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Navigating the National Insurance rise as a care provider

November 25, 2024
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As a Senior Account Executive at Birdie, I regularly speak with care providers across the country. One topic dominates our conversations lately: the Labour government's recent National Insurance increase. This change is set to significantly impact the care sector, affecting operating costs, squeezing margins, and potentially making it harder to attract and retain skilled staff.


Drawing from these conversations, I'd like to share some practical approaches that providers are implementing to address these changes.

Understanding your financial position

The first step in mitigating the impact of the National Insurance (NI) increase is to understand how it specifically affects your organisation.


Review your payroll expenses to calculate the expected additional NI cost. The increase will apply to both employers’ and employees’ contributions, so your budgeting will need to account for these rising expenses. By quantifying the impact, you can better anticipate the hit to your P&L and start exploring targeted solutions.


Additionally, review your current financial metrics. This might include cash flow forecasts, profit margins, and projected revenue. A clear understanding of your baseline financial health enables you to plan more effectively and consider adjustments that won’t compromise your care standards.


For more on the topic of key financial metrics to measure, have a look at our guide to growing your business with the power of data

Optimising workforce management

The care sector's labour-intensive nature means that payroll costs significantly impact profitability. Consider these strategies to optimise your workforce resources without impacting on the quality of care you deliver:

  • Flexible staffing models: Explore flexible scheduling and agile rotas - these could help reduce the NI burden associated with full-time employees while still providing quality care.
  • Technology solutions: Invest in tools that help streamline operations. Scheduling software, automated reporting, and digital care documentation systems can save significant time and reduce your dependence on administrative labor.
  • Skill-based allocation: Review the structure of your team and consider whether tasks can be reassigned to maximise skill sets. For example, reserving specialised care tasks for senior staff while assigning general support roles to junior employees can enhance efficiency and lower costs.

Enhancing staff retention

In a high-turnover sector like care, staff retention is key to controlling costs. High turnover rates lead to increased hiring and training expenses, which become even more significant with higher NI contributions. Investing in staff satisfaction and retention can help mitigate this:

  • Competitive benefits: If salary increases aren’t viable, consider other benefits, such as health support, mental wellbeing resources, or flexible working options that make your organisation a more desirable place to work.
  • Growth and development opportunities: Employees are more likely to stay when they feel valued and see growth potential. Offering professional development programs or career progression pathways can boost morale and reduce turnover.
  • Engage and communicate: With the changes in NI, it’s important to be transparent with your team about the organisation’s financial health and how these changes impact them. Open communication fosters trust and demonstrates a commitment to maintaining their roles despite the challenges.

Reviewing revenue strategy

In the face of rising costs, it may be necessary to review your pricing structure. Communicate any changes carefully and transparently with your clients and their families. Most people understand that costs rise over time, and as long as they feel the quality of care justifies the price, they’re more likely to accept an increase.

Additionally, consider diversifying revenue streams where possible. For instance, explore partnerships or contracts with local councils or healthcare providers to expand your reach. Alternatively, you might look into providing specialised services, such as short-term care for clients transitioning from hospital to home. Expanding your service offerings can open up new revenue opportunities to offset increased costs.

Looking ahead

While the increase in National Insurance will undoubtedly add pressure, I've seen firsthand how strategic planning and efficient operations can help maintain both financial stability and care quality. By focusing on efficiency, optimising staffing, and carefully managing costs, you can protect your P&L while continuing to deliver high-quality care. The care sector thrives on resilience, and with careful planning, we can navigate this change and emerge stronger.

Being an Senior Account executive here at Birdie i have the pleasure of speaking to many care providers across the country. The budget has been a hot topic to say the least. The recent National Insurance (NI) increase announced in the Labour government’s budget is set to impact the care sector significantly. This rise will likely increase operating costs, compress already-tight margins, and make it even more challenging to attract and retain the skilled workforce the market relies on.

Here, are some key practical points which some care providers are adopting at the moment to try and mitigate against this increase.

1. Understand the Financial Impact

The first step in mitigating the impact of the NI increase is to understand how it specifically affects your organisation. Review your payroll expenses to calculate the expected additional NI cost. The increase will apply to both employers’ and employees’ contributions, so your budgeting will need to account for these rising expenses. By quantifying the impact, you can better anticipate the hit to your P&L and start exploring targeted solutions.

Additionally, review your current financial metrics. This might include cash flow forecasts, profit margins, and projected revenue. A clear understanding of your baseline financial health enables you to plan more effectively and consider adjustments that won’t compromise your care standards.

2. Reevaluate Staffing and Resource Allocation

The care sector is labour-intensive, and any increase in payroll-related costs has a direct impact on the bottom line. To soften this, look for ways to optimise your workforce allocation without sacrificing quality. Here are a few ideas:

Flexible Staffing Models: Explore flexible scheduling and agile rotas.  This could help reduce the NI burden associated with full-time employees while still providing quality care.

Technology Solutions: Invest in tools that help streamline operations. Scheduling software, automated reporting, and digital care documentation systems can save significant time and reduce your dependence on administrative labor.

Skill-Based Allocation: Review the structure of your team and consider whether tasks can be reassigned to maximise skill sets. For example, reserving specialised care tasks for senior staff while assigning general support roles to junior employees can enhance efficiency and lower costs.

3. Focus on Retention and Staff Satisfaction

In a high-turnover sector like care, staff retention is key to controlling costs. High turnover rates lead to increased hiring and training expenses, which become even more significant with higher NI contributions. Investing in staff satisfaction and retention can help mitigate this:

Competitive Benefits: If salary increases are not viable, consider other benefits, such as health support, mental well-being resources, or flexible working options that make your organisation a desirable place to work.

Growth and Development Opportunities: Employees are more likely to stay when they feel valued and see growth potential. Offering professional development programs or career progression pathways can boost morale and reduce turnover.

Engage and Communicate: With the changes in NI, it’s important to be transparent with your team about the organisation’s financial health and how these changes impact them. Open communication fosters trust and demonstrates a commitment to maintaining their roles despite the challenges.

4. Review Pricing Models and Revenue Streams

In the face of rising costs, it may be necessary to review your pricing structure. Communicate any changes carefully and transparently with your clients and their families. Most people understand that costs rise over time, and as long as they feel the quality of care justifies the price, they’re more likely to accept an increase.

Additionally, consider diversifying revenue streams where possible. For instance, explore partnerships or contracts with local councils or healthcare providers to expand your reach. Alternatively, you might look into providing specialised services, such as short-term care for clients transitioning from hospital to home. Expanding your service offerings can open up new revenue opportunities to offset increased costs.

Moving Forward with Resilience

While the increase in National Insurance will undoubtedly add pressure, strategic planning can help mitigate its effects on your organisation. By focusing on efficiency, optimising staffing, and carefully managing costs, you can protect your P&L while continuing to deliver high-quality care. The care sector thrives on resilience, and with careful planning, we can navigate this change and emerge stronger.

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