Adult Specialist Care UK Market Report 5ed

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What the report includes

  • Market
  • Politics and Regulation
  • Payors
  • Major providers
  • Investors
  • Staffing
  • Market Potential
  • Appendices
    Trade bodies and associations
    Major provider profiles
    Historical context
    Financial appendix


Who is the report for

  • Operators of residential care and nursing homes
  • Homecare agencies and providers
  • Nursing agency operators
  • Local authority commissioners
  • CCG commissioners
  • Directors of adult social services
  • Care advisors
  • Banks and investors
  • Management consultants
  • Business advisors
  • Long-term care insurance providers
  • Central government
  • Think tanks
  • Policy writers


What You Get

  • Print package – Single-user Printed Book
  • Digital package – Multi-user Digital PDF and Data in Excel + Printed Book

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New public policy announcements drive change in Adult Social Care

LaingBuisson’s comprehensive study into specialist care services for younger adults. Fifth edition. Published 18th January 2022 (430pp).

“The care of adults aged 16-64 is a nuanced and important market. It’s one that is meeting with ever greater demand, especially as many in its largest segment – learning disabilities – are reaching middle age and are outgrowing their parents’ capacity to provide them with informal care. The lion’s share of care for this age group is funded by the public purse, with a small amount of private pay, which is mainly for brain injury (and therefore funded by insurance) and substance abuse. This makes providers in the adult specialist care market particularly susceptible to margin pressures owing to the regulation-driven pay inflation of the National Living Wage and the reluctance/inability of local authorities to pay more for care. At the same time, the social care sector stands to gain little from the 1.25% uplift in employers’ National Insurance from April 2022, with most of the money that will generate going to social care.”

William Laing, report author

The fifth edition of LaingBuisson’s Adult Specialist Care UK Market Report is vital reading for anyone involved in adult social care for adults under 65, be they a provider, a commissioner, an investor, an advisor or a policy maker. Written and researched by leading market commentator, William Laing, this industry standard report provides unique insight into all areas of the market, including funding, operating models, future prospects and supply and demand.

The report covers all aspects of social care for younger adults and LaingBuisson estimates the UK market to be worth £13.6 billion (2020/21). This includes services for people with learning difficulties, mental health issues, substance misuse problems and acquired brain injury, and comprises both residential and non-residential settings.

The report shows the adult specialist care market was resilient and performed well in the face of the pandemic. The more important driver is public policy, including funding and regulation. Notwithstanding the government’s autumn 2021 decisions, public-facing adult specialist care providers will continue to operate in a challenging financial environment.

Recruitment and retention of staff is a key issue, as it is in much of the economy. However, with little likelihood of being able to charge councils more for their services, providers are limited in their flexibility to raise salaries to compete in today’s job market.

The pace of adoption of digital technologies is likely to increase. Driven first by the pandemic, the government’s social care White Paper, ‘People at the Heart of Social Care’ and additional funding recognises the central importance of digital care in the future.

Policy measures, and particularly the availability of Housing Benefit, has driven growth and investment in supported housing.

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