acquired the entire  
share capital of Cambian, a leading children’s specialist education and 
behavioural health service provider. The headline consideration for the 
acquisition was £360m (of which £241.7m was paid in cash) with the 
net price being £278.5m reflecting £81.5m of net cash held by 
Cambian on the date of acquisition. 

Key performance indicators are set out in the “Highlights” on page 1. 

Key risks and uncertainties
There are a number of risks and uncertainties which could impact on 
the Group’s long-term performance. These are set out in the Strategic 
Report on page 26.

Dividends
Dividends of £10.8m have been paid during the year. The Directors 
propose a final dividend of 11.7p per share (2018: 7.5p) subject to the 
approval at the forthcoming Annual General Meeting.

Share listing
The Company’s ordinary shares are admitted to and traded on AIM, a 
market operated by the London Stock Exchange. Further information 
regarding the Company’s share capital, including movements during 
the year are set out in note 22 to the financial statements.

Directors
The names of the current Directors together with brief biographical 
details are shown on pages 32 to 33.

In accordance with the articles of association, Farouq Sheikh, Haroon 
Sheikh and Moira Livingston retire by rotation and, being eligible, offer 
themselves for re-election. 

The names of all Directors who held office in the year are as follows:

Director’s name

Farouq Sheikh

Haroon Sheikh 

Gareth Dufton

Mike Adams

Karl Monaghan

Jamie Cumming

Title

Group Executive Chairman

Group Chief Executive Officer 

Interim Group Finance Director

Executive Director

Non-Executive Director

Non-Executive Director

Professor Moira Livingston 

Non-Executive Director 

Professor Moira Livingston was appointed as a Non-Executive Director 
in June 2019. Professor Livingston chairs the Group’s Care Quality and 
Governance Committee. Also in June 2019, Mike Adams OBE, who 
was formerly a Non-Executive Director, became an Executive Director 
to enable him to pursue a strategic role within the Group. 

Gareth Dufton was appointed as Interim Group Finance Director in 
January 2019 following the sad passing of Michael Hill. Christopher 
Dickinson (FCA) joined CareTech plc in January 2019 as Cambian  
Chief Financial Officer having previously been a Managing Director of 
Jefferies where he acted for CareTech plc on its merger with Cambian. 
Prior to Jefferies, Chris spent 14 years in the investment banking 
division of J.P. Morgan and three years at Deloitte, qualifying as a 

Chartered Accountant. With effect from 13 January 2020, Christopher 
Dickinson has been appointed as Chief Financial Officer and has joined 
the Board. 

The terms of the Directors’ service contracts and details of the 
Directors’ interests in the shares of the Company, together with details 
of share options granted and any other awards made to the Directors, 
are disclosed in the Remuneration Report commencing on page 44.

Directors’ insurance
The Company maintains appropriate Directors’ and Officers’ liability 
insurance, as permitted by the Companies Act 2006.

Share capital
Substantial shareholdings
As at 12 December 2019, being the date of the preliminary results 
announcement, the Company had been notified of, or was otherwise 
aware of, the following substantial interests of 3% or more in the 
ordinary share capital of the Company, other than those in respect  
of the Directors which are set out in the Remuneration Report on  
page 48.

No. of ordinary 
shares of 0.5p

Percentage %

Liontrust Asset Management

Lombard Odier Asset Management

Richard I Griffiths (Guernsey)

Hof Hoorneman Bankiers (Netherlands)

Canaccord Genuity Wealth  
Management (London)

16,095,333

14,512,689

9,521,409

9,403,288

6,750,000

14.4

12.9

8.5

8.4

6.0

Capital structure
As at 30 September 2019, the Company had 109,144,369 issued 
ordinary shares of 0.05p each. The company has, and as at  
30 September 2019 had, one class of ordinary shares and each share 
carries the right to one vote at general meetings of the Company and 
to participate in any dividends declared in accordance with the articles 
of association. No person has any special rights of control over the 
Company’s share capital. 

Financial instruments
The Group is exposed to a combination of price, credit, interest rate 
and cash flow risks. The Group uses financial instruments including 
cash, borrowings and interest rate swaps, the main purpose of which 
are to raise finance for the Group’s activities and to manage interest rate 
risks. Disclosures in respect of these instruments are set out in note 25 
to the financial statements.

Employees
The Directors recognise the benefits which arise from keeping 
employees informed of the Group’s progress and plans and through 
their participation in the Group’s performance. The Group is therefore 
committed to providing its employees with information on a regular 
basis, to consulting with them on a regular basis so that their views and/
or concerns may be taken into account in taking decisions which may 
affect their interests, and to encouraging their participation in schemes 
through which they will benefit from the Group’s progress and 
profitability. CareTech aims to foster a working environment in which  
all employees are treated with courtesy and respect and seeks at all 
times to provide opportunities to develop and reach their full potential.

The Group established Sharesave share option schemes for eligible 
employees in both 2016 and 2017, details of which can be found in 
note 21 along with options remaining on previous schemes. The Board 
feels that share ownership among employees fosters team spirit and 
motivation and will contribute to the ultimate success of the Group.

It is the Group’s policy to ensure that disabled persons are treated fairly 
and consistently in terms of recruitment, training, career development 
and promotion and that their employment opportunities should be 
based on a realistic assessment of their aptitudes and abilities. 
Wherever possible, the Group will continue the employment of 

CareTech Holdings PLC
Annual Report and Accounts 2019
42

persons who become disabled during the course of their employment 
through retraining, acquisition of special aids and/or equipment or the 
provision of suitable alternative employment.

Authority to allot shares
Pursuant to resolutions approved at the Annual General Meeting on  
5 March 2019 the Directors were granted authority to allot shares with 
an aggregate nominal value of up to the value of one third of the share 
capital of the Company.

Resolutions for the renewal of the above will be proposed at the 
forthcoming Annual General Meeting and also a resolution to give the 
Directors authority to allot equity securities for cash to the holders of 
ordinary shares as the Directors may determine on the register on a 
fixed record date in proportion (as nearly as may be) to their respective 
shareholding or in accordance with the rights attached thereto.  
Further details of which, together with explanations of the resolutions 
to be proposed at the meeting, appear in the “Notice of AGM and 
explanatory circular to shareholders” which will be sent to shareholders 
in good time prior to the meeting.

Post balance sheet events
On 21 November 2019 an interim dividend of 3.75p per share was paid 
to shareholders. 

On 8 November 2019, the Group issued 2,504,475 new ordinary  
shares of 0.5p in the Company (the “New Ordinary Shares”) under the 
Executive Shared Ownership Plan (“ExSOP”) to 30 members of the 
senior and executive management team. An award under the ExSOP 
enables the participant to benefit only from the future growth in the 
value of the New Ordinary Shares above their market value on the 
award date, in excess of a “carrying cost” of 3% per annum. 

The vesting of the ExSOP requires specific performance conditions 
being satisfied. As with the previous issuance of the ExSOP, the  
target is an EPS Target which requires the growth in the Company’s 
underlying Diluted EPS over the three-year period beginning on the 
date of issue of the awards to be at least 15% (being an average 5% 
annual growth rate, calculated without compounding). Participants 
may not normally realise any such benefit from the ExSOP awards 
before 8 November 2022. 

Going concern
The Group’s business activities together with the factors likely to affect 
its future development, performance and position are set out in the 
Group Chairman’s Statement and Group Chief Executive’s Statement 
and Performance Review on pages 4 to 7 and pages 8 to 11. The 
financial position of the Group, its cash flows, liquidity position and 
borrowing facilities are described in the Financial Review on pages  
27 to 31. In addition, note 25 to the financial statements includes the 
Group’s objectives, policies and processes for managing its capital, its 
financial risk management objectives, details of its financial instruments 
and hedging activities and its exposures to credit risk, interest rate risk 
and liquidity risk. As highlighted in that note, the Group meets its 
day-to-day working capital requirements through cash flow from 
profits which together with existing bank facilities are sufficient to  
fund present commitments. Term facilities are utilised to fund capital 
expenditure and short-term flexibility is achieved by the utilisation of 
cash resources in respect of financial liabilities, which are shown in the 
table in note 25 and indicates their contractual cash flow maturities. 

During the year, the Group entered into new banking facilities with  
a consortium of eight banks (Barclays Bank plc, HSBC UK Bank plc, 
Santander UK plc, AIB Group (UK) plc, Clydesdale Bank plc, Credit 
Suisse AG, Lloyds Bank plc and National Westminster Bank plc) for 
committed financing by way of term loans of between 3.5 to 5 years up 
to £322m. In addition to the term loans, a £25m revolving credit facility 
is available to provide working capital for the Enlarged Group together 
with a day-to-day overdraft facility of £2m. There are a number of 
Banking Covenants which ratchet depending on time and Group 
performance. The Directors forecast that they are able to meet all 
Banking Covenants which are reviewed regularly.

As part of the acquisition of Cambian 2018 the Group’s property 
portfolio was revalued by Knight Frank and Cushman and Wakefield 
and the market value was £774m. These valuations are not reflected  
in the Consolidated Statement of Financial Position. The ground-rent 
transaction during the year raised £31m of net cash on less than 10%  
of the Group’s freehold asset portfolio. 

The Group’s underlying operating business is cash generative, much  
of the business has a long-term profile with both debtor days and 
creditor days comparatively low. Non-underlying costs arising from the 
acquisition of Cambian together with the integration costs and costs  
in realising synergies have substantially been settled during the year.  
As at the balance sheet date, the Group had cash balances of £29m.

The Directors have prepared a cash flow forecast taking into account 
all expected cash flows for 12 months from the date of signing these 
financial statements. After making due enquiries, the Directors have  
a reasonable expectation that the Group has adequate resources  
to continue in operational existence for the foreseeable future. 

Accordingly, the Directors continue to adopt the going concern basis 
of accounting for the Group and parent Company in preparing the 
consolidated financial statements.

Auditor
Grant Thornton UK LLP have expressed their willingness to continue  
in office and, in accordance with section 489 of the Companies Act 
2006, a resolution for their reappointment will be proposed at the 
forthcoming Annual General Meeting.

By order of the Board

Farouq Sheikh
Group Executive Chairman
30 January 2020

CareTech Holdings PLC
Annual Report and Accounts 2019
43

Strategic reviewGovernanceFinancial StatementsDirectors’ Remuneration Report
Statement from the Chairman of the Remuneration Committee

Jamie Cumming 
Chairman of the Remuneration Committee

Dear Shareholder, 

On behalf of the Board, I am pleased to present the Directors’ 
Remuneration Report (DRR) for the year ended 30 September 2019. 
CareTech is listed on the AIM market of the London Stock Exchange 
and the information provided is disclosed to fulfil the requirements  
of AIM Rule 19. This report is split into two main parts: 
 – This statement to shareholders which includes a summary of our 
approach to pay, our policy, remuneration outcomes for the year 
just ended and how we intend to operate remuneration 
arrangements for the year ahead; and 

 – The Annual Report on Remuneration which provides more detail 
on the above, as well as setting out other remuneration-related 
disclosures.

CareTech is not required to comply with Schedule 8 of the Large 
and Medium-sized Companies and Groups (Accounts and Reports) 
Regulations 2013 but as you will read, we have made a number 
of enhancements to our disclosures this year, which we intend to 
continue to provide in future years. We hope you will welcome the 
additional information.

Remuneration Committee 
The Remuneration Committee currently comprises three Non-
Executive Directors, Jamie Cumming (Chairman), Karl Monaghan  
and Professor Moira Livingston, and meets at least twice each year.  
The Committee members have no personal financial interest, other 
than as shareholders, in the matters to be decided and all are 
considered to be independent Directors of the Company. They  
have no conflicts of interest arising from cross-directorships or from 
being involved in the day-to-day business of the Group. They do not 
participate in any bonus, share option or pension arrangements.

Professor Moira Livingston was appointed during this financial year  
to augment our number of Non-Executive Directors following the 
appointment of Mike Adams as an Executive Director of the Company.

The Committee’s principal duties are to review the scale and structure 
of the remuneration and service contracts for Executive Board 
Directors and it also administers the Company’s share option schemes. 
The Committee takes into consideration environmental, social and 
governance (ESG) issues, in relation to corporate performance, when 
setting the remuneration of Executive Directors and takes steps to 
ensure that the incentive structure for Senior Management does not 
raise ESG risks by inadvertently motivating irresponsible behaviour.

The following comprised the principal elements of remuneration for 
Executive Directors for the year under review: base salary; annual 
bonus; benefits; and pension.

CareTech did not grant any long-term incentive awards to Executive 
Directors in the year ending 30 September 2019. Executive Directors 
have subsisting options under the Group’s Executive Shared Ownership 
Plan (ExSOP). In October 2019, the Remuneration Committee did make 
awards to the Executive Directors and other employees. Further details 
are provided in the Annual Report on Remuneration. 

The remuneration for Non-Executive Directors is set by the full Board 
on the recommendation of the Executive Directors. Non-Executive 
Directors are not eligible to participate in any of the Company’s bonus 
or share option schemes. 

Directors’ service agreements 
All Executive Directors’ service contracts are subject to a 6 or 12 
months’ notice (period) of termination on either side.

The Non-Executive Directors have each been appointed under 
contracts, which are subject to three months’ notice of termination  
on either side.

Business context 
CareTech have 25 years of experience in the care sector and 13 years 
on the public markets. In that time, the business has grown from a 
single home to 550 facilities with 10,000 staff supporting 4,500 service 
users. Since listing on AIM in 2005 (IPO), the business has transformed 
from being focused on supporting adults with a learning disability 
through residential and day care settings to one today where we cater 
for young people and children with complex needs across a range of 
settings, be it residential, education, CAMHS or community support. 

The business has expanded its range of services to encompass mental 
health, education, children’s residential care and therapeutic fostering. 
The transformational acquisition of Cambian in October 2018, coupled 
with the unconditional CMA clearance in February 2019, increased the 
range of services and the UK geographic spread of our services. Over 
the last 25 years, CareTech has become a trusted partner for Local 
Authorities with a proven track record of delivering the highest 
standards of care and governance. Across the Group, CQC quality 
ratings are 95% Good or Outstanding in Adults Services, this compares 
favourably to the market average of 84% and against our last update 
report. The Ofsted ratings for the CareTech services are 93% Good or 
Outstanding and 80% for the Cambian services resulting in a blended 
82% Good and Outstanding ratings for Children’s Services across 
the Group.

Remuneration policy 
CareTech’s remuneration policy is to provide for each of its Executive 
Directors and key personnel a package which is adequate to attract, 
retain and motivate individuals of the appropriate calibre, whilst at the 
same time not paying more than is necessary for this purpose.

Over the years, CareTech has developed a range of care pathways and 
helped many of the adults and young people that we support to live 
more independently. This is an outstanding outcome for both Caretech 
and the individuals the Company supports and assists Local Authorities 
to meet the ever-increasing cost of social care provision.

The Committee has the objective of ensuring that remuneration 
packages are offered which:
 – are set at a level reflecting the competitive market in which the 

Group operates;

 – have a significant part of remuneration linked to the achievement 

 of performance targets;

 – have due regard to actual and expected market conditions;
 – are structured in accordance with the interests of shareholders; and
 – foster the development of a high-performance culture across  

the Group.

Since IPO, EBITDA and EPS have grown by CAGR of 26% and 20%. 
CareTech’s market capitalisation has gone from £60m at IPO through 
to £400m, an increase of over six-fold in size. The Group has put in 
place a Dividend policy which increases in line with growth in 
underlying EPS. It is within this context that the Committee has 
considered remuneration over recent years in order to align Executive 
Board Directors remuneration with the sector and the size of the 
business and its organisational structure. 

CareTech Holdings PLC
Annual Report and Accounts 2019
44

The Company’s growth in revenue, EBITDA and Underlying EPS are graphically demonstrated as follows:

Revenue CAGR 21% A £m
400

EBITDA CAGR 21% A £m
80

EPS CAGR 21% A £m
40

350

300

250

200

150

100

50

70

60

50

40

30

20

10

0

2005

2010

2015

2019

0

2005

2010

2015

2019

35

30

25

20

15

10

5

0

2005

2010

2015

2019

Remuneration decisions and outcomes
Salary
The following table sets out salaries for our Executive Directors for the year ending 30 September 2019 and intended salaries effective for the year 
ending 30 September 2020.

Executive Directors

Group Executive Chairman

Group Chief Executive Officer 

Executive Director

Group Interim Finance Director

Chief Financial Officer

* 
** 
*** 

from appointment as an Executive Director on 1 June 2019.
from appointment on 10 December 2018.
from appointment on 13 January 2020.

Farouq Sheikh

Haroon Sheikh

Mike Adams OBE

Gareth Dufton

2019 salary with 
effect from 
1 October 2018

2020 salary with 
effect from 
1 October 2019

£350,000

£400,000

£400,000

 (+14%) 

£450,000 

(+12.5%) 

£125,000*

£125,000 

(+0%) 

£207,000**

£207,000 

(+0%)

Christopher Dickinson

N/A

£278,000***

2019 bonus
The Committee assessed outcomes over the year ending 30 September 2019 with respect to Group Underlying EPS, EBITDA and the quality of 
regulatory reports, and determined that bonuses of either 50% or 100% of the maximum (of 100% of salary) were appropriate for the Executive 
Directors. Achievement against these measures is described in more detail in the Annual Report on Remuneration. 

2020 bonus
For the year ending 30 September 2020, maximum bonus opportunities will be 100% of salary for the Group Executive Chairman and Group Chief 
Executive Officer, and 50% for the Executive Director and Chief Financial Officer. For the FY20 bonus, we will have the same mix of three 
measures, being a third each on EPS, EBITDA and the quality of regulatory reports. In line with our approach for the FY19 bonus, we will 
retrospectively set out the targets set and the performance achieved in next year’s Annual Report on Remuneration. 

Executive Shared Ownership Plan (ExSOP)
CareTech operates a discretionary ExSOP for Executive Directors and other selected senior executives. There were no ExSOP grants in the year 
ending 30 September 2019. The most recent ExSOP grant was in November 2019, as disclosed in Stock Exchange announcements at the time 
and summarised in the “at a glance” table below. Details of Directors’ interests and share option details for ExSOP and Sharesave awards are 
provided in the Annual Report on Remuneration. The ExSOP provides each holder of shares awarded pursuant to the ExSOP (ExSOP Shares) a 
joint beneficial ownership in the ExSOP shares (shared with the Employee Benefit Trusts) such that upon sale of the ExSOP shares, the holder will 
be entitled to the proceeds of the sale less the initial market value of the ExSOP shares and a carrying cost of 3% per annum. The ExSOP shares 
have a three-year vesting period with vesting subject to performance criteria being met and are usually conditional on continuous employment.

All-employee share-based arrangements 
CareTech operates Sharesave option arrangements, allowing all employees (including Executive Directors) to participate in share ownership  
and to share in our success over the medium term. CareTech also operates a Company Share Option Plan (CSOP) for selected individuals below 
Board level.

CareTech Holdings PLC
Annual Report and Accounts 2019
45

Strategic reviewGovernanceFinancial StatementsDirectors’ Remuneration Report
Statement from the Chairman of the Remuneration Committee
continued

Executive remuneration at a glance 
This table summarises the approach to remuneration arrangements for Executive Directors for FY19 and intended operation for FY20.

Element of remuneration 

Year ending 30 September 2019 

Year ending 30 September 2020

Salary

Group Exec Chair 
Group CEO 
Executive Director 
Group Interim FD 

£350,000 
£400,000
£69,667 
£155,250

Group Exec Chair 
Group CEO 
Executive Director 
Group Interim FD 
Chief Financial Officer 

£400,000 (+14%) 
£450,000 (+10%)
£125,000 
£207,000
£278,000

Maximum Discretionary Bonus Opportunity

Group Exec Chair and Group CEO – 100%  
of salary payable in cash 

Group Exec Chair and CEO – 100% of salary 
payable in cash 

Executive Director 50% of salary payable in cash

Executive Director 50% of salary payable in cash

Group Interim FD – 50% of salary payable  
in cash.

Group Interim FD – 50% of salary payable in cash

Chief Financial Officer – 50% of salary payable  
in cash

Bonus performance measures

Three measures each with equal weighting: adjusted EPS; EBITDA; and quality of regulatory reports

ExSOP options

No grants in the year

Grants made in October 2019
(number of shares):
Group Exec Chair 
Group CEO 
Executive Director 
Chief Financial Officer 

400,000
400,000
93,750
155,250

Pension arrangements

15% of salary pension contribution (which can be taken as 13% of salary cash allowance)

CareTech Holdings PLC
Annual Report and Accounts 2019
46

Annual Report on Remuneration
Directors’ Remuneration (audited) 
The table below reports a single figure of total remuneration for each of the Directors for the financial year ended 30 September 2019 and their 
comparative figures for the financial year ended 30 September 2018. 

Salary and fees

Benefits

Annual bonus

2019 
£000

2018 
£000

2019 
£000

2018 
£000

2019 
£000

2018 
£000

2019 
£000

LTIP

2018 
£000

Pension

2019 
£000

2018 
£000

2019 
£000

Total

2018 
£000

Executive Directors

Farouq Sheikh

Haroon Sheikh

Michael Hill

Gareth Dufton

Mike Adams OBE

Non-Executive 
Directors

Karl Monaghan

Mike Adams OBE

Professor Moira 
Livingston

Jamie Cumming

350

400

71

155

69

53

–

15

42

396

453

278

–

–

53

42

–

42

32

58

7

6

3

–

–

–

–

21

58

26

–

–

–

–

–

–

350

400

–

100

–

–

–

–

–

315

283

180

–

–

–

–

–

–

Total

1,155

1,264

106

105

850

778

–

–

–

–

–

–

–

–

–

–

–

–

–

–

–

–

–

–

–

–

53

62

–

17

–

–

–

–

–

46

53

30

–

–

–

–

–

–

785

920

78

278

72

53

–

15

42

778

847

514

–

–

53

42

–

42

132

129

2,243

2,276

Notes to the table: 
- 

 Michael Hill, the Company’s then Group Finance Director, passed away on 9 December 2018. Gareth Dufton was appointed as Interim Group Finance Director the following day. 
Remuneration details for Michael Hill and Gareth Dufton represent only those amounts in relation to their services as a Director on the Board. 
 Similarly, remuneration details for Mike Adams OBE above represent only those amounts in relation to his services as an Executive Director and Non-Executive Director on the Board respectively, 
following his change in role during June 2019. 
Professor Moira Livingston was appointed as a Non-Executive Director in June 2019.

- 

- 

Benefits
Benefits include car allowance (or company vehicle), vehicle expenses and healthcare insurance.

Annual bonus
Annual bonus awards were made in respect of the year ended 30 September 2019. Executive Directors were eligible for a maximum bonus 
opportunity of either 50% or 100% of salary. For the avoidance of doubt, Non-Executive Directors are not eligible to participate in any annual 
bonuses or share-based incentives at CareTech.

The awards were structured by reference to performance against three performance measures and targets, all equally weighted. If an individual 
target is met, a third of the bonus award is payable. The following table sets out the performance measure, the weighting, the target and the 
outcome in respect of the bonus for the year ended 30 September 2019. 

Performance measure

Group underlying EPS 

Group EBITDA

Quality % of Regulatory reports rated good or 
outstanding, and there are also no serious 
reputational risks identified

Total 

Weighting

One third

One third

One third

Target

35.2p

Outcome

37.6p resulting in one 
third payable

£71.0m  £73.5m resulting in one 
third payable

90%

93% resulting in one 
third payable

100% of the maximum bonus opportunity available is payable

Long Term Incentive Plan (LTIP) 
CareTech does not operate a typical LTIP in the form of performance shares. CareTech does occasionally grant share options and shares under its 
Executive Shared Ownership Plan (ExSOP) to the Executive Directors. No grants were made in the year ending 30 September 2019.

In November 2019, the Remuneration Committee made awards to the Executive Directors (and other senior management) under the ExSOP. These 
awards are subject to a time-related performance condition measured over a three-year period beginning at the date of the grant. The performance 
condition is that the underlying EPS increased by 15% by the third anniversary of the grant. The awards to the Executive Directors were:

Group Executive Chairman 
Group CEO 
Executive Director 
Chief Financial Officer 

400,000 shares
400,000 shares
93,750 shares
155,250 shares

Details of share options made in previous years are set out in the share options section below.

CareTech Holdings PLC
Annual Report and Accounts 2019
47

Strategic reviewGovernanceFinancial StatementsDirectors’ Remuneration Report
Statement from the Chairman of the Remuneration Committee
continued

Pension arrangements
Executive Directors are offered a contribution of 15% of salary into a pension plan. Alternatively, they can take this as a cash allowance of 13%  
of salary in lieu of a pension contribution. 

Non-Executive Director Fees 
The following sets out the current fees policy for Non-Executive Directors: 
 – Base fee of £42,000; and 
 – Additional fee of £10,500 for the role of Senior Independent Director. 

Directors’ share options and Sharesave options
On 29 March 2017 the Group’s ExSOP was created. Farouq Sheikh and Haroon Sheikh each own 320,000 ordinary shares of 0.5p respectively  
and Gareth Dufton owns 75,000 ordinary shares of 0.5p respectively under the Group’s Executive Shared Ownership Plan 2017 (see note 21).

On 17 March 2017, the Company granted options in aggregate over 474,581 ordinary shares pursuant to the CareTech Holdings plc Sharesave 
Scheme 2017. It is a 3-year contract with a start date of 1 May 2017 with options exercisable at a price of 194p per share between 1 May 2019 and 
31 October 2019. Within the options described above, there were options granted to Farouq Sheikh and Haroon Sheikh of 9,278 each under the 
Sharesave Scheme.

On 17 October 2017, the Company granted options in aggregate over 254,681 ordinary shares pursuant to the CareTech Holdings plc Sharesave 
Scheme 2017. It is a three-year contract with a start date of 1 December 2017 with options exercisable at a price of 308p per share between 
1 December 2020 and 31 May 2021. Farouq Sheikh and Haroon Sheikh did not participate in the Sharesave Scheme 2017 as they already save  
£500 a month under the Sharesave Scheme 2017 and this is a HMRC limit.

Gareth Dufton holds options over 30,000 shares at an exercise price of 305p which were awarded in August 2010.

Christopher Dickinson is interested in 155,250 ordinary shares in CareTech pursuant to the Executive Shared Ownership Plan, details of which 
were announced on 8 November 2019.

No other Director has any share options in the Company.

None of the options above are subject to clawback arrangements, however it is a requirement of the ExSOP that the employee must have 
continuous service by the third anniversary for the shares to vest.

The total number of shares issued in the ExSOP and options in the approved share option scheme in November 2019 was 4.9 million shares 
representing less than 5% of the Company’s share capital. 

Directors’ interests
The Directors who held office at the end of the financial year had the following interests in the ordinary share capital of the Company according  
to the register of Directors’ interests:

Westminster Holdings Limited(1)

Cosaraf Pension Fund(2)

Sheikh Holdings Group(3)

Farouq Sheikh

Haroon Sheikh

Karl Monaghan

Jamie Cumming

Mike Adams

Gareth Dufton

30 September 2019
Number of ordinary
0.5p shares

10,547,864

230,000

500,000

638,919

690,226

41,795

2,500

2,145

23,601

30 September 2018
Number of ordinary
0.5p shares

9,763,519

170,000

–

638,919

690,226

34,250

–

2,145

Not appointed

Notes to the table: 
(1) 
(2) 
(3) 

Westminster Holdings Limited is a company owned by a trust, the beneficiaries of which include Farouq Sheikh and Haroon Sheikh. 
Cosaraf Pension Fund is a self-administered scheme established for the benefit of Farouq Sheikh and Haroon Sheikh.
 Grosvenor UK Limited is beneficially interested in these shares via a Contract for Difference (CFD) which was effected at a price of 350p per shares. Grosvenor UK Limited is a wholly owned 
subsidiary of Sheikh Holdings Group Investments Limited, which is wholly owned by Haroon and Farouq Sheikh and their immediate family.

Additional disclosures relating to CEO pay 
The following section sets out a number of additional disclosures relating to CEO pay, typically provided by FTSE-listed companies in their 
remuneration reports: 
 – Percentage change in CEO remuneration 
 – Historic CEO pay 

CareTech Holdings PLC
Annual Report and Accounts 2019
48

Percentage change in CEO remuneration 
The following table compares the percentage change in the CEO’s 
salary, benefits and annual bonus to the average percentage change 
in salary, benefits and bonus for all employees from the year ending 
30 September 2018 to the year ending 30 September 2019.

Historic CEO pay 
The following table sets out historic CEO pay over the past ten years. 
The single figure of total remuneration is provided, as well as the 
annual bonus expressed as a percentage of the maximum for  
the year. 

Change in remuneration

Chief Executive Officer

Average pay of all 
employees

Salary

0%

6.1%

Benefits Annual bonus

52%

25%

11%

37%

In the years to 2017, the maximum potential bonus for the CEO was 
25%, changing to 100% in 2018. As set out above CEO pay has been 
reviewed together with Executive Board remuneration periodically to 
align it with the growth in the Group, the changes in organisational 
structure and the sector as a whole. 

Year ending 30 September 

2019

2018

2017

2016

2015

2014

2013

2012

2011

2010

Chief Executive

Haroon Sheikh

Haroon Sheikh

Haroon Sheikh

Haroon Sheikh

Haroon Sheikh

Haroon Sheikh

Haroon Sheikh

Haroon Sheikh

Haroon Sheikh

Haroon Sheikh

Single figure 
of total 
remuneration
£000

Annual bonus 
as a % of 
maximum

LTIP as a 
% of maximum

920

794

430

375

304

298

247

259

246

290

100%

62%

64%

76%

96%

69%

0%

0%

0%

100%

n/a

n/a

n/a

n/a

n/a

n/a

n/a

n/a

n/a

n/a

Notes to the table: 
- 

Single figure of total remuneration is as disclosed in previous annual reports, being the total figure in the relevant table plus any pension amounts disclosed in the same table.

By order of the Board

Jamie Cumming
Chairman of the Remuneration Committee
30 January 2020

CareTech Holdings PLC
Annual Report and Accounts 2019
49

Strategic reviewGovernanceFinancial StatementsStatement of Directors’ Responsibilities

The Directors are responsible for preparing the annual 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 to prepare 
the financial statements in accordance with International Financial 
Reporting Standards (IFRSs) as adopted by the European Union. 
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 and profit or loss of the Company and Group for 
that period. 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;

 – state whether applicable IFRSs have been followed, subject to  
any material departures disclosed and explained in the financial 
statements.

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.

The Directors confirm that: 

 – so far as each Director is aware, there is no relevant audit 

information of which the Company’s auditor is unaware; and

 – the Directors have taken all the steps that they ought to have taken 
as Directors in order to make themselves aware of any relevant 
audit information and to establish that the auditor is aware of  
that information.

The Directors are responsible for preparing the annual report in 
accordance with applicable law and regulations. Having taken advice 
from the Audit Committee, the Directors consider the annual report 
and the financial statements, taken as a whole, provides the 
information necessary to assess the Company’s performance, 
business model and strategy and is fair, balanced and understandable.

The Directors are responsible for the maintenance and integrity of  
athe corporate and financial information included on the Company’s 
website. Legislation in the United Kingdom governing the preparation 
and dissemination of financial statements may differ from legislation 
in other jurisdictions. 

By order of the Board

Farouq Sheikh
Group Executive Chairman
30 January 2020

CareTech Holdings PLC
Annual Report and Accounts 2019
50

Independent Auditor’s Report 
to the members of CareTech Holdings PLC

Opinion
Our opinion on the financial statements is unmodified
We have audited the financial statements of CareTech Holdings PLC (the “parent Company”) and its subsidiaries (“the Group”) for the year ended  
30 September 2019, which comprise the Consolidated Income Statement, the Consolidated Balance Sheet, the Consolidated Statement of 
Changes in Equity, the Consolidated Statement of Cash Flows, the Company Balance Sheet, the Company Statement of Changes in Equity and 
notes to the financial statements, including a summary of significant accounting policies. The financial reporting framework that has been applied 
in their preparation is applicable law and International Financial Reporting Standards (IFRSs) as adopted by the European Union and, as regards the 
parent Company financial statements, as applied in accordance with the provisions of the Companies Act 2006.

In our opinion:
 – the financial statements give a true and fair view of the state of the Group’s and of the parent Company’s affairs as at 30 September 2019  

and of the Group’s profit for the year then ended;

 – the Group financial statements have been properly prepared in accordance with IFRSs as adopted by the European Union;
 – the parent Company financial statements have been properly prepared in accordance with IFRSs as adopted by the European Union and  

as applied in accordance with the provisions of the Companies Act 2006; and

 – the financial statements have been prepared in accordance with the requirements of the Companies Act 2006.

Basis for opinion
We conducted our audit in accordance with International Standards on Auditing (UK) (ISAs (UK)) and applicable law. Our responsibilities under those 
standards are further described in the Auditor’s responsibilities for the audit of the financial statements section of our report. We are independent of 
the Group and the parent Company in accordance with the ethical requirements that are relevant to our audit of the financial statements in the UK, 
including the FRC’s Ethical Standard as applied to listed entities, and we have fulfilled our other ethical responsibilities in accordance with these 
requirements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion.

Conclusions relating to principal risks and going concern
We have nothing to report in respect of the following information in the annual report, in relation to which the ISAs (UK) require us to report to you 
whether we have anything material to add or draw attention to:
 – the disclosures in the annual report set out on page 26 that describe the principal risks and explain how they are being managed or mitigated;
 – the Directors’ confirmation, set out on page 41 of the annual report, that they have carried out a robust assessment of the principal risks facing 

the Group, including those that would threaten its business model, future performance, solvency or liquidity;

 – the Directors’ statement, set out on page 43 of the financial statements, about whether the Directors considered it appropriate to adopt the 
going concern basis of accounting in preparing the financial statements and the Directors’ identification of any material uncertainties to the 
Group and the parent Company’s ability to continue to do so over a period of at least 12 months from the date of approval of the financial 
statements; or

As an AIM listed company, the Company is not required to comply with Listing Rule 9.8.6R(3) and therefore we do not report on whether we have 
anything material to add or to draw attention to in respect of the Directors’ statement relating to going concern required under the Listing Rules  
in accordance with Listing Rule 9.8.6R(3) and whether it is materially consistent with our knowledge obtained in the audit.

The Directors have explained on page 41 why they have not given an explanation as to how they have assessed the prospects of the Group, over 
what period they have done so and why they consider that period to be appropriate, and their statement as to whether they have a reasonable 
expectation that the Group will be able to continue in operation and meet its liabilities as they fall due over the period of their assessment, 
including any related disclosures drawing attention to any necessary qualifications or assumptions, and therefore we do not report on whether  
we have anything material to add or to draw attention to in respect of this matter.

Overview of our audit approach
 – Overall materiality: £2.2m, which represents 5% of the Group’s profit before taxation, after 

adjustment for acquisition-related and other specific non-routine items.

 – Key audit matters for the Group were identified as follows:

 – occurrence of revenue; 
 – valuation of intangible costs;
 – valuation of goodwill;
 – acquisition accounting;
 – presentation of non-underlying items;
 – ground rent transactions; and
 – completeness and accuracy of non-current provisions – sleep-in.

 – We performed a full scope audit of the financial statements of the parent Company and of the 
financial information of Cambian Group Limited. We performed specified audit procedures on 
the financial information of certain smaller Group entities and we performed analytical 
procedures over the remaining components. 

 – The acquisition of Cambian Group Limited caused a key change in the scope of the audit from 

prior year.

Key audit matters
Key audit matters are those matters that, in our professional judgement, were of most significance in our audit of the financial statements of the 
current period and include the most significant assessed risks of material misstatement (whether or not due to fraud) that we identified. These 
matters included those that had the greatest effect on the overall audit strategy; the allocation of resources in the audit; and directing the efforts  
of the engagement team. These matters were addressed in the context of our audit of the financial statements as a whole, and in forming our 
opinion thereon, and we do not provide a separate opinion on these matters.

CareTech Holdings PLC
Annual Report and Accounts 2019
51

Strategic reviewGovernanceFinancial StatementsIndependent Auditor’s Report 
to the members of CareTech Holdings PLC
continued

Key audit matters – Group 

Occurrence of revenue

Under International Standard on Auditing (UK) 240 ‘The Auditor’s 
Responsibilities Relating to Fraud in an Audit of Financial Statements’, 
there is a rebuttable presumed risk that revenue may be misstated  
due to fraud.

In addition, IFRS 15 ‘Revenue from Contracts with Customers’ involves 
significant management judgement for the recognition of contract 
revenue and therefore there is a risk that a material error could occur  
if it was incorrectly recognised.

Due to the manual nature of the information on which billing and  
credit notes are based, there is a risk that revenue is inaccurately 
recognised. Additionally, there is a presumed risk of fraud in revenue 
recognition and therefore occurrence of revenue was identified as a 
significant risk, which was one of the most significant assessed risks 
of material misstatement. 

Valuation of intangible costs
The Group has a net book value of £7.3m of capitalised software and 
licences as at 30 September 2019.

The valuation of intangible assets under IAS 36 ‘Impairment of Assets’  
is a key risk. The intangible assets must be reviewed for impairment 
indicators annually. 

We therefore identified valuation of intangible costs as a significant risk, 
which was one of the most significant assessed risks of material 
misstatement.

Valuation of goodwill
The Group has a significant goodwill balance of £79.5m at the year 
end, largely arising as a result of the acquisition of Cambian Group 
Limited which took place on 19 October 2018.

Under IAS 36 ‘Impairment of assets’ there is significant judgement 
surrounding the recognition and measurement of goodwill. The key 
judgements are the determination of the CGUs, the forecast growth 
rates and the applicable discount rates. 

Additionally, IAS 36 requires that assets are not carried at more than 
their recoverable amount. We therefore identified the valuation of 
goodwill as a significant risk, which was one of the most significant 
assessed risks of material misstatement.

CareTech Holdings PLC
Annual Report and Accounts 2019
52

How the matter was addressed in the audit – Group 

Our audit work included, but was not restricted to: 
 – considering the Group’s revenue recognition accounting policies to 
check these were appropriately applied to the revenue streams and 
assessing compliance with IFRS 15;

 – evaluating and testing the design and operating effectiveness of key 
controls over the admission, discharges and fee movement during 
the year for the material revenue streams (Adult, Children and 
Fostering). The testing of these revenue streams was disaggregated 
between CareTech and Cambian due to the different control 
environments;

 – substantive testing was performed on revenues in those smaller 
entities where we did not place reliance upon the operating 
effectiveness of controls;

 – agreeing a sample of revenue transactions to subsequent cash 
receipt and/or evidence of right to revenue recognition given 
performance obligations of the service provided;

 – completing analytical procedures on revenue based on occupancy 

numbers across the Group; and

 – testing the completeness of credit notes recognised in the year 
against revenues billed in advance for discharged service users.

The Group’s accounting policy on revenue is shown in note 2 to the 
financial statements and related disclosures are included in note 4. 

Key observations
Our audit testing did not identify any material misstatements in relation 
to the occurrence of revenue.

Our audit work included, but was not restricted to: 
 – evaluating the Group’s accounting policy for consistency with IAS 
36 and considering whether these policies have been applied 
appropriately across the Group; and

 – inspecting impairment reviews prepared by management to ensure 
that the carrying value of intangible assets was not overstated.  
This incorporated challenge of management’s forecasts for 
cash-generating units and testing management’s sensitivity  
analysis of the applicable discount rate applied in these forecasts. 

The Group’s accounting policy on capitalisation and valuation of 
intangible costs is shown in note 2 to the financial statements and 
related disclosures are included in note 14. 

Key observations
Our audit testing did not identify any material misstatements in the 
valuation of intangible costs.

Our audit work included, but was not restricted to: 
 – evaluating the Group’s accounting policy for consistency with IAS 

36 and considering whether the accounting policy has been applied 
accurately and consistently across the Group;

 – testing the arithmetical accuracy and integrity of the underlying data 
used by management in their impairment assessment by checking 
the consistency of formulae used and agreeing inputs to supporting 
documentation including historic profit and loss data and individual 
market results;

 – challenging management’s assessment of CGUs within the business 

for reasonableness;

 – using our in-house valuation specialists as an auditor’s expert to 
assess the reasonableness of the discount rates applied to cash 
flows for each CGU; and

 – challenging management’s assumptions concerning forecast cash 
flows, based on historical trends and any changes in customer 
preferences and regulations; and

The Group’s accounting policy on the valuation of goodwill is shown in 
note 2 to the financial statements and related disclosures are included 
in note 14. 

Key observations
Our audit testing did not identify any material misstatements in the 
valuation of goodwill at the year end.

Key audit matters – Group 

Acquisition accounting

The Group acquired Cambian Group Limited on 19 October 2018. 

IFRS 3 ‘Business combinations’ involves significant judgement regarding 
acquisition accounting and there is a risk that material error could occur 
in the reporting of this business combination. 

We therefore identified acquisition accounting, being the accounting 
and disclosure of the business combination, as a significant risk, which 
was one of the most significant assessed risks of material misstatement. 

Presentation of non-underlying items

The Group separately discloses a number of profit and loss line items 
into underlying and non-underlying items. Management believes the 
disclosure is helpful to the users of the financial statements, but it has  
a significant impact on the presentation of the results and can involve 
judgement.

We therefore identified the presentation of non-underlying items as  
a significant risk, which was one of the most significant assessed risks 
of material misstatement.

How the matter was addressed in the audit – Group 

Our audit work included but was not restricted to:
 – inspecting documentation from the Competitions and Market 
Authority and management to ensure the date of control was 
accurately recorded and reflective of when control was obtained;
 – evaluating the calculations and management judgements on the 
fair value of assets and liabilities acquired, including any identified 
intangibles on the acquisition of Cambian Group Limited in line  
with IFRS 3; 

 – We engaged internal experts to assist with our audit of significant 

inputs to the acquisition accounting; 

 – Inspecting evidence to support the completeness of provisions  

and liabilities and the recoverability of receivables; 

 – Testing opening balances including the inspection of underlying 

documentation to support the balances; and

 – Performing testing to ensure that transactions undertaken in the 
pre-acquisition period were eliminated from the consolidation.

The Group’s accounting policy on business combinations is shown in 
note 2 to the financial statements and related disclosures are included 
in note 5. 

Key observations
Our audit testing did not identify any material misstatements in 
accounting for the acquisition.

Our audit work included, but was not restricted to: 
 – evaluating the presentation and classification of non-underlying 

items. This involved detailed challenge and testing of management’s 
workings, and challenge by the audit team in respect of the items 
included as non-underlying to ensure that the items were correctly 
treated; and 

 – We have also verified the accuracy of information through 
examination of corroborating evidence on a sample basis.

The Group’s accounting policy on non-underlying items is shown in 
note 2 to the financial statements and related disclosures are included 
in note 6.

Key observations
Our audit testing did not identify any material misstatements in the 
presentation of non-underlying items within the financial statements.

CareTech Holdings PLC
Annual Report and Accounts 2019
53

Strategic reviewGovernanceFinancial StatementsIndependent Auditor’s Report 
to the members of CareTech Holdings PLC
continued

Key audit matters – Group 

Ground rent transactions

The Group has entered into ground rent transactions, whereby 
properties are sold to financial institutions and leased back. The ground 
rent was judgementally split into land and buildings in the ratio 75:25 
based on the economic life of each element, the estimated split of 
value between the elements, and the likelihood of certain future  
events occurring that could affect the lease term. There was a profit  
on disposal of £4.6m recognised in respect of the land element in 
non-underlying items. An option exists to repurchase the assets 
125 years into the lease term for £1. In addition, step-in rights exist  
that may be exercised by the lessor during this 125-year period.

This is a judgemental area; because the split of land and buildings is 
quantitatively material and subjective, and the presence of an option  
to repurchase the leased assets is one of a number of indicators that 
influences the judgement as to the nature of the lease as operating or 
financing in nature. We therefore identified ground rent transactions as 
a significant risk, which was one of the most significant assessed risks 
of material misstatement.

How the matter was addressed in the audit – Group 

Our audit work included, but was not restricted to:
 – obtaining and inspecting management’s calculation of the profit on 
disposal which included an assessment on the judgemental split of 
land and buildings and the profit included in non-underlying items; 

 – reperforming the calculation of the profit on disposal to verify 

mathematical accuracy;

 – agreeing key amounts included in the calculation to supporting 

documentation; 

 – challenging management on the key assumptions within the 

underlying workings and corroborating explanations received to 
supporting evidence where appropriate, including through the use 
of an auditor’s expert; 

 – challenging management’s assessment of the nature of the option 
agreement, including whether it had economic substance or was 
likely to be exercised;

 – obtaining a third party accounting firm’s assessment, prepared for 
(and received from) management, of the accounting judgements 
and estimates inherent in the transaction, discussing this directly 
with management and the management’s expert, and challenging 
and obtaining supporting evidence for the assertions made within  
it as to the judgements made; and

 – assessing the disclosure of judgements and estimates made in 

respect of the ground rent transaction. 

The Group’s accounting policy on ground rent transactions is shown in 
note 2 to the financial statements and related disclosures are included 
in note 6. 

Key observations
Our audit testing did not identify any material misstatements in the 
treatment of ground rent transactions during the year.

Completeness and accuracy of non-current provisions – sleep-in

As at 30 September 2019, the Group’s provisions include an amount for 
sleep-in payments. There is currently an ongoing legal case involving 
employees and the care provider, Mencap. The case relates to the 
application of minimum wage law for care workers on “sleep-in” shifts.

Our audit work included, but was not restricted to:
 – obtaining an understanding of the position taken by management 

based on discussion with the in-house legal team and 
management;

The case is scheduled to be trialled in front of the Supreme Court.  
As a result, there is uncertainty around the outcome of the case,  
which could have a material impact on amounts the Group is liable for. 
The determination of whether a provision is required, and its quantum, 
is a significant judgement exercised by management.

We therefore identified the completeness and accuracy of the sleep-in 
provisions as a significant risk, which was one of the most significant 
assessed risks of material misstatement. 

 – obtaining management’s workings of the provisions and checking 
the mathematical calculations to supporting documentation for  
the costs to verify the amount of the provision; and traced a sample 
of employees to and from the payroll system; and 

 – challenging management assumptions used in calculating  
the amount of sleep in liability and corroborating these to  
third-party data.

The Group’s accounting policy on the provisions is shown in note 2 to 
the financial statements and related disclosures are included in note 20. 

Key observations
Our audit testing did not identify any material misstatements in the 
completeness and accuracy of sleep-in provisions during the year.

CareTech Holdings PLC
Annual Report and Accounts 2019
54

Our application of materiality
We define materiality as the magnitude of misstatement in the financial statements that makes it probable that the economic decisions of a 
reasonably knowledgeable person would be changed or influenced. We use materiality in determining the nature, timing and extent of our  
audit work and in evaluating the results of that work. 

Materiality was determined as follows:

Materiality measure

Group

Parent Company

Financial statements 
as a whole

£2,153,000, which is 5% of the Group’s profit before tax 
after adjustment for acquisition-related and other specific 
non-routine items. This benchmark is considered the 
most appropriate because it is most reflective of the 
underlying performance of the business.

£1,729,000, which is 2% of the Company’s total assets 
capped at its component materiality. This benchmark is 
considered the most appropriate because the Company 
holds the Group’s investments and other assets and does 
not trade.

Materiality for the current year is higher than the level that 
we determined for the year ended 30 September 2018 to 
reflect the change in benchmark from 4% of the Group’s 
underlying operating profit stated before depreciation, 
amortisation and share-based payments charges to 5% of 
the Group’s normalised profit before tax, which is higher. 
The change in benchmark is as a result of it being 
considered most reflective of the Group’s underlying 
performance.

Materiality for the current year is higher than the level that 
we determined for the year ended 30 September 2018  
as the Company’s total assets has increased due to the 
acquisition of Cambian Group Limited, and so has the level 
at which materiality has been capped, for the same reason.

60% of financial statement materiality.

60% of financial statement materiality.

We determined a lower level of specific materiality for 
certain areas such as Directors’ remuneration and related 
party transactions.

We determined a lower level of specific materiality for 
certain areas such as Directors’ remuneration and related 
party transactions.

£107,650 and misstatements below that threshold that,  
in our view, warrant reporting on qualitative grounds.

£86,450 and misstatements below that threshold that,  
in our view, warrant reporting on qualitative grounds.

Performance 
materiality used to 
drive the extent of our 
testing

Specific materiality

Communication of 
misstatements to the 
Audit Committee

The graph below illustrates how performance materiality interacts with our overall materiality and the tolerance for potential uncorrected 
misstatements.

Overall materiality – Group 

Overall materiality – parent Company

60%

40%

60%

40%

     Tolerance for potential uncorrected mis-statements

     Performance materiality

CareTech Holdings PLC
Annual Report and Accounts 2019
55

Strategic reviewGovernanceFinancial StatementsIndependent Auditor’s Report 
to the members of CareTech Holdings PLC
continued

An overview of the scope of our audit
Our audit approach was a risk-based approach founded on a thorough understanding of the Group’s business, its environment and risk profile,  
and in particular included:
 – Evaluation by the Group audit team of identified components to assess the significance of that component and to determine the planned audit 
response based on a measure of materiality, considering the relative size of each component as a percentage of total Group assets, liabilities, 
revenues and EBITDA. We performed a full scope audit of the financial statements of the parent Company and of the financial information  
of Cambian Group Limited. We performed specific audit procedures on the financial information of certain smaller Group entities and we 
performed analytical procedures over the remaining components. 

 – Evaluating controls over the financial reporting systems identified as part of our risk assessment. We tested the operating effectiveness of 

controls relating to revenue recognition, payroll expenses and operating expenses to assess whether the controls were designed, implemented 
and operating effectively. Due to the results of our controls testing on Cambian Group Limited’s revenues, we revised our audit approach and 
performed substantive testing.

 – The acquisition of Cambian Group Limited on 19 October 2018 for £359m caused a key change in scope of the audit from the prior year.  

We assessed the accounting treatment for the acquisition. Cambian Group Limited has been identified as individually financially significant to 
the Group. Changes include additional full scope audit for Cambian Group Limited and new identified risk areas of acquisition accounting and 
valuation of goodwill.

 – Inspecting the process that management follow to prepare and report results. Management prepare and report on the results on a Group basis 
rather than on a Company basis. The subsidiaries in the Group are 100% controlled by the Company, apart from Spark of Genius (North East) 
LLP which is 50% owned, and the Company provides a guarantee for all the subsidiaries’ liabilities, apart from those stated in note 29 of the 
financial statements.

Other information
The Directors are responsible for the other information. The other information comprises the information included in the annual report and 
accounts, other than the financial statements and our auditor’s report thereon. Our opinion on the financial statements does not cover the other 
information and, except to the extent otherwise explicitly stated in our report, we do not express any form of assurance conclusion thereon.

In connection with our audit of the financial statements, our responsibility is to read the other information and, in doing so, consider whether  
the other information is materially inconsistent with the financial statements or our knowledge obtained in the audit or otherwise appears to be 
materially misstated. If we identify such material inconsistencies or apparent material misstatements, we are required to determine whether there 
is a material misstatement in the financial statements or a material misstatement of the other information. If, based on the work we have 
performed, we conclude that there is a material misstatement of this other information, we are required to report that fact.

We have nothing to report in this regard.

In this context, we also have nothing to report in regard to our responsibility to specifically address the following items in the other information  
and to report as uncorrected material misstatements of the other information where we conclude that those items meet the following conditions:
 – Fair, balanced and understandable (set out on page 50) – the statement given by the Directors that they consider the annual report and 
financial statements taken as a whole is fair, balanced and understandable and provides the information necessary for shareholders to  
assess the Group’s performance, business model and strategy, is materially inconsistent with our knowledge obtained in the audit; or

 – Audit Committee reporting (set out on pages 39 and 40) – the section describing the work of the Audit Committee does not appropriately 

address matters communicated by us to the Audit Committee; or

As an AIM listed company, the Company is not required to comply with Listing Rule 9.8.10R(2) and therefore we do not report on whether we have 
nothing to report in regard to our responsibility to specifically address the Directors’ statement of compliance with the UK Corporate Governance 
Code and the parts of the Directors’ statement required under the Listing Rules relating to the Company’s compliance with the UK Corporate 
Governance Code containing provisions specified for our review in accordance with Listing Rule 9.8.10R(2), and to report as uncorrected material 
misstatements of the other information where we conclude that the Directors’ statement does not properly disclose a departure from a relevant 
provision of the UK Corporate Governance Code.

Our opinion on other matters prescribed by the Companies Act 2006 is unmodified
In our opinion, based on the work undertaken in the course of the audit:
 – the information given in the Strategic Report and the Directors’ Report for the financial year for which the financial statements are prepared  

is consistent with the financial statements; and

 – the Strategic Report and the Directors’ Report have been prepared in accordance with applicable legal requirements. 

Matters on which we are required to report under the Companies Act 2006
In the light of the knowledge and understanding of the Group and the parent Company and its environment obtained in the course of the audit, 
we have not identified material misstatements in the Strategic Report or the Directors’ Report.

Matters on which we are required to report by exception
We have nothing to report in respect of the following matters in relation to which the Companies Act 2006 requires us to report to you if, in our 
opinion:
 – adequate accounting records have not been kept by the parent Company, or returns adequate for our audit have not been received from 

branches not visited by us; or

 – the parent Company 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.

CareTech Holdings PLC
Annual Report and Accounts 2019
56

Responsibilities of Directors for the financial statements
As explained more fully in the Statement of Directors’ Responsibilities set out on page 50, the Directors are responsible for the preparation of the 
financial statements and for being satisfied that they give a true and fair view, and for such internal control as the Directors determine is necessary 
to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error.

In preparing the financial statements, the Directors are responsible for assessing the Group’s and the parent Company’s ability to continue as a 
going concern, disclosing, as applicable, matters related to going concern and using the going concern basis of accounting unless the Directors 
either intend to liquidate the Group or the parent Company or to cease operations, or have no realistic alternative but to do so.

Auditor’s responsibilities for the audit of the financial statements
Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement, 
whether due to fraud or error, and to issue an auditor’s report that includes our opinion. Reasonable assurance is a high level of assurance, but  
is not a guarantee that an audit conducted in accordance with ISAs (UK) will always detect a material misstatement when it exists. Misstatements 
can arise from fraud or error and are considered material if, individually or in the aggregate, they could reasonably be expected to influence the 
economic decisions of users taken on the basis of these financial statements.

A further description of our responsibilities for the audit of the financial statements is located on the Financial Reporting Council’s website at: 
www.frc.org.uk/auditorsresponsibilities. This description forms part of our auditor’s report.

Use of our report
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.

Philip Westerman
Senior Statutory Auditor
for and on behalf of Grant Thornton UK LLP
Statutory Auditor, Chartered Accountants
London
30 January 2020

CareTech Holdings PLC
Annual Report and Accounts 2019
57

Strategic reviewGovernanceFinancial StatementsConsolidated Income Statement
for the year ended 30 September 2019

Revenue

Cost of sales

Gross profit

Administrative expenses

Operating profit

EBITDA(i)

Depreciation

Amortisation of intangible assets

Acquisition expenses

Profit on ground rent transaction

Other non-underlying items

Share-based payments charge

Operating profit

Finance expenses

Profit before tax 

Taxation

Profit for the year

Non-controlling interest

Profit for the year attributable 
to owners of the parent

Earnings per share

Basic

Diluted

Note

Underlying 
£000

4

394,994

(262,018)

132,976

2019

Non- 
underlying(ii) 
£000

Total 
£000

Underlying 
£000

2018

Non- 
underlying(ii) 
£000

–

–

–

394,994

185,689

(262,018)

(120,387)

132,976

65,302

(70,121)

(23,379)

(93,500)

62,855

(23,379)

39,476

73,546

(10,631)

–

–

–

–

(60)

–

–

73,546

(10,631)

(10,188)

(10,188)

(10,331)

(10,331)

4,565

(7,425)

–

4,565

(7,425)

(60)

13

6,14

6

6

6

62,855

(23,379)

39,476

6,9

(12,690)

(2,446)

(15,136)

(27,543)

37,759

43,862

(5,906)

–

–

–

(197)

37,759

(4,867)

–

–

–

(17,573)

(17,573)

–

–

(7,428)

(4,525)

(5,620)

–

(17,573)

51

Total 
£000

185,689

(120,387)

65,302

(45,116)

20,186

43,862

(5,906)

(7,428)

(4,525)

(5,620)

(197)

20,186

(4,816)

15,370

(4,126)

11,244

(596)

50,165

(25,825)

24,340

32,892

(17,522)

6,10

(9,423)

5,209

(4,214)

40,742

(20,616)

20,126

(422)

–

(422)

(5,751)

27,141

(596)

1,625

(15,897)

–

40,320

(20,616)

19,704

26,545

(15,897)

10,648

11,12

11,12

37.60p

37.48p

18.38p

18.31p

35.07p

35.06p

14.07p

14.06p

There was no comprehensive income other than that passing through the Consolidated Income Statement and accordingly no separate statement 
of comprehensive income has been prepared.

(i) 
(ii)  

EBITDA is operating profit stated before depreciation, share-based payments charge and non-underlying items.
 Non-underlying items comprise: amortisation, acquisition expenses, integration, reorganisation and redundancy costs and profit associated with the ground rent transaction and are 
explained in note 6. 

CareTech Holdings PLC
Annual Report and Accounts 2019
58

Consolidated Balance Sheet
as at 30 September 2019

Non-current assets

Property, plant and equipment

Other intangible assets

Goodwill

Current assets

Inventories

Trade and other receivables

Cash and cash equivalents

Total assets

Current liabilities

Loans and borrowings 

Trade and other payables

Ground rent liabilities arising under IAS 17

Deferred and contingent consideration payable

Deferred income

Corporation tax

Derivative financial instruments

Non-current liabilities

Loans and borrowings

Ground rent liabilities arising under IAS 17

Deferred tax liabilities

Provisions

Derivative financial instruments

Total liabilities

Net assets

Equity 

Share capital

Share premium

Shares held by Executive Shared Ownership Plan

Merger reserve

Non-controlling interest

Retained earnings

Total equity attributable to equity shareholders of the parent

Note

2019 
£000

2018 
£000

13

14

14

15

17

18

16

25

609,658

301,109

80,348

79,456

40,128

43,689

769,462

384,926

998

53,011

29,238

83,247

898

31,747

9,421

42,066

852,709

426,992

1,663

58,937

100

–

28,710

13,777

–

153,830

24,875

50

966

3,372

6,836

152

103,187

190,081

17

318,652

15,031

63,951

14,884

1,640

414,158

517,345

2,580

7,244

18,854

–

–

28,678

218,759

335,364

208,233

545

379

121,304

120,820

(3,537)

(4,750)

125,536

957

90,559

9,023

639

82,122

335,364

208,233

19

20

25

22

23

23

23

23

These financial statements were approved by the Board of Directors and authorised for issue on 30 January 2020 and were signed on its behalf by:

Farouq Sheikh 
Group Executive Chairman 
Company number: 04457287

CareTech Holdings PLC
Annual Report and Accounts 2019
59

 Christopher Dickinson
 Chief Financial Officer

Strategic reviewGovernanceFinancial Statements 
Consolidated Statement of Changes in Equity
as at 30 September 2019

Share 
capital 
£000

379

Share 
premium 
£000

120,778

Shares held 
by Executive 
Shared 
Ownership 
Plan 
£000

Retained 
earnings 
£000

(4,750)

78,771

Total 
attributable to 
owners of the 
parent 
£000

204,201

Merger 
reserve 
£000

9,023

–

–

–

–

–

–

–

42

–

–

–

42

–

–

–

–

–

–

10,648

–

197

(7,494)

–

(7,297)

–

–

–

–

–

–

10,648

42

197

(7,494)

–

(7,255)

Non-
controlling 
Interest 
£000

–

–

–

–

–

639

639

Total Equity 
£000

204,201

10,648

42

197

(7,494)

639

(6,616)

At 1 October 2017

Profit for the year and total 
comprehensive income

Issue of ordinary shares

Equity-settled share-based 
payments charge

Dividends

Minority interest

Transactions with owners 
recorded directly in equity

At 30 September 2018

379

120,820

(4,750)

82,122

9,023

207,594

639

208,233

Adoption of IFRS 91

Restated at 1 October 2018

Profit for the year and total 
comprehensive income

Issue of ordinary shares

Equity-settled share-based 
payments charge

Redemption of share options

Dividends

Minority interest

Transactions with owners 
recorded directly in equity

–

379

–

166

–

–

–

–

–

–

(525)

–

(525)

120,820

(4,750)

81,597

9,023

207,069

–

639

(525)

207,708

–

484

–

–

–

–

–

–

–

1,213

–

–

19,704

–

19,704

–

60

–

(10,802)

–

116,513

117,163

–

–

–

–

60

1,213

(10,802)

–

166

484

1,213

(10,742)

116,513

107,634

–

–

–

–

–

318

318

19,704

117,163

60

1,213

(10,802)

318

107,952

At 30 September 2019

545

121,304

(3,537)

90,559

125,536

334,407

957

335,364

Notes: 
1 

The Group has applied IFRS 9 using the cumulative effect method. Under this method the comparative information is not restated. See note 2.

CareTech Holdings PLC
Annual Report and Accounts 2019
60

Consolidated Statement of Cash Flows
for the year ended 30 September 2019

Cash flows from operating activities

Profit before tax

Adjustments for:

Finance expenses

Depreciation

Amortisation

Acquisition expenses

Profit arising from the ground rent transaction

Other non-underlying items

Share-based payments charge

Operating cash flows before movement in working capital 

Increase in inventory 

Increase in trade and other receivables

(Decrease)/increase in trade and other payables

Operating cash flows before adjustment items

Integration and restructuring costs

Payment of charitable donations 

Payments made under onerous contracts

Payment of acquisition costs

Cash inflows from operating activities

Tax paid

Net cash from operating activities

Cash flows from investing activities

Proceeds from sale of property, plant and equipment

Payments for business combinations 

Acquisition of property, plant and equipment

Acquisition of software

Payment of deferred consideration

Net cash used in investing activities

Cash flows from financing activities

Proceeds from share capital 

Proceeds from finance sale and leaseback

Interest paid

Cash outflow arising from derivative financial instruments

Bank loans drawdown

Loan arrangement fees paid

Repayment of borrowings

Payment of finance lease liabilities

Dividends paid 

Net cash arising from/(used in) from financing activities

Net increase in cash and cash equivalents

Cash and cash equivalents at 1 October

Cash and cash equivalents at 30 September

CareTech Holdings PLC
Annual Report and Accounts 2019
61

Note

2019 
£000

2018 
£000

24,340

15,370

15,136

10,631

10,188

10,331

(4,565)

7,425

60

4,816

5,906

7,428

4,525

–

5,620

197

73,546

43,862

(100)

(6,518)

(604)

66,324

(5,597)

(736)

(151)

(14,393)

45,447

(5,889)

39,558

23,894

(160,271)

(27,810)

(2,699)

(966)

 (63)

(8,228)

3,875

39,446

(3,652)

(380)

(377)

(839)

34,198

(4,135)

30,063

1,201

(72)

(14,519)

(2,538)

–

(167,852)

(15,928)

9

13

14

6

6

6

8

6

6

5

13

14

22

1,697

7,888

(10,945)

(308)

431,910

(4,696)

(263,576)

(3,057)

24

(10,802)

148,111

19,817

9,421

29,238

42

–

(4,650)

(649)

11,035

(1,436)

(5,775)

(2,189)

(7,494)

(11,116)

3,019

6,402

9,421

Strategic reviewGovernanceFinancial StatementsNotes to the Financial Statements

Background and basis of preparation

1 
CareTech Holdings plc (the “Company”) is a company registered and 
domiciled in England and Wales. The consolidated financial statements 
of the Company for the year ended 30 September 2019 comprise 
the Company and its subsidiaries (together referred to as the “Group”). 
The consolidated financial statements are presented in pounds sterling, 
which is the Company’s functional currency, rounded to the nearest 
thousand. The parent Company financial statements on pages 93 to 99 
present information about the Company as a separate entity and  
not about its Group. 

The consolidated financial statements were approved for release by the 
Board of Directors on 30 January 2020.

Going concern
The Group’s business activities together with the factors likely to affect its 
future development, performance and position are set out in the Group 
Chairman’s Statement and Group Chief Executive’s Statement and 
Performance Review on pages 4 to 7 and pages 8 to 11. The financial 
position of the Group, its cash flows, liquidity position and borrowing 
facilities are described in the Group Financial Review on pages 27 to 
31. In addition, note 25 to the financial statements includes the Group’s 
objectives, policies and processes for managing its capital, its financial 
risk management objectives, details of its financial instruments and 
hedging activities and its exposures to credit risk, interest rate risk and 
liquidity risk. As highlighted in that note, the Group meets its day-
to-day working capital requirements through cash flow from profits 
together with existing bank facilities which are sufficient to fund present 
commitments. Term facilities are utilised to fund capital expenditure and 
short-term flexibility is achieved by the utilisation of cash resources in 
respect of financial liabilities, which are shown in the table in note 25  
and indicates their contractual cash flow maturities.

During the year, the Group entered into new banking facilities with 
a consortium of eight banks (Barclays Bank PLC, HSBC UK Bank plc, 
Santander UK plc, AIB Group (UK) plc, Clydesdale Bank PLC, Credit 
Suisse AG, Lloyds Bank plc and National Westminster Bank plc) for 
committed financing by way of term loans of between 3.5 to 5 years 
up to £322m. In addition to the Term Loans, a £25m revolving credit 
facility is available to provide working capital for the Enlarged Group 
together with a day-to-day overdraft facility of £2m. There are a number 
of Banking Covenants which ratchet depending on time and Group 
performance. The Directors forecast that they are able to meet all 
Banking Covenants which are reviewed regularly.

As part of the acquisition of Cambian 2018 the Group’s property 
portfolio was revalued by Knight Frank and Cushman and Wakefield 
and the market value was £774m. These valuations are not reflected 
in the Consolidated Statement of Financial Position. The ground-rent 
transaction during the year raised £31m of net cash on less than 10%  
of the Group’s freehold asset portfolio. 

The Group’s underlying operating business is cash generative, much 
of the business has a long-term profile with both debtor days and 
creditor days comparatively low. Non-underlying costs arising from the 
acquisition of Cambian together with the integration costs and costs in 
realising synergies have substantially been settled during the year. As at 
the balance sheet date, the Group had cash balances of £29m.

The Directors have prepared a cash flow forecast taking into account 
all expected cash flows for 12 months from the date of signing these 
financial statements. After making due enquiries, the Directors have 
a reasonable expectation that the Group has adequate resources to 
continue in operational existence for the foreseeable future. 

Accordingly, the Directors continue to adopt the going concern basis 
of accounting for the Group and parent Company in preparing the 
consolidated financial statements.

CareTech Holdings PLC
Annual Report and Accounts 2019
62

Accounting policies

2  
(a)  Applicable accounting standards
The Group financial statements have been prepared and approved 
by the Directors in accordance with International Financial Reporting 
Standards as adopted by the EU (“Adopted IFRS”) and those parts of  
the Companies Act 2006 relevant to those companies which report  
in accordance with IFRS. 

The accounting policies set out below have, unless otherwise stated, 
been applied consistently to all periods presented in these Group 
financial statements.

New and amended standards and interpretations effective in the year 
IFRS 9 Financial Instruments
The Group has adopted IFRS 9 Financial Instruments. The date of initial 
application was 1 October 2018. In accordance with the transaction 
provisions in the Standard, comparatives have not been restated. 
The Group has not applied the requirements of IFRS 9 to instruments 
that were derecognised prior to 1 October 2018. 

The Group has reviewed its financial assets and liabilities from the impact 
of IFRS 9 as follows:

Classification and measurement
IFRS 9 contains three principal classification categories for financial 
assets: measured at amortised cost, fair value through profit and loss  
and fair value through other comprehensive income. 

The Group’s financial assets at 30 September 2019 consist primarily of 
trade receivables, which will continue to be reflected at amortised cost 
as the Group’s business model is to collect contractual cash flows from 
customers, which are solely payments of principal.

In respect of the classification and measurement of financial liabilities, 
the accounting has remained largely the same as under IAS 39. 
Financial liabilities are measured at amortised cost or at fair value through 
profit and loss (FVTPL). Financial liabilities are classified as at FVTPL when 
the liability is (i) contingent consideration of an acquirer in a business 
combination, (ii) held for trading, or (iii) it is designated as FVTPL.

Impairment of financial assets
IFRS 9 requires an expected credit loss (ECL) model to be applied to 
financial assets rather than the incurred credit loss model required under 
IAS 39. The ECL model requires the Group to account for expected 
losses as a result of credit risk on initial recognition of financial assets 
and to recognise changes in those expected credit losses at each 
reporting date. 

The main area of focus to the Group is considered to be the impairment 
provisioning of trade receivables. For trade receivables, the Group uses 
the simplified approach under IFRS 9 to recognise lifetime expected 
credit losses. For trade receivables, the Group recognises a loss 
allowance for expected credit losses at an amount equal to the lifetime 
expected credit loss (ECL). In calculating, the Group uses its historical 
experience, external indicators and forward-looking information to 
calculate the expected credit losses using a provision matrix. This is 
recorded through the use of an allowance account. When a trade 
receivable is considered uncollectible, it is written off against the 
allowance account. Subsequent recoveries of amounts previously 
written off are credited against the allowance account. Changes in  
the carrying amount of the allowance account are recognised in profit 
or loss.

In assessing the credit risk, the majority of CareTech’s customers are 
Local Authorities controlled by the UK Government. The credit risk 
associated with trade receivables with Local Authorities controlled by 
the UK Government is considered low. The remainder of the Group’s 
customers are private payers. Management have made an assessment of 
the recoverability of trade debtors under the new ECL requirements and 
this has resulted in an additional charge of £0.5m which was made as an 
opening balance adjustment as at 1 October 2018.

Aside from trade receivables, the carrying amount of the financial asset  
is reduced by the impairment loss directly for all financial assets.

The table below illustrates the classification and measurement of financial assets and financial liabilities under IFRS 9 and IAS 39 at the date of 
initial application. 

Category

Original measurement category 
under IAS 39

New measurement category under 
IFRS 9

Trade and other receivables

Loans and receivables

Financial assets at amortised cost

Cash and bank balances

Loans and receivables

Financial assets at amortised cost

Trade and other payables

Financial liabilities at amortised cost Financial liabilities at amortised cost

31,747

9,421

24,875

Loans and borrowings

Loans and payables

Financial liabilities at amortised cost

156,410

Derivative financial instruments FVTPL

FVTPL

152

(525)

N/A

N/A

N/A

N/A

31,222

9,421

24,875

156,410

152

Carrying 
amount under 
IAS 39
£000

Additional 
allowance 
recognised 
under IFRS 9
£000

New carrying 
amount under 
IFRS 9
£000

IFRS 15 Revenue from Contracts with Customers
The Group has adopted IFRS 15 Revenue from Contracts with Customers from 1 October 2018 and has adopted the modified retrospective 
approach without restatement of comparatives. IFRS 15 provides a single, principles-based approach to the recognition of revenue from all contracts 
with customers. It focuses on the identification of performance obligations in a contract and requires revenue to be recognised when or as those 
performance obligations are satisfied.

CareTech Holdings plc provide care services to vulnerable adults and children which are consumed as soon as they are provided. CareTech satisfies 
its performance obligations as care services are rendered to the client. There are no significant financing components and invoice payment terms are 
typically 30 days. For Fostering Services, CareTech is acting as a principal as contracts are between CareTech and the Local Authority and separately 
between CareTech and foster carers with a number of performance conditions attached to each. Our contracts provide that CareTech are entitled to 
consideration based on the amount of care services delivered (for example number of days’ worth of care delivered in the period) and an agreed rate. 
On this basis, CareTech have applied the practical expedient set out in IFRS 15 para 121. 

This has not resulted in any significant adjustments to the Group’s revenue as reported.

Contract assets and liabilities/accrued and deferred income 
The Group recognises contract liabilities for consideration received in respect of unsatisfied performance obligations and reports these amounts as 
deferred income in the balance sheet (see note 16). An example of this is where the Group will invoice in advance for education services. This is held 
in deferred income until the service has been provided. 

Similarly the Group recognises a contract asset when a contract has been agreed with a customer and a service user has been admitted to our 
facilities but no sales invoice has been issued. This is disclosed as accrued income. 

The Group will estimate the accrued income using the agreed contractual rate and the number of days where the service user was receiving care 
from the Group. 

Revenue disaggregation
The vast majority of the Group’s customers are state owned entities such as Local Authorities. All the Group’s operations are within the UK. As such 
the Group have determined that because its revenue is earned in one geographical location to one specific type of customer, it is appropriate to 
report the revenue recognised from contracts with customers in the same operating segments as are used for segmental analysis (see note 4). 

CareTech Holdings PLC
Annual Report and Accounts 2019
63

Strategic reviewGovernanceFinancial StatementsNotes to the Financial Statements
continued

Accounting policies continued

2  
Adopted IFRS not yet applied
At the date of authorisation of these financial statements, certain new standards, amendments and interpretations to existing standards have been 
published by the IASB but are not yet effective and these have not been applied early by the Group. Management anticipates that the following 
pronouncements relevant to the Group’s operation will be adopted in the Group’s accounting policies for the first period beginning after the effective 
date of the pronouncement, once adopted by the EU:

Title

IFRS 16

IFRIC 23

Subject

Leases

Uncertainty over Income Tax Treatments

Effective date per standard

1 January 2019

1 January 2019

Amendments to IFRS 9 (Oct 2017)

Prepayment Features with Negative Compensation 1 January 2019

Amendments to IAS 28 (Oct 2017)

Long-term Interests in Associates and 
Joint Ventures

1 January 2019 per IASB. EU adoption date to 
be confirmed

Annual Improvements to IFRS Standards 
2015-2017 Cycle (Dec 2017)

Annual Improvements to IFRSs: 2015-17 Cycle

Amendments to IAS 19 (Feb 2018)

Plan Amendment, Curtailment or Settlement

1 January 2019 per IASB. EU adoption date to 
be confirmed

1 January 2019 per IASB. EU adoption date to 
be confirmed

Amendments to References to the Conceptual 
Framework in IFRS Standards

Amendments to References to the Conceptual 
Framework in IFRS Standards

1 January 2020 per IASB. EU adoption date to 
be confirmed

Amendments to IFRS 3 (Oct 2018)

Definition of Business

Amendments to IAS 1 and IAS 8 (Oct 2018)

Definition of Material

IFRS 17

Insurance Contracts

1 January 2020 per IASB. EU adoption date to 
be confirmed

1 January 2020 per IASB. EU adoption date to 
be confirmed

1 January 2021 per IASB. EU adoption date to 
be confirmed

Amendments to IFRS 10 and IAS 28 (Sept 2014) Sale or Contribution of Assets between an Investor 

Postponed

and its Associate or Joint Venture

IFRS 16 will replace IAS 17 for accounting periods commencing on or after 1 January 2019 and from the perspective of the Group as lessee will 
require (subject to certain practical expedients) most of the Group’s lease obligations (including the recent sale and leaseback transaction) to be 
reflected on balance sheet with a corresponding asset reflecting the right to use the underlying leased asset. Management have performed a detailed 
review of the Group’s lease arrangements and further information has been provided in note 28.

The Group’s current lease accounting policy and lease disclosures are included in notes 17 and 26. 

There are other standards and interpretations in issue but these are not considered to be relevant to the Group.

The Directors expect that the adoption of the standards listed above, other than potentially IFRS 16, will not have a material impact on the financial 
information of the Group in future reporting periods. 

(b)  Measurement convention
The financial statements are prepared on the historical cost basis except that derivative financial instruments are stated at their fair value and 
contingent consideration is stated at fair value through profit or loss.

(c)  Basis of consolidation
The Group financial statements consolidate those of the parent Company and all of its subsidiaries as of 30 September 2019. All subsidiaries have 
a reporting date of 30 September. All transactions and balances between Group companies are eliminated on consolidation, including unrealised 
gains and losses on transactions between Group companies. Where unrealised losses on intra-Group asset sales are reversed on consolidation, the 
underlying asset is also tested for impairment from a Group perspective. Amounts reported in the financial statements of subsidiaries have been 
adjusted where necessary to ensure consistency with the accounting policies adopted by the Group.

(d)  Property, plant and equipment
Property, plant and equipment is stated at cost less accumulated depreciation and impairment losses.

Cost includes expenditure that is directly attributable to the acquisition of the asset. The cost of self-constructed assets includes the cost of materials 
and direct labour, any other costs directly attributable to bringing the assets to a working condition for their intended use and capitalised borrowing 
costs. Purchased software that is integral to the functionality of the related equipment is capitalised as part of that equipment.

The cost of replacing an item of property, plant and equipment is recognised in the carrying amount of the item if it is probable that the future 
economic benefits embodied within the component will flow to the Group, and its cost can be measured reliably. The carrying amount of the 
replaced component is derecognised. The costs of the day-to-day servicing of property, plant and equipment are recognised in the profit or loss 
as incurred.

CareTech Holdings PLC
Annual Report and Accounts 2019
64

Where parts of an item of property, plant and equipment have different 
useful lives, they are accounted for as separate items of property, plant 
and equipment and depreciated separately.

The estimated useful life and amortisation method are reviewed at the 
end of each reporting period, with the effect of any changes in estimate 
being accounted for on a prospective basis.

Leases in which the Group assumes substantially all the risks and 
rewards of ownership of the leased asset are classified as finance 
leases. Where land and buildings are held under leases the accounting 
treatment of the land is considered separately from that of the buildings. 
Leased assets acquired by way of finance lease are stated at an amount 
equal to the lower of their fair value and the present value of the 
minimum lease payments at inception of the lease, less accumulated 
depreciation and impairment losses. Lease payments are accounted for 
as described in note 2(p).

Depreciation is charged to the Consolidated Income Statement over 
the estimated useful lives of each part of an item of property, plant and 
equipment. Land is not depreciated. The Directors reassess the residual 
value estimates, particularly in respect of properties, on an annual basis. 
The estimated useful lives are as follows:
 – freehold buildings
 – long leasehold property
 – short leasehold property
 – fixtures, fittings and equipment
 – motor vehicles

2% straight-line to residual value;
over the life of the lease;
over the life of the lease;
15% straight line; and
25% reducing balance.

Intangible assets and goodwill

(e) 
All business combinations are accounted for by applying the acquisition 
method as described in note 2(r). Goodwill represents the excess of 
the fair value of the consideration over the fair value of the assets, 
liabilities and contingent liabilities acquired on acquisition of subsidiaries. 
Identifiable intangibles are those which can be sold separately or which 
arise from legal rights regardless of whether those rights are separable.

Amortisation is charged to the Consolidated Income Statement on a 
straight-line basis over the estimated useful lives of intangible assets 
unless such lives are indefinite. The estimated useful lives are as follows:

 – customer relationships
 – software and licences 

1–20 years; and
5 years.

Inventories

(f) 
Inventories are valued at the lower of cost and net realisable value. 
The cost of inventories is based on a first-in first-out cost basis.

(g)  Cash and cash equivalents
Cash and cash equivalents comprise cash balances and call deposits 
with maturities of three months or less from inception.

Financial Instruments (under IFRS 9)

(h) 
Recognition, initial measurement and derecognition
Financial assets and financial liabilities are recognised when the Group 
becomes a party to the contractual provisions of the financial instrument 
and are measured initially at fair value adjusted by transactions costs, 
except for those carried at fair value through profit or loss which are 
measured initially at fair value. Subsequent measurement of financial 
assets and financial liabilities are described below.

Financial assets are derecognised when the contractual rights to the 
cash flows from the financial asset expire, or when the financial asset 
and all substantial risks and rewards are transferred. A financial liability is 
derecognised when it is extinguished, discharged, cancelled or expires.

Goodwill is stated at cost less any accumulated impairment losses. 
Goodwill is allocated to cash-generating units and is not amortised  
but is tested annually for impairment.

Negative goodwill (bargain purchase credit) arising on an acquisition  
is recognised immediately in the Consolidated Income Statement.

Classification and subsequent measurement of financial assets
For the purpose of subsequent measurement, financial assets are 
classified into the following categories upon initial recognition:
 – Financial assets at amortised cost
 – Financial assets/liabilities held at fair value through profit or loss 

(FVTPL).

Other intangible assets that are acquired by the Group are stated at cost 
less accumulated amortisation and impairment losses.

Expenditure on research activities is recognised as an expense in the 
period in which it is incurred.

All financial assets except for those at FVTPL are subject to review for 
impairment at least at each reporting date to identify whether there is 
any objective evidence that a financial asset or a group of financial assets 
is impaired. Different criteria to determine impairment are applied for 
each category of financial assets, which are described below. 

All income and expenses relating to financial assets that are recognised 
in the Consolidated Income Statement are presented within finance 
costs or finance income, except for impairment of trade receivables 
which is presented within other administrative expenses.

Financial assets at amortised cost
Financial assets at amortised cost are non-derivative financial assets with 
fixed or determinable payments that are not quoted in an active market. 
After initial recognition, these are measured at amortised cost using the 
effective interest method, less provision for impairment. Discounting  
is omitted where the effect of discounting is immaterial. The Group’s 
cash and cash equivalents, trade and most other receivables fall into 
this category of financial instruments. Individually significant receivables 
are considered for impairment when they are past due or when other 
objective evidence is received that a specific counterparty will default. 
Receivables that are not considered to be individually impaired are 
reviewed for impairment in groups, which are determined by reference 
to shared credit risk characteristics. The impairment loss estimate is 
then based on recent historical counterparty default rates for each 
identified group.

Included within software are development costs in relation to software 
which are capitalised when the related projects meet the recognition 
criteria of an internally generated intangible asset, the key criteria being 
as follows:
(a) 

 technical feasibility of the completed intangible asset has been 
established;
 it can be demonstrated that the asset will generate probable future 
economic benefits;
 adequate technical, financial and other resources are available to 
complete the development;
 the expenditure attributable to the intangible asset can be reliably 
measured; and
 management has the ability and intention to use or sell the asset.

(b) 

(c) 

(d) 

(e) 

These projects are designed to enhance the existing software within 
the Group. Salaries associated with development time and directly 
attributable overheads are capitalised within intangible assets.

Development costs recognised as assets are amortised on a straight-
line basis over their expected useful life. Development expenditure is 
only amortised over the period the Group is expected to benefit and is 
subject to annual impairment testing.

CareTech Holdings PLC
Annual Report and Accounts 2019
65

Strategic reviewGovernanceFinancial StatementsNotes to the Financial Statements
continued

Accounting policies continued

2  
Financial assets at FVTPL
Financial assets at FVTPL include financial assets that are either classified 
as held for trading or that meet certain conditions and are designated at 
FVTPL upon initial recognition. All derivative financial instruments fall into 
this category. Assets in this category are measured at fair value with gains 
or losses recognised in the Consolidated Income Statement. The fair 
values of financial assets in this category are determined by reference 
to active market transactions or using a valuation technique where no 
active market exists.

Classification and subsequent measurement of financial liabilities
The Group’s financial liabilities include borrowings, trade and other 
payables and derivative financial instruments. Financial liabilities are 
measured subsequently at amortised cost using the effective interest 
method, except for financial liabilities held for trading or designated at 
FVTPL, that are carried subsequently at fair value with gains or losses 
recognised in the Consolidated Income Statement. All derivative financial 
instruments that are not designated and effective as hedging instruments 
are accounted for at FVTPL.

All interest-related charges and, if applicable, changes in an instrument’s 
fair value that are reported in Consolidated Income Statement are 
included within finance costs or finance income.

From time to time, the long-term debt held by the Group are either 
refinanced as these come to maturity or the margin on these facilities 
moves in line with the ratio of the Group’s net debt to EBITDA. 
In either scenario, the Group reviews whether the debt is accounted 
for as a modification or an extinguishment of the liability. A substantial 
modification should be accounted for as an extinguishment of the 
existing liability and the recognition of a new liability. A non-substantial 
modification should be accounted for as an adjustment to the existing 
liability. Both the quantitative and qualitative aspects of the modification 
are taken into account to ascertain whether the modification is 
substantial and these can include the change in covenants, repayment 
dates and the effective interest rate. If modification accounting is 
adopted, the carrying value of the existing liability is adjusted for fees 
paid or costs incurred and the effective interest rate is amended at 
the modification date. If extinguishment accounting is adopted, the 
existing liability is de-recognised and the new or modified liability is 
recognised at its fair value, the gain or loss equal to the difference 
between the carrying value of the old liability and the fair value of the 
new one is recognised, any incremental costs or fees incurred and any 
consideration paid or received is recognised in profit or loss and a new 
effective interest rate for the modified liability is calculated and used in 
future periods.

Derivative financial instruments.
From time to time, the Group enters into derivative financial instruments, 
such as interest rate swaps, to manage its exposure to interest rate risk. 

Derivatives are initially recognised at fair value at the date a derivative is 
entered into and are subsequently remeasured to their fair value at each 
balance sheet date. A derivative with a positive fair value is recognised 
as a financial asset whereas a derivative with a negative fair value is 
recognised as a financial liability. The resulting gain or loss is recognised 
in the Consolidated Income Statement immediately. A derivative is 
presented as a non-current asset or non-current liability if the Group 
has an unconditional right to defer payment beyond 12 months. 
Otherwise derivatives are presented as current assets or liabilities.

FY2018 Financial Instruments Accounting policy under IAS 39
Recognition, initial measurement and derecognition
Financial assets and financial liabilities are recognised when the Group 
becomes a party to the contractual provisions of the financial instrument 
and are measured initially at fair value adjusted by transactions costs, 
except for those carried at fair value through profit or loss which are 
measured initially at fair value. Subsequent measurement of financial 
assets and financial liabilities are described below.

Financial assets are derecognised when the contractual rights to the 
cash flows from the financial asset expire, or when the financial asset 
and all substantial risks and rewards are transferred. A financial liability is 
derecognised when it is extinguished, discharged, cancelled or expires.

Classification and subsequent measurement of financial assets
For the purpose of subsequent measurement, financial assets are 
classified into the following categories upon initial recognition:
 – loans and receivables; and
 – financial assets at fair value through profit or loss (FVTPL). 

All financial assets except for those at FVTPL are subject to review for 
impairment at least at each reporting date to identify whether there is 
any objective evidence that a financial asset or a group of financial assets 
is impaired. Different criteria to determine impairment are applied for 
each category of financial assets, which are described below. 

All income and expenses relating to financial assets that are recognised 
in the Consolidated Statement of Comprehensive Income are presented 
within finance costs or finance income, except for impairment of trade 
receivables which is presented within other administrative expenses.

Loans and receivables
Loans and receivables are non-derivative financial assets with fixed 
or determinable payments that are not quoted in an active market. 
After initial recognition, these are measured at amortised cost using the 
effective interest method, less provision for impairment. Discounting  
is omitted where the effect of discounting is immaterial. The Group’s 
cash and cash equivalents, trade and most other receivables fall into 
this category of financial instruments. Individually significant receivables 
are considered for impairment when they are past due or when other 
objective evidence is received that a specific counterparty will default. 
Receivables that are not considered to be individually impaired are 
reviewed for impairment in groups, which are determined by reference 
to shared credit risk characteristics. The impairment loss estimate is 
then based on recent historical counterparty default rates for each 
identified group.

Financial assets at FVTPL
Financial assets at FVTPL include financial assets that are either classified 
as held for trading or that meet certain conditions and are designated 
at FVTPL upon initial recognition. All derivative financial instruments 
fall into this category. Assets in this category are measured at fair 
value with gains or losses recognised in the Consolidated Statement 
of Comprehensive Income. The fair values of financial assets in this 
category are determined by reference to active market transactions or 
using a valuation technique where no active market exists.

CareTech Holdings PLC
Annual Report and Accounts 2019
66

Classification and subsequent measurement of financial liabilities
The Group’s financial liabilities include borrowings, trade and other 
payables and derivative financial instruments. Financial liabilities are 
measured subsequently at amortised cost using the effective interest 
method, except for financial liabilities held for trading or designated at 
FVTPL, that are carried subsequently at fair value with gains or losses 
recognised in the Consolidated Statement of Comprehensive Income. 
All derivative financial instruments that are not designated and effective 
as hedging instruments are accounted for at FVTPL.

All interest-related charges and, if applicable, changes in an instrument’s 
fair value that are reported in Consolidated Statement of Comprehensive 
Income are included within finance costs or finance income.

From time to time, the long-term debt held by the Group are either 
refinanced as these come to maturity or the margin on these facilities 
moves in line with the ratio of the Group’s net debt to EBITDA. 
In either scenario, the Group reviews whether the debt is accounted 
for as a modification or an extinguishment of the liability. A substantial 
modification should be accounted for as an extinguishment of the 
existing liability and the recognition of a new liability. A non-substantial 
modification should be accounted for as an adjustment to the existing 
liability. Both the quantitative and qualitative aspects of the modification 
are taken into account to ascertain whether the modification is 
substantial and these can include the change in covenants, repayment 
dates and the effective interest rate. If modification accounting is 
adopted, the carrying value of the existing liability is adjusted for fees 
paid or costs incurred and the effective interest rate is amended at 
the modification date. If extinguishment accounting is adopted, the 
existing liability is de-recognised and the new or modified liability is 
recognised at its fair value, the gain or loss equal to the difference 
between the carrying value of the old liability and the fair value of the 
new one is recognised, any incremental costs or fees incurred and any 
consideration paid or received is recognised in profit or loss and a new 
effective interest rate for the modified liability is calculated and used in 
future periods.

Derivative financial instruments.
From time to time, the Group enters into derivative financial instruments, 
such as interest rate swaps, to manage its exposure to interest rate risk. 

Derivatives are initially recognised at fair value at the date a derivative 
is entered into and are subsequently remeasured to their fair value 
at each balance sheet date. A derivative with a positive fair value is 
recognised as a financial asset whereas a derivative with a negative fair 
value is recognised as a financial liability. The resulting gain or loss is 
recognised in the Consolidated Statement of Comprehensive Income 
immediately. A derivative is presented as a non-current asset or non-
current liability if the Group has an unconditional right to defer payment 
beyond 12 months. Otherwise derivatives are presented as current assets 
or liabilities.

Impairment (excluding deferred tax assets)

(i) 
The carrying amounts of the Group’s assets are reviewed at each balance 
sheet date to determine whether there is any indication of impairment. 
If any such indication exists, the asset’s recoverable amount is estimated.

For goodwill and assets that have an indefinite useful life, the recoverable 
amount is estimated at each balance sheet date.

An impairment loss is recognised whenever the carrying amount 
of an asset or its cash-generating unit exceeds its recoverable 
amount. Impairment losses are recognised in the Consolidated 
Income Statement.

Impairment losses recognised in respect of cash-generating units are 
allocated first to reduce the carrying amount of any goodwill allocated 
to cash-generating units and then to reduce the carrying amount of 
the other assets in the unit on a pro rata basis. A cash-generating unit is 
the smallest identifiable group of assets that generates cash inflows that 
are largely independent of the cash inflows from other assets or groups 
of assets.

Calculation of recoverable amount
The recoverable amount of the Group’s receivables carried at amortised 
cost is calculated as the present value of estimated future cash flows, 
discounted at the original effective interest rate. Receivables with a short 
duration are not discounted.

The recoverable amount of other assets is the greater of their fair value 
less costs to sell and value in use. In assessing value in use, the estimated 
future cash flows are discounted to their present value using a pre-tax 
discount rate that reflects current market assessments of the time value 
of money and the risks specific to the asset. For an asset that does not 
generate largely independent cash inflows, the recoverable amount is 
determined for the cash-generating unit to which the asset belongs.

Reversals of impairment
An impairment loss in respect of a receivable carried at amortised cost 
is reversed if the subsequent increase in recoverable amount can be 
related objectively to an event occurring after the impairment loss 
was recognised. 

Any impairment loss in respect of goodwill is not reversed.

In respect of other assets, an impairment loss is reversed when there 
is an indication that the impairment loss may no longer exist or there 
has been a change in the estimates used to determine the recoverable 
amount. An impairment loss is reversed only to the extent that the asset’s 
carrying amount does not exceed the carrying amount that would have 
been determined, net of depreciation or amortisation, if no impairment 
loss had been recognised.

Interest-bearing borrowings

(j) 
Interest-bearing borrowings are recognised initially at fair value 
less directly attributable transaction costs. Subsequent to initial 
recognition, interest-bearing borrowings are stated at amortised cost 
with any difference between proceeds (net of transaction costs) 
and the redemption value being recognised in the Consolidated 
Income Statement over the period of the borrowings on an effective 
interest basis.

Borrowings are classified as current liabilities unless the Group has 
an unconditional right to defer settlement of the liability for at least 
12 months after the reporting date.

Interest on qualifying assets is capitalised in accordance with IAS 23 
borrowing costs. Refer to note 9.

Employee benefits

(k) 
Defined contribution plans
Obligations for contributions to defined contribution pension plans 
are recognised as an expense in the Consolidated Income Statement 
as incurred.

CareTech Holdings PLC
Annual Report and Accounts 2019
67

Strategic reviewGovernanceFinancial StatementsNotes to the Financial Statements
continued

Accounting policies continued

2  
Short-term benefits
Short-term employee benefit obligations are measured on an 
undiscounted basis and are expensed as the related service is provided. 
A provision is recognised for the amount expected to be paid under 
short-term cash bonus or profit-sharing plans if the Group has a 
present legal or constructive obligation to pay this amount as a result 
of past service provided by the employee and the obligation can be 
estimated reliably.

Share-based payment transactions
The grant date fair value of options granted to employees is recognised 
as an employee expense, with a corresponding increase in equity, over 
the period in which the employees become unconditionally entitled to 
the options. The fair value of the options granted is measured using an 
option valuation model, taking into account the terms and conditions 
upon which the options were granted. The amount recognised on 
exercise as an expense is adjusted to take into account an estimate 
of the number of shares that are expected to vest as well as to reflect 
the actual number of share options that vest, except where forfeiture 
is due only to share prices not achieving the threshold for vesting. 
Options lapsed are expunged from the relevant scheme.

Employee Benefit Trust 
The assets and liabilities of the Employee Benefit Trust (EBT) have been 
included in the consolidated financial statements. Any assets held by the 
EBT cease to be recognised on the consolidated balance sheet when 
the assets vest unconditionally in identified beneficiaries. 

The costs of purchasing own shares held by the EBT are shown as a 
deduction against equity. The proceeds from the sale of own shares held 
increase equity. Neither the purchase nor sale of own shares leads to a 
gain or loss being recognised in the Consolidated Income Statement. 

Provisions

(l) 
A provision, other than provisions for deferred taxation, is recognised 
in the Balance Sheet where a reliable estimate can be made when the 
Group has a present legal or constructive obligation as a result of a past 
event, and it is probable that an outflow of economic benefits will be 
required to settle the obligation. If the effect is material, provisions are 
determined by discounting the expected, risk adjusted, and future cash 
flows at a pre-tax risk-free rate.

(m)  Revenue
Revenue in respect of the provision of care services is measured as the 
fair value of fee income received or receivable in respect of the services 
provided and is recognised in respect of the care that has been provided 
in the relevant period. Any additional services provided by the Group are 
recognised as services are provided. Fostering revenue is recognised 
on the basis of the daily placements made with a full day’s revenue 
recognised for every night a placement is with a foster carer. 

Revenue in respect of educational services is recognised when the 
young person is in school, over the academic year, as this is when the 
customer is receiving the educational services. 

Revenue in respect of apprenticeship and related learning services is 
recognised over time and at a point in time. 80% of the revenues are 
recognised over time as the courses are delivered. 20% of the funding is 
directly linked to course completion milestones reached by apprentices 
at which point the remaining funding is receivable and recognised. 
A corresponding balance is recognised in receivables.

Income which has been invoiced but irrecoverable is treated as a bad 
debt expense. Revenue invoiced in advance is included in deferred 
revenue until the service is provided. Revenue is recognised net of VAT 
and credit notes. 

(n)  Non-underlying items
The Group has applied an income statement format which seeks to 
highlight significant items within Group results for the year. Such items 
may include significant restructuring and onerous lease provisions, 
fair values movements in contingent consideration, profit or loss on 
disposal or termination of operations, litigation costs and settlement 
of share-based payments, profit or loss on disposal of investments and 
impairment of assets. The Group exercises judgement in assessing the 
particular items which, by virtue of their scale and nature, should be 
disclosed in the Income Statement and related notes as non-underlying 
items. The Group believes that such a presentation is useful for the users 
of the financial statements in helping to provide a balanced view of, and 
relevant information on, the Group’s financial performance. Details are 
included in note 6.

(o)  Expenses
Finance lease payments
Minimum lease payments are apportioned between the finance charge 
and the reduction of the outstanding liability. The finance charge is 
allocated to each period during the lease term so as to produce a 
constant periodic rate of interest on the remaining balance of the liability.

Financing costs
Financing costs, comprising interest payable on bank loans and 
overdrafts, finance charges on finance leases, the unwinding of the 
discount on provisions and the costs incurred in connection with the 
arrangement of borrowings are recognised in the Consolidated Income 
Statement using the effective interest method.

Interest payable is recognised in the Consolidated Income Statement 
as it accrues, using the effective interest method. Financing costs that 
are directly attributable to the acquisition or construction of a qualifying 
asset are capitalised as part of the cost of that asset.

Financing costs also include losses arising on the change in fair value of 
derivatives that are recognised in the Consolidated Income Statement.

(p)  Operating leases
Payments made under operating leases are recognised in the 
Consolidated Income Statement on a straight-line basis over the term of 
the lease. Lease incentives received are recognised in the Consolidated 
Income Statement on a straight-line basis over the lease term.

CareTech Holdings PLC
Annual Report and Accounts 2019
68

(q)  Taxation
Tax on the profit or loss for the year comprises current and deferred 
tax. Tax is recognised in the Consolidated Income Statement except to 
the extent that it relates to items recognised directly in equity, in which 
case it is recognised in equity. Current tax is the expected tax payable 
on the taxable income for the year, using tax rates and laws enacted or 
substantively enacted at the balance sheet date, and any adjustment to 
tax payable in respect of previous years.

Deferred tax is provided on temporary differences between the carrying 
amounts of assets and liabilities for financial reporting purposes and 
the amounts used for taxation purposes. The following temporary 
differences are not provided for: the initial recognition of goodwill; the 
initial recognition of assets or liabilities that affect neither accounting 
nor taxable profit other than in a business combination; and differences 
relating to investments in subsidiaries to the extent that they will probably 
not reverse in the foreseeable future.

The amount of deferred tax provided is based on the expected manner 
of realisation or settlement of the carrying amount of assets and 
liabilities, using tax rates and laws enacted or substantively enacted at the 
balance sheet date. A deferred tax asset is recognised only to the extent 
that it is probable that future taxable profits will be available against which 
the asset can be utilised. The carrying amounts of deferred tax assets are 
reviewed at each balance sheet date.

Business combinations

(r) 
The Group applies the acquisition method in accounting for business 
combinations. The consideration transferred by the Group to obtain 
control of a subsidiary is calculated as the sum of the acquisition-date 
fair values of assets transferred, liabilities incurred and the equity interests 
issued by the Group, which includes the fair value of any asset or liability 
arising from a contingent consideration arrangement. The calculation 
of contingent consideration is based on the provisions included in 
the sale and purchase agreement of each acquisition and is updated 
if circumstances change. Acquisition costs are expensed as incurred. 
Assets acquired and liabilities assumed are measured at their acquisition-
date fair values.

Accounting estimates and judgements

3 
The preparation of financial statements in conformity with IFRS requires 
management to make judgements, estimates and assumptions which 
affect the application of accounting policies and the reported amounts 
of assets, liabilities, income and expenses. Actual results may differ from 
these estimates.

In the process of applying the Group’s accounting policies, the 
Directors have made the following estimates and judgements which 
have the most significant effect on the amounts recognised in the 
financial statements:

Estimates
Estimates and underlying assumptions are reviewed on an ongoing 
basis. Revisions to accounting estimates are recognised in the period  
in which the estimates are revised and in any future periods affected.

Goodwill
The Group annually tests whether there is any impairment in 
goodwill, in accordance with the accounting policy outlined in note 1. 
Determining whether goodwill is impaired requires comparison of the 
value in use for the relevant CGUs to the net assets attributable to these 
CGUs. The value in use calculation is based on an estimate of future 
cash flows expected to arise from the CGUs and these are discounted to 
net present value using an appropriate discount rate. In calculating value 
in use, management judgement is required in forecasting cash flows 
of cash-generating units, in determining terminal growth values and in 
calculating an appropriate discount rate. The goodwill impairment test is 
sensitive to these estimates. The Group has performed sensitivity analysis 
over the value in use calculation with respect to the key estimates. 
The discount rates applied in these calculations are disclosed in note 14.

Determining the useful life of intangible assets requires judgement. 
Management regularly reviews these useful lives and changes them 
if necessary to reflect current conditions. Changes in useful lives can 
have a significant impact on the amortisation charge for the year. 
The amortisation expense in the year by class of intangible asset and the 
weighted average remaining useful lives for each category of intangible 
assets are disclosed in note 2(e). 

Property, plant and equipment
It is Group policy to depreciate property, plant and equipment items 
to their estimated residual value over their estimated useful lives. 
This applies an appropriate matching of the revenue earned with the 
capital costs of delivery of services. A key element of this policy is the 
annual estimate of the residual value of such assets and in particular  
of freehold property. Similarly, the Directors estimate the useful life 
applied to each category of property, plant and equipment which, in 
turn, determines the annual depreciation charge. Variations in residual 
values or asset lives could impact significantly Group profit through 
an increase in the depreciation charge. The estimated useful lives and 
depreciation policies for property, plant and equipment are disclosed  
in Note 2(d).

Impairment of trade receivables
In the course of normal trading activities, judgement is used to establish 
the net realisable value of various elements of working capital, principally 
trade receivables. The Group applies the IFRS 9 simplified model of 
recognising lifetime expected credit losses (ECL) for all trade receivables 
as these items do not have a significant financing component.

In measuring the ECL, the trade receivables have been assessed on 
a collective basis as they possess shared credit risk characteristics. 
The provision matrix used to calculate the ECL is based on the facts 
available at the time and are also determined by using profiles, based 
upon past practice, applied to aged receivables. In assessing the ECL, 
judgement is required, including the current creditworthiness of each 
customer and related ageing of past due balances. Specific accounts 
are assessed in situations where a customer may not be able to meet 
its financial obligations due to deterioration of its financial condition, 
credit ratings or bankruptcy. Further information regarding ECL is given 
in note 25.

CareTech Holdings PLC
Annual Report and Accounts 2019
69

Strategic reviewGovernanceFinancial StatementsNotes to the Financial Statements
continued

Accounting estimates and judgements continued

3 
Judgements
Business combination
Judgement is required in determining the fair value of assets and 
liabilities on the date of acquisition as well as determining the date of 
acquisition of Cambian. For the fair values, the Directors have made 
judgements around the valuation of property, plant and equipment 
and intangible assets based on external valuations they commissioned. 
The fair values of trade and other receivables and trade and other 
receivables reflect their value on a going concern basis. In determining 
the date of acquisition, the Board has assessed this as the date on which 
it obtained control over Cambian in accordance with IFRS3 paragraph 
8, as 19 October 2019. This is the date on which the shares of Cambian 
were delisted from the London Stock Exchange. This is also the date in 
which the exposure, or rights, to variable returns from its involvement 
with Cambian were obtained. Disclosure in respect of the business 
combination is given in note 5a.

Provisions
As part of the business combination, certain provisions were identified 
including sleep-in payments and onerous contracts. A “sleep-in” payment 
refers to a type of work, common in the care sector, where employees 
“sleep-in” and are paid an allowance for doing so. HMRC’s initial view 
was that hours spent by employees performing sleep-in count as 
“working time” and therefore should be included when calculating 
whether or not someone has been paid in accordance with the National 
Minimum Wage Regulations 2015. In November 2017, HMRC reiterated 
its position and invited companies to join the Social Care Compliance 
Scheme, a self-reporting scheme aimed at concluding historic payments 
regarding sleep-ins. Whilst a number of other care service providers have 
challenged HMRC’s original view, if it is ultimately individually determined 
that the Group had to pay each individual engaged in a sleep-in an 
amount by reference to the National Minimum Wage, the additional 
cost could be material. A Court of Appeal judgement in the case of 
Royal Mencap Society v Tomlinson-Blake 2018 EWCA 1641 found 
that the care workers who did ‘‘sleep-ins’’ overnight in that case were 
available for work during their sleeping shift, rather than actually working. 
Accordingly, HMRC are considering the implications of this judgement. 
Since this Court of Appeal ruling, the Supreme Court has agreed to hear 
an appeal to the judgement. The outcome of the case and therefore 
the implication on HMRC’s position is uncertain and the Directors 
have used their judgement to provide for this matter for the affected 
employees. Amounts in respect of sleeps and onerous contracts are not 
separately disclosed to avoid any potential prejudice in the outcome of 
each matter.

Ground rent transaction under IAS 17
As part of the accounting for the ground rent transaction, judgement 
is required in determining whether the subsequent lease back is an 
operating lease or finance lease, based on an evaluation of the terms 
and conditions of the arrangements and whether it obtains all of 
the significant risks and rewards of ownership of these properties, 
in accordance with IAS 17. In determining the nature of the lease, it 
is recognised that there is a significant element of judgement and 
that there is an element of each type of lease embedded within. 
Having considered the overall transaction and evaluated the terms 
and conditions of the arrangement, the Directors concluded that in 
substance the land element of the leases represented an operating 
lease and the building elements represented a finance lease, with a 

split of 75:25 respectively. This analysis required judgements around 
the economic life of each element of the arrangement, the estimated 
split of the value of each element, and the likelihood of certain future 
events occurring that could affect the lease term. The lease contains 
an option with an exercise price of £1 and is exercisable 125 years into 
the lease term. Within the terms of the lease contract exists a number 
of step-in rights and default clauses that are afforded to the landlord. 
Principally, these step-in rights relate to loss of regulatory registrations 
and changes in control of the lessee, which are not within the control 
of the Company and could well occur within 125 years. The Board are 
of the view that it cannot be determined with reasonable certainty that 
these step-in rights will not be exercised, and therefore the option to 
reacquire the assets is not substantive and the Group will not have the 
right to exercise its option to repurchase the freehold interests in the 
properties disposed of through the sale and leaseback arrangement 
entered into with Alpha. As a result of the above, the risks and rewards of 
ownership of the land element lie with Alpha. Further information on the 
profit recognised from this transaction of £4.6m is provided in note 6.

Capitalised development costs
Capitalisation of development costs within software and licences 
requires the Directors to make judgements in allocating staff time 
appropriately to relevant projects and in assessing the technical 
feasibility and economic potential of those projects as well as forecasts 
for the useful economic life of each asset have been used. The useful 
economic life of development costs is determined to be five years.

Segmental information

4 
IFRS 8 requires operating segments to be determined based on the 
Group’s internal reporting to the Chief Operating Decision Maker 
(“CODM”). The CODM has been determined to be the Chief Executive 
Officer as he is primarily responsible for the allocation of resources 
to segments and the assessment of the performance of each of 
the segments.

The CODM uses EBITDA as reviewed at monthly Executive Committee 
meetings as the key measure of the segments’ results as it reflects 
the segments’ underlying trading performance for the period under 
evaluation. EBITDA is a consistent measure within the Group.

Inter-segment turnover between the operating segments is not material.

The results as at the balance sheet date report segmental information on 
the Group’s three operating divisions (and the comparative information 
has been represented on this basis): 
 – Adults Services, comprising the core CareTech Adult Learning 

Disabilities business (ALD) as well as the Specialist Services business 
(SS) and Learning Services;

 – Children’s Services, comprising CareTech’s and Cambian’s children’s 

services; and

 – Foster Care, comprising CareTech’s and Cambian’s fostering services. 

For the current financial year ending 30 September 2019, the Group will 
also provide the segmental data for the historic CareTech and Cambian 
businesses to enable a like-for-like analysis in the first year following the 
acquisition. For subsequent financial years, the results of the Group will 
be combined on the basis of the operating segments described above. 

CareTech Holdings PLC
Annual Report and Accounts 2019
70

Adults Services

Client capacity

Revenue £000

EBITDA £000

Children’s Services

Client capacity

Revenue £000

EBITDA £000

Foster Care

Client capacity

Revenue £000

EBITDA £000

Total

Client capacity

Revenue £000

EBITDA £000

Year to 30 September 2019

Year to 30 September 2018

CareTech

Cambian

Total

CareTech

Cambian*

Total

1,968

123,635

32,726

–

–

–

1,968

123,635

32,726

1,968

118,736

31,885

351

1,582

1,933

 64,848 

 165,727 

 230,575 

 18,227 

 37,405 

 55,632 

301

 8,031 

 1,508 

877

1,178

 32,753 

 40,784 

 6,043 

 7,551 

353

58,707

17,024

301

8,246

1,898

2,620

2,459

5,079

 196,514 

 198,480 

 394,994 

 52,461 

 43,448 

 95,909 

2,622

185,689

50,807

–

–

–

–

–

–

–

–

–

–

–

–

1,968

118,736

31,885

353

58,707

17,024

301

8,246

1,898

2,622

185,689

50,807

* 

The figures for Cambian for 2018 have not been included in this table because Cambian was not controlled by CareTech during the year ending 30 September 2018. 

Reconciliation of EBITDA to profit after tax;

EBITDA before unallocated costs

Unallocated corporate overheads

EBITDA

Depreciation

Share-based payments charge

Non-underlying items

Operating profit

Finance expenses

Profit before tax

Taxation

Non-controlling interest

Profit after tax

Year ended
30 September 
2019
£000

Year ended
30 September 
2018
£000

95,909

(22,363)

73,546

(10,631)

(60)

(23,379)

39,476

(15,136)

24,340

(4,214)

(422)

19,704

50,807

(6,945)

43,862

(5,906)

(197)

(17,573)

20,186

(4,816)

15,370

(4,126)

(596)

10,648

All operations of the Group are carried out in the UK, the Company’s country of domicile. All revenues therefore arise within the UK and all 
non-current assets are likewise located in the UK. No single external customer amounts to 10% or more of the Group’s revenues. 

No asset and liability information is presented above as this information is not allocated to operating segments in the regular reporting to the Group’s 
Chief Operating Decision Maker and are not measures used by the CODM to assess performance and to make resource allocation decisions.

CareTech Holdings PLC
Annual Report and Accounts 2019
71

Strategic reviewGovernanceFinancial StatementsNotes to the Financial Statements
continued

Business combinations 

5  
(a)  Acquisition of Cambian Group plc 
On 19 October 2018 Caretech Holdings plc acquired the entire share capital of Cambian Holdings plc for £359.9m. 

Cambian is a leading children’s specialist education and behavioural health service provider looking after around 2,000 children across a portfolio  
of 222 residential facilities, specialist schools and fostering offices. It employs over 4,500 people. The rationale for the acquisition was:
 – The acquisition of Cambian is a unique opportunity for investors to enhance exposure to the growing UK market for social care services for 

children and adults. 

 – Highly complementary service offering and geographical coverage providing a nationwide integrated care pathway focused on higher acuity 

social care.

 – Combined operational expertise to better service local authority partners, deliver strong user outcomes, implement positive staff engagement  

and improve care quality.

 – Opportunity to unlock significant value through a compelling strategic fit, tangible near-term synergies and enhanced trading liquidity.

The book values attributable to the acquisition were £201.9m net assets and fair value adjustments were £122.6m. 

The acquisition table is as follows:

Intangible assets

Property, plant and equipment

Trade and other receivables

Prepayments

Cash

Trade and other payables

Provisions (note 20)

Deferred income

Corporation tax

Finance leases

Deferred tax

Net assets on acquisition

Consideration paid

Goodwill

Consideration paid:

Cash

Settled in shares

Total consideration

Reconciliation to the cash flow statement 

Cash paid

Cash acquired

Payments for business combination net of cash acquired

Book values
£000s

38,496

165,096

Fair value
adjustments
£000s

8,859

Total
£000s

47,355

142,474

307,570

11,366

2,532

81,467

(33,812)

(12,758)

(21,965)

(5,073)

(515)

(2,000)

–

–

(1,000)

–

–

–

–

9,366

2,532

81,467

(34,812)

(12,758)

(21,965)

(5,073)

(515)

(22,912)

(25,727)

(48,639)

201,922

122,606

324,528

359,920

35,392

£000

241,738

118,182

359,920

£000

241,738

(81,467)

160,271

Goodwill arises as a result of the surplus of consideration over the fair value of the separately identifiable assets acquired.

Costs relating to this acquisition are expensed in the Income Statement in accordance with IFRS 3 and are identified in note 6, non-underlying items.

The book values of the assets and liabilities were extracted from the underlying accounting records of the acquired entities on the date of 
acquisition. The book value of receivables represent the gross contractual amounts receivable, all of which are considered recoverable. The fair 
value adjustments to property, plant and equipment, intangible assets, trade and other payables and trade and other receivables are to reflect their 
value on a going concern market basis. The property, plant and equipment and the intangible assets were both externally valued, based on forecast 
cash flows. The adjustment to deferred tax is the tax impact of the aforementioned adjustment. The remaining goodwill is attributable to the future 
economic benefits arising from assets which are not capable of being individually identified and separately recognised, these include the value of the 
assembled workforce within the business acquired.

The consideration paid in shares was measured at the market price on the day of the acquisition. 

CareTech Holdings PLC
Annual Report and Accounts 2019
72

(b)  Acquisition after the balance sheet date
Subsequent to the year end, on 23 December 2019, the Group acquired a 51% interest in AS Investment Holdings Ltd and AS1 Investment Holdings 
Ltd (the “AS Group”) which holds a majority equity interest in an out-patient facility in Abu Dhabi and a mental health outpatient group of clinics (the 
“Investment”).

The initial consideration for the Investment is £7.2m1, to be satisfied by £3.6m in cash, the issue of 431,465 CareTech new ordinary shares 
(“Consideration Shares”) and a payment of £1.8m into the investment to drive growth (the “Initial Consideration”). In addition to the Initial 
Consideration, there is also a performance driven earn-out mechanism of up to £1.6m1 to be paid out in 2021. The Consideration Shares will be 
subject to certain lock in arrangements for a period of 24 months.

The AS Group was established in 2015 by Shafqat Malik, co-founder and CEO, to introduce best-in-class mental healthcare services in the Middle East 
and North Africa region. The Group has an agreement with a leading NHS Foundation Trust Hospital in the mental healthcare arena in the UK for the 
provision of services in the greater Middle Eastern area. The current operations comprise an outpatient facility in the emirate of Abu Dhabi offering 
the following services: child and adolescent mental healthcare services, adult psychiatry and psychology services, training, education, to professionals 
and bespoke services to schools.

In addition the Group owns a majority equity interest in a premier mental health outpatient group of clinics focusing on providing highest 
quality specialised medical care for neurological, psychiatric and psychological conditions. Key service offerings include psychiatry, psychology, 
occupational therapy and rehabilitation.

Given the proximity of the announcement to the completion date of the transaction, it is not possible to give a preliminary acquisition table at this time.

(1) 

Based on an exchange of rate of GBP1: AED 4.7735

Non-underlying items

6 
Non-underlying items are those items of financial performance which, in the opinion of the Directors, should be disclosed separately in order  
to improve the readers’ understanding of the trading performance of the Group. Non-underlying items comprise the following:

Amortisation of intangible assets

Acquisition expenses

Profit arising from the ground rent transaction

Integration and restructuring costs

Onerous leases

Charitable donations

Impairment of goodwill

Other non-underlying expenses

Included in administrative expenses

Finance expenses

Fair value movements relating to derivative financial instruments

Charges relating to derivative financial instruments 

IAS 17 lease imputed interest

Termination of old banking arrangements

Included in finance expenses

Tax on non-underlying items 

Current tax

Deferred tax

Included in taxation

Total non-underlying items

Note

(i)

(ii)

(iii)

(iv)

(v)

(vi)

(vi) 

(vii)

(viii)

(a)

2019
£000

10,188

10,331

(4,565)

5,597

1,092

736

–

7,425

23,379

1,487

217

345

397

2,446

(1,090)

(4,119)

(5,209)

20,616

2018
£000

7,428

4,525

–

2,863

377

380

2,000

5,620

17,573

(787)

513

223

–

(51)

(1,004)

(621)

(1,625)

15,897

(i) 

(ii) 

(iii) 

(iv) 

(v) 

(vi) 

(vii) 

(viii) 

 In accordance with IFRS 3 (as revised) items associated with business combinations have been taken to the Income Statement as incurred and includes costs relating to the review by the 
Competition and Markets Authority (“CMA”).
 Profit arises from a ground rent transaction with Alpha Real Capital LLP at a net yield of 2.85% which raised £31.0m in cash to further support its growth strategy. The £31.0m proceeds are 
categorised as £23.1m relating to the operating lease element and £7.9m relating to IAS 17 ground rent liabilities. 
 During the year, the Group implemented a reorganisation of its internal operating, finance, IT and management structures with a view to achieving the integration of the Cambian business 
combination into the Group, achieving greater flexibility, accountability and performance of a number of its back office divisions. Costs incurred in the year include redundancy costs, post 
termination payments and transformation project delivery costs which comprise the costs of staff teams incurred in respect of the reorganisation, costs related to the dual running and 
knowledge transfer of the back office division as part of the integration project and professional fees incurred in respect of advice and consultancy activities associated with the integration 
and restructuring.
 The present value of the future cash flows receivable from the operation of certain leased assets has been assessed as being lower than the present value of the rental payments to which 
the Group is committed. Therefore, the Group has provided for £1,092,000 (2018: £377,000) being the present value of any onerous element of the remaining lease life. 
 These charges represent charitable donations made to the Caretech Charitable Foundation, an independent grant-making corporate foundation registered with the Charity Commission. 
Funded and founded by CareTech Holdings plc, the Foundation has a number of independent Trustees responsible for delivering its Charitable Objects. The Trustees also include Haroon  
and Farouq Sheikh, Christopher Dickinson and Mike Adams, Directors of the Group.
 Non-underlying items relating to the derivative financial instruments include the movements during the year in the fair value of the Group’s interest rate swaps which are not designated as 
hedging instruments and therefore do not qualify for hedge accounting, together with the quarterly cash settlements and accrual thereof. 
 As part of the Cambian business combination, the Group entered into new banking arrangements, extinguishing the previous arrangements and in accordance with IFRS 9, the costs of the 
extinguished bank facilities were written off. 
Represents the current tax on items (i), (iii), (iv) and (v) above. 

CareTech Holdings PLC
Annual Report and Accounts 2019
73

Strategic reviewGovernanceFinancial StatementsNotes to the Financial Statements
continued

Non-underlying items continued

6 
(a)  Deferred tax arises in respect of the following:

Derivative financial instruments 

Full provision for deferred tax under IAS 12

Intangible assets

Roll over relief

Other adjustments

Other adjustments comprise a number of deferred tax movements which are individually insignificant.

7 

Auditor’s remuneration

Fees payable to the Group’s auditor for the audit of the consolidated and parent Company’s annual accounts

Audit of the accounts of subsidiaries 

Audit-related assurance services

Company secretarial

All other non-assurance services

2019
£000

219

–

2,357

(776)

2,319

4,119

2019
£000

397

14

28

13

214

2018
£000

(134)

846

(124)

–

33

621

2018
£000

163

12

14

9

326

Other non-assurance services of £326,000 in 2018 and £214,000 in 2019 represents the reporting accountant work carried out on the acquisition  
of Cambian Group plc. 

Staff numbers and costs

8 
The average number of persons employed by the Group (including Directors) during the year, analysed by category, was as follows:

Operational and service delivery staff

Maintenance

Management and administration

The aggregate payroll costs of these persons (including Directors) were as follows:

Wages and salaries

Share-based payments charge 

Social security costs

Other pension costs

Number of employees

2019

9,111

111

707

9,929

2019
£000

203,387

60

19,523

4,467

2018

5,149

29

261

5,439

2018
£000

93,137

197

8,618

1,527

227,437

103,479

CareTech Holdings PLC
Annual Report and Accounts 2019
74

9 

Finance expenses

Interest expense on financial liabilities at amortised cost:

On bank loans and overdrafts

Finance charges in respect of finance leases

Underlying financial expenses 

Derivative financial instruments (note 6)

IAS 17 lease imputed interest (note 6)

Termination of old banking arrangements (note 6)

Total finance expenses

2019
£000

12,345

345

12,690

1,704

345

397

2018
£000

4,527

340

4,867

(274)

223

–

15,136

4,816

In accordance with IAS 23, borrowing costs at £186,000 (2018: £155,000) have been capitalised in the year on qualifying assets within property, plant 
and equipment. The capitalisation rate used to determine the amount of borrowing costs capitalised is 3.5%.

10   Taxation
(a)  Recognised in the Consolidated Income Statement 

Current tax expense

Current year

Current tax on non-underlying items (note 6)

Corporation tax overprovided in previous periods

Total current tax

Deferred tax expense

Current year

Deferred tax on non-underlying items (note 6)

Total deferred tax

Total tax in the Consolidated Income Statement 

(b)  Reconciliation of effective tax rate

Profit before tax for the year

Tax using the UK corporation tax rate of 19.0% (2018: 19.0%) 

Non-deductible expenses including impairment charge

Other tax adjustments

Gains on which roll-over relief is claimed

Corporation and deferred tax overprovided in previous periods

Total tax in the Consolidated Income Statement 

2019
£000

2018
£000

(8,842)

1,090

–

(7,752)

(581)

4,119

3,538

(4,622)

1,004

(359)

(3,977)

(770)

621

(149)

(4,214)

(4,126)

2019
£000

24,340

4,625

2,438

(3,625)

776

–

4,214

2018
£000

15,370

2,920

1,059

27

–

120

4,126

Changes to the UK corporation tax rates were substantively enacted as part of the Finance Bill 2017 (on 7 September 2017). This includes a reduction 
to the main rate to 17% from 1 April 2020. Deferred taxes at the balance sheet date have been measured using this enacted tax rate and reflected in 
these financial statements. Other tax adjustments comprise a number of items which are individually insignificant.

CareTech Holdings PLC
Annual Report and Accounts 2019
75

Strategic reviewGovernanceFinancial StatementsNotes to the Financial Statements
continued

11 

Earnings per share

Profit attributable to ordinary shareholders

Weighted number of shares in issue for basic earnings per share

Effects of share options in issue

Weighted number of shares for diluted earnings per share

2019
£000

2018
£000

19,704

10,648

107,231,912

75,690,422

365,090

25,235

107,597,002

75,715,657

Diluted earnings per share is the basic earnings per share adjusted for the dilutive effect of the conversion into fully paid shares of the weighted 
average number of share options outstanding during the period.

Earnings per share (pence per share)

  Basic

  Diluted

18.38p

18.31p

14.07p

14.06p

12  Underlying earnings per share
A measure of underlying earnings and underlying earnings per share has been presented in order to present the earnings of the Group after adjusting 
for non-underlying items which are not considered to reflect the underlying trading performance of the Group.

Profit attributable to ordinary shareholders

Non-underlying items (note 6)

Underlying profit attributable to ordinary shareholders

Underlying earnings per share (pence per share)

  Basic

  Diluted

2019
£000

19,704

20,616

40,320

37.60p

37.48p

2018
£000

10,648

15,897

26,545

35.07p

35.06p

CareTech Holdings PLC
Annual Report and Accounts 2019
76

13  Property, plant and equipment 

Cost

At 1 October 2017

Acquisitions through business combinations

Additions

Remeasurement(i)

Disposals

At 30 September 2018

At 1 October 2018

Acquisitions through business combinations

Additions

Disposals

At 30 September 2019

Depreciation and impairment 

At 1 October 2017

Depreciation charge for the year

Disposals

At 30 September 2018

At 1 October 2018

Depreciation charge for the year

Disposals

At 30 September 2019

Net book value

At 1 October 2017

At 30 September 2018

At 30 September 2019

Land and
 buildings
£000

Fixtures,
 fittings and 
equipment
£000

Motor
vehicles
£000

Total
£000

281,113

26,894

11,606

319,613

260

8,781

(4,997)

(852)

284,305

284,305

295,208

16,342

(15,803)

20

5,973

–

(4,475)

28,412

28,412

11,599

11,866

(3,061)

–

862

–

(670)

280

15,616

(4,997)

(5,997)

11,798

324,515

11,798

390

2,305

(1,076)

324,515

307,197

30,513

(19,940)

580,052

48,816

13,417

642,285

5,937

558

(6)

6,489

6,489

1,717

(213)

7,993

11,890

3,766

(4,475)

11,181

11,181

7,430

(630)

17,981

4,616

1,582

(462)

5,736

5,736

1,484

(567)

6,653

22,443

5,906

(4,943)

23,406

23,406

10,631

(1,410)

32,627

275,176

277,816

572,059

15,004

17,231

30,835

6,990

6,062

6,764

297,170

301,109

609,658

Included in the result for the year is a profit of £4,565,000 (2018: £146,000) on the disposal of freehold property, plant and equipment and motor 
vehicles. Included in property, plant and equipment are amounts held under finance leases of £4,437,000 (2018: £4,665,000).

(i) 

 The re-measurement between tangible and intangible assets in the comparative period arises from the finalisation of the acquisition accounting for the Selbourne Care Limited acquisition 
which took place on 19 June 2017.

Land and buildings
The net book value of land and buildings is as follows:

Freehold

Leasehold

2019
£000

2018
£000

520,550

243,675

51,509

572,059

34,141

277,816

The Directors believe that the market value of the Group’s current freehold property portfolio is £774m (comprising CareTech’s properties and 
properties acquired as part of the Cambian transaction) as at 30 September 2019 (2018: £424m for the CareTech properties only). The CareTech 
Group and the Cambian Group hold portfolios of freehold and leasehold assets which Cushman & Wakefield and Knight Frank LLP have valued at 
£424.1 million and £350.0 million respectively, as at 19 September 2018. These valuations are based on the aggregate market value of the properties 
for use as care facilities and these valuations would be lower if the properties were disposed of for an alternative use or sold individually. All of the 
Group’s freehold properties are pledged as security for bank borrowings.

CareTech Holdings PLC
Annual Report and Accounts 2019
77

Strategic reviewGovernanceFinancial StatementsNotes to the Financial Statements
continued

14 

Intangible assets 

Cost

At 1 October 2017

Acquisitions through business combinations

Additions

Reclassification

At 30 September 2018

At 1 October 2018

Acquisitions through business combinations

Additions for the year

At 30 September 2019

Amortisation and impairment 

At 1 October 2017

Impairment

Amortisation for the year

At 30 September 2018

At 1 October 2018

Amortisation for the year

At 30 September 2019

Net book value

At 1 October 2017

At 30 September 2018

At 30 September 2019

Goodwill
£000

Software and 
licences
£000

Customer 
relationships
£000

Total
£000

43,126

17,413

59,280

119,819

906

–

1,685

45,717

45,717

35,392

375

–

2,538

–

19,951

19,951

–

3,054

–

752

3,312

63,344

63,344

47,354

–

906

3,290

4,997

129,012

129,012

82,746

3,429

81,484

23,005

110,698

215,187

28

2,000

–

2,028

2,028

–

2,028

43,098

43,689

79,456

9,316

–

3,281

12,597

12,597

3,066

15,663

8,097

7,354

7,342

26,423

–

4,147

30,570

30,570

7,122

37,692

35,767

2,000

7,428

45,195

45,195

10,188

55,383

32,857

32,774

84,052

83,817

73,006

159,804

2019
£000

10,188

2018
£000

7,428

Amortisation
The amortisation charge is recognised in the following line items in the Consolidated Income Statement:

Administrative expenses

Impairment testing for cash-generating units containing goodwill
The Group tests goodwill for impairment on an annual basis by considering the recoverable amount of individual cash-generating units against 
carrying value.

Cash-generating units comprise operating segments. This is the lowest level at which goodwill is monitored for impairment by management. 
There are no intangible assets with indefinite useful lives (other than goodwill).

For the purpose of impairment testing, the recoverable amount of each cash-generating unit has been calculated with reference to value in use. 
The key assumptions for the period over which management approved forecasts are based and, beyond this, for the value in use calculations overall, 
are those regarding discount rates, growth and occupancy rates, achievement of future revenues and expected changes in direct costs during 
the periods. 

CareTech Holdings PLC
Annual Report and Accounts 2019
78

In arriving at the values assigned to each key assumption management make reference to past experience and external sources of information 
regarding the future – for example changes in tax rates. The key features of these calculations are shown below:

Period over which management approved forecasts are based

Growth rate applied beyond approved forecast period

Pre-tax discount rate

Adults Services

Children’s Services

Foster Care

2019

1 year

2%

8%

10%

12%

2018

1 year

2%

8%

10%

12%

In preparing value in use calculations for cash-generating units, the Group has assumed a growth rate of 2%, into perpetuity. The discount rates used 
in each value in use calculation have been based upon the Group’s post-tax WACC together with divisional specific risk taking account of factors 
such as the nature of service user need, cost profiles and the barriers to entry into each market segment as well as other macro-economic factors.

The Directors believe that, even in the current economic and public spending environment and taking into account the nature of the Group’s 
operations, any reasonably possible change in the key assumptions on which the recoverable amounts are based would not cause the cash-
generating units’ carrying amount to exceed the recoverable amount.

The carrying value of goodwill is split between the following cash-generating units:

Adults Services

Children’s Services

Foster Care

15  Trade and other receivables

Trade receivables (note 25)

Other debtors and prepayments

Accrued income (note 16)

These balances do not include deferred income. 

16  Accrued income and deferred income

At 1 October 2018

Amounts acquired at acquisition

Revenue recognised in the reporting period.

Revenue billed in period but relates to future periods

New accrued revenue

At 30 September 2019

2019
£000

27,525

44,769

7,162

79,456

2019
£000

38,299

8,343

6,369

53,011

Accrued 
income
£000

4,117

1,337

(5,454)

–

6,369

6,369

2018
£000

23,238

13,289

7,162

43,689

2018
£000

21,421

6,209

4,117

31,747

Deferred 
income
£000

(3,372)

(24,992)

28,364

(28,710)

–

(28,710)

There was a significant change in the accrued income and deferred income balances as a result of the acquisition of Cambian. Cambian has a 
different billing profile and as a result of the acquisition, the deferred revenue related to income billed in advance for education over the Autumn 
school term. This income is held in deferred income until the service is provided.

The Directors consider that the carrying value of accrued income and deferred income approximates its fair value.

CareTech Holdings PLC
Annual Report and Accounts 2019
79

Strategic reviewGovernanceFinancial StatementsNotes to the Financial Statements
continued

Interest-bearing loans and borrowings

17 
This note provides information about the contractual terms of the Group’s interest-bearing loans and borrowings. For more information about the 
Group’s exposure to interest rate risk, see note 25.

Non-current liabilities

Secured bank loans

Finance lease liabilities 

Current liabilities

Secured bank loans

Finance lease liabilities

Terms and debt repayment schedule 

Term loan

Term loan

Revolving credit facility term loan

2019
£000

315,878

2,774

318,652

2019
£000

2018
£000

–

2,580

2,580

2018
£000

–

151,748

1,663

1,663

2,082

153,830

Currency

£

£

£

Nominal 
interest
 rate (%)

2.25

Year of
maturity

Book value
2019
£000

Book value
2018
£000

(2018: 2.25)(i)

2022

167,000

120,499

2.50

(2018: 2.25)(i)

2023

148,878

–

2.75

(2018: 2.25)(i)

2023

–

315,878

31,249

151,748

(i) 

The margin on the facilities is stated at the current rate and can change between 1.50% and 3.25% based on the ratio of the Group’s Net Debt to EBITDA. 

The Group entered into new banking facilities following the acquisition of Cambian and the previous banking facilities were extinguished. The facility 
is a term loan of £322m and revolving credit facility of £25m to a group of banks comprising Barclays Bank PLC, HSBC UK Banks PLC, Santander 
UK PLC, AIB Group (UK) PLC, Clydesdale Bank PLC, Credit Suisse AG, Lloyds Bank PLC and National Westminster Bank PLC and is stated net of loan 
finance costs in accordance in IAS 23. The loans disclosed in prior year were extinguished. 

Finance lease liabilities
The finance leases relate to company vehicles used in the business.

Finance lease liabilities are payable as follows:

Minimum 
lease 
payments
2019
£000

1,783

2,906

4,689

Interest
2019
£000

120

132

252

Principal
2019
£000

1,663

2,774

4,437

Minimum 
lease 
payments
2018
£000

2,200

2,802

5,002

Interest
2018
£000

118

222

340

2019
£000

12,378

46,559

58,937

Principal
2018
£000

2,082

2,580

4,662

2018
£000

3,808

21,067

24,875

Less than one year

Between one and five years

18  Trade and other payables

Trade payables

Accrued expenses 

CareTech Holdings PLC
Annual Report and Accounts 2019
80

19  Deferred tax assets and liabilities 
Recognised deferred tax assets and liabilities
Deferred tax assets and liabilities are attributable to the following:

Property, plant and equipment

Intangible assets

Derivative financial instruments

Share-based payments

Rolled-over gains on property, plant and equipment

Tax (assets)/liabilities

Net of tax assets

Net deferred tax liabilities

There are no unrecognised deferred tax assets or liabilities.

Movement in deferred tax during the year:

Property, plant and equipment

Derivative financial instruments

Intangible assets

Share options

Rolled-over gains on property

Movement in deferred tax during the previous year:

Property, plant and equipment

Derivative financial instruments

Intangible assets

Share options

Rolled-over gains on property

20  Provisions

At 1 October 2018

Acquired in business combination

Charge to income statement

At 30 September 2019

2019

Assets
£000

–

–

(278)

(90)

–

(368)

Liabilities
£000

42,213

18,270

–

–

3,836

64,319

(368)

63,951

2018

Assets
£000

–

–

–

(443)

–

(443)

Liabilities
£000

1,901

14,395

(59)

–

3,060

19,297

(443)

18,854

1 October 
2018
£000

Recognised in 
income
£000

Acquired 
in business 
combination
£000

30 September 
2019
£000

1,901

(59)

(141)

(219)

40,453

42,213

–

(278)

14,395

(4,311)

8,186

18,270

(443)

3,060

18,854

353

776

–

–

(3,542)

48,639

(90)

3,836

63,951

1 October 
2017
£000

Recognised in 
income
£000

Acquired 
in business 
combination
£000

30 September 
2018
£000

1,978

(160)

13,408

(443)

3,060

17,843

(77)

101

125

–

–

149

–

–

862

–

–

862

1,901

(59)

14,395

(443)

3,060

18,854

£000

–

12,758

2,126

14,884

Provisions principally comprise an amount provided for “sleep-in payments” and a provision for onerous contracts. These have been explained in 
note 3 to the financial statements.

CareTech Holdings PLC
Annual Report and Accounts 2019
81

Strategic reviewGovernanceFinancial StatementsEmployee benefits

21 
Share-based payments
The Company operates five share option schemes: The CareTech Holdings 2005 Approved Share Option Scheme (The Approved Scheme); the 
CareTech Holdings 2005 Unapproved Share Option Scheme (The Unapproved Scheme), the CareTech Holdings 2005 Sharesave Scheme, the 
CareTech Holdings 2016 Sharesave Scheme and the CareTech Holdings 2017 Sharesave Scheme. All share options are equity settled. 

Share options granted in 2009 have now expired. 

The Executive Shared Ownership Plan (ExSOP) was formed in March 2017. Under the provisions of the ExSOP, shares (the ExSOP shares) are jointly 
owned by nominated senior employees and by an employees’ share trust. The ExSOP awards are subject to a time-related performance condition 
measured over a three-year period beginning with the date of the grant. To the extent the performance condition is satisfied, the participant can 
benefit from any growth of the share price in excess of the issue price. The options have been valued using the Black Scholes option pricing model  
in line with IFRS 2 ‘Share Based Payments’. The assumptions used as part of the model include the following:
Expected volatility  
Expected dividend yield  
Risk free interest rate  
Vesting period 

25%
3.90%
2.39%
3 years

– 
– 
– 
– 

The grant of the ExSOP scheme requires specific performance conditions being satisfied. The EPS Target requires the growth in the Company’s 
underlying Diluted EPS over the performance period to be at least 15% (being an average 5% annual growth rate, calculated without compounding) 
during the year.

Approved and Unapproved scheme options are exercisable at any time from the third anniversary of the date of grant to the tenth anniversary, other 
than nominal cost options which may become exercisable at the earliest after a period of 30 dealing days following the third anniversary of being 
granted. SAYE scheme options are normally exercisable within six months following the third anniversary of the date of grant. Options granted under 
the above schemes, together with those remaining at 30 September 2019 are as follows:

Date of grant

4 Aug 2009

4 Aug 2009

3 Aug 2010

3 Aug 2010

17 Mar 2016 

29 Mar 2016

1 Dec 2017 

Scheme

Approved Scheme

Unapproved Scheme

Approved Scheme

Unapproved Scheme

Sharesave Scheme 2016

Options 
remaining 
as at
30 Sep 2018

28,222

23,331

33,546

33,873

341,220

Options 
lapsed to
30 Sep 2019

Options 
exercised to 
30 Sep 2019

Options 
remaining
30 Sep 2019

Option price 
(pence)
30 Sep 2019

(28,222)

(23,331)

–

–

–

–

–

–

–

(264,129)

–

–

33,546

33,873

77,071

Executive Share Ownership Plan 2016

1,919,000

(100,000)

(390,000)

1,429,000

Sharesave Scheme 2017

220,600

–

–

220,600

n/a

n/a

305

305

194

247.5

308

The charge for the year was £60,000 (2018: £197,000) relates to the ExSOP Scheme 2017, the CareTech Holdings 2016 Sharesave Scheme and the 
CareTech Holdings 2017 Sharesave Scheme. The weighted average price of the remaining options is 254.8p. 

Subsequent events:
On 8 November 2019, the Group issued 2,504,475 new ordinary shares of 0.5p in the Company (the New Ordinary Shares) under the Executive 
Shared Ownership Plan (Share Plan) to 30 members of the senior and executive management team. An award under the Share Plan enables the 
participant to benefit only from the future growth in the value of the New Ordinary Shares above their market value on the award date, in excess of 
a “carrying cost” of 3% per annum. 

The vesting of the Share Plan requires specific performance conditions being satisfied. As with the previous issuance of the Share Plan, the target is 
an EPS Target which requires the growth in the Company’s underlying Diluted EPS over the three-year period beginning on the date of issue of the 
awards to be at least 15% (being an average 5% annual growth rate, calculated without compounding). Participants may not normally realise any such 
benefit from the Share Plan awards before 8 November 2022.

22  Share Capital

Allotted, called up and fully paid:

109,144,369 (2018: 75,691,423) ordinary shares of 0.5p each

53,402 deferred shares of 0.5p each

2019
£000

545

–

545

2018
£000

379

–

379

Share capital represents the nominal (par) value of shares that have been issued. The holders of ordinary shares are entitled to receive dividends as 
declared from time to time and are entitled to one vote per share at meetings of the Company. The deferred shares have no such rights.

CareTech Holdings PLC
Annual Report and Accounts 2019
82

 
 
Notes to the Financial Statements
continued

22  Share Capital continued
Movements in the number of issued shares were as follows: 

2019

Ordinary shares of 0.5p each

Deferred shares of 0.5p each

2018

Ordinary shares of 0.5p each

Deferred shares of 0.5p each

At
1 October 
2018

Issued during 
the acquisition 
of Cambian

Issued under 
SAYE Scheme

At
30 September 
2019

75,691,423

33,188,817

264,129 109,144,369

53,402

–

–

53,402

At 
1 October 
2017

75,679,937

53,402

Issued under 
SAYE Scheme

At 
30 September 
2018

11,486

75,691,423

–

53,402

23   Reserves
(a) 
During the year, the issue of new shares charged to the share premium account are as follows:

Share Premium Account 

Opening balance 1 October 2018

Premium on issue of shares

At 30 September 2019

2019
£000

2018
£000

120,820

120,778

484

42

121,304

120,820

Share premium includes any premiums received on issue of share capital, with the exception of shares issued in consideration in acquisitions. 
Any transaction costs associated with the issuing of shares are deducted from share premium, net of any related income tax benefits.

(b)  Merger reserve
The merger reserve represents the premium arising on the ordinary shares issued as consideration for the acquisition of shares in another company 
(merger relief) (note 5). 

Opening balance 1 October 

Issue of shares 

Costs associated with share issue

At 30 September 

2019
£000

9,023

118,182

(1,669)

125,536

2018
£000

9,023

–

–

9,023

Shares held by Executive Shared Ownership Plan

(c) 
Further information relating to the EBT reserve of the Group is detailed in note 21 to the consolidated financial statements of the Group.

(d)  Retained earnings 
Retained earnings includes all current and prior period retained profits and share-based employee remuneration. Dividend distributions payable to 
equity shareholders are included in other liabilities when the dividends have been approved in a general meeting prior to the reporting date.

24  Dividends 
The aggregate amount of dividends comprises:

Interim dividend paid in respect of prior year but not recognised as liabilities in that year (3.50p per share 
(2018: 3.30p per share))

Final dividend paid in respect of the prior year (7.50p per share (2018: 6.60p per share))

Aggregate amount of dividends paid in the financial year (11.00p per share (2018: 9.90p per share))

2019
£000

2,645

8,157

10,802

2018
£000

2,498

4,996

7,494

The aggregate amount of dividends proposed and not recognised as liabilities as at the year end is 11.7p per share, £13,000,000 (2018: 11.00p per 
share, £8,166,018).

CareTech Holdings PLC
Annual Report and Accounts 2019
83

Strategic reviewGovernanceFinancial StatementsNotes to the Financial Statements
continued

Financial instruments

25 
The use of financial instruments is managed under policies and procedures approved by the Board. These are designed to reduce the financial risks 
faced by the Group, which primarily relate to credit, interest and liquidity risks, which arise in the normal course of the Group’s business.

Credit risk
Financial instruments which potentially expose the Group to credit risk consist primarily of cash equivalents and trade receivables. Cash equivalents 
are deposited only with major financial institutions that satisfy certain credit criteria.

Management has a credit policy in place and exposure to credit risk is monitored on an ongoing basis. Credit evaluations are carried out on all 
significant prospective customers and all existing customers requiring credit beyond a certain threshold. Varying approval levels are set on the 
extension of credit depending upon the value of the sale.

Where credit risk is deemed to have risen to an unacceptable level, remedial actions including the variation of terms of trade are implemented under 
the guidance of senior management until the level of credit risk has been normalised.

The Group provides credit to customers in the normal course of business. The amounts presented in the Balance Sheet in relation to the Group’s 
trade receivables are presented net of loss allowances. The Group measures loss allowances at an amount equal to the lifetime expected credit 
losses (ECL’s) using both quantitative and qualitative information and analysis based on the Group’s historical experience and forward looking 
information. During the year there was a charge to the Consolidated Income Statement of £403,000 (2018: £46,000) to increase the loss allowance. 

At the Balance Sheet date, there were no significant concentrations of credit risk. The maximum exposure to credit risk is represented by the carrying 
amount of each financial asset. Based on past experience, the Group believes that no further impairment allowance is necessary in respect of trade 
receivables not past due. The Group consider that the carrying value of trade receivables approximates its fair value. 

The trade receivables as at 30 September are aged as follows:

Not due

Not more than three months past due

More than three months but not more than six months past due

Trade receivables (note 15)

The movement in provisions for impairment of trade receivables are as follows:

At 1 October 2017

Charged to the Consolidated Income Statement

At 30 September 2018

Adoption of IFRS 9

Charged to the Consolidated Income Statement

At 30 September 2019

2019
£000

23,417

12,217

2,665

38,299

2018
£000

10,918

5,021

5,482

21,421

£000

715

46

761

525

403

1,689

Interest rate risk
The Group finances its operations through called up share capital, retained profits, bank borrowings, and the sale of assets if appropriate. The Group’s 
income is by its nature relatively stable and its growth is, inter alia, impacted by inflation. Group policy is to balance interest rate fixes between 
the short, medium and long term. The benchmark rate for bank borrowings is LIBOR. The Group has not adopted hedge accounting. As at 
30 September, the Group carried five hedging instruments, details of which are as follows:
 – a three-year swap commencing 16 May 2019 at pre-determined amounts initially starting at £21.6 million at LIBOR fixed at 1.076%
 – a three-year swap commencing 16 May 2019 at pre-determined amounts initially starting at £21.6 million at LIBOR fixed at 1.056%
 – a three-year swap commencing 16 May 2019 at pre-determined amounts initially starting at £27.6 million at LIBOR fixed at 1.076%
 – a three-year swap commencing 16 May 2019 at pre-determined amounts initially starting at £21.6 million at LIBOR fixed at 1.071%
 – a three-year swap commencing 16 May 2019 at pre-determined amounts initially starting at £27.6 million at LIBOR fixed at 1.066%

CareTech Holdings PLC
Annual Report and Accounts 2019
84

Liquidity risk
The Group prepares annual cash flow forecasts reflecting known commitments and anticipated projects. Borrowing facilities are arranged as 
necessary to finance requirements. The Group has available bank facilities, sufficient, with cash flow from profits, to fund present commitments. 
Term facilities are utilised to fund capital expenditure and short-term flexibility is achieved by the utilisation of cash resources in respect of financial 
liabilities. The following table indicates their contractual cash flow maturities.

Trade and other payables

IAS 17 Ground rent

Secured bank loans

Finance lease liabilities

Derivative financial instruments

Trade and other payables

IAS 17 Ground rent 

Secured bank loans

Finance lease liabilities

Deferred and contingent consideration

Derivative financial instruments

2019

Effective 
interest
rate %

Carrying 
amount
£000

Contractual 
cash flows 
£000

< 1 year
£000

1 – 5 years 
£000

5 years and 
over £000

(58,937)

(58,937)

(58,937)

–

–

(15,131)

(15,131)

(100)

(500)

(14,531)

3.5%

6%

(315,878)

(355,569)

(10,146)

(345,423)

(4,437)

(1,640)

(4,689)

(1,640)

(1,783)

–

(2,906)

(1,640)

–

–

–

(396,023)

(435,966)

(70,966)

(350,469)

(14,531)

Effective 
Interest  
rate %

5%

11%

Carrying 
amount
£000

(24,875)

(7,294)

2018

Contractual 
cash flows
£000

< 1 year
£000

1 – 5 years
£000

(24,875)

(24,875)

(7,294)

(50)

(151,748)

(155,386)

(155,386)

(4,662)

(5,002)

(2,200)

(2,802)

(966)

(152)

(966)

(152)

(966)

(152)

–

–

–

(198)

–

5 years and 
over
£000

–

(7,046)

–

–

–

–

See note 17 for the maturity dates and interest rates charged on the secured bank loans. 

Capital risk management
The Group manages its capital to ensure that activities of the Group will be able to continue as a going concern whilst maximising returns for 
shareholders through the optimisation of debt and equity.

(189,697)

(193,675)

(183,629)

(3,000)

(7,046)

The Group’s capital structure is as follows:

Net debt 

Equity (see note 22)

2019
£000

291,077

335,364

2018
£000

146,989

208,233

Our policy is to increase the total dividend per year broadly in line with the movement in underlying diluted earnings per share. The final dividend will 
therefore increase to 7.95p per share demonstrating a confident view of the Group’s fundamental strength.

Net Debt
Net Debt comprises cash and cash equivalents net of all loans and borrowings.

Net Debt in the balance sheet comprises:

Cash and cash equivalents 

Bank loans

Finance lease and hire purchase contracts

Net Debt at 30 September

CareTech Holdings PLC
Annual Report and Accounts 2019
85

Note

2019
£000

2018
£000

17

17

29,238

9,421

(315,878)

(151,748)

(4,437)

(4,662)

(291,077)

(146,989)

Strategic reviewGovernanceFinancial StatementsNotes to the Financial Statements
continued

Financial instruments continued

25 
Foreign currency risk
The Group operates entirely in the UK and is not exposed to any foreign currency risks.

Sensitivity analysis
In managing interest rate risks the Group aims to reduce the impact of short-term fluctuations on the Group’s earnings. Over the longer term, 
however, permanent changes in interest rates would have an impact on consolidated earnings.

At 30 September 2019, it is estimated that a general increase of 1% in interest rates would impact finance expense and decrease the Group’s profit 
before tax and equity by approximately £1,950,000 (2018: £410,000). Economic hedging instruments have been included in this calculation.

Fair values
The fair values together with the carrying amounts shown in the balance sheet are as follows:

Financial instruments at amortised cost

Cash at bank and in hand 

Trade receivables (note 15)

Trade payables (note 18)

Secured bank loans (note 17)

Contingent consideration 

Held at fair value through profit and loss:

Derivative financial instruments 

Carrying 
amount
2019
£000

Fair value
2019
£000

29,328

38,299

29,328

38,299

(12,378)

(12,378)

Carrying 
amount
2018
£000

9,421

21,421

(3,808)

Fair value
2018
£000

9,421

21,421

(3,808)

(315,878)

(315,878)

(151,748)

(151,748)

–

–

(966)

(966)

(1,640)

(1,640)

(152)

(152)

Where market values are not available, fair values of financial assets and liabilities have been calculated by discounting expected future cash flows at 
prevailing interest rates with the following assumptions being applied:
 – for trade and other receivables and payables with a remaining life of less than one year the carrying amount is deemed to reflect the fair value;
 – for cash and cash equivalents the amounts reported on the balance sheet approximates to fair value;
 – for secured bank loans at floating rate the carrying value is deemed to reflect the fair value as it represents the price of the instruments in the 

market place; and

 – for the derivatives financial instruments, these were entered into to manage the Group’s exposure to interest rate risk on its external borrowings. 

Fair value hierarchy
The financial instruments carried at fair value by valuation methods are:

Level 1 – unadjusted quoted prices in active markets for identical assets or liabilities

Level 2 – inputs other than quoted prices included within level 1 that are observable for the asset or liability either as a 
direct price or indirectly derived from prices

Level 3 – inputs for the asset or liabilities that are not based on observable market data*

2019
£000

–

(1,640)

–

* 

The financial liability measured at fair value in the Consolidated Balance Sheet at 30 September 2018 is deferred consideration. This liability has now been settled.

26  Operating leases
Non-cancellable operating lease rentals are payable as follows: 

2019

2018

Land and 
buildings
£000

6,426

12,425

228,127

246,978

Other
£000

1,935

2,726

–

4,661

Land and 
buildings
£000

3,974

8,156

119,466

131,596

Within one year

Between two and five years

More than five years

CareTech Holdings PLC
Annual Report and Accounts 2019
86

2018
£000

–

(152)

(996)

Other
£000

244

265

–

509

Included in the operating lease rentals for land and buildings in more than five years are leases relating to the land element for the properties sold 
to third parties and then leased back on 150 year leases. During the year the following was recognised as an expense in the Consolidated Income 
Statement in respect of operating leases:

Charge for amounts currently payable 

Total recognised in the Consolidated Income Statement 

2019

2018

Land and 
buildings
£000

6,300

6,300

Other
£000

1,841

1,841

Land and 
buildings
£000

4,345

4,345

Other
£000

759

759

27  Related parties
During the year, CareTech Holdings plc paid rent totalling £226,000 (2018: £198,000) in respect of properties in which Farouq Sheikh and Haroon 
Sheikh have an interest. At the year-end rent of £20,000 (2018:£104,000) was outstanding.

Dividends paid to Directors in the year totalled £157,000 (2018: £147,000).

Transactions with key management personnel

Salary 

Benefits

Bonus

Total short-term remuneration

Post-employment benefits

Share-based payments

2019
£000

4,775

354

1,110

6,239

288

50

6,577

2018
£000

3,007

134

871

4,012

–

–

4,012

Key management personnel are defined as Directors of the Company and members of the Senior Management Team.

Directors’ emoluments are set out on page 47.

During the year, the Group made donations to the CareTech Charitable Foundation which are set out in note 6. 

Impact of IFRS 16

28 
IFRS 16 ‘Leases’ will be adopted by the Group on 1 October 2019 for the financial year ending 30 September 2020. IFRS 16 will primarily change 
lease accounting for lessees. Under the new standard, lease agreements will give rise to the recognition of an asset representing ‘right of use’ assets 
to be recognised on the balance sheet for almost all leases. This is expected to result in a significant increase in both assets and liabilities recognised. 
The costs of operating leases currently included within operating costs will be split and the financing element of the charge will be reported within 
finance expense whilst the total expense recognised in the Income Statement over the life of each lease will be unaffected by the standard. 

The overall impact on earnings is not expected to be material. Finance lease obligations as at 30 September 2019 are set out in note 25, “Financial 
instruments” and the commitments under non-cancellable operating leases are set out in note 26, “Operating leases”.

CareTech will implement IFRS 16 from 1 October 2019 applying the modified retrospective approach. The right of use asset at 1 October 2019 will be 
set equal to the lease liability of the outstanding lease payments due to the lessor as at that date. 

CareTech have performed an assessment of the impact of IFRS 16, having made the following assumptions:
 – The discount rate to be used to calculate the financing component is the Group’s incremental cost of borrowing. For this assessment CareTech 

have used a single discount rate of 3.5% as the Directors consider that all of the leases have similar characteristics

 – All short-term leases which expire on or before 30 September 2020 where the annual rental cost is below £2,500 per month have been excluded.
 – All low value leases have been excluded. 

Based on the assessment, CareTech anticipate recognising an additional right of use asset at 1 October 2019 of:

Right of use asset

Property right of use assets

Equipment right of use assets

Total right of use assets

£000

67,418

4,300

71,718

On transition, CareTech would recognise a corresponding financial liability for the same amount as the right of use asset. 

CareTech Holdings PLC
Annual Report and Accounts 2019
87

Strategic reviewGovernanceFinancial StatementsNotes to the Financial Statements
continued

Impact of IFRS 16 continued

28 
CareTech have estimated the impact of the change of accounting standard on the Income Statement and EPS, assuming that the only leases to be 
considered are the ones identified at transition date and the discount rate used will be the Group’s incremental cost of borrowing. 

Difference in EBITDA

Difference in IFRS 16 Depreciation

Difference in IFRS 16 Interest

Difference in profit before tax

Difference in EPS

FY 2020
(estimated)
£000

FY 2021
(estimated)
£000

FY2022
(estimated)
£000

8,025

(6,273)

(2,302)

(550)

7,595

(5,930)

(2,108)

(443)

5,963

(4,351)

(1,940)

(328)

(0.50)

(0.41)

(0.30)

IFRS 16 will not have any impact on the underlying commercial terms of each lease; and will not have any impact on the commercial performance 
of the Group, nor the cash flow generated in the year. 

29  Group undertakings 
The Group has the following investments in trading subsidiaries included in the consolidated results for the year. The operating subsidiaries are 
engaged in either owning property (“Property”) or in the provision of services to adults or children (“Trading”). Additionally, the Group has subsidiaries 
that are non-trading, act as holding companies, or are dormant (“Non-trading”)

Company

Addington House Limited*

Company 
number

Country of 
incorporation

Type

Ownership 
2019 %

Ownership 
2018 %

4404355

England and Wales Operating

Advanced Childcare Services Limited*

07559570

England and Wales Non-trading

Advances In Autism Care & Education Limited*

3252453

England and Wales Non-trading

Applied Care and Development Ltd*

SC224352

Scotland

Operating

Ashcroft House Limited*

Ashring House Limited*

Ashview House Limited*

Barleycare Limited*

Beacon Care Holdings Limited*+

Beacon Care Investments Limited*+

Beacon Care Limited*

Beech Care Limited*

3390658

England and Wales Operating

3370991

England and Wales Operating

3304446

England and Wales Operating

5156601

England and Wales Operating

3293998

England and Wales Non-trading

4351554

England and Wales Non-trading

3160894

England and Wales Non-trading

4050685

England and Wales Operating

Branas Isaf (Ashfield House) Limited*

5761962

England and Wales Operating

Branas Isaf (Bythnod & Hendre Llwyd) Limited*

4826628

England and Wales Operating

Branas Isaf (Dewis) Limited*

4828115

England and Wales Operating

Branas Isaf (Education Centre) Limited*

4826662

England and Wales Operating

Branas Isaf (Llyn Coed) Ltd*

4826774

England and Wales Operating

Branas Isaf (personal development & approach training) Limited*

4826959

England and Wales Non-trading

Branas Isaf (Therapeutic Provision Limited)*

5355404

England and Wales Non-trading

Branas Isaf Holdings Ltd*

4827227

England and Wales Non-trading

Branas Isaf Personal Development Centre Ltd*

3744583

England and Wales Non-trading

Bright Care Limited*

By the Bridge Holdings*

By the Bridge Limited*

4050733

England and Wales Operating

05712186

England and Wales Non-trading

04050928

England and Wales Operating

By the Bridge Management Company Limited*

8587714

England and Wales Non-trading

By the Bridge North West Limited*

05448746

England and Wales Operating

Cambian Asperger Syndrome Services Limited*

04117476

England and Wales Operating

Cambian Autism Services Limited*

Cambrian Care (Powys) Limited*

Cambian Childcare Limited*

CareTech Holdings PLC
Annual Report and Accounts 2019
88

03449214

England and Wales Operating

3813824

England and Wales Non-trading

04280519

England and Wales Operating

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

–

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

–

–

–

–

–

–

–

–

Company

Company 
number

Country of 
incorporation

Type

Ownership 
2019 %

Ownership 
2018 %

Cambian Childcare Properties Limited*

05274924

England and Wales Property

Cambian Education Services Limited*

05554772

England and Wales Non-trading

Cambian FS Limited*

09501886

England and Wales Non-trading

Cambian Group Holdings Limited*

08929407

England and Wales Non-trading

Cambian Group Limited*+

Cambian Heritage I Limited*

Cambian Heritage II Limited*

Cambian Interact Care Limited*

Cambian Properties (UK) Limited*

Cambian Signpost Limited*

Cambian Whinfell School Limited*

Cameron Care Limited*

Care Support Services Limited*

8929371

England and Wales Non-trading

5150238

England and Wales Non-trading

3898254

England and Wales Property

4822716

England and Wales Operating

5554819

England and Wales Non-trading

6253729

England and Wales Operating

4617562

England and Wales Operating

SC283940

Scotland

Operating

5356025

England and Wales Operating

CareTech Community Services (No 2) Limited*

3894564

England and Wales Operating

CareTech Community Services Limited*+

2804415

England and Wales Operating

CareTech Consulting Limited*

CareTech Estates (No 2) Limited*+

CareTech Estates (No 3) Limited*+

CareTech Estates (No 4) Limited*+

CareTech Estates (No 5) Limited*+

CareTech Estates (No 6) Limited*+

CareTech Estates (No 7) Limited*+

CareTech Estates Limited*+

CareTech Foster Care Limited*

7186925

England and Wales Non-trading

6518327

England and Wales Property

6518491

England and Wales Property

6543818

England and Wales Property

7027116

England and Wales Property

8420656

England and Wales Property

8628141

England and Wales Property

5964868

England and Wales Property

5185612

England and Wales Non-trading

CareTech Fostering Holdings Limited* 

7206363

England and Wales Non-trading

CareTech Fostering Services*

CareTech Housing Services*

7205262

England and Wales Non-trading

3438332

England and Wales Non-trading

CareTech International (Previously Family Assessment Services 
Limited) Limited*

Clifford House Limited*

6902547

England and Wales Non-trading

3320573

England and Wales Non-trading

Colerne Community Care (kent) Limited*

2755757

England and Wales Non-trading

Community Support Project Limited*+

5941774

England and Wales Non-trading

Complete Care & Enablement Services Limited*

5905163

England and Wales Operating

Continuum Care and Education Group Limited*

5804360

England and Wales Non-trading

Counticare Limited*

Coveberry Limited*

Daisybrook Limited*

2585666

England and Wales Non-trading

1208511

England and Wales Operating

3026221

England and Wales Operating

Dawn Hodge Associates Limited*

4130146

England and Wales Operating

Delam Care Limited*

Delham Care Limited*

Elite Children’s Care Limited*

Emeraldpoint Limited*

EQL Solutions Limited*+

Farrow House Limited*

2995783

England and Wales Operating

2748991

England and Wales Non-trading

5251327

England and Wales Non-trading

3098166

England and Wales Operating

8758477

England and Wales Operating

3504115

England and Wales Non-trading

Fostering Support Group Limited*

2359399

England and Wales Operating

CareTech Holdings PLC
Annual Report and Accounts 2019
89

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

–

–

–

–

–

–

–

–

–

–

–

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

–

100

100

100

–

100

100

100

100

100

100

–

100

100

–

100

Strategic reviewGovernanceFinancial StatementsNotes to the Financial Statements
continued

29  Group undertakings continued

Company

Franklin Homes Limited*

Glenroyd House Limited*

Company 
number

Country of 
incorporation

Type

Ownership 
2019 %

Ownership 
2018 %

3002865

England and Wales Operating

4326288

England and Wales Operating

Gloucestershire Autism Services Limited*

3091510

England and Wales Non-trading

Green Corns Limited*

3918305

England and Wales Non-trading

Greenfields Adolescent Development Limited*

4068839

England and Wales Operating

Greenfields Care Group Limited*

Hereson House Limited*

4642100

England and Wales Non-trading

4385252

England and Wales Operating

Herts Care (Escort and Supervision Services) Limited*

3648069

England and Wales Non-trading

Herts Care Group Limited*

Herts Care Limited*

Herts Care Property Limited*

Huntsmans Lodge Limited*

4539660

England and Wales Non-trading

3400914

England and Wales Non-trading

4132387

England and Wales Non-trading

4668317

England and Wales Operating

Independent Childcare Group of Schools Limited*

2525026

England and Wales Non-trading

Inhoco 2993 Limited*

K O B Care Limited*

Kirkstall Lodge Limited*

Leigham Lodge Limited*

Lonsdale Midlands Limited*

4495879

England and Wales Non-trading

3039698

England and Wales Non-trading

4778674

England and Wales Operating

4583599

England and Wales Operating

2834141

England and Wales Operating

Lyndhurst Psychiatric Residential Care Limited*

2958528

England and Wales Non-trading

Magnolia Court Limited*

5444649

England and Wales Operating

Mason Property Development Company Limited*

4308273

England and Wales Property

Oakleaf Care (Hartwell) Limited*

One Six One Limited*

One Step (Support) Limited*

Onetrue Step Limited*

5225317

England and Wales Operating

4136284

England and Wales Operating

4534652

England and Wales Operating

8339192

England and Wales Non-trading

Outlook Fostering Services Limited*

4357704

England and Wales Operating

Palm Care Limited*

Park Foster Care Ltd*

Park Foster Care Services Scotland Limited*

Phoenix Therapy and Care Limited*

Pinnacle Supported Living Limited*

Prestwood Residential Homes Ltd*

Primrose Court Limited*

4050739

England and Wales Operating

4861395

England and Wales Operating

SC427502

Scotland

SC254555

Scotland

Operating

Operating

2736242

England and Wales Non-trading

4129564

England and Wales Operating

4803769

England and Wales Operating

Professional Integrated Care Services Limited*

4771613

England and Wales Non-trading

Purple Zest Limited*+

Roborough House Limited*

ROC North West Ltd*

11421082

England and Wales Operating

5054294

England and Wales Operating

5564417

England and Wales Operating

Rosedale Children’s Services Limited*

4932054

England and Wales Operating

SACCS Care Limited*

SACCS Limited*

Selborne Care Limited*

Selwyn Care Limited*

South East Care Services Limited*

Spark of Genius Limited*

CareTech Holdings PLC
Annual Report and Accounts 2019
90

3400914

England and Wales Non-trading

4497910

England and Wales Non-trading

5513162

England and Wales Operating

3737832

England and Wales Operating

2296352

England and Wales Non-trading

SC479758

Scotland

Non-trading

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

–

100

100

100

–

–

–

–

100

–

–

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

60

100

100

100

–

–

100

100

100

100

Company

Spark Of Genius (North East) LLP 

Spark Of Genius (Training) Limited*

Company 
number

Country of 
incorporation

Type

Ownership 
2019 %

Ownership 
2018 %

OC384807

England and Wales Operating

SC196146

Scotland

Operating

St Michael’s Support & Care Limited*

5978585

England and Wales Operating

Sunnyside Care Homes Ltd*

4589719

England and Wales Operating

The Community Care Company UK Limited*

2816119

England and Wales Non-trading

TLC (Wales) Independent Fostering Limited*

4824925

England and Wales Operating

Trojan Spark Limited*

Uplands (Fareham) Limited*

SC453152

Scotland

Non-trading

3488896

England and Wales Operating

Valeo Community Projects Limited*

3941224

England and Wales Non-trading

Valeo Limited*+

Victoria Lodge Limited*

Vosse Court Limited*

White Cliffs Lodge Limited*

Wyatt House Limited*

Advanced Childcare Capital Limited

Advanced Childcare Finance Limited

Advanced Childcare Group Limited

Advanced Childcare Holdings Limited

Cambian Capital Limited

Cambian Developments I Limited

Cambian Developments II Limited

Cambian Developments Limited

Cambian Finance Limited

Cambian Holdings Limited

Cambian Manco Limited

Care Aspirations Finance Limited 

Care Aspirations Holdings Limited 

Care Aspirations Capital Limited 

H2O Limited

Hazeldene UK Limited1

Cambian Properties II Limited

4099715

England and Wales Operating

4454845

England and Wales Operating

4778676

England and Wales Operating

4351559

England and Wales Operating

4319271

England and Wales Non-trading

107650

107661

107672

107660

87311

106304

104724

102148

91181

87312

109922

101512

101522

101503

Jersey2

Jersey2

Jersey2

Jersey2

Jersey2

Jersey2

Jersey2

Jersey2

Jersey2

Jersey2

Jersey2

Jersey2

Jersey2

Jersey2

FC97291

Gibraltar

FC015967

Gibraltar

91131

Jersey2

Non-trading

Non-trading

Non-trading

Non-trading

Non-trading

Non-trading

Non-trading

Non-trading

Non-trading

Non-trading

Non-trading

Non-trading

Non-trading

Non-trading

Non-trading

Operating

Property

50

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

50

100

100

100

100

100

100

100

100

100

100

100

100

100

–

–

–

–

–

–

–

–

–

–

–

–

–

–

100

100

–

1 
2 
+ 
* 

Has a UK designated trading branch, Hazeldene UK Limited.
Registered office 9 Burrard Street, St Helier, Jersey JE4 5SE.
Owned directly by the Company. 
 These subsidiaries have taken advantage of the audit exemption under s479A and s479C of the Companies Act 2006 for the period ended 30 September 2019. As such, CareTech Holdings 
PLC has provided a guarantee against all debts and liabilities in these subsidiaries as at 30 September 2019.

Exemption from audit by parent guarantee
The Company being the ultimate sole shareholder of its subsidiaries has decided to take the exemption from audit of a number of subsidiaries for 
the year ended 30 September 2019 under Sections 479A and 479C of the Companies Act 2006 and the Company will provide a guarantee for 
all the liabilities of those entities as at 30 September 2019 detailed above with the exception of Hazeldene UK Limited, H2O Limited and Spark of 
Genius (North East) LLP and Advanced Childcare Capital Limited, Advanced Childcare Finance Limited, Advanced Childcare Group Limited, Advanced 
Childcare Holdings Limited, Cambian Capital Limited, Cambian Developments I Limited, Cambian Developments II Limited, Cambian Developments 
Limited, Cambian Finance Limited, Cambian Holdings Limited, Cambian Manco Limited, Care Aspirations Finance Limited, Care Aspirations Holdings 
Limited, Care Aspirations Capital Limited and Cambian Properties II Limited. 

Wholly owned subsidiaries incorporated in Gibraltar and Jersey will not be covered by the parent Company guarantee as they are incorporated 
outside of the UK. 

CareTech Holdings PLC
Annual Report and Accounts 2019
91

Strategic reviewGovernanceFinancial StatementsNotes to the Financial Statements
continued

29  Group undertakings continued

Unless otherwise stated above, the registered offices of all subsidiaries is 5th Floor Metropolitan House, 3 Darkes Lane, Potters Bar, England, EN6 1AG 
with the exception of:

Company 

Address

Applied Care and Development Ltd*

Netherlea House, Bankend Road, Dumfries, DG1 4AL

Cameron Care Limited*

Inspire Children Services, Lochview, Fort William, Inverness-Shire, PH33 7NP

Dawn Hodge Associates Limited*

Fiveways House, Buildwas Road, Neston, CH64 3RU

Park Foster Care Services Scotland Limited*

272 Bath Street, Glasgow, G2 4JR

Phoenix Therapy and Care Limited*

1 Lodge Street, Haddington, East Lothian, EH41 3DX

Professional Integrated Care Services Limited*

Tan Y Fron, Pontardulais Road, Crosshands, Carmarthenshire, SA14 6PG

Spark of Genius Limited*

Trojan House Pegasus Avenue, Phoenix Business Park, Paisley, PA1 2BH

Spark Of Genius (North East) LLP

King Edwin School Mill Lane, Norton, Stockton-On-Tees, North Yorkshire, TS20 1LG

Spark Of Genius (Training) Limited*

Trojan House, Pegasus Avenue, Phoenix Business Park, Paisley, PA1 2BH

Trojan Spark Limited*

H2O Limited

Hazeldene UK Limited

Trojan House, Pegasus Avenue, Phoenix Business Park, Paisley, PA1 2BH

Montagu Pavillion, 8-10 Queensway, Gibraltar

Montagu Pavillion, 8-10 Queensway, Gibraltar

CareTech Holdings PLC
Annual Report and Accounts 2019
92

Company Balance Sheet
as at 30 September 2019

Non-current assets

Investments

Current assets

Trade and other receivables

Cash and cash equivalents

Total assets

Current liabilities

Loans and borrowings

Trade and other payables

Non-current liabilities

Loans and borrowings

Total liabilities

Net assets

Equity 

Share capital

Share premium

Merger reserve

Retained earnings

Total equity attributable to equity shareholders of the parent

Note

2019
£000

2018
£000

32

395,822

395,822

35,623

35,623

33

217,532

278,108

1,012

218,544

614,366

466

278,574

314,197

34

35

34

37

–

151,748

3,866

3,866

1,446

153,194

317,358

321,224

293,142

–

153,194

161,003

545

121,304

125,536

45,757

379

120,820

9,023

30,781

293,142

161,003

Under section 408 of the Companies Act 2006 the Company is exempt from the requirement to present its own Income Statement. The profit for 
the year included in the financial statements of the Company was £25,778,000 (2018: £12,519,000).

These financial statements were approved by the Board of Directors and authorised for issue on 30 January 2020 and were signed on its behalf by:

Farouq Sheikh 
Group Executive Chairman 

Christopher Dickinson
Chief Financial Officer

Company number: 04457287

CareTech Holdings PLC
Annual Report and Accounts 2019
93

Strategic reviewGovernanceFinancial Statements 
 
 
 
 
Company Statement of Changes in Equity
as at 30 September 2019

At 1 October 2018

Profit for the year and total comprehensive income

Issue of shares

Dividends

At 30 September 2018

At 1 October 2018

Profit for the year and total comprehensive income

Issue of shares

Sharesave Scheme charge

Dividends

At 30 September 2019

Share capital
£000

Share 
premium
£000

Merger reserve
£000

379

120,778

9,023

–

–

–

–

42

–

–

–

–

379

120,820

9,023

379

–

166

–

–

120,820

–

–

484

–

9,023

–

116,513

–

–

Retained 
earnings
£000

25,756

12,519

–

(7,494)

30,781

30,781

25,778

–

–

Total Equity
£000

155,936

12,519

42

(7,494)

161,003

161,003

25,778

116,679

484

(10,802)

(10,802)

545

121,304

125,536

45,757

293,142

CareTech Holdings PLC
Annual Report and Accounts 2019
94

Notes to the Company Financial Statements

30  Accounting policies
(a)  Basis of preparation
CareTech Holdings plc (the Company) meets the definition of a qualifying entity under Financial Reporting Standard (FRS) 100, issued by the Financial 
Reporting Council (FRC). Accordingly, the financial statements have been prepared in accordance with FRS 101 ‘Reduced Disclosure Framework’. 
The financial statements have been prepared on a historical cost basis except in respect of those financial instruments that have been measured at 
fair value at the end of each reporting period. Historical cost is generally based on the fair value of the consideration given in exchange for goods 
and services.

As permitted by FRS 101, the Company has taken advantage of the disclosure exemptions available under that standard in relation to share-based 
payment, financial instruments, capital management, presentation of comparative information in respect of certain assets, presentation of cash flow 
statement and certain related party transactions.

Accounting policies for financial instruments have been listed under part of the accounting policies for the main Group’s consolidated accounts. 

Investments

(b) 
Investments in subsidiary undertakings are stated in the Balance Sheet of the Company at cost less impairment written off.

(c)  Cash and liquid resources
Cash, for the purpose of the Cash Flow Statement, comprises cash in hand and deposits repayable on demand and those with maturities of three 
months or less from inception, less overdrafts payable on demand. 

Interest-bearing borrowings

(d) 
Interest-bearing borrowings are recognised initially at fair value less directly attributable transaction costs. Subsequent to initial recognition, interest-
bearing borrowings are stated at amortised cost with any difference between proceeds (net of transaction costs) and the redemption value being 
recognised in the Consolidated Income Statement over the period of the borrowings on an effective interest basis.

Borrowings are classified as current liabilities unless the Company has an unconditional right to defer settlement of the liability for at least 12 months 
after the reporting date.

(e)  Taxation
Tax on the profit or loss for the year comprises current and deferred tax. Tax is recognised in profit or loss except to the extent that it relates to items 
recognised directly in equity, in which case it is recognised in equity.

Current tax is the expected tax payable on the taxable income for the year, using tax rates and laws enacted or substantively enacted at the Balance 
Sheet date, and any adjustment to tax payable in respect of previous years.

Revenue

(f) 
Revenue represents management fees receivable, in respect of the period to which management services relate. 

Share-based payments

(g) 
The share option programme allows employees to acquire shares of the Company. The fair value of options granted is recognised as an employee 
expense with a corresponding increase in equity. The fair value is measured at grant date and spread over the period during which the employees 
become unconditionally entitled to the options. The fair value of the options granted is measured using an option pricing model, taking into account 
the terms and conditions upon which the options were granted. The amount recognised as an expense is adjusted to reflect the actual number of 
share options that vest except where forfeiture is only due to share prices not achieving the threshold for vesting.

Where the Company grants options over its own shares to the employees of its subsidiaries it recognises an increase in the cost of investment in its 
subsidiaries equivalent to the equity settled share-based payment charge recognised in its subsidiary’s financial statements with the corresponding 
credit being recognised directly in equity.

(h)  Dividends on shares presented within shareholders’ funds
Dividends unpaid at the balance sheet date are only recognised as a liability at that date to the extent that they are appropriately authorised and are 
no longer at the discretion of the Company. Unpaid dividends that do not meet these criteria are disclosed in the notes to the financial statements.

(i)  Merger reserve
The merger reserve represents the premium arising on the ordinary shares issued as consideration for the acquisition of shares in another company 
(merger relief).

Merger reserve

Opening balance 1 October 

Issue of shares (see note 23)

At 30 September 

CareTech Holdings PLC
Annual Report and Accounts 2019
95

2019
£000

9,023

116,513

125,536

2018
£000

9,023

–

9,023

Strategic reviewGovernanceFinancial StatementsNotes to the Company Financial Statements
continued

31  Dividends 
The aggregate amount of dividends comprises:

Interim dividend paid in respect of prior year but not recognised as liabilities in that year 
(3.50p per share (2018: 3.30p per share))

Final dividend paid in respect of the prior year (7.50p per share (2018: 6.6p per share))

Aggregate amount of dividends paid in the financial year (11.00p per share) (2017:9.90p per share))

2019
£000

2,645

8,157

10,802

2018
£000

2,498

4,996

7,494

The aggregate amount of dividends proposed and not recognised as liabilities as at the year end is 11.7p per share, £13,000,000 (2018: 11.00p per 
share, £8,166,018).

32 

Investments

Cost and net book value

At end of year

Acquisitions (see note 5)

Other additions

At 30 September 

33  Trade and other receivables

Amounts owed by Group undertakings

Shares 
in Group 
undertakings
£000

35,623

359,920

279

395,822

2019
£000

2018
£000

217,532

278,108

These balances accrue intercompany interest at a rate of 3% per annum. Please refer to note 1 and the statement on going concern. Based on these 
factors described, the Directors consider that this debt is recoverable. 

Interest-bearing loans and borrowings

34 
This note provides information about the contractual terms of the Company’s interest-bearing loans and borrowings. For more information about the 
Group’s exposure to interest rate risk, please see note 25 in the Group accounts.

Terms and debt repayment schedule 

Term loan

Term loan

Revolving credit facility term loan

Currency

Nominal interest 
rate (%)

Year of 
maturity

£ 2.25 (2018: 2.25)1

£ 2.50 (2018: 2.25)1

£ 2.75 (2018: 2.25)1

2022

2023

2023

Book value
2019
£000

167,000

150,358

–

317,358

Book value
2018
£000

120,499

–

31,249

151,748

1 

The margin on the facilities is stated at the current rate and can change between 1.50% and 3.25% based on the ratio of the Group’s Net Debt to EBITDA.

The Group entered into new banking facilities following the acquisition of Cambian. The facility is a term loan of £322m and revolving credit facility of 
£25m to a group of banks comprising Barclays Bank PLC, HSBC UK Banks PLC, Santander UK PLC, AIB Group (UK) PLC, Clydesdale Bank PLC, Credit 
Suisse AG, Lloyds Bank PLC and National Westminster Bank PLC and is stated net of loan finance costs in accordance in IAS 23. 

35  Trade and other payables

Other creditors

2019
£000

3,866

2018
£000

1,446

36  Contingent liabilities
As per note 29, CareTech Holdings plc have taken the audit exemption for a number of subsidiaries by virtue of s479A of the Companies Act. A parent 
Company guarantee has been provided for these entities under s479C of the Companies Act. 

CareTech Holdings PLC
Annual Report and Accounts 2019
96

37  Called up share capital

Allotted, called up and fully paid:

109,144,369 (2018: 75,691,423) ordinary shares of 0.5p each

53,402 deferred shares of 0.5p each

2019
£000

545

–

545

2018
£000

379

–

379

The holders of the ordinary shares are entitled to receive dividends as declared from time to time and are entitled to one vote per share at meetings 
of the Company. The deferred shares have no such rights. Details in respect of the movements in equity are given in note 22 to the Group 
financial statements. 

Details in respect of the reserves are given in note 23 to the Group financial statements.

38  Staff numbers and costs
The Company has no employees (2018: none) other than the Directors. Directors’ emoluments are shown on page 47.

39  Employee benefits
Defined contribution plans
The Company operates a number of defined contribution pension plans.

The total Company expense relating to these plans in the current year was £nil (2018: £nil).

Share-based payments
There was no expense for share-based payments relating to the Company in the year (2018: £nil).

The grants and related accounting treatment adopted by the Company is identical to that operated by the Group under IFRS 2 ‘Share-based 
Payments’ (see note 21).

40  Related parties
The Company receives dividends from its subsidiaries according to their ability to remit them and received interest in inter-Group loans. Other details 
of related party transactions have been given in note 27 to the consolidated accounts. 

Under FRS 101, the Company is exempt from disclosing key management personnel compensation and transactions with other entities wholly 
owned by CareTech Holdings plc. 

CareTech Holdings PLC
Annual Report and Accounts 2019
97

Strategic reviewGovernanceFinancial StatementsAppendix: Alternative Performance Measures

The Group reports certain non-IFRS performance measures, known as Alternative Performance Measures (APMs). The Directors believe that they 
provide useful supplemental information for the readers of the annual report and, when read in conjunction with the IFRS financial information, assist 
in providing a balanced view of the Group’s financial performance and financial position.

In assessing its performance, the Group has adopted a number of APMs because statutory measures can have limitations as analytical tools and are 
necessary to readers of the accounts when understanding our performance relative to other companies in our sector and in the wider economy. 

We set out below those APMs which management use in assessing its own performance and a reconciliation of those APMs to the statutory IFRS 
financial statements.

EBITDA

a) 
EBITDA is defined as Earnings Before Interest, Tax, Depreciation, Amortisation, share-based payments and non-underlying items. EBITDA is 
considered the most relevant performance measure in our (and many other) sectors. We reconcile EBITDA to the statutory measure of operating 
profit on the face of the Income Statement as below:

EBITDA

Adjusted for:

Depreciation

Amortisation of intangible assets

Profit on ground rent transaction

Acquisition cost

Other non-underlying items

Acquisition adjustments

Share-based payments charge

Operating profit

2019
£000

2018
£000

73,546

43,862

(10,631)

(10,188)

4,565

(10,331)

(7,425)

–

(60)

(5,906)

(7,428)

–

–

(4,525)

(5,620)

(197)

39,476

20,186

13

6,14

6

6

6

b)  Non-underlying items
Non-underlying items relate to events or transactions that, in the opinion of the Directors, by virtue of size and incidence are disclosed separately 
in order to improve a reader’s understanding of the financial statements. They include: costs relating to the acquisition of new businesses, the 
integration of acquisitions and the reorganisation of the internal operating and management structure, redundancy costs, costs associated with 
terminating lease agreements and profit arising on the ground rent transaction.

Also included are the non-cash charges of amortisation of intangible fixed assets together with any impairment of intangible assets or goodwill.

Non-underlying items also comprise costs relating to derivative financial instruments and include the movements during the year in the fair value 
of the Group’s interest rate hedging arrangements which do not qualify for hedge accounting, together with the quarterly cash settlement and 
accrual thereof.

They also include the current tax and deferred tax adjustments relating to the above.

We present a reconciliation of our underlying earnings to our statutory profit on a line by line basis including Operating profit, Finance expenses, 
Profit before tax and Taxation as follows:

Operating profit

Finance expenses

Profit before tax 

Taxation

Profit for the year

Note

Underlying
£000

2019

Non- 
underlying
£000

Statutory
£000

Underlying
£000

62,855

(23,379)

39,476

9

(12,690)

(2,446)

(15,136)

50,165

(25,825)

24,340

6,10

(9,423)

5,209

(4,214)

 40,742 

(20,616)

 20,126 

37,759

(4,867)

32,892

(5,751)

27,141

2018

Non- 
underlying
£000

 (17,573)

51

(17,522)

1,625

(15,897)

Statutory
£000

20,186

(4,816)

15,370

(4,126)

11,244

CareTech Holdings PLC
Annual Report and Accounts 2019
98

c)  Net Debt
A key performance indicator for many readers of accounts is the level of Net Debt within the business. Net Debt comprises cash net of all loans and 
borrowings as defined by the Group’s banking facilities. Accordingly, the Group provides information on its Net Debt and which is reconciled to the 
statutory financial statements as follows:

Net Debt in the Balance Sheet comprises:

Cash at bank and in hand 

Bank loans

Finance lease and hire purchase contracts

Net Debt at 30 September

Note

2019
£000

2018
£000

17

17

29,238

9,421

(315,878)

(151,748)

(4,437)

(4,662)

(291,077)

(146,989)

d)  Working capital conversion
The Group considers that a key element of its performance is the cash generation from its EBITDA and that there is a correlation between working 
capital performance and the quality of earnings. In the current year, the working capital conversion is impacted by the fact that Cambian was 
acquired mid-October and as such cash receipts in the first few weeks of the month are excluded, whereas payroll payments and creditor payments, 
which typically fall at the end of each month, are included given a skewed working capital position. Accordingly, the Group provides a calculation 
of working capital conversion both including and excluding the first 19 days of October which is reconciled to the statutory financial statements 
as follows:

Operating cash flows before adjustment items

EBITDA

Working capital conversion

Operating cash flows before adjustment items

Cambian cash receipts and payments pre-acquisition

At 30 September

EBITDA

Working capital conversion

2019
£000

66,324

73,546

90.2%

2019
£000

66,324

 8,140

74,464

73,546

101.2%

2018
£000

39,446

43,862

89.9%

2018
£000

39,446

–

39,446

43,862

89.9%

CareTech Holdings PLC
Annual Report and Accounts 2019
99

Strategic reviewGovernanceFinancial StatementsDirectors and Advisers

Company Number
04457287

Registered Office
5th Floor
Metropolitan House
3 Darkes Lane
Potters Bar
Herts
EN6 1AG

Directors
Farouq Sheikh 
Haroon Sheikh 
Christopher Dickinson 
Mike Adams 
Karl Monaghan 
Jamie Cumming 
Moira Livingston  

Solicitors
Charles Russell Speechlys
6 New Street Square
London
EC4A 3LX

Ashurst LLP
Broadwalk House
5 Appold Street
London
EC2A 2AG

(Group Executive Chairman)
(Group Chief Executive Officer)
(Chief Financial Officer)
(Executive Director)
(Non-Executive Director)
(Non-Executive Director)
(Non-Executive Director)

CareTech Holdings PLC
Annual Report and Accounts 2019
100

Nominated Adviser and Joint Broker
Panmure Gordon and Co
One New Change
London 
EC4M 9AF

Joint Brokers
WH Ireland
24 Martin Lane
London
EC4R ODR

Auditor
Grant Thornton UK LLP
30 Finsbury Square
London
EC2A 1AG

Bankers
The Royal Bank of Scotland PLC
280 Bishopsgate
London
EC2M 4RB

Lloyds Bank PLC
Large Corporate
25 Gresham Street
London
EC2V 7HN

Santander Corporate Banking
2 Triton Square
Regents Place
London
NW1 3AN

HSBC UK Bank PLC
Level 6
71 Queen Victoria St
London
EC4V 4AY

AIB Group (UK) PLC
Corporate Banking
9-10 Angel Court
London
EC2R 7AB

Barclays
Level 12
1 Churchill Place
London
E14 5HP

Clydesdale Bank PLC
138 New Street
Birmingham
B2 4JQ

Credit Suisse AG
The Gate
Dubai
United Arab Emirates

Registrars
Link Asset Services
Northern House
Woodsome Park
Fenay Bridge
Huddersfield
West Yorkshire
HD8 OGA

 
 
 
 
 
 
Design and production:
Gather +44 (0)20 7610 6140 
www.gather.london

The paper used in this Report is  
derived from sustainable sources.

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CareTech Holdings PLC   

Metropolitan House 
3 Darkes Lane 
Potters Bar 
Hertfordshire 
EN6 1AG

Tel: 01707 601800 
Fax: 01707 655265