Totally
Totally plc

Totally plc share price, company news, analysis and interviews

Totally plc (LON:TLY) addresses the challenges of increased demand on healthcare services by delivering high-quality planned, urgent and insourcing healthcare across the UK and Ireland.

The group is an important player in the UK healthcare system, with a growing range of healthcare services to offer improved care for those whose conditions can be better treated at home, locally, or in the community.

Totally plc

They currently offer:

Premier Physical Healthcare – providing occupational physiotherapy to NHS, prisons and the police force

About Health – provider of community based dermatology services & referral management services

Optimum Sports Performance Centre – providing physiotherapy to private markets

Vocare – provides GP out-of-hours, integrated urgent care centres and the NHS 111 service

Totally Health – provides clinical health coaching via B2B model to the NHS and the private sector

My Clinical Coach – provides subscription based direct-to-consumer clinical coaching service for people with long-term health conditions or general ‘wellness’ concerns

Greenbrook Healthcare – provides services for NHS patients in a growing number of GP practices, walk-in centres, urgent care centres and community services

Totally Healthcare – provides bespoke insourcing solutions across multiple specialties to cut patient waiting times across the UK and Ireland

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Totally plc

Totally plc Urgent Care division awarded contract extensions and pilot funding worth c. £7.2m

Totally plc (LON:TLY), the provider of a range of healthcare services across the UK and Ireland, has announced it has been awarded a number of contract extensions and continued pilot funding worth a total of c. £7.2 million.

The extensions and continued funding to pilot COVID-19 specific clinical services include 111 Clinical Assessment Services, Urgent Treatment Centre services and GP Out of Hours services across England and have been awarded to Totally’s wholly-owned subsidiaries Vocare Limited, and Greenbrook Healthcare Limited, which together form Totally’s Urgent Care division.

Wendy Lawrence, CEO of Totally, said: “Our Urgent Care division has seen a huge surge in demand over the past year, due primarily to the COVID-19 pandemic, and these contract extensions and pilot schemes are testament to the hard work and dedication being demonstrated by our staff across the country. I am delighted that the quality of services that Totally is offering to ease the burden on our healthcare system is being recognised, and I am extremely proud to continue standing shoulder-to-shoulder with the NHS during these crucial times.”

Totally plc is a leading healthcare service provider in the UK and Ireland, working in partnership with the NHS and other providers to deliver healthcare services through its divisions of Urgent Care, Planned Care and Insourcing.

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Totally plc

Totally achieve ‘Good’ CQC rating for South West London NHS 111

Totally plc (LON:TLY), the provider of a range of healthcare services across the UK and Ireland, has announced that its South West London NHS 111 service, part of the Vocare group, has been rated as ‘Good’ across all performance measures following a recent inspection by the Care Quality Commission.

Following the rerating, Totally is pleased to confirm that all its CQC registered services across the Group are now rated ‘Good’ overall.

Wendy Lawrence, CEO of Totally plc, said: “We are extremely pleased to be able to announce this significant achievement for the Group. The upgrade of the South West London NHS 111 service marks a key milestone for the Company as we are now able to say that all our services carry an overall ‘Good’ CQC rating. Our teams continually strive to ensure that the services and care they provide patients are high-quality and the CQC ratings are testament to the dedication and hard work of staff.

“We are now focused on our busiest time of the year, with all our teams and services geared up to support the NHS to deliver front line services during the winter period as it responds to the demands and challenges presented by COVID-19. We would also like to take this opportunity to thank all our shareholders for their continued support throughout this period and as we move into the new year.”

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Totally plc

Totally secures contract extensions worth c.£9.8m

Totally plc (LON:TLY), the provider of a range of healthcare services across the UK and Ireland, has announced a number of contract extensions for the provision of Clinical Assessment Services, GP Out of Hours and Urgent Treatment Centres across the North East of England, the Midlands and Greater London.

The Contracts are worth a total of c.£9.8 million and have been awarded to Totally’s wholly-owned subsidiaries Vocare Limited and Greenbrook Healthcare Limited, which together form Totally’s Urgent Care Division.

Wendy Lawrence, CEO of Totally plc, said: “I am pleased to report on further contract extensions across our Urgent Care Division which, as reported at our interim results, has reacted swiftly in the face of unprecedented levels of demand during the ongoing pandemic. Staff have been working tirelessly, delivering existing and new face to face and remote healthcare services over the last few months and I am extremely proud to see this hard work continue to deliver results.

“Totally continues to adapt to the ever-changing requirements of the NHS and end-patients in this unpredictable environment, and we are confident that we are well positioned to meet any future fluctuations in demand, particularly as we enter the busy winter period.”

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health

Totally performance remains strong with growth in revenue, earnings and cash

Totally plc (LON:TLY), the provider of a range of healthcare services across the UK and Ireland, has announced its unaudited interim results for the six months ended 30 September 2020.

Financial highlights

·    Group turnover of £54.1 million (H1 2019: £49.2 million)

·    Gross profit of £10.2 million (H1 2019: £9.8 million)

·    EBITDA profit £2.3 million (H1 2019: EBITDA profit of £1.3 million after exceptional items of £0.8m)

·    Profit before tax £0.1m (H1 2019: £2.6 million loss before tax)

·    Cash at bank of £12.3 million (31 March 2020: £8.9 million)

·    Proposed interim dividend of 0.25p per share to be paid in February 2021

Chairman’s Statement

The Group has continued to operate successfully throughout the first half of the year, despite the many challenges presented by COVID-19. As a business on the front line during the current pandemic, we are grateful for the unwavering dedication of our staff who have been working through unprecedented times.  The safety and well-being of all employees across the Group and the provision of high quality care to the patients we serve remains our number one priority and we continue to work hard to ensure that even during these difficult times that remains unchanged as we continue to deliver services throughout the second National lockdown. 

I am pleased to report that the Group has maintained a robust financial position, showing resilient growth in revenue, earnings and cash flow in the period under review.  Although Government-enforced restrictions have meant that our Planned Care and Insourcing divisions have not been operating at full capacity, our Urgent Care division was quick to respond to the considerable increase in demand and changes to clinical pathways due to COVID-19 management and has performed strongly as a result.

We firmly believe that the Group’s performance to date has demonstrated its positioning as an important strategic partner to the NHS and other healthcare bodies and remain confident that the strength of these relationships will put us in good stead for further growth.

At the time of writing we continue to see increases in demand for some services as a direct result of COVID-19 and expect this to increase during the second National lockdown. Whilst planned care and insourcing services continue with certain services at this time, we continue to work closely with commissioners and hospitals to ensure we can quickly respond to any changes that need to be made to services as a result of the management of the pandemic – we expect to continue to do so throughout the winter months. Urgent Care will no doubt continue to see demand increase for some services, whilst the other divisions may see waiting lists increase further if elective care is reduced to guarantee access to hospitals. Totally will of course ensure it remains responsive to these changing demands.

I would like to express my thanks to the Group’s stakeholders for their continued support. We look to the remainder of the year with confidence as we focus on opportunities to expand existing services, provide new targeted services and work with new commissioners, enabling us to further strengthen our market leading position in the UK healthcare market.

Bob Holt             

Chairman           

9 November 2020

Operational highlights – Robust performance in the face of COVID-19

Urgent Care

·    Vocare Limited and Greenbrook Healthcare Limited, which form our Urgent Care Division, were awarded significant extensions to existing contracts across England, worth a total of c. £27 million.

·    The Urgent Care division has worked tirelessly throughout the period delivering existing and new face to face and remote healthcare services:

o  This has included further innovation of NHS 111 service delivery in response to unprecedented demand and responding quickly by increasing capacity overnight as a direct result of COVID-19.

o  Deployment of clinical resources into emergency departments to assist patient flow and protect the service through front door streaming of symptomatic patients.

o  These services have supported the NHS to respond proactively throughout the pandemic. Many of these new services continue to be provided including:

  • Partnership with the Home Office and commissioners in North West London providing initial health screening assessment to asylum seekers.

  • Delivering a new operationally integrated National Clinical Assessment Service (CAS) across all of our 111 services enhancing resilience, providing increased scale and enabling a national rather than local response to call activity.

  • Running COVID secure clinics to support the NHS in combatting the demand caused by symptomatic COVID patients.

Planned Care

·    Services have been impacted by the pandemic; many elective care services were paused across the UK during the first lockdown, while waiting lists for these services continue to grow.

·    Remobilising services where possible, whilst working within new guidance to meet requirements from COVID-19, remains the main priority for the division.

·    Where possible, face to face care has been replaced by video consultations.

·    Services began to remobilise during August 2020 following the first national lockdown and have continued. It is the intention to continue to deliver services throughout the second national lockdown with the continuation of planned care with all clinics working to new models of care in COVID safe environments.

·    Mobilised new First Contact Physiotherapy services in Hampshire and awarded a framework contract to deliver Occupational Health Services for Bedfordshire Fire and Rescue Services – both to be provided following new COVID safe guidelines.

·    New contract mobilisation in Manchester delayed until April 2021 as a result of challenges in local geographies as a result of the pandemic. About Health continues to work closely with commissioners to ensure this new service is mobilised when local circumstances permit.

Insourcing

·    Totally Healthcare was impacted during the first half of the year as elective care services were paused, as part of the wider changes made in order to respond to the pandemic.

·    Services resumed during June 2020 in the Republic of Ireland and have continued during the period. Services have not been impacted by the recent lockdown in Ireland as elective care services are continuing across the UK.

·    During August, services also resumed in other parts of the UK, depending on geographical impacts and restrictions of the pandemic. These services continue at the time of writing and all are delivered using new COVID safe care models.

·    Due to the growth in waiting lists across all clinical specialities, the order book of work is healthy and ready to be delivered as and when hospitals and NHS Trusts are able to restart elective care.

Operational Review – “working in new ways delivering exceptional care”

I am proud that, in spite of the difficulties faced during the ongoing pandemic, the Group’s performance has remained strong, seeing growth in revenue, earnings and cash. At the half year and beyond, we are trading in line with management expectations and every effort is being made to ensure that Totally remains in as strong a position as possible as we progress through the second half of the financial year.  We will continue to deliver frontline healthcare services and to respond to the unprecedented demands of the pandemic. At the time of writing this statement our divisions are responding to the increased demand for access to Urgent Care services and supporting hospitals to ensure that as waiting lists grow, we have plans for delivering our services which can be mobilised quickly. During the second national lockdown all healthcare providers, including the NHS, plan to continue to deliver elective care services which means we anticipate all divisions continuing to operate through this period.

We continue to stand shoulder-to-shoulder with and fully support the NHS and other healthcare providers across the UK in the fight against COVID-19. The pandemic has affected each of the Group’s divisions very differently; two of our divisions ceased delivering the majority of services for a period of time during the first lockdown, whilst Urgent Care faced, and continues to face, unprecedented demands for services. Our strategy to create a diversified business with three distinct divisions has afforded the Group the flexibility to continue to operate and grow even under the pressures that the pandemic has caused.

The Group’s Urgent Care division, providing NHS 111 services, experienced unprecedented levels of demand during the period and whilst it secured a number of significant contract extensions across the UK plus funding to pilot additional clinical services, worth a total of c.£27m, focus has remained on proactively managing the demand created by COVID-19 by expanding and adapting the services to operate in COVID safe environments. We continue to work closely with NHS England ensuring that the 111 service is utilised as efficiently as possible as a key component in the patient pathway and – as we do every year – to ensure we are well prepared for the winter, which will bring further intricacies as a result of seasonal flu.

We expect the provision of all our services to continue at this time, but some remain dependent on local government-enforced lockdowns and restrictions on planned care provision. Whilst both our Planned Care and Insourcing divisions were impacted during the first national lockdown, and we needed to manage the pausing and suspension of services in a number of areas across the UK and Ireland, services remobilised from June onwards and continue at this time. Services that were disrupted have seen waiting lists increase and therefore both divisions have experienced demand for services increase as services have been able to remobilise.

During the period, the Group has also invested in its internal services and personnel, not only to adapt to  new ways of working (moving from face-to-face to remote care provision and harnessing the use of technology), but also to uphold the highest standards of safety and well-being for all employees across the Group all within COVID safe environments. Through the introduction of new processes and systems for managing all absences of staff and the interpretation of all guidance from Government relating to COVID-19,  we are able to support our staff on an individual basis so that they can continue to carry out their roles and deliver services to patients wherever possible.

Our Sickness Absence Management service (SAMs) ensures all guidance is interpreted quickly and every member of staff is supported individually to understand how national guidance applies to them. For Totally this has ensured that, at all times, we understand the impacts on our workforce and can make necessary adjustments to working processes and procedures to comply with any changes to guidance. Our SAMs service has been adopted for continuation across Totally in order to support employees during all sickness and absence periods. We also introduced home working for those roles where this was an option and significantly invested in the technology to enable this. Where home working is not an option the provision of Personal Protective Equipment (to meet government guidelines) along with numerous changes to office / premises procedures were implemented and remain in place.

The Group implemented its Emergency Preparedness, Resilience and Response (EPRR) policy which mirrors how the NHS plans for and responds to a wide range of incidents and emergencies that could affect health or patient care. This ensures our staff and services can continue to operate during the pandemic and enables management to make informed decisions about all aspects of the business during unprecedented times. EPRR forms part of our internal Business Continuity Plan.

As announced in our trading update on 7 September 2020, the Group has seen a change in the way in which it secures new business. Although due to current circumstances there are very few new tenders being launched for services already provided by Totally, we are finding a number of opportunities to expand on our existing agreements with commissioners as well as to provide new targeted services in response to changing demands. These opportunities are a direct result of the excellent relationships Totally has with its existing partners and the reputation it has built with the NHS for providing high quality healthcare services. We fully expect this trend in the change of origination of revenue growth to continue in the near to medium term.

We are constantly adapting our businesses, reacting to the ever-evolving measures to best serve our patients and, as such, we feel the Group is well positioned to meet any future fluctuations in demand on the healthcare system. We recognise that these remain difficult times for all, especially our staff who are operating in unprecedented circumstances, and would like to express our thanks for their hard work throughout this period. Similarly, we thank our shareholders for their continued support, and we look forward to updating the market on further progress in due course.

Wendy Lawrence

Chief Executive Officer

9 November 2020

Financial Review

For the six-month period we are pleased to report turnover of £54.1 million (H1 2019: £49.2 million) and earnings before interest, taxation, depreciation and amortisation (EBITDA) of £2.3m (H1 2019: £2.1 million excluding exceptional items and £1.3m including exceptional items).  The profit before tax is £0.1 million (30 September 2019: £2.6 million loss before tax). The profit before tax for the period includes amortisation of acquisition intangibles relating to contracts acquired of £1.0 million (30 September 2019: £2.5 million).

Revenue levels in the Urgent Care division have been maintained overall; additional services relating to the COVID response support we have provided to the NHS and the extension of current services have offset the reduction in face to face patient income.  The Planned Care division has suffered more notably with a reduction of income of c.50%. This is in line with management forecasts produced at the outset of the pandemic. Insourcing revenue for the first half of the year is at c.80% of the H2 performance of FY20. 

A gross margin of 18.7% has been achieved in the first half of the year and is ahead of management plans (17% underlying gross margin for H1: 2019). The first half of this financial year has, of course, been unprecedented for all. The extraordinary demand on our 111 services in particular has put pressure on margins, only partially offset by the suspension of contractual KPI penalties.  The significant decline in Urgent Treatment Centre volumes and other Face to Face contact was somewhat protected by block contract arrangements and the absence of ‘out of area’ patient income during lockdown was offset by direct cost savings.

The Planned Care and Insourcing divisions were able to continue delivery of services albeit at reduced margin as appointment times were increased and higher PPE costs were incurred to maintain staff and patient safety.

Overall, the group has been able to maintain net margin at 4% and deliver a profit before tax of £0.1m (H1 2019: £2.6m loss before tax).  It does, however, remain extremely challenging to forecast with any degree of accuracy given the volatility of demand and accessibility of patient service delivery.  We intend to continue to plan, deliver and respond positively to these changing market dynamics.

Interim Dividend

The Company is proposing to pay an interim dividend of 0.25 pence per ordinary share (H1 2019: 0.25p) in February 2021. The interim dividend will be formally declared and announced ahead of its proposed payment in February 2021. The board remain confident in the Group’s future prospects.

Lisa Barter

Finance Director – Totally Plc

9 November 2020

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Totally plc

NHS key partner Totally plc expect to continue to grow and expand

Totally plc (LON:TLY), the provider of a range of healthcare services across the UK and Ireland, has announced that, at its Annual General Meeting being held today, at the Company’s registered office address, Cardinal Square West, 10 Nottingham Road, Derby DE1 3QT at 3.00 p.m., Chairman Bob Holt will make the following statement:

 “We are delighted with how the Group as a whole has swiftly adapted to the unprecedented challenges faced by our healthcare services as a result of the pandemic. The demands encountered are huge and constantly changing, and helping the Government to address such events  is exactly why we established Totally.

“The Group’s preparation and planning for delivering services throughout the winter are well underway (as they always are at this time of the year) and the winter will likely bring seasonal flu to add to the complexities of COVID-19. Totally is well prepared for this and the services established over the last few months to specifically respond to COVID-19 remain in place and are ready to be mobilised as required.

“As a provider of frontline healthcare our priority has been to continue to deliver services whilst ensuring our staff – who have worked tirelessly throughout these uncertain times – are safe and supporting them to carry out their roles, all whilst ensuring national guidance is followed. This has meant changing clinical practice, ensuring PPE is available to all who need it and supporting staff to work from home where possible whilst providing all staff with the technology to do so. For those that cannot work remotely, the offices have been made ‘COVID secure’ and have remained open.

“We are extremely proud to be standing shoulder to shoulder with the NHS and other healthcare providers in the face of the pandemic. We continue to work closely with them, learning lessons from how the virus has been managed and what else can be done in future to ensure services can be mobilised quickly under additional pressures and demand, which we are well prepared to manage. The Group’s three divisions offer the flexibility to continue doing this regardless of how the situation may evolve in the coming months.

“Whilst the way we secure new business has changed, particularly given that new tenders are not currently available, we expect to continue growing and expanding, although revenues are unlikely to grow at previously anticipated rates. The opportunities to expand existing services, provide new targeted services and work with new commissioners continue to present themselves, and we remain confident that Totally will continue to be a key partner for the NHS and other healthcare bodies across the UK.”

Trading Update

Totally has continued to be quick to respond to and address the unprecedented pressures placed on healthcare services as a result of the global pandemic and continues to adapt its approach in order to meet the needs of the NHS and other healthcare providers across the UK and Ireland. Despite the difficult environment, the Group has continued to trade strongly and in line with management expectations. The Company retains a healthy cash position of c.£10.2m as at 31 August 2020  and does not have any debt financing*.

Totally plc’s strategy has always been, and remains, to support the NHS in England and other healthcare bodies across the UK and Ireland, helping to manage surges in demand for patient-facing services, irrespective of where this demand originates. Whilst the Group’s divisions have all been impacted differently by COVID-19, Totally continues to provide the highest quality patient care whilst standing shoulder to shoulder with the NHS.

The Group established its three divisions (being Urgent Care, Planned Care and Insourcing) to ensure that  opportunities and risks are suitably diversified and that the Group is flexible and able to respond to fluctuations in demand across all elements of the UK and Ireland’s healthcare sectors. Each division is driven forward by leaders and teams who are experts in their respective fields and capable of delivering robust growth in accordance with the Group’s strategy.

Operational Review

The Company provides the following update on current activities and how COVID-19 has impacted the business across each division. With uncertainty still prevailing around what services will be required over the coming months as part of the response to COVID-19, each division is working alongside healthcare providers to agree plans for the delivery of services throughout winter and to implement necessary contingency measures to ensure the Group is ready to respond as needed during this period. Although the demands are constantly changing and it is unclear how these will present themselves going forward, Totally and its businesses remain key delivery partners to the NHS and other commissioning bodies.

Urgent Care 

The Group’s NHS 111 services have experienced significant increases in demand during the pandemic and have been expanded and adapted accordingly, including through the increased use of technology, to continue providing high quality patient consultations and care. The division continues to work with NHS England to review how services are provided and to prepare for managing the winter period and any impact from COVID-19. As part of this it is engaging in the new ‘Think 111’ campaign, aimed at encouraging the use of 111 as a first port of call for anyone with symptoms of the virus.

As members of the public were asked to self-isolate if symptomatic of COVID-19 and to self-manage pre-existing conditions at home, Totally’s GP Out of Hours services stepped in to support individuals to do this and to avoid attendance at and admission to hospitals.  111 contacts and consultations have, as a result, increased over the last few months and services remain in place today for managing COVID-19 and other day-to-day healthcare issues. Additionally, Government guidance led to a considerable reduction in attendances at Urgent Treatment Centres (“UTCs”) and A&E departments, with staff moving into other areas of the business, when possible, to ensure continuity of delivery. Notwithstanding, the Company was pleased to be able to open its new UTC in Watford (Hertfordshire) on 1 July 2020, originally set to open in April 2020.

Overall, the Urgent Care division has performed well during the period, responding to increases in demand which has resulted in increased revenue.

Planned Care

As elective care was scaled down across every hospital in the UK over the last few months due to COVID-19, the majority of services within the Group’s Planned Care division (outpatients, physiotherapy and podiatry) gradually reduced. A number of services continued remotely, however, via the use of technology, such as video consultations. Members of staff within Planned Care that had been furloughed due to the temporary suspension and scaling down of elective care are returning to work as services remobilise. Whilst the process of remobilisation is underway it will take time, as the division awaits guidance in relation to the changing clinical delivery models for services and as primary care premises become available for service delivery. The impact of COVID-19 on elective care has led to the delay in the mobilisation of a new contract secured by About Health in Greater Manchester (as announced on 7 February 2020), which was due to start in April 2020 and is now expected to commence in October 2020.

Services across the Planned Care division are now beginning to remobilise, but remain dependant on local commissioners and any updates to lockdown rules.

Insourcing

The Company’s insourcing business, Totally Healthcare, saw all services paused in Spring 2020 as decisions to suspend all elective surgery were taken in order to prioritise the response to COVID-19. As a result, waiting lists have grown significantly across the UK and Ireland. Recruitment for THC’s team of clinicians has continued at pace, and the business is well-prepared to meet the increased demand and support healthcare providers across the UK and Ireland to reduce waiting lists, as restrictions around elective surgeries continue to lift.

Some services in Ireland re-commenced as of June 2020 followed by further services in England during August.  THC is working closely with commissioners across the UK to mobilise insourcing services as local circumstances allow.

* Following the adoption of IFRS 16, the Company has reported operating lease commitments as a debt on its balance sheet however these do not affect the day to day working capital available to the Group.

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presentation

Totally plc investor presentation – Preliminary results for the year ended 31st March 2020

Totally plc (LON:TLY), the provider of a range of healthcare services across the UK and Ireland, has announced that Wendy Lawrence, CEO, and Lisa Barter, Finance Director, will provide a live investor presentation relating to the Company’s 2020 Full Year Results via the Investor Meet Company platform on 13 July 2020 at 16:00.

The Company is committed to ensuring that there are appropriate communication structures for all elements of its shareholder base so that its strategy, business model and performance are clearly understood.  

·    The online presentation is open to all existing and potential shareholders.

·    Questions can be submitted pre-event via your IMC dashboard or any time during the live presentation via the “Ask a Question” function. Although the Company may not be in a position to answer every question it receives, it will address the most pertinent within the confines of information already disclosed to the market.

·    Responses to the Q&A from the live presentation will be published at the earliest opportunity on the Investor Meet Company platform.

·    Investor feedback can also be submitted directly to management post-event to ensure the Company can understand the views of all elements of its shareholder base.

Investors can sign up to Investor Meet Company for free and add to meet Totally plc via:

https://www.investormeetcompany.com/totally-plc/register-investor

Investors who have already registered and added to meet the Company, will be automatically invited.

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Totally plc

Totally plc deliver strong results with revenues up 35.8%

Totally plc (LON:TLY), the provider of a range of healthcare services across the UK and Ireland, has announced its results for the 12-month period ended 31 March 2020.

Operational highlights

·    Successfully completed acquisition of Greenbrook Healthcare in June 2019 via reverse takeover

·   Greenbrook Healthcare secured new Urgent Treatment Centre contract in Watford for the Company’s Urgent Care division

·    Secured largest dermatology contract to date for About Health in Manchester

·   Launched new Insourcing start-up business, Totally Healthcare, in October 2019 delivering Insourcing services across the UK and Ireland

·   Continued to provide frontline healthcare services supporting the NHS to manage the COVID-19 pandemic

·    97% of registered services rated as ‘Good’ by the Care Quality Commission (CQC)

Financial highlights

·    Revenue up 35.8% to £105.9m (2019: £78.0m)

·    Gross margin improved to 18.1% (2019: 15.5%)

·    Underlying EBITDA* up 265% to £4.0m** (2019: £1.1m)

·    Loss before tax of £3.4m (2019: £1.8m)

·    Cash up 19% to £8.9m as at 31 March 2020 (31 March 2019: £7.5m)

·    Paid a maiden interim dividend to shareholders in February 2020 of 0.25p per share

*Earnings before interest, tax, depreciation and amortisation, before exceptional items outlined in the notes to the financial statements

**Includes £1.6m impact relating to implementation of IFRS 16

Post period end highlights

·    Significant contract extensions awarded to Vocare worth a total of £19.5m

·    Mobilisation and restart of Planned Care and Insourcing care divisions

·    Continued support to NHS across all operating divisions in response to COVID-19

·   Maiden final dividend of 0.25 pence per share proposed bringing total dividend for the year to 0.50 pence per share

CHAIRMAN’S STATEMENT

The year ended 31 March 2020 was a good year for Totally delivering profit before depreciation and amortisation during times of unrivalled political instability which included BREXIT and a General Election followed by the worldwide pandemic of COVID-19 which has impacted on every person and every business.

Totally’s strategy has always been to support the NHS to manage the pressures and demands placed upon healthcare services. The COVID-19 pandemic is no exception, and everyone at Totally has stood shoulder to shoulder with the NHS and delivered patient-facing services throughout this period and continues to do so. At the time of writing, we are still very much in a period of uncertainty as everyone works together to ensure services are robust and ready for any second wave of demand.   What is very clear to the Board of Totally is that our strategy has been, and continues to be, correctly focused during these unprecedented times.

Whilst we expect the business to grow in 2021 and beyond, due to current run rates and new contract wins, the timing of new tenders, which is a key part of our growth plans, remains uncertain due to the COVID-19 pandemic and its impact on the NHS. We are therefore unable to give firm guidance at this stage on our growth expectations for the current financial year and the Board has considered it appropriate for market forecasts to be withdrawn at this time. The medium to long term outlook and trajectory of the business however remains unchanged. Shareholders should also be pleased that we expect continued growth in operating cash flow and the Board therefore remain committed not only to the payment of dividends but also in continuing with our progressive dividend policy. Accordingly, the Board is pleased to propose a maiden final dividend of 0.25 pence per share taking the total dividends for the year to 0.50 pence per share. Subject to shareholder approval at the upcoming AGM the final dividend will be paid in October 2020.

With the expertise of our leadership teams, we will continue to ensure our services respond to any changes in demand we receive and that we support our staff to deliver exceptional services in partnership with the NHS and other public sector bodies across the UK and Ireland. Whilst the way we secure new business has changed, the demand for our services is not expected to diminish.

During the year, we completed the acquisition of Greenbrook Healthcare, which increased our presence across London in Urgent Care. You will read throughout this report the progress that’s been made with integrating Greenbrook Healthcare into our Urgent Care Division and harnessing technology will continue to build to our market-leading position.

The Group also launched its Insourcing business, Totally Healthcare, which during its first few months of operations secured contracts across the UK and Ireland delivering services to provide bespoke services to reduce hospital waiting lists. Already its reputation is for delivering services quickly, efficiently and of high quality to every patient treated. Of course, these services were put on hold during the pandemic as all elective healthcare services were suspended to focus on managing COVID-19. Totally Healthcare is now back working and supporting hospitals plan for how they reduce the waiting times and waiting lists which have increased during the first half of 2020.

We all know that cash is a seen as a barometer of the success of any business and we reported £8.9m cash at the bank at year end, an accurate reflection of the efforts of all our support teams to ensure we operationally deliver across the business.

All of this has been achieved during the most testing times which reflects the outstanding commitment and expertise of everyone across the Group for which I commend them. We must also thank our investors for their continued support which enables us to continue to deliver our strategic intentions of becoming a partner of choice for the delivery of healthcare services across the UK.

Bob Holt OBE

Chairman

7 July 2020

CHIEF EXECUTIVE OFFICER’S REVIEW

Building strong partnerships with a reputation for delivering high‑quality care even during the most difficult times

I am pleased to report excellent progress across the Group with a strong set of results during a year when we saw many external challenges including the Covid-19 pandemic which impacted all of our businesses towards the end of the reporting period.

Our management team has seized every opportunity presented to them to strengthen our market position and support the delivery of healthcare services across our three divisions.

Demand for our services continues to be strong, on the back of our reputation for delivery of high-quality services. 26 out of 27 of our registered services with the Care Quality Commission are rated as good, an excellent position to grow from and it has been pleasing to see continuing improvement in our CQC ratings reflecting the high-quality care we provide.

Our three distinct business divisions – Urgent Care, Planned Care and Insourcing – provide a portfolio of healthcare services across the UK and Ireland built on the expertise and commitment of our people, ensuring the patients we treat receive the highest quality of care quickly and efficiently.  We partner with healthcare organisations across the UK supporting them to manage demand for services.

We continue to support the NHS by working on the frontline delivering services to manage the demand from the Covid-19 pandemic but also respond to the need to reduce waiting times and waiting lists due to the suspension of elective healthcare services.

Whilst we expect the business to grow during 2020/21 and the medium to long term outlook for the business remains unchanged, we are unable to give clear guidance at this stage of the impact of COVID-19 on the current financial year and as such the Board has resolved to withdraw market forecasts at this time. Each of our divisions has been affected in different ways by the COVID-19 pandemic and demand for many of our services remains strong. COVID-19 has though inevitably resulted in delays being encountered with the NHS awarding tenders and there has been an impact on the near-term visibility for growth, particularly in Planned Care.

Of course, our results demonstrate the significant progress we have made, regardless of external forces. New contracts were secured across the three divisions, including the largest to date within our Planned care division to deliver Dermatology outpatient services across Manchester. In addition, we have continued to secure a number of vital contract extensions in both Urgent Care and Planned Care which underpin our foundations for continued growth -in excess of £20m of contract extensions were secured in the period under review.

Building on our Strategy

During the year, we have focused on delivering services across the Group that are sustainable and reactive to changes in demand.

·  High-quality: has to be at the centre of everything we do. Our reputation is built upon this core requirement.

·    Geography: during the year, we have successfully expanded our footprint across the UK and Ireland and are now delivering services across England, Scotland, Wales, Northern Ireland and the Republic of Ireland.

·    Diversification: across our divisions ensuring we deliver models of care across all areas of high demand in the healthcare sector and that our divisions support each other by “cross-selling” services to both existing and potential new customers.

·  Learning: from everything we do, both positive and negative, and ensuring we stay ahead of our competition with our approach to disrupting care models and delivering real tangible benefits.

·    Supporting: our people and investing in them as they are at the core of what we do.

The Future

I would like to re-emphasise my confidence in the team of people we have and their ability to grow the business organically and via acquisitions, as well as continually review and develop the range of services we offer.

We are well positioned to further build on our market-leading positions in all of our divisions. Building on our strong relationships with our commissioners and supporting government bodies to proactively manage the demands placed on healthcare services during unprecedented events such as the recent Covid-19 pandemic when we experienced major increases in demand for our services, specifically in NHS 111. We were able, with the dedication of our people, to stand shoulder to shoulder with other healthcare professionals, and deliver services 24/7 across England supporting everyone by providing the high-quality services we are known to deliver.

I look forward to updating you further as we continue to expand our services across the UK

Wendy Lawrence

Chief Executive Officer

7 July 2020

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Vocare NHS 111

Totally plc Vocare awarded multiple significant contract extensions

Totally plc (LON:TLY), a leading provider of a range of healthcare services across the UK and Ireland, has today announced a number of extensions to existing contracts across England, worth a total of c. £19.55 million.

Whilst the NHS focuses on responding to the COVID-19 crisis these contract extensions, awarded to Vocare Limited, Totally’s wholly owned subsidiary and one of the UK’s leading national specialist providers of urgent care services, will ensure the continued provision of services to patients beyond March 2021 and include options for further 12 month extensions.

Under the terms of the extensions, Vocare will continue to provide vital GP Out of Hours, NHS 111 and Integrated Urgent Care Services to several NHS Commissioners across the breadth of England, including South West London, Staffordshire and Vale of York.

In partnership with the NHS, Vocare and Greenbrook Healthcare: Totally’s Urgent Care division, remain committed and focused on enhancing out of hours services and urgent care treatment, helping to relieve the pressures faced by the health services, especially at the current time.

COVID-19 update

As previously announced Totally continues to focus its efforts on supporting the NHS in the proactive response to COVID-19 through the provision of services from its Urgent Care division. Today, the Group also announces that, in line with recent Government guidance and as the NHS works towards moving into the next phase of its plan of resuming non-essential and elective procedures, it has mobilised its Planned Care and Insourcing divisions to ensure they are ready to recommence operations and support the NHS as soon as these services restart across the UK.

Wendy Lawrence, CEO of Totally plc, said: “The COVID-19 pandemic we are currently facing has highlighted the importance of supporting the NHS through the provision of high quality, responsive services for patients. We are delighted to announce this range of contract extensions which will enable us to continue supporting the needs of the numerous communities we currently serve, whilst further strengthening our partnership with the NHS.

“At this exceptional time our priority remains the delivery of frontline services across the UK and ensuring we work closely with the NHS as the COVID-19 situation evolves and we move into the next stages. We will continue to support the NHS and our patients through not only our Urgent Care division, as we have been to date, but also now through the re-establishment of operations via our Planned Care and Insourcing divisions across the UK and Ireland.”

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