“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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