1. Market Analysis of Care Homes for Older People across England and Wales Fiona Richardson Assistant Director, IPC 2 October 2017

2. Institute of Public Care
We work for better outcomes through well run evidence-based public care
Part of Oxford Brookes University
We offer applied research and evaluation, consultancy, skills development and informatics
National and local government, NHS, public care providers, and sector support organisations

3. A duty towards care markets
The Care Act (2014) places new duties on local authorities to promote the efficient and effective operation of the market for adult care and support as a whole.
Sustainable
diverse
quality
Provider
Purchaser
Shaper
In a nutshell local authorities have gone from provider to purchaser, and since the Care Act, to shaper of the market. So now they have a much wider responsibility to all who receive care and support regardless of how that care and support is paid for.
This represents a significant shift in the role of the local authority and in my view requires different skills and a different culture. This new role has called for a different understanding of the care and support market. Local authorities are now seeking to answer a wider set of questions such as :
 Is the range of care and support provision locally appropriate to meet needs and sufficient to meet anticipated demand?
What are self-funders buying, and what care and support would they like to access, but is not currently available?
Which providers have the potential to diversify or offer a more integrated service?
And which local companies and organisations might be at risk and why?
Local authorities in Wales to publish market stability reports reviewing the sufficiency of care and support in their area

4. Challenges

5. The number of care homes and beds in England has fallen 2012 - 2017
-0.8%
-7.9%

6. But the number of beds for older people has increased

7. There are regional variations

8. A steady reduction in the number of residential and nursing homes across Wales

9. Homes are getting bigger
2012
2017 8% 26 28
New homes 2016/17 37

10. Type of home 52, 45 28, 27 13.6% 24.8% 33% Residential homes 2017
Nursing homes 2017
(Mean beds per
Home CQC, CSSIW)
28, 27
52, 45
RM vacancies
13%, 7%
(Turnover
SfC June 2017)
13.6%
24.8%
33%

11. New nurse registrants from the EU

12. Conclusions Significant regional variation Business risk
Difficulties for new entrants
Concerns about workforce planning

13. More Information
The care home market in Wales: mapping the sector
Market shaping in adult social care
Six steps to managing demand in adult social care
Market position statement guidance and database and
Just another paperclip? Rethinking the market for complex public services

14. Thank you
All reports and guidance available at
Sign up for alerts from
Follow IPC and Fiona
Contact Fiona Richardson with any questions