Adult Specialist Care UK Market Report


LaingBuisson’s comprehensive study into specialist care services for younger adults. Third edition. Published 16 April 2019. (342pp)


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“Ninety per cent of adult specialist care services are now provided by independent sector organisations which operate in a competitive market funded mainly by local authority social services departments and to a lesser extent by CCGs on behalf of the NHS.”

William Laing
– Report author


Supported living is the future for most adult specialist care

The third edition of LaingBuisson’s highly respected Adult Specialist Care market report offers advisors, investors, commissioners and service providers an unparalleled insight in this most fragmented of social care markets. Providing comprehensive coverage, including market scope, the dynamics of individual segments, payor profiles, demand drivers, staffing, policy and regulation affecting the market, investment opportunities and market potential, it provides the key information required to make sound investment and business decisions in this market.

Commissioners will also benefit from an understanding of current market position and market trends, understanding what drives supply and demand in the market and the impact that this has on service provision. The report enables enhanced understanding of the providers from whom they are commissioning services.

In the years prior to the 2008 banking crisis, adult specialist care – which comprises services for people with learning disabilities, physical health issues, mental health issues, acquired brain injury and substance misuse – enjoyed a period of high government spending. In the years since 2010, local authorities have had to economise on services at a time when demand has grown.

As a result, local authorities have steered younger adults towards supported living services and while some commissioners have become disenchanted with supported living as a solution, there is no sign that this trend with reverse. That central government has decided to continue to fund supported housing rents via Housing Benefit reduces the direct cost to councils. Also, these services are favoured by service users and their families.

This makes supported living the main driver for growth, with a CAGR of 7.8%, in contrast to the real terms negative growth of the residential care market. It reflects that supported living units are highly attractive to investors seeking safe, index-linked investments, all of which raises questions for providers of residential care to younger adults – should they protect their residential care home business or should they reposition or diversity their offering into supported living?

This question, and many others faced by providers, advisors, investors and commissioners of adult specialist care are explored in the new edition of LaingBuisson’s report.


What the report includes

  • Market
    Learning Disabilities
    Mental Health
  • Residential and Non-residential
  • Politics and Regulation
  • Payors
  • Investors
  • Market Potential
  • Appendices
    Key Legislation
    Trade Bodies
    Major Provider Profiles
    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


LaingBuisson is the chosen provider of independent sector healthcare market data to the UK government’s Office for National Statistics.

Additional information

Report Format

Multi-user Digital PDF + Printed Hard Copy, Single-user Printed Hard Copy

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