Table of Contents

Executive Summary

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TABLE OF CONTENTS

EXECUTIVE SUMMARY

INTRODUCTION

Definitions

Methodology

The UK Economy

Abbreviations

MARKET SIZE

Market Overview and Trends, 1994-1998

Market Segmentation

Residential Homes

Nursing Homes

Sheltered Housing

Domiciliary Care

Factors Affecting Demand

Demographic Changes

Government Policy

Funding

Changing Consumer Demands

Forecast Market Size, 1999-2003

OPPORTUNITIES FOR SUPPLIERS

Opportunities For Care Home Providers, 1994-1998

Opportunities For Care Home Providers, 1999-2003

Expenditure on Supplies, 1994-1998

Forecast Expenditure on Supplies, 1999-2003

INDUSTRY STRUCTURE

Overview

Company Profiles

Abbeyfield

Anchor Trust

Ashbourne

Associated Nursing Services

BUPA's Care Services Division

Care UK

CrestaCare

The Hanover Group

Highfield Group

McCarthy & Stone

Tamaris

Westminster Health Care Holdings

MAGAZINES

TRADE ASSOCIATIONS AND CHARITIES

List of Tables

1 Economic Indicators On The UK Economy, 1990-1999

2 The UK Market For Care Home Accommodation, 1994-1998

3 Number Of UK Care Homes, 1994-1998

4 The UK Residential Homes Market, By Type Of Provider, 1994-1998

5 Number Of UK Residential Homes, By Type Of Provider, 1994-1998

6 Number Of UK Residential Home Places, By Type Of Provider, 1994-1998

7 The UK Nursing Homes Market, By Type Of Provider, 1994-1998

8 Number Of UK Nursing Homes, By Type Of Provider, 1994-1998

9 Number Of UK Nursing Home Places, By Type Of Provider, 1994-1998

10 Completions Of Sheltered Dwellings In England, By Type Of Provider, 1993-1997

11 UK Expenditure On Domiciliary Care, By Type, 1994-1998

12 Local Authority Funded Community Care Services In England, By Type Of Provider, 1993-1997

13 Number Of Households Receiving Local Authority Funded Care In England, By Type Of Provider, 1993-1997

14 Actual And Forecast Population in England And Wales, By Age Group, 1994-2031

15 Occupancy Rates In Private And Voluntary Care Homes For Elderly People In The UK, 1994-1998

16 Forecast UK Market For Residential, Nursing And Domiciliary Home Care, 1999-2003

17 Nursing And Residential Homes' Expenditure On Supplies In the UK, By Product Sector, 1994-1998

18 Forecast Nursing And Residential Homes' Expenditure On Supplies In The UK, By Product Sector, 1999-2003

19 Abbeyfield Project Developments, 1997

20 Financial Summary Of Anchor Trust, 1994-1998

21 Financial Summary Of Ashbourne, 1993-1997

22 Financial Summary Of Associated Nursing Services, 1994-1998

23 Financial Summary Of Care UK, 1993-1997

24 Financial Summary Of CrestaCare, 1993-1997

25 Financial Summary Of Hanover Housing Association, 1994-1998

26 Financial Summary Of Highfield Group, 1993-1997

27 Financial Summary Of McCarthy & Stone, 1994-1998

28 Financial Summary Of Tamaris, 1994-1998

29 Financial Summary Of Westminster Health Care Holdings, 1994-1998

List of Diagrams

1 The UK Market For Care Home Accommodation, By Provider, 1997

2 Consolidation Within The UK Nursing And Residential Homes Industry, 1995 And 1998

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EXECUTIVE SUMMARY

MSI believe that the value of the UK elderly care home accommodation market has grown continuously between 1994 and 1998. MSI project that the market for care home accommodation increased by 4 percent in 1998 to £7.70 billion (ECU11.70 billion). The growth in the market reflects demographic pressures, although MSI believe that demand within the sector has not been fully realised due to stringent local authority funding restrictions.

The market for domiciliary care is believed to be a developing sector which has grown significantly during the review period. Although the majority of domiciliary care is still provided by local authorities, MSI believe that the market for privately funded home care has increased in importance. This reflects increasingly stringent eligibility criteria being imposed by local authorities.

MSI believe that the private care home accommodation market is becoming increasingly consumer orientated, with many operators undertaking research to identify specific consumer groups' needs and making allowances for these. Such initiatives include the recognition of the specific cultural needs of ethnic minorities.

The Community Care Act has created unfavourable market conditions for many operators, which have seen occupancy levels and margins fall. In addition to this, local authorities, which remain the industry's largest paymaster, are increasingly demanding higher standards of accommodation and services from care home providers. This has had the effect of driving down margins even further.

MSI believe that opportunities for care home providers have been limited during the review period. However, opportunities that have been available to suppliers include the opportunity to extend portfolios of services to include domiciliary care and mental health services. However, these opportunities have been subject to regional variations as the contracting out of such services is often left to the discretion of individual local authorities.

Opportunities have existed for suppliers of medical consumables and non-medical products during the review period. This has reflected the increases in the number of patients being admitted from acute hospitals to care homes for rehabilitation and the increase in demand for IT equipment respectively.

MSI forecast that growth within the UK care homes market will continue, reflecting continuing demographic pressures, the increased number of patients being transferred from the National Health Service to social services for rehabilitation and the implications of the Royal Commission's recommendations.

The structure of the UK care homes industry has altered during the review period, reflecting a large amount of consolidation. In particular, BUPA has acquired Community Hospitals Group, Goldsborough Healthcare Group and Care First Group thereby establishing itself as the market leader.

Text © 1999 MSI

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