Nestor Healthcare Interim Results

Date : 08/06/2009 @ 2:00AM
Source : UK Regulatory (RNS and others)
Stock : Nestor Healthcare (NSR)
Quote : 43.0  -1.75 (-3.91%) @ 9:48AM
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Nestor Healthcare Interim Results

 
TIDMNSR 
 
RNS Number : 9414W 
Nestor Healthcare Group PLC 
06 August 2009 
 
? 
 
 
 
 
Nestor Healthcare Group plc 
Half year results for the six months ended 5th July 2009 
 
 
 
 
Results summary 
 
 
 
 
+------------------------------------------+---------------+------------+ 
|                                          |          2009 |       2008 | 
+------------------------------------------+---------------+------------+ 
| Revenue                                  |      GBP74.7m |   GBP84.5m | 
+------------------------------------------+---------------+------------+ 
| Operating profit excluding Carewatch     |       GBP4.4m |    GBP4.0m | 
+------------------------------------------+---------------+------------+ 
| Carewatch trading profits                |             - |    GBP2.2m | 
+------------------------------------------+---------------+------------+ 
| Net interest                             |     (GBP0.5m) |  (GBP2.4m) | 
+------------------------------------------+---------------+------------+ 
| Profit before tax before exceptional     |       GBP3.9m |    GBP3.8m | 
| charges*                                 |               |            | 
+------------------------------------------+---------------+------------+ 
| Profit before tax                        |       GBP3.0m |    GBP3.4m | 
+------------------------------------------+---------------+------------+ 
| Basic earnings per share                 |          2.4p |       2.2p | 
+------------------------------------------+---------------+------------+ 
| Interim dividend per share               |          0.5p |        nil | 
+------------------------------------------+---------------+------------+ 
* Profit before tax before exceptional charges in the above results summary is 
stated before loss on disposal, fair value adjustments relating to derivative 
contracts and (in 2008) redundancy costs. 
 
 
  *  The Group's ongoing businesses continued to make progress in the first half, 
  evident in the improved profitability of Social Care and contract wins in 
  Primary Care. 
 
 
 
  *  The Social Care business delivered profits up GBP0.2m to GBP4.3m (2008: GBP4.1m) 
  with an improved margin of 8.2% (2008: 7.7%) on revenue 2% down at GBP52.0m 
  (2008: GBP52.9m) as Local Authority spending in some areas remained constrained. 
  Operating efficiencies and cost savings have been achieved in support services 
  and the branches. Goldsborough / Medico volumes were down in the first quarter 
  but up in the second helped by a new contract in Hackney. Care worker 
  recruitment is no longer an inhibitor to growth. Country Cousins and Patricia 
  White's performed in line with last year. 
 
 
 
  *  The Primary Care business produced profits of GBP1.7m (2008: GBP1.9m) on 
  revenues of GBP22.7m (2008: GBP25.3m) as, as expected, two out-of-hours 
  contracts expired and before five "Darzi" schemes under the government's 
  extended access programme have begun to contribute. Three centres opened in July 
  with two more expected to open this year and early next. The profit benefit will 
  largely arise from 2010 onwards. Tender activity continues at a high level 
  across a wide range of opportunities for the independent sector. 
 
 
 
  *  Cash flow from operations was GBP3.4m (2008: GBP7.1m). Closing net borrowings 
  were reduced to GBP16.9m (year-end 2008: GBP19.0m). 
 
 
 
  *  The Group is paying an interim dividend of 0.5p per share (2008: nil). 
 
 
 
 
 
Commenting on the outlook, John Rennocks, Chairman, said: 
 
 
"In Social Care the recent growth in volume at Goldsborough / Medico is 
encouraging after a lengthy period of volume reduction as the business has 
rationalised its network and focused on efficiency and profitability. I expect 
this steady growth to continue, although constraints on Local Authority spending 
and the possible impact of the recession on private clients may restrict the 
rate of progress. The current results of Primary Care are modest but in line 
with our expectations at this stage. The prospects in the medium and long term 
for this business are increasingly positive and the opening of our first three 
GP/Walk in centres is a significant step forward. Primecare is well positioned 
to build upon its record of excellent service in its existing and new contracts 
as it develops its reputation and contacts with the key decision makers in 
PCTs." 
 
 
 
 
 
 
 
 
+---------------------------+---------------------------+---------------------------+ 
| Enquiries:                |                           |                           | 
+---------------------------+---------------------------+---------------------------+ 
| John Rennocks             | Martin Ellis              | Hannah Dean               | 
+---------------------------+---------------------------+---------------------------+ 
| Chairman                  | Finance Director          | Citigate Dewe Rogerson    | 
+---------------------------+---------------------------+---------------------------+ 
| Tel: 01784 221600         | Tel: 01784 221600         | Tel: 020 7638 9571        | 
+---------------------------+---------------------------+---------------------------+ 
 
 
 
 
 
 
Interim management report 
 
 
Introduction 
 
 
The Group's results for the six months to 5th July 2009 are in line with 
management expectations reported at the time of the Interim Management Statement 
in May 2009. 
 
 
In October 2008, the Group completed the disposal of its Social Care franchise 
business, Carewatch. The gain on sale and the trading profits of Carewatch are 
identified separately in the comparatives below. 
 
 
Excluding Carewatch, operating profits increased by 10% to GBP4.4m with 
continuing steady progress in Social Care. As anticipated, Primary Care profits 
are slightly down on the previous year following the loss of two out-of-hours 
contracts. However the business has successfully extended all of its current 
contracts, opened three "Darzi" centres with two more due to open this year and 
next, and continues to be presented with opportunities for more profitable 
growth in the future. 
 
 
Earnings per share were 2.4p (2008: 2.2p). The directors have declared an 
interim dividend of 0.5p (2008: nil). 
 
 
Results summary for the six months to 5th July 2009 
 
 
+-------------------------------------------+-------------+-------------+-------------+ 
|                                           |        2009 |        2008 |        2008 | 
|                                           |   Half year |   Half year |   Full year | 
+-------------------------------------------+-------------+-------------+-------------+ 
|                                           |             |             |             | 
+-------------------------------------------+-------------+-------------+-------------+ 
| Revenue                                   |    GBP74.7m |    GBP84.5m |   GBP163.3m | 
+-------------------------------------------+-------------+-------------+-------------+ 
| Operating profit:                         |             |             |             | 
+-------------------------------------------+-------------+-------------+-------------+ 
| Excluding Carewatch                       |     GBP4.4m |     GBP4.0m |     GBP9.5m | 
+-------------------------------------------+-------------+-------------+-------------+ 
| Carewatch operating profit                |           - |     GBP2.2m |     GBP3.3m | 
+-------------------------------------------+-------------+-------------+-------------+ 
| Exceptional charges                       |           - |   (GBP0.9m) |   (GBP7.5m) | 
+-------------------------------------------+-------------+-------------+-------------+ 
|                                           |     GBP4.4m |     GBP5.3m |     GBP5.3m | 
+-------------------------------------------+-------------+-------------+-------------+ 
|                                           |             |             |             | 
+-------------------------------------------+-------------+-------------+-------------+ 
| (Loss)/gain on sale of Carewatch          |   (GBP0.3m) |           - |    GBP31.1m | 
+-------------------------------------------+-------------+-------------+-------------+ 
| Net interest                              |   (GBP0.5m) |   (GBP2.4m) |   (GBP3.9m) | 
+-------------------------------------------+-------------+-------------+-------------+ 
| Fair value (loss)/profit relating to      |   (GBP0.6m) |     GBP0.5m |   (GBP2.1m) | 
| derivative contracts                      |             |             |             | 
+-------------------------------------------+-------------+-------------+-------------+ 
| Profit before tax                         |     GBP3.0m |     GBP3.4m |    GBP30.4m | 
+-------------------------------------------+-------------+-------------+-------------+ 
| Profit after tax                          |     GBP2.7m |     GBP2.5m |    GBP30.4m | 
+-------------------------------------------+-------------+-------------+-------------+ 
| Basic earnings per share                  |        2.4p |        2.2p |       26.9p | 
+-------------------------------------------+-------------+-------------+-------------+ 
 
 
The segmental analysis below illustrates the trading performance of Social Care 
and Primary Care. In order to improve accountability at divisional level and 
accelerate cost reductions, the majority of expenses previously treated as 
corporate have now been transferred under the management of the two business 
segments. Core Head Office costs (such as the Board, central finance and 
treasury operations and the costs entailed in operating as a plc) have been 
separately identified and are disclosed below. Previous year comparatives have 
been restated to match the revised method of reporting. 
 
 
Segmental analysis of revenue and operating profit before exceptional charges 
 
 
+--------------------+----------+-----------+----------+-----------+-----------+-----------+ 
|                    |    2009 Half year    |    2008 Half year    |    2008 Full year     | 
+--------------------+----------------------+----------------------+-----------------------+ 
|                    |  Revenue | Operating |  Revenue | Operating |   Revenue | Operating | 
|                    |          |    profit |          |    profit |           |    profit | 
+--------------------+----------+-----------+----------+-----------+-----------+-----------+ 
| Social Care        | GBP52.0m |   GBP4.3m | GBP52.9m |   GBP4.1m | GBP104.5m |   GBP8.5m | 
+--------------------+----------+-----------+----------+-----------+-----------+-----------+ 
| Primary Care       | GBP22.7m |   GBP1.7m | GBP25.3m |   GBP1.9m |  GBP49.3m |   GBP4.3m | 
+--------------------+----------+-----------+----------+-----------+-----------+-----------+ 
|                    |          |           |          |           |           |           | 
+--------------------+----------+-----------+----------+-----------+-----------+-----------+ 
| Corporate costs    |          | (GBP1.6m) |          | (GBP2.0m) |           | (GBP3.3m) | 
+--------------------+----------+-----------+----------+-----------+-----------+-----------+ 
|                    |          |           |          |           |           |           | 
+--------------------+----------+-----------+----------+-----------+-----------+-----------+ 
| Carewatch          |        - |         - |  GBP6.3m |   GBP2.2m |   GBP9.5m |   GBP3.3m | 
+--------------------+----------+-----------+----------+-----------+-----------+-----------+ 
|                    |          |           |          |           |           |           | 
+--------------------+----------+-----------+----------+-----------+-----------+-----------+ 
| Totals             | GBP74.7m |   GBP4.4m | GBP84.5m |   GBP6.2m | GBP163.3m |  GBP12.8m | 
+--------------------+----------+-----------+----------+-----------+-----------+-----------+ 
 
 
Further analysis of the above information is contained within note 2 of the 
condensed financial statements. 
 
 
Social Care 
 
 
Our Social Care businesses provide community services, primarily homecare, to 
local authorities and private patients through a network of over 100 branches 
throughout the UK. 
 
 
Social Care profits have increased by GBP0.2m compared to last half year, on 
slightly reduced revenue. Goldsborough / Medico's volumes in the first quarter 
were down on the previous year as the business continued to rationalise its 
branch network and withdraw from unprofitable activity. The second quarter has 
seen volume growth both over the first quarter and compared to the previous 
year, in part due to the commencement of a new contract in Hackney. Tender 
activity has been relatively quiet in recent months as Local Authority spending 
remains constrained. However there is considerable variability in Authorities' 
funding positions, which continues to generate local opportunities for our 
business. The economic environment and increasing levels of unemployment have 
led to an increase in applications for care work; again there are significant 
regional variations, but care worker recruitment is not now an inhibitor to 
growth. 
 
 
Social Care's profit margin has increased from 7.7% to 8.2% and has benefited 
from the consolidation of branches as well as improvements in operating 
efficiencies and reductions in the costs of support services. 
 
The combined profitability of our two private homecare providers, Country 
Cousins and Patricia White's, is in line with last year, with no obvious signs 
that the recession is yet having a material impact. Patricia White's has been 
affected by the deaths of a number of clients who had been requiring intensive 
support, but new client wins are encouraging. Country Cousins has had an 
excellent first half with revenue and profits ahead of last year. 
 
 
Primary Care 
 
 
Primary Care provides general practitioner out-of-hours and other primary care 
services to Primary Care Trusts (PCTs), secure institutions and police forces. 
 
 
Primary Care's first half operating profit of GBP1.7m shows a small reduction 
from the previous year, but is ahead of management's expectations. The shortfall 
compared to 2008 is due to the loss of out-of-hours contracts last year and in 
the later months of this first half year when, as anticipated, two PCT contracts 
were terminated. This will cause second half profits for Primary Care to be 
lower than those achieved in the first half. However all other Primary Care 
contracts, including out-of-hours, which were due to be renewed in 2009, have 
been extended by a minimum of twelve months. This excellent outcome provides the 
business with a solid base from which it can continue to develop its new 
services and extend its business relationships. 
 
 
We reported at the year-end that our Primecare business had been selected as 
preferred bidder for five "Darzi" schemes under the government's extended access 
programme, which comprise walk-in centres, health centres and GP practices and 
are awarded for a five-year term. Each contract is expected on average to 
generate approximately GBP1m of revenues per annum dependent on utilisation, and 
the majority have guaranteed levels of income built in. Three of the centres 
have opened in July, with a fourth scheduled for the autumn. The final scheme 
will probably not open until early 2010, having been delayed by the PCT 
encountering property planning issues. The profit contribution from these 
schemes will be limited in 2009 but they represent an important first step for 
Primecare, as well as other independent providers, to participate in the revised 
approach to these services. Primecare continues to tender for a small number of 
additional "Darzi" schemes including a number in London, where the tendering 
exercise commenced later than the rest of the country, and for a number of 
schemes which failed to award a contract following the first round of tendering. 
More generally, tender activity continues at a high level but the business is 
being selective as to the opportunities it pursues. Nevertheless the number of 
traditional out-of-hours, police and prison tenders is such that the full 
complement of business development resource, recruited in late 2007, has been 
retained. 
 
 
Whilst the profit contribution of Primary Care will be relatively modest in the 
short term, the Board is encouraged by the improved approach by management in 
developing long-term relationships with PCT decision makers, which we believe 
will deliver improved returns in future years. 
 
 
Derivative contracts 
 
 
Prior to the disposal of Carewatch in October 2008, the Group's net debt 
totalled approximately GBP55m. In 2007, the Group entered into hedging 
arrangements fixing GBP60m of its borrowing in a range of interest rates between 
4.5% and 7.0%. At 31st December 2008, cancellation of the contracts would have 
required a payment of GBP2.6m. Continued reductions in rates have led to an 
increase in this liability to GBP2.8m, after having made payments totalling 
GBP0.4m in the first half. The two derivative contracts expire in October and 
November 2010, when their value will be nil. Should interest rates continue at 
the current very low levels this would lead to further, significant cash 
payments over the lives of the contracts. 
 
 
Cash flow 
 
 
Cash generated from operations totalled GBP3.4m (2008: GBP7.1m). Debtor days 
outstanding have reduced to 36 days, compared to 39 days at the end of 2008 and 
at the same time last year. The Group continues to make additional contributions 
to its defined benefit pension schemes, which totalled GBP1.3m in the first half 
(2008: GBP2.0m). Despite this, the total of pension deficits has increased from 
GBP8.7m at the end of 2008 to GBP11.8m. Based upon latest valuations, actuarial 
losses were incurred both on assets, GBP1.3m, and on liabilities, GBP3.0m; the 
latter arising chiefly because of a lower rate being used to discount future 
obligations. The final dividend for 2008 of 1.5p per share was paid to 
shareholders in June 2009 at a total cost of GBP1.7m. Closing net borrowings at 
the half year were GBP16.9m (year end 2008: GBP19.0m). 
 
 
Taxation 
 
 
The tax charge for the period was GBP0.4m (2008: GBP1.0m). The current tax 
charge of GBP0.9m represents 29.6% of the profit before tax, this percentage 
being an estimate of the full year tax rate (2008: 28.2%). A tax credit of 
GBP0.5m has also been recognised in respect of prior years. 
 
 
Dividends 
 
 
The directors have declared a dividend of 0.5p per share (cost GBP564,000), 
which will be accounted for in the second half of the year. This will be paid on 
9th October 2009 to shareholders on the register on 11th September 2009. No 
interim dividend was paid in 2008 as, at the time the Board considered the 
matter, the sale of Carewatch had still to be completed. 
 
 
Bank facilities 
 
 
The Group's banking facilities are due to expire in December 2009 and 
discussions have already commenced with banks with regard to their renewal. The 
trading performance of the Group, the significant strengthening of the balance 
sheet and the quality of current banking relationships enable the Board to be 
confident that the renewal will be completed in good time and on satisfactory 
terms. 
 
 
Risks and uncertainties 
 
 
The principal risk factors which could materially affect the Group's business, 
financial condition and/or results of operations were described on pages 22 and 
23 of the Annual Report and Accounts for 2008. The principal risk factors which 
have been identified are as follows: loss of revenue and profits from contracts 
with Primary Care Trusts or Local Authorities; competition; technological 
innovation; the regulatory environment; the need to procure suitably qualified 
staff; loss of reputation; funding and going concern and pension scheme 
deficits. 
 
 
In the opinion of the directors, there has been no material change in these risk 
factors in the first six months of the current year, and neither is there 
expected to be any material change in them in the second six months. 
 
 
Related party transactions 
 
 
The Group's related party transactions are as set out on page 56 of the Annual 
Report and Accounts for 2008. There have been no material changes to the nature 
of the Group's related party transactions in the six month period to 5th July 
2009. 
 
 
Chief Executive role 
 
Since the end of April 2008, in addition to my duties as non-executive Chairman, 
I have fulfilled the role of Chief Executive on a part-time basis. Given the 
current stage of the Group's development and the satisfactory first half year's 
trading, the Board has decided to continue with this approach until such time as 
the development of the Group justifies the appointment of a full-time Chief 
Executive. 
 
 
Swine flu 
 
 
Both Primary Care and Social Care, in common with most other businesses, face 
the possibility of short-term staff shortages due to the swine flu outbreak, 
although the extent of any disruption can be mitigated by the flexibility of the 
working hours of our staff and our extensive employee databases. The outbreak 
also represents an opportunity for our Primary Care business to provide much 
needed support to its current base of PCTs and a number of discussions are 
currently being held. 
 
 
Outlook 
 
 
In Social Care the recent growth in volume at Goldsborough / Medico is 
encouraging, after a lengthy period of volume reduction as the business 
rationalised its network and focused on efficiency and profitability. I expect 
this steady growth to continue, although constraints on Local Authority spending 
and the possible impact of the recession on private clients may restrict the 
rate of progress. The current results of Primary Care are modest but in line 
with our expectations at this stage. The prospects in the medium and long term 
for this business are increasingly positive and the opening of our first three 
GP/Walk in centres is a significant step forward. Primecare is well positioned 
to build upon its record of excellent service in its existing and new contracts 
as it develops its reputation and contacts with the key decision makers in the 
PCTs. 
 
 
 
 
 
 
John Rennocks 
Chairman and Chief Executive 
 
 
6th August 2009 
 
 
 
 
 
 
 
 
Directors' responsibilities 
 
 
This interim report is the responsibility of, and has been approved by, the 
directors of the Company. It complies with the requirement laid down within the 
Disclosure and Transparency Rules ("DTR") of the UK's Financial Services 
Authority to prepare a half yearly management and financial report. 
 
 
The directors confirm that, to the best of their knowledge: 
 
 
  *  the condensed set of financial statements within has been prepared consistent 
  with IAS 34 "Interim Financial Reporting", as issued by the IASB and endorsed 
  and adopted by the European Union; and 
 
 
 
  *  the interim management report includes a fair review of the information required 
  by: DTR 4.2.7R of the Disclosure and Transparency Rules, being an indication of 
  important events that have occurred during the first six months of the financial 
  year and their impact on the condensed set of financial statements; and a 
  description of the principal risks and uncertainties for the remaining six 
  months of the year; and DTR 4.2.8R of the Disclosure and Transparency Rules, 
  being related party transactions that have taken place in the first six months 
  of the current financial year and that have materially affected the financial 
  position or performance of the entity during that period; and any changes in the 
  related party transactions described in the 2008 Annual Report. 
 
 
 
The directors of Nestor Healthcare Group plc are listed in the Nestor Healthcare 
Group Annual Report for the year ended 31st December 2008. A list of current 
directors is also maintained on the Nestor Healthcare Group plc website: 
www.nestorplc.co.uk. 
 
 
On behalf of the Board 
 
 
 
 
 
 
John Rennocks 
Chairman and Chief Executive 
 
 
 
 
Martyn Ellis 
Finance Director 
 
 
6th August 2009 
 
 
 
 
 
 
 
 
+--------------------------------+------+--------------+-------------+------------+ 
| Condensed Group income statement (unaudited)         |             |            | 
+------------------------------------------------------+-------------+------------+ 
| for the six months ended 5th July     |              |             |            | 
| 2009                                  |              |             |            | 
+---------------------------------------+--------------+-------------+------------+ 
|                                |      |              |             |            | 
+--------------------------------+------+--------------+-------------+------------+ 
|                                |      |   Six months |  Six months |    Year to | 
|                                |      |           to |          to |            | 
+--------------------------------+------+--------------+-------------+------------+ 
|                                |      |   05.07.2009 |  04.07.2008 | 31.12.2008 | 
+--------------------------------+------+--------------+-------------+------------+ 
|                                |      |       GBP000 |      GBP000 |     GBP000 | 
+--------------------------------+------+--------------+-------------+------------+ 
|                                |      |              |             |            | 
+--------------------------------+------+--------------+-------------+------------+ 
| Revenue                        |      |       74,748 |      84,465 |    163,289 | 
+--------------------------------+------+--------------+-------------+------------+ 
| Cost of sales                         |     (49,560) |    (54,219) |  (104,727) | 
+---------------------------------------+--------------+-------------+------------+ 
|                                |      |              |             |            | 
+--------------------------------+------+--------------+-------------+------------+ 
| Gross profit                          |       25,188 |      30,246 |     58,562 | 
+---------------------------------------+--------------+-------------+------------+ 
| Administrative expenses               |     (20,788) |    (24,937) |   (53,270) | 
+---------------------------------------+--------------+-------------+------------+ 
|                                |      |              |             |            | 
+--------------------------------+------+--------------+-------------+------------+ 
| Operating profit                      |        4,400 |       5,309 |      5,292 | 
+---------------------------------------+--------------+-------------+------------+ 
| Other (losses)/gains - disposal of    |        (259) |           - |     31,056 | 
| operations                            |              |             |            | 
+---------------------------------------+--------------+-------------+------------+ 
| Finance income                        |          126 |         573 |        238 | 
+---------------------------------------+--------------+-------------+------------+ 
| Finance expense                       |      (1,235) |     (2,461) |    (6,233) | 
+---------------------------------------+--------------+-------------+------------+ 
|                                |      |              |             |            | 
+--------------------------------+------+--------------+-------------+------------+ 
| Profit before taxation         |      |        3,032 |       3,421 |     30,353 | 
+--------------------------------+------+--------------+-------------+------------+ 
| Tax expense                           |        (357) |       (966) |        (1) | 
+---------------------------------------+--------------+-------------+------------+ 
|                                |      |              |             |            | 
+--------------------------------+------+--------------+-------------+------------+ 
| Profit for the period                 |        2,675 |       2,455 |     30,352 | 
+---------------------------------------+--------------+-------------+------------+ 
|                                |      |              |             |            | 
+--------------------------------+------+--------------+-------------+------------+ 
|                                |      |              |             |            | 
+--------------------------------+------+--------------+-------------+------------+ 
| Earnings per 10p share                |              |             |            | 
+---------------------------------------+--------------+-------------+------------+ 
| Basic                          |      |        2.37p |       2.18p |     26.90p | 
+--------------------------------+------+--------------+-------------+------------+ 
| Diluted                        |      |        2.36p |       2.18p |     26.90p | 
+--------------------------------+------+--------------+-------------+------------+ 
|                                |      |              |             |            | 
+--------------------------------+------+--------------+-------------+------------+ 
 
 
 
 
+---------+---------------------------------+-------------+------------+------------+ 
| Condensed Group statement of comprehensive income (unaudited)        |            | 
+----------------------------------------------------------------------+------------+ 
| for the six months ended 5th July 2009    |             |            |            | 
+-------------------------------------------+-------------+------------+------------+ 
|         |                                 |             |            |            | 
+---------+---------------------------------+-------------+------------+------------+ 
|         |                                 |  Six months | Six months |    Year to | 
|         |                                 |          to |         to |            | 
+---------+---------------------------------+-------------+------------+------------+ 
|         |                                 |  05.07.2009 | 04.07.2008 | 31.12.2008 | 
+---------+---------------------------------+-------------+------------+------------+ 
|         |                                 |      GBP000 |     GBP000 |     GBP000 | 
+---------+---------------------------------+-------------+------------+------------+ 
|         |                                 |             |            |            | 
+---------+---------------------------------+-------------+------------+------------+ 
| Profit for the period                     |       2,675 |      2,455 |     30,352 | 
+-------------------------------------------+-------------+------------+------------+ 
| Other comprehensive income:               |             |            |            | 
+-------------------------------------------+-------------+------------+------------+ 
| Actuarial losses arising in defined       |     (4,303) |    (1,994) |    (5,783) | 
| benefit pension schemes                   |             |            |            | 
+-------------------------------------------+-------------+------------+------------+ 
| Current tax credit                        |           - |          - |        979 | 
+-------------------------------------------+-------------+------------+------------+ 
| Deferred taxation credit arising on       |       1,205 |        558 |        640 | 
| actuarial losses                          |             |            |            | 
+-------------------------------------------+-------------+------------+------------+ 
|         |                                 |             |            |            | 
+---------+---------------------------------+-------------+------------+------------+ 
| Total comprehensive (loss)/income for the |       (423) |      1,019 |     26,188 | 
| period                                    |             |            |            | 
+---------+---------------------------------+-------------+------------+------------+ 
 
 
 
 
+--------------------+--------------------+---------+---------+---------+----------+-----------+---------+ 
| Condensed Group statement of changes in equity (unaudited)            |          |           |         | 
+-----------------------------------------------------------------------+----------+-----------+---------+ 
| for the six months ended 5th July 2009  |         |         |         |          |           |         | 
+-----------------------------------------+---------+---------+---------+----------+-----------+---------+ 
|                    |                    |         |         |         |          |           |         | 
+--------------------+--------------------+---------+---------+---------+----------+-----------+---------+ 
|                    |                    |         |   Share |   Share |          |  Retained |         | 
+--------------------+--------------------+---------+---------+---------+----------+-----------+---------+ 
|                    |                    |   Share | premium | payment |    Other | (losses)/ |   Total | 
+--------------------+--------------------+---------+---------+---------+----------+-----------+---------+ 
|                    |                    | Capital | account | reserve | reserves |  earnings |  equity | 
+--------------------+--------------------+---------+---------+---------+----------+-----------+---------+ 
|                    |                    |  GBP000 |  GBP000 |  GBP000 |   GBP000 |    GBP000 |  GBP000 | 
+--------------------+--------------------+---------+---------+---------+----------+-----------+---------+ 
|                    |                    |         |         |         |          |           |         | 
+--------------------+--------------------+---------+---------+---------+----------+-----------+---------+ 
| At 1st January 2008                     |  11,284 |  71,439 |     931 |      864 |  (37,270) |  47,248 | 
+-----------------------------------------+---------+---------+---------+----------+-----------+---------+ 
|                    |                    |         |         |         |          |           |         | 
+--------------------+--------------------+---------+---------+---------+----------+-----------+---------+ 
| Total comprehensive income for the six  |       - |       - |       - |        - |     1,019 |   1,019 | 
| month period                            |         |         |         |          |           |         | 
+-----------------------------------------+---------+---------+---------+----------+-----------+---------+ 
|                    |                    |         |         |         |          |           |         | 
+--------------------+--------------------+---------+---------+---------+----------+-----------+---------+ 
| Dividends payable to equity             |       - |       - |       - |        - |   (1,128) | (1,128) | 
| shareholders                            |         |         |         |          |           |         | 
+-----------------------------------------+---------+---------+---------+----------+-----------+---------+ 
| Increase in share payment reserve       |       - |       - |     149 |        - |         - |     149 | 
+-----------------------------------------+---------+---------+---------+----------+-----------+---------+ 
|                    |                    |         |         |         |          |           |         | 
+--------------------+--------------------+---------+---------+---------+----------+-----------+---------+ 
| At 4th July 2008 and 5th July 2008      |  11,284 |  71,439 |   1,080 |      864 |  (37,379) |  47,288 | 
+-----------------------------------------+---------+---------+---------+----------+-----------+---------+ 
|                    |                    |         |         |         |          |           |         | 
+--------------------+--------------------+---------+---------+---------+----------+-----------+---------+ 
| Total comprehensive income for the six  |       - |       - |       - |        - |    25,169 |  25,169 | 
| month period                            |         |         |         |          |           |         | 
+-----------------------------------------+---------+---------+---------+----------+-----------+---------+ 
|                    |                    |         |         |         |          |           |         | 
+--------------------+--------------------+---------+---------+---------+----------+-----------+---------+ 
| Increase in share payment reserve       |       - |       - |     307 |        - |         - |     307 | 
+-----------------------------------------+---------+---------+---------+----------+-----------+---------+ 
|                    |                    |         |         |         |          |           |         | 
+--------------------+--------------------+---------+---------+---------+----------+-----------+---------+ 
| At 31st December 2008 and 1st January   |  11,284 |  71,439 |   1,387 |      864 |  (12,210) |  72,764 | 
| 2009                                    |         |         |         |          |           |         | 
+-----------------------------------------+---------+---------+---------+----------+-----------+---------+ 
|                    |                    |         |         |         |          |           |         | 
+--------------------+--------------------+---------+---------+---------+----------+-----------+---------+ 
| Total comprehensive loss for the six    |       - |       - |       - |        - |     (423) |   (423) | 
| month period                            |         |         |         |          |           |         | 
+-----------------------------------------+---------+---------+---------+----------+-----------+---------+ 
|                    |                    |         |         |         |          |           |         | 
+--------------------+--------------------+---------+---------+---------+----------+-----------+---------+ 
| Dividends payable to equity             |       - |       - |       - |        - |   (1,693) | (1,693) | 
| shareholders                            |         |         |         |          |           |         | 
+-----------------------------------------+---------+---------+---------+----------+-----------+---------+ 
| Increase in share payment reserve       |       - |       - |     341 |        - |         - |     341 | 
+-----------------------------------------+---------+---------+---------+----------+-----------+---------+ 
|                    |                    |         |         |         |          |           |         | 
+--------------------+--------------------+---------+---------+---------+----------+-----------+---------+ 
| At 5th July 2009                        |  11,284 |  71,439 |   1,728 |      864 |  (14,326) |  70,989 | 
+--------------------+--------------------+---------+---------+---------+----------+-----------+---------+ 
 
 
 
 
+------------------------------------------+--+------------+------------+------------+ 
| Condensed Group balance sheet (unaudited)                |            |            | 
+----------------------------------------------------------+------------+------------+ 
| as at 5th July 2009                         |            |            |            | 
+---------------------------------------------+------------+------------+------------+ 
|                                          |  |            |            |            | 
+------------------------------------------+--+------------+------------+------------+ 
|                                          |  | 05.07.2009 | 04.07.2008 | 31.12.2008 | 
+------------------------------------------+--+------------+------------+------------+ 
|                                          |  |     GBP000 |     GBP000 |     GBP000 | 
+------------------------------------------+--+------------+------------+------------+ 
|                                          |  |            |            |            | 
+------------------------------------------+--+------------+------------+------------+ 
| Non-current assets                          |            |            |            | 
+---------------------------------------------+------------+------------+------------+ 
| Goodwill                                 |  |     92,803 |     96,462 |     92,798 | 
+------------------------------------------+--+------------+------------+------------+ 
| Other intangible assets                     |         48 |        291 |        111 | 
+---------------------------------------------+------------+------------+------------+ 
| Property, plant and equipment               |      2,020 |      2,946 |      2,449 | 
+---------------------------------------------+------------+------------+------------+ 
| Deferred tax assets                         |      4,702 |      3,292 |      3,758 | 
+---------------------------------------------+------------+------------+------------+ 
|                                          |  |            |            |            | 
+------------------------------------------+--+------------+------------+------------+ 
| Non-current assets                       |  |     99,573 |    102,991 |     99,116 | 
+------------------------------------------+--+------------+------------+------------+ 
|                                          |  |            |            |            | 
+------------------------------------------+--+------------+------------+------------+ 
| Current assets                              |            |            |            | 
+---------------------------------------------+------------+------------+------------+ 
| Trade and other receivables                 |     24,719 |     26,516 |    23,980  | 
+---------------------------------------------+------------+------------+------------+ 
| Derivative financial instruments            |          - |         40 |          - | 
+---------------------------------------------+------------+------------+------------+ 
| Current tax asset                           |        462 |          - |     2,204  | 
+---------------------------------------------+------------+------------+------------+ 
| Cash and cash equivalents                   |          6 |        275 |         75 | 
+---------------------------------------------+------------+------------+------------+ 
|                                          |  |            |            |            | 
+------------------------------------------+--+------------+------------+------------+ 
| Current assets                           |  |     25,187 |     26,831 |     26,259 | 
+------------------------------------------+--+------------+------------+------------+ 
|                                          |  |            |            |            | 
+------------------------------------------+--+------------+------------+------------+ 
| Current liabilities                         |            |            |            | 
+---------------------------------------------+------------+------------+------------+ 
| Borrowings - bank overdrafts                |    (1,856) |    (4,407) |    (2,091) | 
+---------------------------------------------+------------+------------+------------+ 
| Borrowings - bank loans                     |   (15,000) |          - |   (17,000) | 
+---------------------------------------------+------------+------------+------------+ 
| Derivative financial instruments            |    (2,786) |          - |    (2,552) | 
+---------------------------------------------+------------+------------+------------+ 
| Trade and other payables                    |   (15,037) |   (19,149) |   (14,694) | 
+---------------------------------------------+------------+------------+------------+ 
| Current tax liabilities                     |          - |      (372) |          - | 
+---------------------------------------------+------------+------------+------------+ 
| Employment benefit liabilities              |    (2,430) |    (2,430) |    (2,430) | 
+---------------------------------------------+------------+------------+------------+ 
| Property provisions                         |    (1,442) |    (1,205) |    (1,148) | 
+---------------------------------------------+------------+------------+------------+ 
|                                          |  |            |            |            | 
+------------------------------------------+--+------------+------------+------------+ 
| Current liabilities                         |   (38,551) |   (27,563) |   (39,915) | 
+---------------------------------------------+------------+------------+------------+ 
|                                          |  |            |            |            | 
+------------------------------------------+--+------------+------------+------------+ 
| Net current liabilities                     |   (13,364) |      (732) |   (13,656) | 
+---------------------------------------------+------------+------------+------------+ 
|                                          |  |            |            |            | 
+------------------------------------------+--+------------+------------+------------+ 
| Total assets less current liabilities    |  |    86,209  |    102,259 |     85,460 | 
+------------------------------------------+--+------------+------------+------------+ 
|                                          |  |            |            |            | 
+------------------------------------------+--+------------+------------+------------+ 
| Non-current liabilities                     |            |            |            | 
+---------------------------------------------+------------+------------+------------+ 
| Borrowings - bank loans                     |         -  |   (50,000) |          - | 
+---------------------------------------------+------------+------------+------------+ 
| Claims in respect of clinical incidents     |    (3,276) |          - |    (3,350) | 
+---------------------------------------------+------------+------------+------------+ 
| Employment benefit liabilities              |    (9,404) |    (3,832) |    (6,291) | 
+---------------------------------------------+------------+------------+------------+ 
| Property provisions                         |    (2,540) |    (1,139) |    (3,055) | 
+---------------------------------------------+------------+------------+------------+ 
|                                          |  |            |            |            | 
+------------------------------------------+--+------------+------------+------------+ 
| Non-current liabilities                     |   (15,220) |   (54,971) |   (12,696) | 
+---------------------------------------------+------------+------------+------------+ 
|                                          |  |            |            |            | 
+------------------------------------------+--+------------+------------+------------+ 
| Net assets                               |  |     70,989 |     47,288 |    72,764  | 
+------------------------------------------+--+------------+------------+------------+ 
|                                          |  |            |            |            | 
+------------------------------------------+--+------------+------------+------------+ 
| Equity                                   |  |            |            |            | 
+------------------------------------------+--+------------+------------+------------+ 
| Called up share capital                     |     11,284 |     11,284 |     11,284 | 
+---------------------------------------------+------------+------------+------------+ 
| Share premium account                       |     71,439 |     71,439 |     71,439 | 
+---------------------------------------------+------------+------------+------------+ 
| Share payment reserve                       |      1,728 |      1,080 |      1,387 | 
+---------------------------------------------+------------+------------+------------+ 
| Other reserves                              |        864 |        864 |        864 | 
+---------------------------------------------+------------+------------+------------+ 
| Retained losses                             |   (14,326) |   (37,379) |   (12,210) | 
+---------------------------------------------+------------+------------+------------+ 
|                                          |  |            |            |            | 
+------------------------------------------+--+------------+------------+------------+ 
| Equity shareholders' funds               |  |     70,989 |     47,288 |    72,764  | 
+------------------------------------------+--+------------+------------+------------+ 
 
 
 
 
+-----------+----------------------------------+-------------+------------+------------+ 
| Condensed Group cash flow statement (unaudited)            |            |            | 
+------------------------------------------------------------+------------+------------+ 
| for the six months ended 5th July 2009       |             |            |            | 
+----------------------------------------------+-------------+------------+------------+ 
|           |                                  |             |            |            | 
+-----------+----------------------------------+-------------+------------+------------+ 
|           |                                  |  Six months | Six months |    Year to | 
|           |                                  |          to |         to |            | 
+-----------+----------------------------------+-------------+------------+------------+ 
|           |                                  |  05.07.2009 | 04.07.2008 | 31.12.2008 | 
+-----------+----------------------------------+-------------+------------+------------+ 
|           |                                  |      GBP000 |     GBP000 |     GBP000 | 
+-----------+----------------------------------+-------------+------------+------------+ 
|           |                                  |             |            |            | 
+-----------+----------------------------------+-------------+------------+------------+ 
| Operating activities                         |             |            |            | 
+----------------------------------------------+-------------+------------+------------+ 
| Cash generated from operations               |       3,422 |      7,105 |     10,920 | 
+----------------------------------------------+-------------+------------+------------+ 
| Interest paid                                |       (689) |    (2,486) |    (4,130) | 
+----------------------------------------------+-------------+------------+------------+ 
| Interest received                            |         126 |          2 |         15 | 
+----------------------------------------------+-------------+------------+------------+ 
| Income taxes repaid/(paid)                   |       1,646 |      (231) |    (1,247) | 
+----------------------------------------------+-------------+------------+------------+ 
|           |                                  |             |            |            | 
+-----------+----------------------------------+-------------+------------+------------+ 
| Net cash generated from operating activities |       4,505 |      4,390 |      5,558 | 
+----------------------------------------------+-------------+------------+------------+ 
|           |                                  |             |            |            | 
+-----------+----------------------------------+-------------+------------+------------+ 
| Investing activities                         |             |            |            | 
+----------------------------------------------+-------------+------------+------------+ 
| Purchase of property, plant and equipment    |       (162) |      (129) |      (336) | 
+----------------------------------------------+-------------+------------+------------+ 
| Purchase of businesses and subsidiary        |       (225) |      (425) |      (784) | 
| undertakings                                 |             |            |            | 
+----------------------------------------------+-------------+------------+------------+ 
| Disposal of operations                       |       (259) |          - |     35,642 | 
+----------------------------------------------+-------------+------------+------------+ 
|           |                                  |             |            |            | 
+-----------+----------------------------------+-------------+------------+------------+ 
| Net cash (used in)/generated from investing  |       (646) |      (554) |     34,522 | 
| activities                                   |             |            |            | 
+----------------------------------------------+-------------+------------+------------+ 
|           |                                  |             |            |            | 
+-----------+----------------------------------+-------------+------------+------------+ 
| Financing activities                         |             |            |            | 
+----------------------------------------------+-------------+------------+------------+ 
| Equity dividends paid to shareholders        |     (1,693) |          - |    (1,128) | 
+----------------------------------------------+-------------+------------+------------+ 
| Decrease in loans from banks                 |     (2,000) |    (4,000) |   (37,000) | 
+----------------------------------------------+-------------+------------+------------+ 
| Decrease in bank overdrafts                  |       (235) |       (97) |    (2,413) | 
+----------------------------------------------+-------------+------------+------------+ 
|           |                                  |             |            |            | 
+-----------+----------------------------------+-------------+------------+------------+ 
| Net cash used in financing activities        |     (3,928) |    (4,097) |   (40,541) | 
+----------------------------------------------+-------------+------------+------------+ 
|           |                                  |             |            |            | 
+-----------+----------------------------------+-------------+------------+------------+ 
| Net decrease in cash and cash equivalents    |        (69) |      (261) |      (461) | 
+----------------------------------------------+-------------+------------+------------+ 
|           |                                  |             |            |            | 
+-----------+----------------------------------+-------------+------------+------------+ 
| Cash and cash equivalents at the beginning   |          75 |        536 |        536 | 
| of the period                                |             |            |            | 
+----------------------------------------------+-------------+------------+------------+ 
| Net decrease in cash and cash equivalents    |        (69) |      (261) |      (461) | 
+----------------------------------------------+-------------+------------+------------+ 
|           |                                  |             |            |            | 
+-----------+----------------------------------+-------------+------------+------------+ 
| Cash and cash equivalents at the end of the  |           6 |        275 |         75 | 
| period                                       |             |            |            | 
+----------------------------------------------+-------------+------------+------------+ 
|           |                                  |             |            |            | 
+-----------+----------------------------------+-------------+------------+------------+ 
 
 
 
 
Notes to the condensed financial statements 
for the six months ended 5th July 2009 
 
 
 
 
1. Basis of preparation 
 
 
The unaudited interim condensed financial statements for the six months ended 
5th July 2009 have been prepared in accordance with International Accounting 
Standard 34 "Interim Financial Reporting" (IAS 34) and have been prepared on the 
basis of International Financial Reporting Standards (IFRS), International 
Accounting Standards (IAS) and Interpretations (SICs and IFRICs) which have been 
adopted by the European Commission for use in the European Union (collectively 
"Adopted IFRS"). 
 
 
The financial information contained within the interim statement does not 
constitute statutory accounts as defined in section 435 of the Companies Act 
2006 and should be read in accordance with the Annual Report and Accounts for 
the year ended 31st December 2008. A copy of the statutory accounts for the year 
ended 31st December 2008 has been delivered to the Registrar of Companies. The 
auditors' report on those accounts was not qualified, did not include a 
reference to any matters to which the auditors drew attention by way of emphasis 
without qualifying their report, and did not contain statements under section 
237(2) or (3) of the Companies Act 1985. 
 
 
The Annual Report is available on the Group's website: www.nestorplc.co.uk; and 
on request from the Company's registered office. 
 
 
Except as noted below, the accounting policies and methods of computation 
adopted in the preparation of the unaudited interim financial statements are 
consistent with the policies applied by the Group in its consolidated financial 
statements for the year ended 31st December 2008. In the current year the Group 
has adopted IFRS 8 "Operating Segments", Amendments to IAS 23 "Borrowing Costs", 
Amendments to IFRS 2 "Share-based Payment: Vesting Conditions and 
Cancellations", Amendments to IAS 1 "Presentation of Financial Statements: A 
Revised Presentation", Amendments to IAS 32 and IAS 1 "Puttable Financial 
Instruments and Obligations Arising on Liquidation", Amendments to IFRS 1 and 
IAS 27 "Cost of an Investment in a subsidiary, jointly-controlled entity or 
associate", IFRIC 15 "Agreements for the Construction of Real Estate", IFRIC 16 
"Hedges of a net investment in a foreign operation" and "Improvements to IFRS". 
None of these have had a material impact on the results or financial position of 
the Group. 
 
 
The following interpretations were issued by the IFRIC and IASB before 5th July 
2009, but are not effective for the 2009 year end: 
IAS 27 (amended) "Consolidated and Separate Financial Statements" 
IAS 39 (amended) "Financial Instruments: Recognition and Measurement - Eligible 
Hedged Items" 
IFRS 3 (revised) "Business Combinations" 
IFRIC 17 "Distribution of non-cash Assets to Owners". 
 
 
Estimates and judgements 
 
 
The preparation of accounts in accordance with Adopted IFRS requires management 
to make estimates and assumptions that affect the reported amounts of assets and 
liabilities at the date of the accounts and the reported amounts of revenues and 
expenses during the reported period. These estimates are based on historical 
experience and various other assumptions that management and directors believe 
are reasonable under the circumstances, the results of which form the basis for 
making judgements about the carrying value of assets and liabilities that are 
not readily apparent from other sources. Areas comprising critical judgements 
that may significantly affect the Group's earnings and financial position are 
bad debt provisioning, valuation of intangibles including goodwill, tax 
enquiries, provisions for pensions, income taxes, property related items, claims 
arising from clinical incidents and share-based payments. 
 
 
2. Segmental information 
 
 
In the current year, the Group has adopted IFRS 8 "Operating Segments". This has 
led to the re-presentation of the comparative segmental information to comply 
with the requirements of this standard. For reporting purposes, the Group's 
results for the period ended 5th July 2009 have been analysed between Social 
Care and Primary Care. In the year to 31st December 2008, a third reportable 
segment, Carewatch, was sold. 
 
 
IFRS 8 requires operating segments to be identified on the basis of internal 
reports about components of the Group that are reviewed regularly by the chief 
operating decision makers in order to allocate resources to the segment and to 
assess its performance. Reportable segment profit represents operating profit 
earned by each segment. Corporate expenses have been allocated to operating 
segments on a specific basis where possible. Where not possible, no allocation 
has been made. This is the measure reported to the chief operating decision 
makers. 
 
 
The operational analysis of revenue and operating profit is as follows: 
 
 
+-----------------------------------------------+--+--+--------------+------------+------------+ 
|                                               |     |   Six months | Six months |    Year to | 
|                                               |     |           to |         to |            | 
+-----------------------------------------------+-----+--------------+------------+------------+ 
|                                               |     |   05.07.2009 | 04.07.2008 | 31.12.2008 | 
+-----------------------------------------------+-----+--------------+------------+------------+ 
|                                               |     |       GBP000 |     GBP000 |     GBP000 | 
+-----------------------------------------------+-----+--------------+------------+------------+ 
| Reportable external revenue by operating segment |                 |            |            | 
+--------------------------------------------------+-----------------+------------+------------+ 
| Social Care                                      |          51,990 |     52,919 |    104,532 | 
+--------------------------------------------------+-----------------+------------+------------+ 
| Primary Care                                     |          22,758 |     25,254 |     49,304 | 
+--------------------------------------------------+-----------------+------------+------------+ 
| Carewatch                                     |     |            - |      6,292 |      9,453 | 
+-----------------------------------------------+-----+--------------+------------+------------+ 
|                                               |     |              |            |            | 
+-----------------------------------------------+-----+--------------+------------+------------+ 
| Total Group revenue                              |          74,748 |     84,465 |    163,289 | 
+--------------------------------------------------+-----------------+------------+------------+ 
|                                               |     |              |            |            | 
+-----------------------------------------------+-----+--------------+------------+------------+ 
|                                               |     |              |            |            | 
+-----------------------------------------------+-----+--------------+------------+------------+ 
|                                               |     |   Six months | Six months |    Year to | 
|                                               |     |           to |         to |            | 
+-----------------------------------------------+-----+--------------+------------+------------+ 
|                                               |     |   05.07.2009 | 04.07.2008 | 31.12.2008 | 
+-----------------------------------------------+-----+--------------+------------+------------+ 
|                                               |     |       GBP000 |     GBP000 |     GBP000 | 
+-----------------------------------------------+-----+--------------+------------+------------+ 
| Reportable profit by operating segment           |                 |            |            | 
+--------------------------------------------------+-----------------+------------+------------+ 
| Social Care                                      |           4,257 |      4,065 |      8,528 | 
+--------------------------------------------------+-----------------+------------+------------+ 
| Primary Care                                     |           1,740 |      1,899 |      4,250 | 
+--------------------------------------------------+-----------------+------------+------------+ 
| Carewatch                                     |     |            - |      2,153 |      3,337 | 
+-----------------------------------------------+-----+--------------+------------+------------+ 
|                                               |     |              |            |            | 
+-----------------------------------------------+-----+--------------+------------+------------+ 
| Total profit for reportable operating segments   |           5,997 |      8,117 |     16,115 | 
+--------------------------------------------------+-----------------+------------+------------+ 
|                                               |     |              |            |            | 
+-----------------------------------------------+-----+--------------+------------+------------+ 
|                                               |     |              |            |            | 
+-----------------------------------------------+-----+--------------+------------+------------+ 
|                                               |     |   Six months | Six months |    Year to | 
|                                               |     |           to |         to |            | 
+-----------------------------------------------+-----+--------------+------------+------------+ 
|                                               |     |   05.07.2009 | 04.07.2008 | 31.12.2008 | 
+-----------------------------------------------+-----+--------------+------------+------------+ 
|                                               |     |       GBP000 |     GBP000 |     GBP000 | 
+-----------------------------------------------+-----+--------------+------------+------------+ 
| Profit for the period                            |                 |            |            | 
+--------------------------------------------------+-----------------+------------+------------+ 
| Total profit for reportable operating segments   |           5,997 |      8,117 |     16,115 | 
+--------------------------------------------------+-----------------+------------+------------+ 
| Unallocated corporate expenses                   |         (1,597) |    (2,808) |   (10,823) | 
+--------------------------------------------------+-----------------+------------+------------+ 
|                                               |     |              |            |            | 
+-----------------------------------------------+-----+--------------+------------+------------+ 
| Group operating profit                           |           4,400 |      5,309 |      5,292 | 
+--------------------------------------------------+-----------------+------------+------------+ 
|                                               |     |              |            |            | 
+-----------------------------------------------+-----+--------------+------------+------------+ 
| Other (losses)/gains - disposal of operations    |           (259) |          - |     31,056 | 
+--------------------------------------------------+-----------------+------------+------------+ 
| Finance income                                   |             126 |        573 |        238 | 
+--------------------------------------------------+-----------------+------------+------------+ 
| Finance expense                                  |         (1,235) |    (2,461) |    (6,233) | 
+--------------------------------------------------+-----------------+------------+------------+ 
|                                               |     |              |            |            | 
+-----------------------------------------------+-----+--------------+------------+------------+ 
| Profit before taxation                           |           3,032 |      3,421 |     30,353 | 
+--------------------------------------------------+-----------------+------------+------------+ 
| Tax expense                                      |           (357) |      (966) |        (1) | 
+--------------------------------------------------+-----------------+------------+------------+ 
|                                               |     |              |            |            | 
+-----------------------------------------------+-----+--------------+------------+------------+ 
| Profit for the period                            |           2,675 |      2,455 |     30,352 | 
+-----------------------------------------------+--+--+--------------+------------+------------+ 
 
 
In the year to 31st December 2008, unallocated corporate expenses included an 
amount of GBP2,607,000 in relation to onerous lease obligations on properties no 
longer occupied by the Group. As these properties were no longer used in the 
trade of either the Social Care or Primary Care businesses, it is not considered 
appropriate to allocate these costs to either operating segment. 
 
 
During the year to 31st December 2008, a provision of GBP3,458,000 was set up in 
relation to claims in respect of two clinical incidents. These claims, whilst 
they do arise out of the Primary Care business, relate to incidents that took 
place in 2001 and 2004. Due to the age of these claims, it is not considered 
appropriate to allocate this cost to the Primary Care segment operating profit. 
 
 
In the year to 31st December 2008, termination costs in relation to the outgoing 
Chief Executive, Stephen Booty, and a number of other individuals were charged, 
totalling GBP1,426,000. These termination costs were incurred as part of an 
internal restructuring exercise and have not been allocated to either the Social 
Care or Primary Care operating segments. Of these costs GBP851,000 was charged 
in the six month period to 4th July 2008. 
 
 
+-----------+----------------------------------+------------+------------+------------+ 
|           |                                  | 05.07.2009 | 04.07.2008 | 31.12.2008 | 
+-----------+----------------------------------+------------+------------+------------+ 
|           |                                  |     GBP000 |     GBP000 |     GBP000 | 
+-----------+----------------------------------+------------+------------+------------+ 
| Reportable segment assets                    |            |            |            | 
+----------------------------------------------+------------+------------+------------+ 
| Social Care                                  |     65,324 |     64,982 |     64,578 | 
+----------------------------------------------+------------+------------+------------+ 
| Primary Care                                 |     52,864 |     53,621 |     53,193 | 
+----------------------------------------------+------------+------------+------------+ 
| Carewatch |                                  |          - |      5,335 |          - | 
+-----------+----------------------------------+------------+------------+------------+ 
|           |                                  |            |            |            | 
+-----------+----------------------------------+------------+------------+------------+ 
| Total assets for reportable segments         |    118,188 |    123,938 |    117,771 | 
+----------------------------------------------+------------+------------+------------+ 
|           |                                  |            |            |            | 
+-----------+----------------------------------+------------+------------+------------+ 
|           |                                  |            |            |            | 
+-----------+----------------------------------+------------+------------+------------+ 
|           |                                  | 05.07.2009 | 04.07.2008 | 31.12.2008 | 
+-----------+----------------------------------+------------+------------+------------+ 
|           |                                  |     GBP000 |     GBP000 |     GBP000 | 
+-----------+----------------------------------+------------+------------+------------+ 
| Assets    |                                  |            |            |            | 
+-----------+----------------------------------+------------+------------+------------+ 
| Total assets for reportable segments         |    118,188 |    123,938 |    117,771 | 
+----------------------------------------------+------------+------------+------------+ 
| Unallocated corporate assets                 |      6,572 |      5,884 |      7,604 | 
+----------------------------------------------+------------+------------+------------+ 
|           |                                  |            |            |            | 
+-----------+----------------------------------+------------+------------+------------+ 
| Total Group assets                           |    124,760 |    129,822 |    125,375 | 
+----------------------------------------------+------------+------------+------------+ 
|           |                                  |            |            |            | 
+-----------+----------------------------------+------------+------------+------------+ 
| Total Group assets comprises total non-current assets together with total           | 
| current assets.                                                                     | 
+-----------+----------------------------------+------------+------------+------------+ 
 
 
3. Finance income and expense 
 
 
+---------+---------------------------------------+--------------+------------+------------+ 
|         |                                       |   Six months | Six months |    Year to | 
|         |                                       |           to |         to |            | 
+---------+---------------------------------------+--------------+------------+------------+ 
|         |                                       |   05.07.2009 | 04.07.2008 | 31.12.2008 | 
+---------+---------------------------------------+--------------+------------+------------+ 
|         |                                       |       GBP000 |     GBP000 |     GBP000 | 
+---------+---------------------------------------+--------------+------------+------------+ 
| Finance income                                  |              |            |            | 
+-------------------------------------------------+--------------+------------+------------+ 
| Bank interest receivable                        |            - |          2 |         15 | 
+-------------------------------------------------+--------------+------------+------------+ 
| Other interest receivable                       |          126 |          - |          - | 
+-------------------------------------------------+--------------+------------+------------+ 
| Net finance credit on defined benefit pension   |            - |        110 |        223 | 
| schemes                                         |              |            |            | 
+-------------------------------------------------+--------------+------------+------------+ 
| Fair value gain relating to interest rate       |            - |        461 |          - | 
| derivative contracts                            |              |            |            | 
+-------------------------------------------------+--------------+------------+------------+ 
|         |                                       |              |            |            | 
+---------+---------------------------------------+--------------+------------+------------+ 
| Total finance income                            |          126 |        573 |        238 | 
+-------------------------------------------------+--------------+------------+------------+ 
|         |                                       |              |            |            | 
+---------+---------------------------------------+--------------+------------+------------+ 
|         |                                       |              |            |            | 
+---------+---------------------------------------+--------------+------------+------------+ 
|         |                                       |   Six months | Six months |    Year to | 
|         |                                       |           to |         to |            | 
+---------+---------------------------------------+--------------+------------+------------+ 
|         |                                       |   05.07.2009 | 04.07.2008 | 31.12.2008 | 
+---------+---------------------------------------+--------------+------------+------------+ 
|         |                                       |       GBP000 |     GBP000 |     GBP000 | 
+---------+---------------------------------------+--------------+------------+------------+ 
| Finance expense                                 |              |            |            | 
+-------------------------------------------------+--------------+------------+------------+ 
| Unwinding of discount in property provisions    |        (135) |       (79) |      (160) | 
+-------------------------------------------------+--------------+------------+------------+ 
| Net finance charge on defined benefit pension   |        (209) |          - |          - | 
| schemes                                         |              |            |            | 
+-------------------------------------------------+--------------+------------+------------+ 
| Interest payable on bank loans and overdrafts   |        (299) |    (2,382) |    (3,942) | 
+-------------------------------------------------+--------------+------------+------------+ 
| Fair value loss relating to interest rate       |        (592) |          - |    (2,131) | 
| derivative contracts                            |              |            |            | 
+-------------------------------------------------+--------------+------------+------------+ 
|         |                                       |              |            |            | 
+---------+---------------------------------------+--------------+------------+------------+ 
| Total finance expense                           |      (1,235) |    (2,461) |    (6,233) | 
+---------+---------------------------------------+--------------+------------+------------+ 
 
 
4. Taxation 
 
 
Tax expense recognised in the financial statements comprises UK corporation tax 
charges or credits together with deferred tax charges or credits. 
 
 
The total tax expense of GBP357,000 comprises current tax of GBP897,000, 
together with a tax credit of GBP540,000 in respect of prior years. The current 
tax expense of GBP897,000 represents 29.6% (2008: 28.2%) of the profit before 
taxation. This tax rate is based on an estimate of the tax rate that will apply 
to the full year results. 
 
 
5. Earnings per share 
 
 
Basic earnings per 10p share is calculated by dividing the earnings attributable 
to ordinary shareholders by the weighted average number of ordinary shares in 
issue during the period. 
 
 
For diluted earnings per share, the weighted average number of ordinary shares 
in issue is adjusted to assume conversion of all potentially dilutive ordinary 
shares. The Group has only one category of potentially dilutive ordinary shares: 
those share options granted to employees where the exercise price is less than 
the average market price of the Company's ordinary shares during the period. In 
the first half of 2009 a total of 2,068,860 options that had been granted in 
2009 qualified under this test. The calculated effect of this on diluted 
earnings per share is to add a further 384,000 shares into the denominator of 
the calculation as shown in the table below. 
 
 
No shares were issued in the six month period to 5th July 2009, with the number 
of shares in issue therefore remaining unchanged throughout the period at 
112,844,209. 
 
 
The weighted average number of shares used in the calculations is set out below: 
 
 
+---------------------------------------------+--+--------------+------------+------------+ 
|                                             |  |   Six months | Six months |    Year to | 
|                                             |  |           to |         to |            | 
+---------------------------------------------+--+--------------+------------+------------+ 
|                                             |  |   05.07.2009 | 04.07.2008 | 31.12.2008 | 
+---------------------------------------------+--+--------------+------------+------------+ 
|                                             |  |    thousands |  thousands |  thousands | 
+---------------------------------------------+--+--------------+------------+------------+ 
| Weighted average number of shares - in issue   |      112,844 |    112,844 |    112,844 | 
+------------------------------------------------+--------------+------------+------------+ 
| Dilutive effect of options                     |          384 |          - |          - | 
+------------------------------------------------+--------------+------------+------------+ 
|                                             |  |              |            |            | 
+---------------------------------------------+--+--------------+------------+------------+ 
| Weighted average number of shares - diluted    |      113,228 |    112,844 |    112,844 | 
+------------------------------------------------+--------------+------------+------------+ 
|                                             |  |              |            |            | 
+---------------------------------------------+--+--------------+------------+------------+ 
|                                             |  |   Six months | Six months |    Year to | 
|                                             |  |           to |         to |            | 
+---------------------------------------------+--+--------------+------------+------------+ 
|                                             |  |   05.07.2009 | 04.07.2008 | 31.12.2008 | 
+---------------------------------------------+--+--------------+------------+------------+ 
|                                             |  |       GBP000 |     GBP000 |     GBP000 | 
+---------------------------------------------+--+--------------+------------+------------+ 
| Earnings being the net profit attributable to  |        2,675 |      2,455 |     30,352 | 
| equity holders                                 |              |            |            | 
| of the parent company                          |              |            |            | 
+------------------------------------------------+--------------+------------+------------+ 
|                                             |  |              |            |            | 
+---------------------------------------------+--+--------------+------------+------------+ 
| Earnings                                    |  |        2,675 |      2,455 |    30,352  | 
+---------------------------------------------+--+--------------+------------+------------+ 
|                                             |  |              |            |            | 
+---------------------------------------------+--+--------------+------------+------------+ 
|                                             |  |   Six months | Six months |    Year to | 
|                                             |  |           to |         to |            | 
+---------------------------------------------+--+--------------+------------+------------+ 
|                                             |  |   05.07.2009 | 04.07.2008 | 31.12.2008 | 
+---------------------------------------------+--+--------------+------------+------------+ 
|                                             |  |        pence |      pence |      pence | 
+---------------------------------------------+--+--------------+------------+------------+ 
| Earnings per share - basic                     |        2.37p |      2.18p |     26.90p | 
+------------------------------------------------+--------------+------------+------------+ 
| Dilutive effect of options                     |      (0.01p) |          - |          - | 
+------------------------------------------------+--------------+------------+------------+ 
|                                             |  |              |            |            | 
+---------------------------------------------+--+--------------+------------+------------+ 
| Earnings per share - diluted                   |        2.36p |      2.18p |     26.90p | 
+---------------------------------------------+--+--------------+------------+------------+ 
 
 
6. Dividends 
 
 
The final dividend for 2008 was 1.5p per 10p share, costing GBP1,693,000. This 
was approved by shareholders at the Annual General Meeting on 1st May 2009, and 
was paid on 5th June 2009 to those shareholders on the register on 8th May 2009. 
 
 
The directors have declared an interim dividend of 0.5p per 10p share, costing 
GBP564,000 which will be accounted for in the second half of the year. This will 
be paid on 9th October 2009 to shareholders on the register on 11th September 
2009. In 2008, no interim dividend was declared or paid. 
 
 
7. Disposals 
 
 
On 3rd October 2008, the Group completed the sale of the trade and assets of the 
Carewatch franchise business to a third party for a consideration finally 
determined at GBP36,726,000. At the same time the Group sold to the same party, 
the entire share capital of Carewatch Care Services Limited, a dormant company, 
for a consideration of GBP52,000. 
 
 
+------------+---------------------------+------------+-----------+------------+ 
|            |                           |      As at |      Cash |      As at | 
|            |                           |            |     flows |            | 
+------------+---------------------------+------------+-----------+------------+ 
|            |                           | 31.12.2008 |   in 2009 | 05.07.2009 | 
+------------+---------------------------+------------+-----------+------------+ 
|            |                           |     GBP000 |    GBP000 |     GBP000 | 
+------------+---------------------------+------------+-----------+------------+ 
| Cash flows in respect of disposal of   |            |           |            | 
| business                               |            |           |            | 
+----------------------------------------+------------+-----------+------------+ 
| Total consideration                    |     37,000 |     (222) |     36,778 | 
+----------------------------------------+------------+-----------+------------+ 
|            |                           |            |           |            | 
+------------+---------------------------+------------+-----------+------------+ 
| Total cash flow in respect of disposal |     37,000 |     (222) |     36,778 | 
|                                        |            |           |            | 
+----------------------------------------+------------+-----------+------------+ 
|            |                           |            |           |            | 
+------------+---------------------------+------------+-----------+------------+ 
| Profit on disposal is computed as      |            |           |            | 
| follows:                               |            |           |            | 
+----------------------------------------+------------+-----------+------------+ 
|            |                           |            |           |            | 
+------------+---------------------------+------------+-----------+------------+ 
|            |                           |     GBP000 |    GBP000 |     GBP000 | 
+------------+---------------------------+------------+-----------+------------+ 
| Net assets |                           |            |           |            | 
+------------+---------------------------+------------+-----------+------------+ 
| Property, plant and equipment          |         35 |         - |         35 | 
+----------------------------------------+------------+-----------+------------+ 
| Goodwill   |                           |      2,906 |         - |      2,906 | 
+------------+---------------------------+------------+-----------+------------+ 
| Trade and other receivables            |      2,240 |         - |      2,240 | 
+----------------------------------------+------------+-----------+------------+ 
| Trade and other payables               |      (595) |         - |      (595) | 
+----------------------------------------+------------+-----------+------------+ 
|            |                           |            |           |            | 
+------------+---------------------------+------------+-----------+------------+ 
| Net assets of Carewatch                |      4,586 |         - |      4,586 | 
+----------------------------------------+------------+-----------+------------+ 
|            |                           |            |           |            | 
+------------+---------------------------+------------+-----------+------------+ 
| Total consideration                    |     37,000 |     (222) |     36,778 | 
+----------------------------------------+------------+-----------+------------+ 
| Disposal expenses                      |    (1,358) |      (37) |    (1,395) | 
+----------------------------------------+------------+-----------+------------+ 
|            |                           |            |           |            | 
+------------+---------------------------+------------+-----------+------------+ 
| Consideration net of expenses          |     35,642 |     (259) |     35,383 | 
+----------------------------------------+------------+-----------+------------+ 
|            |                           |            |           |            | 
+------------+---------------------------+------------+-----------+------------+ 
| Profit on disposal                     |     31,056 |     (259) |     30,797 | 
+------------+---------------------------+------------+-----------+------------+ 
 
 
Cash flows in 2009 represent finalisation adjustments. No further adjustments or 
cash flows are now expected. 
 
 
8. Derivative financial instruments 
 
 
Counterparties to the financial instruments entered into by the Group are major 
international financial institutions with high long term credit ratings. The 
Group monitors its credit exposure to its counterparties via their credit 
ratings (where applicable) and through its policy thereby limiting its exposure 
to any one party to ensure that they are within Board approved limits and that 
there are no significant concentrations of credit risk. 
 
 
At 5th July 2009 the Group has entered into interest rate derivative contracts 
to hedge its exposure to changes in interest rates. These contracts are classed 
as derivative financial instruments. They are initially recognised at fair value 
at the date each contract is entered into and are subsequently remeasured to 
their fair value at each balance sheet date. The resultant gain or loss is 
recognised within the income statement within finance income or expense. Hedge 
accounting has not been applied. This practice is considered to be consistent 
with the requirements of IAS 39 "Financial instruments: Recognition and 
Measurement". 
 
 
Market prices or quotations are not available for the particular derivative 
contracts that the Group has entered into. In the absence of any such market 
valuations, fair values have been obtained by taking the settlement values 
advised at each balance sheet date by the respective counterparty banks. 
 
 
At 5th July 2009 the Group has entered into two such contracts with a combined 
notional value of GBP60,000,000. One, for a notional sum of GBP45,000,000, has 
the effect of restricting LIBOR rates on that level of borrowings to a range 
between 4.50% and 7.00%, whilst the other, for a notional sum of GBP15,000,000, 
has the effect of restricting LIBOR rates on that level of borrowings to a range 
between 4.85% and 7.00%. Under the terms of both contracts, the actual 
three-month LIBOR rate at defined quarterly strike dates is compared with both 
floor and cap levels; if this actual rate is either below the floor or above the 
cap, a cash payment will then be triggered. This cash payment, made three months 
after each quarterly strike date, is payable by the Group if the actual rate 
were below the floor, or to the Group if the rate were above the cap, calculated 
by applying the interest rate shortfall or excess for one quarter to the 
notional contracted borrowing. No such payments were made or received in the 
year ended 31st December 2008. In the six months to 5th July 2009, payments of 
GBP358,000 were made. No payment is due if actual three-month LIBOR is within 
the range of the respective floor and cap at the strike date. The contract for 
the notional sum of GBP45,000,000 expires in November 2010 whilst that for the 
notional sum of GBP15,000,000 expires one month earlier in October 2010. 
 
 
At 5th July 2009 the combined fair value of the two contracts, as advised by the 
respective counterparty banks, was minus GBP2,786,000; this negative fair value 
has been accounted for within current liabilities. At 31st December 2008 the 
fair value of the same two contracts had been minus GBP2,552,000. The movement 
in the fair value of the liability, after accounting for the above cash payments 
of GBP358,000, amounts to GBP592,000, which has been charged to finance expense 
in the period. 
 
 
Prior to completion of the disposal of the Carewatch business on 3rd October 
2008, the GBP60,000,000 notional borrowings of the two contracts were at most 
times similar to the overall level of actual net borrowings held by the Group. 
The contracts therefore provided a hedge against the effect of interest rate 
movements on the Group's actual borrowings, although the precise effectiveness 
of this was tempered to some extent by the contracts being referenced to 
three-month LIBOR rates whereas interest rates payable on actual borrowings are 
linked to either bank base rates or one-month LIBOR rates, both of which are 
generally lower. However, since the Carewatch disposal which realised initial 
gross cash consideration of GBP37,000,000 before expenses, actual Group 
borrowings have been significantly reduced. This differential could have been 
eliminated or reduced at any time since then by a cash settlement, paid to one 
or both of the banks, thereby cancelling a sufficient proportion of the 
contracts to bring the continuing notional borrowing broadly into line with 
actual or projected actual borrowings. Any cash settlement to be made would have 
been equivalent to the then fair value of the cancelled contract, which should 
in turn have been equivalent to the respective discounted net present value of 
the projected quarterly cash payments that would have arisen had the contracts 
continued. 
 
 
No such cancellation was effected in the period between 3rd October 2008 and 5th 
July 2009, notwithstanding the general policy adopted of not using any financial 
instrument to enter into what could be regarded as speculative positions. In the 
opinion of the directors, it would not have been, and still is not, in the 
interests of the Group to have to settle the associated cash payments required. 
 
 
9. Employment benefit liabilities 
 
 
The actuarial deficits on the Group's two defined benefit pension schemes total 
GBP11,834,000. A reconciliation of the movement between the beginning and end of 
each period is as follows: 
 
 
+---------+------------------------------------+--------------+------------+------------+ 
|         |                                    |   Six months | Six months |    Year to | 
|         |                                    |           to |         to |            | 
+---------+------------------------------------+--------------+------------+------------+ 
|         |                                    |   05.07.2009 | 04.07.2008 | 31.12.2008 | 
+---------+------------------------------------+--------------+------------+------------+ 
|         |                                    |       GBP000 |     GBP000 |     GBP000 | 
+---------+------------------------------------+--------------+------------+------------+ 
| At the start of the period                   |        8,721 |      6,372 |      6,372 | 
+----------------------------------------------+--------------+------------+------------+ 
| Contributions paid                           |      (1,476) |    (2,220) |    (3,658) | 
+----------------------------------------------+--------------+------------+------------+ 
| Current service cost                         |           77 |        226 |        447 | 
+----------------------------------------------+--------------+------------+------------+ 
| Finance charge/(credit)                      |          209 |      (110) |      (223) | 
+----------------------------------------------+--------------+------------+------------+ 
| Actuarial loss                               |        4,303 |      1,994 |      5,783 | 
+----------------------------------------------+--------------+------------+------------+ 
|         |                                    |              |            |            | 
+---------+------------------------------------+--------------+------------+------------+ 
| Total liability at the end of the period     |       11,834 |      6,262 |      8,721 | 
+----------------------------------------------+--------------+------------+------------+ 
|         |                                    |              |            |            | 
+---------+------------------------------------+--------------+------------+------------+ 
|         |                                    |              |            |            | 
+---------+------------------------------------+--------------+------------+------------+ 
| Liabilities estimated to be settled after    |        9,404 |      3,832 |      6,291 | 
| more than one year                           |              |            |            | 
+----------------------------------------------+--------------+------------+------------+ 
| Liabilities estimated to be settled within   |        2,430 |      2,430 |      2,430 | 
| one year                                     |              |            |            | 
+----------------------------------------------+--------------+------------+------------+ 
|         |                                    |              |            |            | 
+---------+------------------------------------+--------------+------------+------------+ 
| Total liability at the end of the period     |       11,834 |      6,262 |      8,721 | 
+---------+------------------------------------+--------------+------------+------------+ 
 
 
The factors affecting the increase in the combined deficits from GBP8,721,000 at 
31st December 2008 to GBP11,834,000 at 5th July 2009 were the actuarial loss of 
GBP4,303,000 plus other net increases of GBP90,000, offset by deficit reduction 
payments made of GBP1,280,000. 
 
 
10. Property provisions 
 
 
The Group has a number of properties that are either vacant or sublet at a 
discount. Provision has been made in these cases for onerous lease costs taking 
into account estimates of the length of time properties will be vacant (net of 
any potential sublease income where this can be estimated with a high degree of 
probability), together with any dilapidation costs and other costs associated 
with the termination or disposal of leases. In determining the provision for 
vacant properties, the cash flows have been discounted using the Group's 
weighted average cost of capital. The estimates used in determining the 
appropriate level of provision represent management's best view of likely market 
conditions after taking external advice. Actual activity may differ from these 
estimates due to the effect of changes in the property market or subsequent 
business decisions. These differences may have a material impact on the 
provisions established for these matters. 
 
 
Provision has also been made in respect of lease dilapidation obligations 
relating to properties that continue to be occupied. 
 
 
The composition of the property provision is as follows: 
 
 
+---------+--------------------------------------+------------+------------+------------+ 
|         |                                      | 05.07.2009 | 04.07.2008 | 31.12.2008 | 
+---------+--------------------------------------+------------+------------+------------+ 
|         |                                      |     GBP000 |     GBP000 |     GBP000 | 
+---------+--------------------------------------+------------+------------+------------+ 
| Relating to vacant or sublet properties:       |            |            |            | 
+------------------------------------------------+------------+------------+------------+ 
| Onerous lease provision                        |      2,023 |        989 |      2,351 | 
+------------------------------------------------+------------+------------+------------+ 
| Dilapidations                                  |        786 |        200 |        720 | 
+------------------------------------------------+------------+------------+------------+ 
|         |                                      |            |            |            | 
+---------+--------------------------------------+------------+------------+------------+ 
| Relating to vacant or sublet properties        |      2,809 |      1,189 |      3,071 | 
+------------------------------------------------+------------+------------+------------+ 
| Relating to properties that continue to be     |      1,173 |      1,155 |      1,132 | 
| occupied                                       |            |            |            | 
+------------------------------------------------+------------+------------+------------+ 
|         |                                      |            |            |            | 
+---------+--------------------------------------+------------+------------+------------+ 
| Total provisions at the end of the period      |      3,982 |      2,344 |      4,203 | 
+------------------------------------------------+------------+------------+------------+ 
|         |                                      |            |            |            | 
+---------+--------------------------------------+------------+------------+------------+ 
| Analysed as:                                   |            |            |            | 
+------------------------------------------------+------------+------------+------------+ 
| Provisions estimated to be settled after more  |      2,540 |      1,139 |      3,055 | 
| than one year                                  |            |            |            | 
+------------------------------------------------+------------+------------+------------+ 
| Provisions estimated to be settled within one  |      1,442 |      1,205 |      1,148 | 
| year                                           |            |            |            | 
+------------------------------------------------+------------+------------+------------+ 
|         |                                      |            |            |            | 
+---------+--------------------------------------+------------+------------+------------+ 
| Total provisions at the end of the period      |      3,982 |      2,344 |      4,203 | 
+---------+--------------------------------------+------------+------------+------------+ 
 
 
11. Claims in respect of clinical incidents 
 
 
By the nature of the operations carried out by the Primary Care business 
segment, the Group from time to time receives notification of clinical incidents 
which could conceivably lead to claims for damages being made against the Group 
on the grounds of negligence or other reasons. In the majority of cases such 
incidents, having been notified, do not in fact lead to a claim being made. Even 
if claims are made, they may be laid against parties other than the Group. In 
any event, even if claims are ultimately laid against the Group, they will 
generally be covered by the Group's insurers subject only to relatively minor 
excesses. Nonetheless it is possible that in certain circumstances the Group 
could face a material liability when presented with such claims. Time lags 
between an original incident and a claim being submitted could typically be long 
so at any point in time the likelihood of the Group facing such a liability may 
be difficult to assess. 
 
 
At 5th July 2009 and 31st December 2008, there were two such claims outstanding 
where, in the opinion of directors, it was more likely than not that a liability 
will fall on the Group. The claims arose from incidents that took place in 2001 
and 2004. In one case, any liability that does arise would be shared with a 
third party. Assessment of the likely eventual liabilities that may arise from 
these two claims is difficult for the reasons set out above. Nonetheless at 31st 
December 2008, having taken appropriate external advice, directors concluded 
that the most likely outcome, out of a wide range of possible outcomes, was that 
an eventual liability of GBP3,350,000 would fall on the Group for the two claims 
combined. A provision was accordingly made for this amount. In the six month 
period to 5th July 2009, an amount of GBP74,000 has been utilised against this 
provision. No further charges have been made to the income statement in this 
period. The provision as at 5th July 2009 therefore amounts to GBP3,276,000. 
 
 
12. Share capital 
 
 
The total number of 10p ordinary shares in issue, and also the number of total 
voting rights, was 112,844,209 at both 1st January 2009 and 5th July 2009. 
 
 
13. Notes to the cash flow statement 
 
 
+---------+----------------------------------+------+--------------+------------+------------+ 
|         |                                  |      |   Six months | Six months |    Year to | 
|         |                                  |      |           to |         to |            | 
+---------+----------------------------------+------+--------------+------------+------------+ 
|         |                                  |      |   05.07.2009 | 04.07.2008 | 31.12.2008 | 
+---------+----------------------------------+------+--------------+------------+------------+ 
|         |                                  |      |       GBP000 |     GBP000 |     GBP000 | 
+---------+----------------------------------+------+--------------+------------+------------+ 
| Reconciliation of profit to cash generated from   |              |            |            | 
| operations                                        |              |            |            | 
+---------------------------------------------------+--------------+------------+------------+ 
| Profit for the period                      |      |        2,675 |      2,455 |     30,352 | 
+--------------------------------------------+------+--------------+------------+------------+ 
|         |                                  |      |              |            |            | 
+---------+----------------------------------+------+--------------+------------+------------+ 
| Adjustments for:                           |      |              |            |            | 
+--------------------------------------------+------+--------------+------------+------------+ 
| Tax expense                                |      |          357 |        966 |          1 | 
+--------------------------------------------+------+--------------+------------+------------+ 
| Finance income                             |      |        (126) |      (573) |      (238) | 
+--------------------------------------------+------+--------------+------------+------------+ 
| Finance expense                            |      |        1,235 |      2,461 |      6,233 | 
+--------------------------------------------+------+--------------+------------+------------+ 
| Share-based payments                       |      |          341 |        149 |        456 | 
+--------------------------------------------+------+--------------+------------+------------+ 
| Amortisation of intangible assets          |      |           63 |        194 |        374 | 
+--------------------------------------------+------+--------------+------------+------------+ 
| Depreciation of property, plant and        |      |          592 |        738 |      1,411 | 
| equipment                                  |      |              |            |            | 
+--------------------------------------------+------+--------------+------------+------------+ 
| (Gain)/loss on sale of property, plant and |      |          (1) |          3 |        (1) | 
| equipment                                  |      |              |            |            | 
+--------------------------------------------+------+--------------+------------+------------+ 
| Loss/(gain) on sale of operations          |      |          259 |          - |   (31,056) | 
+--------------------------------------------+------+--------------+------------+------------+ 
|         |                                  |      |              |            |            | 
+---------+----------------------------------+------+--------------+------------+------------+ 
| Changes in working capital:                |      |              |            |            | 
+--------------------------------------------+------+--------------+------------+------------+ 
| (Increase)/decrease in trade and other     |      |        (739) |      3,033 |      3,329 | 
| receivables                                |      |              |            |            | 
+--------------------------------------------+------+--------------+------------+------------+ 
| Increase/(decrease) in trade and other     |      |          595 |      (222) |      1,597 | 
| payables                                   |      |              |            |            | 
+--------------------------------------------+------+--------------+------------+------------+ 
| Decrease in provisions                     |      |      (1,829) |    (2,099) |    (1,538) | 
+--------------------------------------------+------+--------------+------------+------------+ 
|         |                                  |      |              |            |            | 
+---------+----------------------------------+------+--------------+------------+------------+ 
| Cash generated from operations             |      |        3,422 |      7,105 |     10,920 | 
+--------------------------------------------+------+--------------+------------+------------+ 
|         |                                  |      |              |            |            | 
+---------+----------------------------------+------+--------------+------------+------------+ 
|         |                                  |      |   Six months | Six months |    Year to | 
|         |                                  |      |           to |         to |            | 
+---------+----------------------------------+------+--------------+------------+------------+ 
|         |                                  |      |   05.07.2009 | 04.07.2008 | 31.12.2008 | 
+---------+----------------------------------+------+--------------+------------+------------+ 
|         |                                  |      |       GBP000 |     GBP000 |     GBP000 | 
+---------+----------------------------------+------+--------------+------------+------------+ 
| Reconciliation of net cash flow to movement in    |              |            |            | 
| net debt                                          |              |            |            | 
+---------------------------------------------------+--------------+------------+------------+ 
| Decrease in cash and cash equivalents      |      |         (69) |      (261) |      (461) | 
+--------------------------------------------+------+--------------+------------+------------+ 
| Decrease in loans from banks               |      |        2,000 |      4,000 |     37,000 | 
+--------------------------------------------+------+--------------+------------+------------+ 
| Decrease in bank overdrafts                |      |          235 |         97 |      2,413 | 
+--------------------------------------------+------+--------------+------------+------------+ 
|         |                                  |      |              |            |            | 
+---------+----------------------------------+------+--------------+------------+------------+ 
|         |                                  |      |        2,166 |      3,836 |     38,952 | 
+---------+----------------------------------+------+--------------+------------+------------+ 
| Net debt at the beginning of the period    |      |     (19,016) |   (57,968) |   (57,968) | 
+--------------------------------------------+------+--------------+------------+------------+ 
|         |                                  |      |              |            |            | 
+---------+----------------------------------+------+--------------+------------+------------+ 
| Net debt at the end of the period          |      |     (16,850) |   (54,132) |   (19,016) | 
+---------+----------------------------------+------+--------------+------------+------------+ 
 
 
14. Related party transactions 
 
 
Transactions between the Company and its subsidiaries, which are related 
parties, have been eliminated on consolidation and are not disclosed in this 
note. The Group had no material transactions with other related parties during 
the period. 
 
 
There have been no material changes to the nature of the related party 
transactions as described in the last Annual Report. 
 
 
15. Announcements 
 
 
This announcement is being sent to all shareholders and is available at the 
Company's registered office: Allen House, Station Road, Egham, Surrey, TW20 9NT, 
and on the Company's website: www.nestorplc.co.uk. 
 
 
 
 
 
This information is provided by RNS 
            The company news service from the London Stock Exchange 
   END 
 
 IR CKPKQNBKDCFK 
 
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