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Residential Care for the Elderly (Industrial Report) - UK - November 2014

“Residential care is being provided in an environment where public opinion of the quality of provision is fragile and while social care in the UK is undergoing significant changes. In recent years, the industry has faced a number of challenges, including fee increases (whilst local authority contributions have declined, due to budgetary restrictions) and the tightening of eligibility criteria to receive LA-commissioned care (only those deemed with ‘substantial’ care needs or higher are entitled to receive care). These potential barriers to the sector’s development have occurred while the number of elderly people has increased, which has forced many to choose other forms of care, such as domiciliary care."

–  Lewis Cone, Research Analyst

This report looks at the following questions: 

  • What are the key determinants driving the residential care industry?
  • Was the market affected by the financial crisis and how has it recovered since? Has there been any structural changes as a consequence?
  • How has the government influenced and shaped the development of care homes?
  • What are the key issues the industry needs to address to be able to fully benefit from any favourable market conditions and future trends? 
  • Has the industry reacted to the care home scandals?
  • What does the future hold for the UK’s residential care industry?

There are a number of sub sectors of the residential care for the elderly market covered in this report:

  • Homes with nursing (previously known as dual registered homes) are defined as accommodation that is registered to provide residential care and nursing care. 
  • Local authority residential homes are also known as Part III homes under the National Assistance Act of 1948. Places are allocated through social workers/the social services department. 
  • Nursing homes, which are registered with the District Health Authority, offer full-time nursing facilities. Government statistics no longer draw any distinction between nursing homes, which offer nursing care for all patients, and homes with nursing, which may not. 
  • Private residential homes are operated by private individuals and companies. Those providing accommodation for four or more people are registered with the local authority under the Registered Homes Act of 1984. Those premises caring for fewer people are registered with the local authority under the Registered Homes (Amendment) Act of 1991. 
  • Sheltered housing typically comprises self contained accommodation specifically designed to cater for the needs of the elderly. Many schemes have a resident warden, while others utilise alarm facilities. Houses are either purchased or rented by occupiers. 
  • Voluntary residential homes are operated by charities and religious organisations and are registered with a local authority. 


MBD publishes a range of reports on the UK healthcare market. The trends in the residential and nursing care market are analysed in detail in the publication, The UK Residential Care Market Development, while the market for home care is covered in The UK Domiciliary Care Market Development.

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Table of contents

  1. Executive Summary

      • Market Size
        • Figure 1: UK Residential Care Market, by Value, 2010-2014, (£ Million)
        • Figure 2: UK Residential Care Market, by number of registered care homes and number of care home places, 2010-2014, (Homes in units and Places in 000)
      • Market Trends
        • Figure 3: Number of Local Authority-funded adults in care homes, by type of provider, 2010-2014, (Number of residents)
        • Figure 4: Private Expenditure on residential and nursing care, 2010-2014, (£ Million)
      • Regional Analysis
        • Figure 5: Local authority supported adults in residential and nursing care, by region, 2009/10 and 2013/14, (Number of People)
      • Market Factors
        • Demographic trends will provide constant demand for residential care services
          • The Care Act has provided the first overhaul of social care statute in England in more than 60 years
            • Local authority budget cuts will continue to place a burden on improving the quality of care
              • The current housing market and rising social care fees favour the residential care sector
                • Companies
                  • Forecast
                    • Figure 6: Forecast UK Residential and Nursing Care, by Number of Homes and Number of Places, 2015-2019, (Number of Homes in units and Number of Places in 000)
                  • Demand for sheltered housing expected to exceed residential care over the next five years
                    • Figure 7: Forecast UK Sheltered Housing Units, 2015-2019, (000)
                  • What We Think
                  • Introduction

                      • Definitions
                        • Methodology
                          • Market Positioning
                            • Figure 8: Elderly Population in the UK, by Country, 1973, 1983, 1993, 2003 and 2013, (000 People)
                            • Figure 9: Elderly Population in the UK, by Country, 1973, 1983, 1993, 2003, 2013, (000 People)
                        • UK Economy

                          • Key points
                            • Overview
                              • Inflation
                                • Interest rates
                                  • House prices
                                  • Market Factors

                                    • Key points
                                      • Public Sector Expenditure Restrictions
                                        • Demographic and Social Trends
                                          • Recent Economic Climate
                                            • Legislative and Regulatory Environment
                                              • Employment Trends
                                                • Supported Housing
                                                • Market Size and Trends

                                                  • Key points
                                                    • Market Size
                                                        • Figure 10: The UK Residential Care Market, by Value, 2010-2014, (£ Million)
                                                        • Figure 11: UK Residential Care Market, by Value, 2010-2014, (£ Million)
                                                        • Figure 12: The UK Residential Care Market, by Number of Registered Care Homes, 2010-14, (Units)
                                                        • Figure 13: UK Residential Care Market, by number of registered care homes, 2010-2014, (Units)
                                                        • Figure 14: The UK Residential Care Market, by Number of Registered Places, 2010-14, (000)
                                                        • Figure 15: Average number of places, revenue per care home, and revenue per place, UK, 201014, (Average Number of Places, £000)
                                                        • Figure 16: Revenue per Care Home and per Place, UK, 2010-2014, (Revenue per Place in £ and per Care Home in £000)
                                                      • Market Segmentation
                                                        • Overview
                                                          • Figure 17: Segmentation of the UK Residential Care Market, by Type of Accommodation, 2010-14, (Number of Homes, Sheltered Housing in 000 units)
                                                          • Figure 18: Segmentation of the UK Residential Care Market, by Type of Purchaser, 2010-14, (£ Million)
                                                          • Figure 19: Segmentation of the UK Residential Care Market, by Type of Purchaser, 2010 and 2014, (£ Million)
                                                          • Figure 20: Segmentation of the UK Residential Care Market, by Type of Provider, 2010-14, (£ Million)
                                                          • Figure 21: Segmentation of the UK Residential Care Market, by Type of Provider, 2010-2014, (£ Million)
                                                        • Local Authority Commissioned Care
                                                            • Figure 22: Number of Local Authority funded adults in care homes, by type of provider, 2010-14, (Number of Residents)
                                                            • Figure 23: Number of Local Authority-funded adults in care homes, by type of provider, 2010-2014, (Number of residents)
                                                            • Figure 24: Segmentation of local authority commissioned residential and nursing care, by provider and client type, 2010-14, (£ Million)
                                                            • Figure 25: Segmentation of local authority commissioned residential and nursing care, by provider and client type, 2010-14, (£ Million)
                                                          • Older people (65+)
                                                            • Figure 26: Segmentation of local authority expenditure on residential care services for older people (65+), by service type, 2010-14, (£ Million)
                                                            • Figure 27: Segmentation of local authority expenditure on residential care services for older people (65+), by service type, 2010-2014, (£ Million)
                                                          • Adults aged 18-64
                                                            • Figure 28: Segmentation of local authority expenditure on residential care services for adults aged 18-64, by service type, 2010-14, (£ Million)
                                                            • Figure 29: Segmentation of local authority expenditure on residential care services for adults aged 18-64, by care need type, 2010-2014, (£ Million)
                                                          • NHS Care
                                                            • Figure 30: Segmentation of NHS expenditure on residential and nursing care, by provider type, 2010-14, (£ Million)
                                                            • Figure 31: Segmentation of NHS expenditure on residential and nursing care, by provider type, 2010-2014, (£ Million)
                                                          • Private Care Purchasers
                                                              • Figure 32: Private expenditure on residential and nursing care, 2010-14, (£ Million and % market share)
                                                              • Figure 33: Private Expenditure on residential and nursing care, 2010-2014, (£ Million)
                                                            • Sheltered Housing
                                                                • Figure 34: The Development of Sheltered Housing in the UK, 2010-14, (000 Units and % change)
                                                                • Figure 35: Development of Sheltered Housing in the UK, 2010-2014, (000 Units)
                                                                • Figure 36: Segmentation of Sheltered Housing in the UK, by Sector and Region, 2013, (000 Units)
                                                              • Market Trends
                                                                • Regional Analysis
                                                                  • Figure 37: Local authority supported adults in residential and nursing care, by region, 2009/10-2013/14, (Number of people)
                                                                  • Figure 38: Local authority supported adults in residential and nursing care, by region, 2009/10 and 2013/14, (Number of People)
                                                                  • Figure 39: Local authority supported adults in independent sector residential care, by region, 2009/10-2013/14, (Number of people)
                                                                  • Figure 40: Local authority supported adults in independent sector residential care, by region, 2009/10 and 2013/14, (Number of People)
                                                                  • Figure 41: Local authority supported adults in local authority staffed residential care, by region, 2009/10-2013/14, (Number of people)
                                                                  • Figure 42: Local authority supported adults in local authority staffed residential care, by region, 2009/10 and 2013/14, (Number of People)
                                                                  • Figure 43: Local authority supported adults in nursing care, by region, 2009/10-2013/14, (Number of people)
                                                                  • Figure 44: Local authority supported adults in nursing care, by region, 2009/10 and 2013/14, (Number of People)
                                                              • Supplier Opportunities

                                                                • Key points
                                                                  • Opportunities
                                                                  • The Consumer - Residential Care Attitudes and Factors

                                                                    • Key points
                                                                      • Cloud of negativity surrounds residential care homes
                                                                        • Figure 45: Attitudes to residential care, July 2014
                                                                        • Figure 46: Attitudes to Residential Care, by gender, (% of respondents)
                                                                      • Staff speciality and costs affect care home choice
                                                                        • Figure 47: Important factors when choosing a residential care home, July 2014
                                                                        • Figure 48: Important factors when choosing a residential care home, Top Five, (% of respondents)
                                                                    • Industry Structure

                                                                      • Key points
                                                                        • Industry development
                                                                        • Company Profiles

                                                                          • Abbeyfield Society

                                                                                • Figure 49: Financial Analysis of Abbeyfield Society, 2010-14, (£000)
                                                                            • Anchor Trust

                                                                                  • Figure 50: Financial Analysis of Anchor Trust, 2009-13 (£ Million)
                                                                              • Bupa

                                                                                    • Figure 51: Financial Analysis of Bupa, 2009-13, (£ Million)
                                                                                    • Figure 52: Divisional Analysis of Bupa, 2011-13, (£ Million)
                                                                                • Bupa Care Homes (ANS)

                                                                                    • Figure 53: Financial Analysis of Bupa Care Homes (ANS), 2009-13 (£ Million)
                                                                                • Bupa Care Homes (CFG)

                                                                                      • Figure 54: Financial Analysis of Bupa Care Homes (CFG), 2009-13 (£ Million)
                                                                                  • Care UK

                                                                                        • Figure 55: Financial Analysis of Care UK, 2009-13 (£ Million)
                                                                                        • Figure 56: Revenue breakdown of Care UK, by division, 2012-13, (£ Million)
                                                                                    • Four Seasons Health Care

                                                                                          • Figure 57: Financial Analysis of Four Seasons Health Care, 2009-13, (£ Million)
                                                                                          • Figure 58: Financial Analysis of Avante Partnership, 2009-13, (£ Million)
                                                                                      • Methodist Homes

                                                                                            • Figure 59: Financial Analysis of Methodist Homes, 2010-14, (£ Million)
                                                                                        • HC-One

                                                                                            • Figure 60: Financial Analysis of HC-One, 2012-13, (£ Million)
                                                                                        • Priory Group

                                                                                              • Figure 61: Financial Analysis of the Priory Group, 2009-2013, (£ Million)
                                                                                              • Figure 62: Profiled Companies’ Turnover, 2009-2013, (£ Million)
                                                                                          • Forecast

                                                                                            • Key points
                                                                                              • The market
                                                                                                  • Figure 63: Forecast UK residential and nursing care, by number of places, 2015-19, (000 places)
                                                                                                  • Figure 64: Forecast UK residential and nursing care, by number of places, 2015-2019, (000 Places)
                                                                                                  • Figure 65: Forecast UK residential and nursing care, by number of homes, 2015-19, (Number of Homes)
                                                                                                  • Figure 66: Forecast UK residential and nursing care, by number of homes, 2015-2019, (Number of Homes)
                                                                                                  • Figure 67: Forecast UK Sheltered Housing Units, 2015-2019, (000)
                                                                                                  • Figure 68: Forecast UK Sheltered Housing Units, 2015-2019, (000)
                                                                                                • Difficulties in expanding care home workforce
                                                                                                • Further Sources and Contacts

                                                                                                  • Trade associations & organisations
                                                                                                    • Trade magazines
                                                                                                      • Trade exhibitions

                                                                                                      Companies Covered

                                                                                                      To learn more about the companies covered in this report please contact us.

                                                                                                      Residential Care for the Elderly (Industrial Report) - UK - November 2014

                                                                                                      £1,495.00 (Excl.Tax)