Get to know what motivates CareLineLive’s Managing Director, Josh Hough
Born with a rare muscle weakening illness, Josh Hough was written off by doctors at an early age. However, this fuelled his fire and today, he is the founder and Managing Director of CareLineLive, which produces revenues of over £3.5m and has 42 staff.
“I hated being disabled and was determined to get out of my wheelchair. I would hear the doctors telling my parents that I might not be able to have a job,” says Josh. “I think it made me very determined and single-minded. From an early age, I learned I could prove people wrong.”
Josh was born with a rare genetic condition called Minicore Myopathy. It meant walking was difficult and he needed a lot of treatment. Also, going to school in a wheelchair was often an unpleasant experience.
“It was just bloody bad luck. It’s a condition which you only get when both parents have a specific gene. I had a lot of specialist treatment when I was young. I went to school in a wheelchair which wasn’t nice as kids can be very cruel.”
Nonetheless, Josh did well at school and considered university. But he was also entrepreneurial, setting up a publishing company with his sister Zoe when he was just 14.
“I was more interested in business than in studying and had a desire to change things. I think I saw the world differently to a lot of people. I was often looking for new and different ways of doing things. You have to when you literally can’t do things in the same ways everyone else does,” he says.
Indeed, when Josh was young, he was often exasperated by the inefficiencies of the healthcare system.
“I was visited by countless nurses, doctors and healthcare professionals. Every time I met someone new, I had to go through the same routine – answering the same questions, explaining my condition. It was very repetitive and boring. Meanwhile, they were filling out paperwork or leafing through thick folders of information. It wasn’t very efficient and even as a young child, I was thinking: ‘this could be done better’.”
In January 2010, when he was aged 18, Josh set up the MAS Group, providing managed IT services to companies. The company was doing well, but the idea of improving home care wouldn’t leave Josh.
“My grandfather was receiving care and the family struggled with the lack of communication from carers. Everything I felt and saw as a child came flooding back. I just felt there needed to be a better system and, ultimately, that I had to be the one to create it.”
Josh had a client in the home care space that was still using a paper-based system for much of its client work. It became CareLineLive’s first client and the idea of creating a ‘circle of care’ emerged.
“We created an app that joins up everything in a home care business, from patient notes and visits to invoicing and staff rotas. Family members can access it so they know what’s going on. But also, critical healthcare professionals like ambulance drivers can access it, too. Because, if they are attending an emergency, they really need to know whether or not someone has had their medication that day.”
“The idea of the ‘circle of care’ is that everyone a patient needs is brought into the loop. People no longer need to spend long periods of time hunting down paperwork. All the information is in one place, it’s very efficient and it provides a clear audit trail.”
CareLineLive was launched in 2018 with a mission to transform a sector lagging behind much of the digital world. There’s substantial demand for its services but business growth hasn’t been without challenges.
Initially, Josh took out personal loans and used credit cards to get the business going. He’s gone through several funding rounds and, at the time of writing, has raised £6.7m.
“Funding is an ongoing challenge, I spend a lot of time fundraising,” he says.
Also, as a tech business, Josh is engaged in the battle for talent for much needed coders and software engineers. But he has created a culture and sense of mission among his team. Since launching commercially in 2018, CareLineLive has expanded rapidly, now supporting over 600 home care agencies across seven countries, including Australia and Ireland.
Ultimately, Josh’s own experiences have shaped how he approaches business. “I’ve been through a lot of surgeries and challenges, so I understand the importance of flexibility,” he explains. “If a member of staff or their child needs to go to the doctors then I tell them to ‘just go’. People might think I’m too lenient, but we have a team that sticks with us and, sometimes, even returns, because they appreciate the flexibility and support we offer.”
Reflecting on his journey, Josh says: “I’ve had to prove myself repeatedly – to investors, customers and employees. It’s a vicious cycle of needing experience but not being able to get it. But that’s been my driving force – proving people wrong and showing that something is achievable. Building CareLineLive is something I’m incredibly proud of.”
Media coverage of Josh’s story
Josh’s story has been featured by several high profile media publications in recent months.
- The Times interviewed Josh for their ‘What I Learnt” regular feature. The article is called ‘What I learnt…about leadership from my disability’.
It includes a number of insights unique to The Times interview including this quote about working with neurodiverse people
“We love hiring neurodiverse people. They’re really high performers, often hyper-focused on the work and are super smart. There are others who are scared to hire neurodiverse people because they haven’t come into contact with them before, but when I was at school I was put together with people who learnt differently. So my understanding of them is maybe greater than other people’s might be.” - Entrepreneur Magazine interviewed Josh in October 2024 in an article called ‘From Caregiver to Codebreaker‘
- Specialist magazine ucan2 published the article ‘I grew up in a wheelchair, now I run a £3.5m health tech business‘
- There was also good local press coverage of the story including a feature by the West Sussex County Times
- The Sussex Express ran a story ”Written off by doctors’: How Sussex man beat disability to run multi-million – pound healthcare business’
