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Residential Care (Industrial Report) - UK - December 2013

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 this publication, The UK Residential Care Market Development, while the market for home care is covered in The UK Domiciliary Care Market Development 2013, both published by MBD.

Despite a significant increase in the number of adults aged 64 and under receiving social care in the last decade, growth in the elderly population remains a key driver of the UK’s residential care market. Since 1931, the number of people aged over 65 has more than doubled. According to forecasts by the Office for National Statistics (ONS), the number of pensioners in Britain is set to increase by almost 30%between 2010 and 2035, even taking into account planned rises in the state pension age. More significantly, the number of people aged over 85, who are both substantially more likely to need care and typically require more intense care, is expected to grow by 150% over the same period.

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 which is registered to provide residential care and nursing care.

Local authority residential homes, which are also known as Part III homes under the National Assistance Act 1948. Places are allocated through social workers/the social services department.

Nursing homes 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 do not necessarily do so.

Private residential homes, which 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 1984. Those premises caring for fewer people are registered with the local authority under the Registered Homes (Amendment) Act 1991.

Sheltered housing, which 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 the occupiers.

Voluntary residential homes, which are operated by charities and religious organisations and are registered with a local authority.

Liqueurs - UK - January 2012

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Table of contents

  1. Executive Summary

    • The market
      • Residential care market worth £19 billion in 2013
        • Figure 1: The UK residential care market, by value, 2009-13
      • Number of care homes falls as average home gets larger
        • Figure 2: The UK residential care market, by number of homes, 2009-13
      • Care home capacity forecast to grow 3.4% by 2018
        • Figure 3: The UK residential care market, by number of places, 2009-13
      • Sheltered housing to continue to outpace the market
        • Figure 4: Development of UK sheltered housing, 2009-13
      • Market factors
        • Elderly population to grow by 30% by 2035
          • Figure 5: Percentage of population aged 75 and over, 2010-35
        • Pressure on local authority care budgets
          • Care Bill to cap the cost of care
            • Companies, brands and innovation
              • A new breed of care home
                • What we think
                • Introduction

                  • Definitions
                    • Methodology
                      • Abbreviations
                        • Market positioning
                          • Figure 6: Elderly population in the UK, by country, 1981, 1991, 2002, and 2011
                        • UK economy
                          • Overview
                            • Inflation
                              • Interest rates
                                • House prices
                                  • Market factors
                                    • Demographics and social trends
                                      • Legislative and regulatory environment
                                        • Employment trends
                                          • Supported housing
                                          • Market Size and Trends

                                            • Chapter summary
                                              • Market size
                                                  • Figure 7: The UK residential care market, by value, 2009-13
                                                  • Figure 8: The UK residential care market graph, by value, 2009-13
                                                  • Figure 9: The UK residential care market, by number of registered care homes, 2009-13
                                                  • Figure 10: The UK residential care market graph, by number of registered care homes, 2009-13
                                                  • Figure 11: The UK residential care market, by number of registered places, 2009-13
                                                  • Figure 12: The UK residential care market graph, by number of registered places, 2009-13
                                                  • Figure 13: Average number of places, revenue per care home, and revenue per place, UK, 2009-13
                                                • Market segmentation
                                                  • Overview
                                                    • Figure 14: Segmentation of the UK residential care market, by type of accommodation, 2009-13
                                                    • Figure 15: Segmentation of the UK residential care market graph, by type of accommodation, 2009-13
                                                    • Figure 16: Segmentation of the UK residential care market, by type of purchaser, 2009-13
                                                    • Figure 17: Segmentation of the UK residential care market graph, by type of purchaser, 2009-13
                                                    • Figure 18: Segmentation of the UK residential care market, by type of provider, 2009-13
                                                    • Figure 19: Segmentation of the UK residential care market graph, by type of provider 2009-13
                                                  • Local authority-commissioned care
                                                      • Figure 20: Number of local authority-funded adults in care homes, by type of provider, 2009-13
                                                      • Figure 21: Segmentation of local authority-commissioned residential and nursing care, by provider and client type, 2009-13
                                                      • Figure 22: Segmentation of local authority-commissioned residential and nursing care, by client type, UK, 2009-13
                                                      • Figure 23: Segmentation of local authority-commissioned residential and nursing care, by provider and client type, 2009-13
                                                      • Figure 24: Segmentation of local authority-commissioned residential and nursing care expenditure, by service type, UK, 2009-13
                                                      • Figure 25: Segmentation of local authority expenditure on residential care services for older people (65+), by service type, 2009-13
                                                      • Figure 26: Segmentation of local authority expenditure on residential care services for adults aged 18-64, by service type, 2009-13
                                                    • NHS care
                                                      • Figure 27: Segmentation of NHS expenditure on residential and nursing care, by provider type, 2009-13
                                                      • Figure 28: Segmentation of NHS expenditure on residential and nursing care graph, by provider type, 2009-13
                                                    • Private care purchasers
                                                      • Figure 29: Private expenditure on residential and nursing care, 2009-13
                                                      • Figure 30: Private expenditure on residential and nursing care graph, 2009-13
                                                    • Sheltered housing
                                                        • Figure 31: The development of sheltered housing in the UK, 2009-13
                                                        • Figure 32: Development of sheltered housing in the UK graph, 2009-13
                                                        • Figure 33: Segmentation of sheltered housing in the UK, by sector, 2013
                                                        • Figure 34: Segmentation of UK sheltered housing provision, by sector, 2013
                                                      • Market trends
                                                        • Regional analysis
                                                          • Figure 35: Local authority-supported adults in residential and nursing care, by region, 2009-13
                                                          • Figure 36: Local authority-supported adults in residential and nursing care, by country, 2009-13
                                                          • Figure 37: Local authority-supported adults in independent sector residential care, by region, 2009-13
                                                          • Figure 38: Local authority-supported adults in local authority staffed residential care, by region, 2009-13
                                                          • Figure 39: Local authority-supported adults in nursing care, by region, 2009-13
                                                      • Supplier Opportunities

                                                        • Chapter summary
                                                          • Opportunities
                                                          • Industry Structure

                                                            • Chapter summary
                                                              • Industry development
                                                                • Company profiles
                                                                  • Abbeyfield Society
                                                                      • Figure 40: Financial analysis of Abbeyfield Society, 2009-13
                                                                    • Anchor Trust
                                                                        • Figure 41: Financial analysis of Anchor Trust, 2009-13
                                                                      • Bupa
                                                                          • Figure 42: Financial analysis of Bupa, 2008-12
                                                                          • Figure 43: Geographical segmentation of Bupa, 2011-12
                                                                        • Bupa Care Homes (ANS)
                                                                          • Figure 44: Financial analysis of Bupa Care Homes (ANS), 2008-12
                                                                        • Bupa Care Homes (CFG)
                                                                          • Figure 45: Financial analysis of Bupa Care Homes (CFG), 2008-12
                                                                        • Care UK
                                                                            • Figure 46: Financial analysis of Care UK, 2009-13
                                                                            • Figure 47: Revenue breakdown of Care UK, by division, 2012-13
                                                                          • Four Seasons Health Care
                                                                              • Figure 48: Financial analysis of Four Seasons Health Care, 2008-12
                                                                            • Avante Partnership
                                                                                • Figure 49: Financial analysis of Avante Partnership, 2009-13
                                                                              • Methodist Homes
                                                                                  • Figure 50: Financial analysis of Methodist Homes, 2009-13
                                                                                • HC-One
                                                                                  • Figure 51: Financial analysis of HC-One, 2012
                                                                                • Priory Group
                                                                                    • Figure 52: Financial analysis of Priory Group, 2012
                                                                                • Forecast

                                                                                  • Chapter summary
                                                                                    • The market
                                                                                        • Figure 53: Forecast population in the UK, 2010-35
                                                                                        • Figure 54: Population of the UK, by age group, 2010
                                                                                        • Figure 55: Population of the UK, by age group, 2035
                                                                                        • Figure 56: Forecast UK residential and nursing care, by number of places, 2014-18
                                                                                        • Figure 57: Forecast UK residential and nursing care graph, by number of places, 2014-18
                                                                                        • Figure 58: Forecast UK residential and nursing care, by number of homes, 2014-18
                                                                                        • Figure 59: Forecast UK residential and nursing care graph, by number of homes, 2014-18
                                                                                        • Figure 60: Forecast UK sheltered housing units, 2014-18
                                                                                        • Figure 61: Forecast UK sheltered housing units graph, 2014-18
                                                                                    • Further Sources and Contacts

                                                                                      • Trade associations and organisations
                                                                                        • Trade magazines
                                                                                          • Trade exhibitions

                                                                                          Companies Covered

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

                                                                                          Residential Care (Industrial Report) - UK - December 2013

                                                                                          US $1,236.29 (Excl.Tax)