Ok I tested the set up in my car, with pretty good results
Played music for about 1hr - battery drain with the UCA202 appears to be just over 10% per hour on my Nexus 7 2nd gen (2013) with no charge, which I think is reasonable.
Sound quality is waaaaay better - especially with the bass frequencies which saw a 100% increase (previously I set bass +3 for radio/CD/aux 3.5mm jack, and +4 or +5 for bluetooth - now 0 has ample bass) - it actually sounds like there's a sub in the car now with the stock McIntosh system and sub!

I was thinking of doing the amp gain mod but now no need
volume levels have increased about 20% - 30vol is now pretty loud (previously, I'd set to low-mid 30s on radio/CD/aux 3.5mm jack for loud music, and up to 40vol [max] for Bluetooth)
And Timbo, in answer to your questiojn, music will play via the USB out and navigation, etc sounds work via the internal speaker simultaneously. Of course, you wouldn't be able to hear it if the music vol was over 15-20.
Obviously the USB audio out only works in the USB Audio Player PRO app - so not Tunein, Spotify, etc - but this is still a huge advancement for Android car sound to my mind.
Will update to advise whether the Nexus will charge with an OTG y-cable when I receive in about a week. And then the next step is to buy a cheap wireless charging pad to test in the centre console compartment, although I'm not very confident about the signal transferring through the plastic compartment lid and Nexus cover.