This completely revised and updated sixth edition of this market report which incorporates an assessment of local authority plans and intentions for contracting, with independent providers of care services and the implications for the independent care home sector. There is also a full analysis of results from Laing & Buisson's fifth annual (1992) survey of care homes and major corporate providers.
The 1992/93 report highlights changes in the scale and type of care home development in different parts of the country over the last year, the impact of changes in bank lending policies and interest rates, closures, de-registrations and re-registrations between 1991 and 1992, short-term and long-term prospects in the publicly and privately funded markets, latests trends in corporate activity, geographical variations and time trends in fee levels and occupancy rates, public sector contracting issues which are coming to a head as the April 1993 implementation of the government's community care policy approaches, latest information on LTC insurance and other private care funding products, prospects for homecare services and the private sheltered housing market and the development of closed care and other variants of special housing with care for elderly people.
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Verlagsort
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Höhe: 297 mm
Breite: 210 mm
ISBN-13
978-1-85440-029-1 (9781854400291)
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Schweitzer Klassifikation
Executive summary. Part 1 Demography: expansion of the 85+ population and the diminishing pool of carers. Part 2 Market size and trends: historical background; market value by sector; trends in bed numbers of sector 1970-1992. Part 3 Regulation: arm's length inspection units; registration of small residential homes; the regulatory status of close care and other forms of very sheltered housing. Part 4 Market structure: corporate penetration; corporate strategies; market entries and exits; the role of owner managers; the trend towards larger care homes; relative growth rates of the nursing and residential sectors; de-registrations. Part 5 Demand and supply: the likely impact of 1993 changes in public funding; market segmentation and polarization of privately and publicly funded care services; local variations in demand; increasing barriers to entry; the impact of bank lending restrictions on development; projections of future demand; key indicators by region showing - average weekly fees, occupancy indicators, availability of selected amenities and facilities, numbers of care homes and places, index of supply in relation to national norms and potential for additional demand by the year 200 as a result of demographic change. Part 6 Customer profiles, services and amenities: age and sex distribution of care home residents; sources of referral and admission; dearth of information on customer preferences and sources of funding; slowly rising standards of amenity and changes in facilities on offer; underexploited and expanding market niches. Part 7 Sources of finance: likely replacement of national income support limits with variable local limits to be set by local authorities as a consequence of the April 1993 state funding reforms; the continuation of top-ups to meet the gap between state support and the cost of care for state-funded customers; prospects for private payers; the future impact of LTC insurance and new financial products for individuals needing long-term care services. Part 8 Costs, staffing, fees and profits: cost structures; the impact of interest rate changes; the dominance of staffing; the effect of the nurse shortage and its impact on nursing home expansion; training initiatives; fee levels and occupancy rates; financial performance of major providers of long-term care; strategies for improving financial performance.
