In 2022, HC-One was the largest care home operator in England with a market share of *** percent. This was closely followed by Barchester with a market share of *** percent, while Care UK had a *** percent share of the English care home market.

In 2019, HC-One Ltd was the largest care home operator in the United Kingdom (UK), with a bed stock of over ******. Four Seasons Health Care (FSHC) and Barchester Healthcare completed the top three with ****** and ****** beds respectively.

The U.K. Home Healthcare Market size was valued at USD 1.50 USD billion in 2023 and is projected to reach USD 2.42 USD billion by 2032, exhibiting a CAGR of 7.1 % during the forecast period. Homecare is the category of healthcare services normally given to people in their own homes - they may be medical or non-medical treatments. Types fall into several categories, such as skilled nursing, physical therapy, help with ADLs, and companionship. The program is composed of three aspects: individualized care plans, flexibility, and the provision of continuous care. In old-age care, health monitoring, rehabilitation after operations, chronic illness management, and palliative care are the fields that applications are concerned with. UK market is increasing due to the growing numbers of the aging population whose disease can be self-treated at home with the progress in medical technology. Also, the patients prefer the healthcare methods at the most comfortable and cost-efficient place. Recent developments include: December 2022: Nurseplus, a U.K. based provider of nursing and care services had launched ‘Care at home’ service in Aylesbury, U.K. for long-term care residents., December 2022: Healthium announced the sale of Clinisupplies, a U.K.-based subsidiary. The company Clinisupplies has a strong portfolio of products in continence care and partners with the NHS to supply quality and cost-effective continence care products., June 2022: Fresenius Kabi U.K. announced the launch of a new website supporting professionals engaged in the parenteral nutrition market. The website contains information regarding adults needing parenteral nutrition in different clinical settings., June 2021: Ontex Smart, a Belgium-based international personal hygiene group had launched diaper service under the brand Orizon in n Belgium, France, Germany, Italy and the U.K. This will enhance the continence care efficiency and dignity in the Europe., November 2020: Trio Healthcare (Trio), UK-based ostomy specialist secured a multi-million-pound financing from SWK Holdings Corporation. This finacing has been utilized for ostomy care product launch.. Key drivers for this market are: Increasing Prevalence of Dental Caries to Drive Demand for Advanced Diagnostic Devices. Potential restraints include: Potential Gaps in Home Healthcare Service Providers to Hinder Market Growth. Notable trends are: Increasing Number of Hospitals and ASCs Identified as Significant Market Trend.

Abstract copyright UK Data Service and data collection copyright owner.The Health Survey for England (HSE) is a series of surveys designed to monitor trends in the nation's health. It was commissioned by NHS Digital and carried out by the Joint Health Surveys Unit of the National Centre for Social Research and the Department of Epidemiology and Public Health at University College London.The aims of the HSE series are:to provide annual data about the nation’s health;to estimate the proportion of people in England with specified health conditions;to estimate the prevalence of certain risk factors associated with these conditions;to examine differences between population subgroups in their likelihood of having specific conditions or risk factors;to assess the frequency with which particular combinations of risk factors are found, and which groups these combinations most commonly occur;to monitor progress towards selected health targetssince 1995, to measure the height of children at different ages, replacing the National Study of Health and Growth;since 1995, monitor the prevalence of overweight and obesity in children.The survey includes a number of core questions every year but also focuses on different health issues at each wave. Topics are revisited at appropriate intervals in order to monitor change. Further information about the series may be found on the NHS Digital Health Survey for England; health, social care and lifestyles webpage, the NatCen Social Research NatCen Health Survey for England webpage and the University College London Health and Social Surveys Research Group UCL Health Survey for England webpage. Changes to the HSE from 2015:Users should note that from 2015 survey onwards, only the individual data file is available under standard End User Licence (EUL). The household data file is now only included in the Special Licence (SL) version, released from 2015 onwards. In addition, the SL individual file contains all the variables included in the HSE EUL dataset, plus others, including variables removed from the EUL version after the NHS Digital disclosure review. The SL HSE is subject to more restrictive access conditions than the EUL version (see Access information). Users are advised to obtain the EUL version to see if it meets their needs before considering an application for the SL version. The Health Survey for England, 2000 (HSE00) consisted of two samples. The general population sample was a national cross-section sample. Up to two children aged 2-15 years were interviewed in each household, as well as up to 10 adults aged 16 years and over. All private households in the general population sample were eligible for inclusion in the survey (up to a maximum of three households per address). Running alongside the general population sample was a care homes sample, selected from the Laing and Bussion database. The sample contained nursing, residential, dual-registered and small residential homes and covered local authority, voluntary and privately-owned care homes. Up to six people aged 65 and over were selected for interview at each care home, and given a cognitive functioning test to see whether they were capable of being interviewed in person. Proxy interviews for those who were not capable of being interviewed were introduced in June 2000. For the fourth edition (July 2011), the GHQ12 variables were amended to correct errors in the GHQ12 scores. See document 'Note about GHQ12 problems in HSE Data' for details. Main Topics: The interview with informants from the general population sample included the question modules that are asked in most years in the Health Survey ('core' modules), such as general health and longstanding illnesses, use of health services, cigarette smoking, psycho-social health (GHQ12) and accidents. Also included in the 2000 survey were questions on disability (a repeat of the module used in the 1995 Health Survey), the Short-Form Health Outcomes (SF-12) questionnaire (for informants aged 16-64) and a new module on social capital and social exclusion. In addition to the 'core' question modules outlined above, informants in care homes were asked questions about cardiovascular disease (CVD) and respiratory symptoms, eating habits, physical activity and activities in the care home. The disability module was also included in the care home sample interview. A short interview with home managers included details about the type of care home, the number of residents and the availability of services and specialised equipment. Some administrative data and geographic identifiers have been removed from the dataset. Standard Measures:General Health Questionnaire (GHQ12) - copyright David Goldberg, 1978 reproduced by permission of NFER - NELSONMedical Research Council respiratory questionnaireStrengths and Difficulties Questionnaire (SDQ)Short-Form Health Outcomes (SF12) questionnaire Multi-stage stratified random sample Face-to-face interview Self-completion Clinical measurements Physical measurements CAPI 2000 2001 ACCIDENTS ADULTS AGE AGEING ALCOHOL USE ALCOHOLIC DRINKS ALCOHOLISM ANTHROPOMETRIC DATA ANXIETY BEDROOMS BICYCLES BLOOD BUILDING MAINTENANCE CARBOHYDRATES CARDIOVASCULAR DISE... CARDIOVASCULAR SYSTEM CARE OF DEPENDANTS CARE OF THE ELDERLY CAUSES OF DEATH CEREAL PRODUCTS CHILD BENEFITS CHILDREN CHRONIC ILLNESS CLINICAL TESTS AND ... CONCENTRATION CONFECTIONERY CONTRACEPTIVE DEVICES COUGHING CULTURAL IDENTITY DAIRY PRODUCTS DEBILITATIVE ILLNESS DEGREES DEMENTIA DEPRESSION DIABETES DIET AND EXERCISE DISABILITIES DISABLED PERSONS DISEASES DOMESTIC RESPONSIBI... ECONOMIC ACTIVITY EDIBLE FATS EDUCATIONAL BACKGROUND ELDERLY EMPLOYEES EMPLOYMENT EMPLOYMENT HISTORY ETHNIC GROUPS ETHNIC MINORITIES EXAMINATIONS EXERCISE PHYSICAL A... England FAMILIES FAMILY MEMBERS FATHERS FISH AS FOOD FRIENDS FRUIT FULL TIME EMPLOYMENT FURNISHED ACCOMMODA... GARDENING GENDER GENERAL PRACTITIONERS General health and ... HAEMATOLOGIC DISEASES HAPPINESS HEADS OF HOUSEHOLD HEALTH HEALTH ADVICE HEALTH CONSULTATIONS HEALTH PROFESSIONALS HEALTH SERVICES HEART DISEASES HEIGHT PHYSIOLOGY HOME OWNERSHIP HOSPITAL OUTPATIENT... HOSPITAL SERVICES HOSPITAL WAITING LISTS HOSPITALIZATION HOUSEHOLD HEAD S OC... HOUSEHOLDS HOUSEWORK HOUSING HOUSING TENURE Health care service... ILL HEALTH INCOME INDUSTRIAL INJURIES INDUSTRIES INJURIES JOB SEEKER S ALLOWANCE LANDLORDS LEISURE TIME ACTIVI... MANAGERS MARITAL STATUS MEAT MEDICAL CARE MEDICAL DIAGNOSIS MEDICAL HISTORY MEDICAL PRESCRIPTIONS MEMORY MILK MOTHERS MOTOR PROCESSES MOTOR VEHICLES NEIGHBOURHOODS OCCUPATIONAL PENSIONS OCCUPATIONAL QUALIF... OCCUPATIONS OLD AGE PAIN PARENTS PART TIME EMPLOYMENT PASSIVE SMOKING PATIENTS PERSONAL PROTECTIVE... PHYSICAL ACTIVITIES PHYSICIANS PLACE OF BIRTH PREGNANCY PRESCRIPTION DRUGS PRIVATE SECTOR QUALIFICATIONS RELIGIOUS AFFILIATION RENTED ACCOMMODATION RESIDENTIAL CARE OF... RESPIRATORY SYSTEM RESPIRATORY TRACT D... RETIREMENT ROAD ACCIDENTS SALT SAVINGS SAVOURY SNACKS SELF EMPLOYED SELF ESTEEM SHARED HOME OWNERSHIP SICK LEAVE SICK PERSONS SLEEP SMOKING SMOKING CESSATION SOCIAL CLASS SOCIAL HOUSING SOCIAL INTEGRATION SOCIAL SECURITY BEN... SOCIAL SUPPORT SOCIO ECONOMIC STATUS SPORT STATE RETIREMENT PE... STRESS PSYCHOLOGICAL STUDENTS SUPERVISORS SURGERY SYMPTOMS TIED HOUSING TOBACCO TOP MANAGEMENT TRANSPORT ACCIDENTS UNEMPLOYED UNFURNISHED ACCOMMO... VASCULAR DISEASES VEGETABLES VOCATIONAL EDUCATIO... WAGES WALKING WEIGHT PHYSIOLOGY YOUTH

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Senior Living Market Size 2025-2029

The senior living market size is forecast to increase by USD 130.9 billion, at a CAGR of 5.8% between 2024 and 2029.

The market is experiencing significant growth and transformation, driven primarily by the aging baby boomer population. This demographic cohort, the largest in history, is entering the age bracket requiring senior living solutions. The increasing prevalence of age-related health issues necessitates specialized care and accommodation, creating a burgeoning demand for senior living facilities. However, this market is not without challenges. Technological advances in long-term healthcare are transforming the senior living landscape, necessitating significant investments in infrastructure and staff training. These advancements include telehealth, remote monitoring, and automated systems, which aim to enhance care quality and efficiency.
Moreover, staffing and workplace challenges persist as the senior living industry grapples with attracting and retaining skilled workers. The physical and emotional demands of caregiving, coupled with low wages and long hours, make it a challenging profession. Addressing these staffing issues through competitive compensation, benefits, and training programs is crucial for providers seeking to maintain high-quality care and operational excellence.

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The market continues to evolve, with dynamic market activities unfolding across various sectors. Community outings remain a crucial aspect of senior living, providing opportunities for social engagement and enrichment. Nursing homes and residential care facilities offer essential services for those requiring round-the-clock care, while continuing care communities cater to the diverse needs of seniors as they age. Senior living communities, including those specializing in Alzheimer's care and memory care, prioritize resident safety through rigorous regulatory compliance and advanced health information technology. Personal care and rehabilitation services help seniors maintain their independence and improve their quality of life. Capital expenditures for skilled nursing and retirement homes remain a significant focus, with ongoing investments in caregiver training, emergency response systems, and electronic health records.

Long-term care insurance plays a vital role in financing these services, ensuring seniors receive the care they need. Life enrichment programs, such as fitness centers, wellness programs, and volunteer opportunities, promote overall well-being and help seniors stay active and engaged. Continuous innovation in areas like smart homes, universal design, and hospice care further enhances the senior living experience. Operating costs, including staffing ratios, medication management, and infection control, are critical considerations for senior living providers. Ongoing regulatory compliance and the integration of technology help mitigate these costs while maintaining high-quality care. In the ever-changing senior living landscape, providers must remain agile and adapt to the evolving needs of their residents.

From independent living to post-acute care, the focus remains on enhancing the quality of life for seniors through personalized care, community engagement, and ongoing innovation.

How is this Senior Living Industry segmented?

The senior living industry research report provides comprehensive data (region-wise segment analysis), with forecasts and estimates in 'USD billion' for the period 2025-2029, as well as historical data from 2019-2023 for the following segments.

Service

  Assisted living
  Independent living
  CCRC


Services

  Healthcare Services
  Lifestyle and Wellness Programs
  Dining Services


Technology Integration

  Smart Home Systems
  Health Monitoring Devices
  Safety and Security Systems


Geography

  North America

    US
    Canada


  Europe

    France
    Germany
    Italy
    UK


  APAC

    China
    India
    Japan


  South America

    Brazil


  Rest of World (ROW)

By Service Insights

The assisted living segment is estimated to witness significant growth during the forecast period.

Assisted living arrangements provide apartment-style dwellings for aging adults who require assistance with activities of daily living, such as bathing, doing laundry, and managing medications. These communities offer various levels of care, including memory care units for individuals with cognitive impairments, which may include increased security measures and restricted kitchen access for safety reasons. The demand for specialized memory care units is growing as the population ages and the prevalence of conditions l

IntroductionRecruitment of care home staff to research studies is recognised as challenging. This was further exacerbated by the COVID-19 pandemic and the associated negative media portrayal of care home workers. Social media use has surged since the onset of COVID-19 lockdowns, offering a plausible approach to understanding the barriers to care home research recruitment and gaining insight into public perceptions of care home workers.AimTo utilise comments from two Facebook recruitment posts to: 1) gain an understanding of potential barriers to recruitment of healthcare workers (HCWs) in UK care homes, and 2) explore public sentiment towards care home research and care homes in the context of the COVID-19 pandemic.MethodsThis cross-sectional study analysed comments from two Facebook posts (available June-October 2021) advertising a separate study on psychological support for care staff during the pandemic. This study was situated within a larger investigation into the mental health and wellbeing of care home staff and employed both qualitative analysis and quantitative methods (word count and correlations between words used and between posts).ResultsThree themes were identified from the qualitative analysis: support, mistrust and blame. There was a greater use of words associated with support and negative emotive words in post 2. Post 2 comments featured significantly more choice words and first-person singular pronouns than post 1 which indicated a resentful sentiment from those who advocate freedom of choice and control. Discussion of mistrust towards researchers was most prominent in post 1 indicating the importance of relationship building between researchers and HCWs in UK care homes. With attribution to blame, there was a larger range of negative emotion words than positive emotion words.Discussion and conclusionTaken together our findings offer novel insights into why recruitment to care home research during the pandemic including the use of social media might be problematic. Social media is a useful tool for recruitment but should not be considered as a one-time input. Researchers should pro-actively engage with the study population from the start using co-design with resident and public groups to support recruitment and ensure these populations are accurately represented within research.

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Home Healthcare Market Size 2025-2029

The home healthcare market size is forecast to increase by USD 492.7 million, at a CAGR of 15.2% between 2024 and 2029.

The market is experiencing significant growth due to the increasing preference for quality healthcare services care in the comfort of one's own home. Patient satisfaction is at an all-time high as home healthcare offers flexibility, convenience, and personalized care. However, this market faces a notable challenge that the rising incidence of life-threatening diseases necessitating home healthcare services puts immense pressure on the availability of home healthcare professionals (HCPs).
This shortage poses a significant challenge for providers, requiring innovative solutions to ensure adequate staffing and maintain the high-quality care expected by patients. Companies that can effectively address this challenge and provide reliable, high-quality medical devices and home healthcare services will be well-positioned to capitalize on the market's potential for growth.

What will be the Size of the Home Healthcare Market during the forecast period?

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The market continues to evolve, shaped by various sectors and dynamic market activities. Registered nurses (RNs) and other healthcare professionals, including pediatric care specialists, occupational therapists, and home healthcare agencies, deliver personalized care to patients in need. This care encompasses a range of services, from companion care and wound care to rehabilitation therapy and hospice care. Home healthcare software and patient portals facilitate efficient care coordination and medication management, ensuring HIPAA compliance. The aging population's increasing demand for in-home care necessitates continuous workforce development through employee training and quality improvement initiatives. Cost-effective solutions, such as homemaker services and telehealth services, address the chronic disease epidemic and hospital readmissions.

Value-based care and patient satisfaction are key drivers, with healthcare outcomes and diabetes management being crucial focus areas. Assistive devices, including mobility aids and oxygen therapy, enhance the quality of life for patients, while remote patient monitoring and in-home care provide essential support for those with complex conditions. Home infusion therapy and skilled nursing care ensure comprehensive care for patients with chronic diseases. The market's ethical considerations and regulatory landscape continue to unfold, with ongoing compliance regulations and Data Security measures ensuring the highest standards of care. Private insurance coverage and care coordination further strengthen the industry's foundation, enabling it to adapt and thrive in the ever-changing healthcare landscape.

How is this Home Healthcare Industry segmented?

The home healthcare industry research report provides comprehensive data (region-wise segment analysis), with forecasts and estimates in 'USD million' for the period 2025-2029, as well as historical data from 2019-2023 for the following segments.

Type

  Products
  Services
  Solutions


Application

  Medical treatment
  Preventive healthcare


Age Group

  Adults
  Geriatric
  Pediatric


Disease Type

  Cardiovascular disorder and hypertension
  Diabetes and kidney disorders
  Cancer
  Wound care
  Others


Geography

  North America

    US
    Canada
    Mexico


  Europe

    France
    Germany
    Russia
    UK


  APAC

    China
    India
    Japan


  Rest of World (ROW). 

By Type Insights

The products segment is estimated to witness significant growth during the forecast period.

The market encompasses a range of services and products, including Speech-Language Pathologists, Medical Supplies, Home Care Franchises, Mental Health Services, Medical Social Workers, and HIPAA Compliance. Post-Hospital Care, Personalized Care, and Home Healthcare Cost-Effectiveness are key drivers in the market. Ethical Considerations, Palliative Care, and Chronic Disease Epidemic require ongoing Quality Improvement to address Hospital Readmissions and Chronic Disease Management. Value-Based Care prioritizes Patient Satisfaction and Healthcare Outcomes, with Diabetes Management a significant focus. Home Healthcare Agencies employ various professionals such as Homemaker Services, Physical Therapists, Oxygen Therapy Providers, Home Health Aides, Personal Care Services, Telehealth Services, and Home Infusion Therapy specialists.

Compliance Regulations necessitate Patient Portals and Registered Nurses (RNs) for care coordination. Pediatric Care, Occupational Therapists, Companion Care, Wound Care, and Geriatric Care cater to diverse patient needs. The Home Healthcare Workforce r

This project investigated various routes of entry to the UK of labour migrants coming from a single source country. Additionally, face-to-face interviews were conducted with recruiters, experts and healthcare professionals involved in training and administration in the Philippines. A total of 73 transcripts were compiled, 19 from care home assistants/nurses, 19 from domestic workers, 18 from hospital nurses, 13 from Philippine fieldwork (including student nurses), 2 from UK based recruitment agencies, 1 from a migrant organisation and 1 from a UK care home. Data and literature on health worker emigration patterns were gathered from local research bodies. The mission of the Centre is to provide a strategic, integrated approach to understanding contemporary and future migration dynamics across sending areas and receiving contexts in the UK and EU. In 2003, Filipinos made up the largest and most visible group of internationally recruited nurses in the UK. Of roughly 13,000 overseas nationals registered with the Nursing and Midwifery Council (NMC) that year, around 5,600, or almost half, came from the Philippines. They also figured prominently in private care homes and in the provision of care in private households. While there are various nationalities contributing to the care workforce, this project narrowed its focus on care workers from the Philippines due to it being a sector that is heavily segmented by ‘race,’ nationality, as well as immigration status. Focusing on one nationality also allowed us to investigate various routes of entry in the UK of labour migrants coming from a single source country. Additionally, fieldwork was carried out in the Philippines between November and December 2004 in order to asses the effect of nursing and care work recruitment from the sending country perspective. A series of interviews were conducted with recruiters, academics, experts and healthcare professionals involved in training and administration. Data and literature on health worker emigration patterns were gathered from local research bodies. The following findings were observed: (1) Many care workers arrived in the UK via other countries, highlighting the wide scope of multinational recruitment agencies. (2) Filipino care workers arriving via Singapore and the Middle East tended to enter via student visas, but employers assigned them more work than their immigration status allowed (they worked 35-40 hours compared to the regulated 20 hours) (3) Nurses working in care homes experienced more difficulty applying for registration, and were in some cases discouraged by employers. (4) Regulatory conditions differ significantly between public and private care providers. Recruitment to private nursing homes is particularly unregulated. 73 face-to-face interviews were conducted and transcribed from 19 care home assistants/nurses, 19 domestic workers, 18 hospital nurses, 13 Philippine fieldwork (including student nurses), 2 UK based recruitment agencies, a migrant organisation and a UK care home. No sampling method was used, it was totally universe. Data and literature on health worker emigration patterns were gather from local research bodies.

Over the five years through 2024-25, veterinary services revenue is projected to grow at a compound annual rate of 5% to £6.9 billion. Rising pet ownership has boosted demand for veterinary care, driving revenue expansion. Expanding the range of services provided, the growing popularity of pet insurance and the legal requirement to microchip cats since 2022 have also supported growth. At the same time, tightening health and safety regulations relating to meat products has propped up the need for vet care from farmers. The industry has also attracted the interest of private equity companies, driving consolidation, with many of the most prominent vet practices now majority-owned by UK and international private equity businesses. High consolidation activity has attracted the attention of the Competition and Markets Authority, which has launched an investigation into the industry. In 2024-25, revenue is forecast to swell by 2.7% as vets benefit from real household disposable incomes rising in 2024-25, meaning pet owners can afford to look after their pets properly. Agricultural income is likely to dip in 2024-25 as farmers continue to struggle following the end of Common Agricultural Programme funding after Brexit and reductions in delinked subsidies. The government's inability to replace this scheme has hindered the farming industry, dampening demand for veterinary services from farms. However, new grants that help livestock farmers pay their vet bills were introduced in June 2024, boosting revenue. Revenue is set to expand at a compound annual rate of 4.1% over the five years through 2029-30 to reach £8.4 billion. Expenditure on pets is fairly resistant to changes in real household disposable income because pet owners consider veterinary spending on their pets a necessity. Demand will grow as the rate of pet ownership increases. Technological advances in the human healthcare sector and AI will continue filtering into veterinary services, supporting innovation in animal healthcare, like the AI-powered haematology analyser from Zoetis. Investment from companies in graduate programmes will increase the supply of skilled labour into the industry, creating a domestic replacement for the labour lost by Brexit – for example, companies and industry associations might take inspiration from what VetPartners Group is doing with its four graduate programmes. In that case, there should be a sufficient supply of skilled veterinarians for the foreseeable future.

• to provide annual data about the nation’s health;
• to estimate the proportion of people in England with specified health conditions;
• to estimate the prevalence of certain risk factors associated with these conditions;
• to examine differences between population subgroups in their likelihood of having specific conditions or risk factors;
• to assess the frequency with which particular combinations of risk factors are found, and which groups these combinations most commonly occur;
• to monitor progress towards selected health targets
• since 1995, to measure the height of children at different ages, replacing the National Study of Health and Growth;
• since 1995, monitor the prevalence of overweight and obesity in children.

The survey includes a number of core questions every year but also focuses on different health issues at each wave. Topics are revisited at appropriate intervals in order to monitor change.

Further information about the series may be found on the NHS Digital Health Survey for England; health, social care and lifestyles webpage, the NatCen Social Research NatCen Health Survey for England webpage and the University College London Health and Social Surveys Research Group UCL Health Survey for England webpage.

Changes to the HSE from 2015:
Users should note that from 2015 survey onwards, only the individual data file is available under standard End User Licence (EUL). The household data file is now only included in the Special Licence (SL) version, released from 2015 onwards. In addition, the SL individual file contains all the variables included in the HSE EUL dataset, plus others, including variables removed from the EUL version after the NHS Digital disclosure review. The SL HSE is subject to more restrictive access conditions than the EUL version (see Access information). Users are advised to obtain the EUL version to see if it meets their needs before considering an application for the SL version.

COVID-19 and the HSE:
Due to the COVID-19 pandemic, the HSE 2020 survey was stopped in March 2020 and never re-started. There was no publication that year. The survey resumed in 2021, albeit with an amended methodology. The full HSE resumed in 2022, with an extended fieldwork period. Due to this, the decision was taken not to progress with the 2023 survey, to maximise the 2022 survey response and enable more robust reporting of data. See the NHS Digital Health Survey for England - Health, social care and lifestyles webpage for more details.

The Health Survey for England, 2000 (HSE00) consisted of two samples. The general population sample was a national cross-section sample. Up to two children aged 2-15 years were interviewed in each household, as well as up to 10 adults aged 16 years and over. All private households in the general population sample were eligible for inclusion in the survey (up to a maximum of three households per address).

Running alongside the general population sample was a care homes sample, selected from the Laing and Bussion database. The sample contained nursing, residential, dual-registered and small residential homes and covered local authority, voluntary and privately-owned care homes. Up to six people aged 65 and over were selected for interview at each care home, and given a cognitive functioning test to see whether they were capable of being interviewed in person. Proxy interviews for those who were not capable of being interviewed were introduced in June 2000.

For the fourth edition (July 2011), the GHQ12 variables were amended to correct errors in the GHQ12 scores. See document 'Note about GHQ12 problems in HSE Data' for details.

The National Survey of Bereaved People (VOICES - Views of Informal Carers - Evaluation of Services) is an annual survey designed to measure the quality of end of life care. The VOICES survey particularly focuses on the last three months of life. Results are used to inform policy decisions and enable evaluation of the quality of end of life care by age group, sex, in different settings (home, hospital, care homes and hospices) and by different causes of death. Quality of end of life care is also included as an indicator in the NHS Outcomes Framework and the VOICES survey is used to monitor progress against this.

The Department of Health (DH) first commissioned the survey in 2011 to follow up on a commitment made in the End of Life Care Strategy. Previously, very little systematic information was available about the quality of care delivered to people approaching the end of life, despite reports from the Healthcare Commission and the Neuberger review highlighting deficiencies in care. The commissioning responsibility for the survey moved from DH to NHS England following the restructuring of the Health and Care systems in England in April 2013.

Each year a sample of approximately 49,000 adults who died in England is selected from the deaths registration database held by the Office for National Statistics (ONS). To ensure the sample represents the deaths in England for the given period and covers the key domains of interest, the sample is stratified according to the cause of death, place of death and geography. For the 2011 and 2012 surveys, geography was based on Primary Care Trust (PCT) clusters. For the 2013 survey onwards, this is based on NHS Area Teams (NHS Area Team 2013 has also been applied to the earlier datasets).

The VOICES questionnaire is sent by post to the person who registered the death of the deceased; this is usually a relative or friend of the deceased. Questionnaires are sent out between 4 and 11 months after the patient has died. As is standard in most postal surveys, if no response is received, this first questionnaire is then followed up with two reminders. Once fieldwork, data capture, cleaning and processing are complete, findings are disseminated at both the national and sub-national level.

Further information about the survey and links to related publications may be found on the ONS National Bereavement Survey (VOICES) QMI webpage.

End User Licence and Secure Access versions available
The UK Data Service holds standard End User Licence (EUL) and Secure Access versions of the National Survey of Bereaved People data. EUL data are available to registered users but Secure Access data are only available to ONS Accredited Researchers (in addition, project approval and successful completion of a stringent training course are required before access can be granted). The Secure Access version contains finer detail variables (e.g. IMD deciles as opposed to quintiles in the EUL data, Strategic Clinical Network in addition to NHS Area Teams, and more detailed information on age, causes, dates and place of death). Users are strongly advised to check whether the EUL data are sufficient for their research needs before making an application for the Secure Access version.

BackgroundAgitation is a common, challenging symptom affecting large numbers of people with dementia and impacting on quality of life (QoL). There is an urgent need for evidence-based, cost-effective psychosocial interventions to improve these outcomes, particularly in the absence of safe, effective pharmacological therapies. This study aimed to evaluate the efficacy of a person-centred care and psychosocial intervention incorporating an antipsychotic review, WHELD, on QoL, agitation, and antipsychotic use in people with dementia living in nursing homes, and to determine its cost.Methods and findingsThis was a randomised controlled cluster trial conducted between 1 January 2013 and 30 September 2015 that compared the WHELD intervention with treatment as usual (TAU) in people with dementia living in 69 UK nursing homes, using an intention to treat analysis. All nursing homes allocated to the intervention received staff training in person-centred care and social interaction and education regarding antipsychotic medications (antipsychotic review), followed by ongoing delivery through a care staff champion model. The primary outcome measure was QoL (DEMQOL-Proxy). Secondary outcomes were agitation (Cohen-Mansfield Agitation Inventory [CMAI]), neuropsychiatric symptoms (Neuropsychiatric Inventory–Nursing Home Version [NPI-NH]), antipsychotic use, global deterioration (Clinical Dementia Rating), mood (Cornell Scale for Depression in Dementia), unmet needs (Camberwell Assessment of Need for the Elderly), mortality, quality of interactions (Quality of Interactions Scale [QUIS]), pain (Abbey Pain Scale), and cost. Costs were calculated using cost function figures compared with usual costs. In all, 847 people were randomised to WHELD or TAU, of whom 553 completed the 9-month randomised controlled trial. The intervention conferred a statistically significant improvement in QoL (DEMQOL-Proxy Z score 2.82, p = 0.0042; mean difference 2.54, SEM 0.88; 95% CI 0.81, 4.28; Cohen’s D effect size 0.24). There were also statistically significant benefits in agitation (CMAI Z score 2.68, p = 0.0076; mean difference 4.27, SEM 1.59; 95% CI −7.39, −1.15; Cohen’s D 0.23) and overall neuropsychiatric symptoms (NPI-NH Z score 3.52, p < 0.001; mean difference 4.55, SEM 1.28; 95% CI −7.07,−2.02; Cohen’s D 0.30). Benefits were greatest in people with moderately severe dementia. There was a statistically significant benefit in positive care interactions as measured by QUIS (19.7% increase, SEM 8.94; 95% CI 2.12, 37.16, p = 0.03; Cohen’s D 0.55). There were no statistically significant differences between WHELD and TAU for the other outcomes. A sensitivity analysis using a pre-specified imputation model confirmed statistically significant benefits in DEMQOL-Proxy, CMAI, and NPI-NH outcomes with the WHELD intervention. Antipsychotic drug use was at a low stable level in both treatment groups, and the intervention did not reduce use. The WHELD intervention reduced cost compared to TAU, and the benefits achieved were therefore associated with a cost saving. The main limitation was that antipsychotic review was based on augmenting processes within care homes to trigger medical review and did not in this study involve proactive primary care education. An additional limitation was the inherent challenge of assessing QoL in this patient group.ConclusionsThese findings suggest that the WHELD intervention confers benefits in terms of QoL, agitation, and neuropsychiatric symptoms, albeit with relatively small effect sizes, as well as cost saving in a model that can readily be implemented in nursing homes. Future work should consider how to facilitate sustainability of the intervention in this setting.Trial registrationISRCTN Registry ISRCTN62237498

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Hospital Beds Market Size 2025-2029

The hospital beds market size is forecast to increase by USD 2.69 billion, at a CAGR of 9.9% between 2024 and 2029.

The market is experiencing significant growth due to the rising number of medical emergencies and the increase in infectious diseases. The global health crisis has highlighted the importance of having an adequate supply of hospital beds to manage the influx of patients. However, the high cost of automated hospital beds poses a challenge for healthcare providers, as they seek to balance the need for advanced technology with budget constraints. Moreover, the growing prevalence of chronic diseases, such as diabetes and cardiovascular diseases, necessitates long-term hospitalization, further increasing the demand for hospital beds. Additionally, the aging population and their subsequent healthcare needs are also contributing to market growth.
To capitalize on these opportunities, companies can focus on developing cost-effective solutions that offer advanced features, ensuring they cater to the evolving needs of healthcare providers while remaining competitive in the market. Navigating the challenges of cost and affordability will be crucial for market success, as providers seek to optimize their budgets while maintaining the highest level of patient care.

What will be the Size of the Hospital Beds Market during the forecast period?

Explore in-depth regional segment analysis with market size data - historical 2019-2023 and forecasts 2025-2029 - in the full report.
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The hospital bed market continues to evolve, with dynamic shifts in market trends and applications across various healthcare sectors. Hospital bed frames, a fundamental component of patient care, undergo constant innovation to enhance ergonomics and support systems. Mattresses with advanced pressure distribution technology cater to the unique needs of bariatric patients, while ICU beds integrate intravenous pole systems and height adjustment mechanisms for intensive care. Bedside safety features, such as fall prevention systems and bedside rails, are increasingly integrated into hospital bed designs. Bedside monitors, lighting, and call systems further enhance patient safety and comfort. Hospital bed sustainability is a growing concern, with a focus on recycling and disposal methods, as well as the use of eco-friendly materials in bed covers and linens.

Anti-embolism stockings and durability are essential considerations in hospital bed design, ensuring patient safety and longevity. Hospital bed certification standards continue to evolve, driving innovation in bedside safety and maintenance. The market for hospital bed accessories, such as overbed tables and height adjustment mechanisms, is expanding to cater to diverse patient needs. Ergonomics and aesthetics are increasingly important in hospital bed design, with a focus on patient comfort and satisfaction. The integration of electric actuators and sterilization systems further enhances the functionality and efficiency of hospital beds. The ongoing development of pressure relief systems and anti-decubitus mattresses underscores the continuous pursuit of innovation in this dynamic market.

How is this Hospital Beds Industry segmented?

The hospital beds industry research report provides comprehensive data (region-wise segment analysis), with forecasts and estimates in 'USD million' for the period 2025-2029, as well as historical data from 2019-2023 for the following segments.

Product

  Manual beds
  Semi-automated beds
  Automated beds


Application

  Intensive care
  Acute care
  Home care


End-user

  Hospitals
  Home healthcare
  Elderly care facilities
  Ambulatory surgical centers


Geography

  North America

    US
    Canada


  Europe

    France
    Germany
    UK


  APAC

    China
    India
    Japan
    South Korea


  South America

    Brazil


  Rest of World (ROW)

.

By Product Insights

The manual beds segment is estimated to witness significant growth during the forecast period.

The market encompasses a range of products designed for healthcare settings, including manual and electric beds, bariatric beds, ICU beds, and recovery room beds. These beds prioritize ergonomics, offering mattress support systems, adjustable frames, and pressure distribution systems to ensure patient comfort and support. Hospital bed sustainability is a growing concern, leading to the development of eco-friendly materials and recycling programs for bed components. Bedside tables, rails, and lighting provide added functionality, while certifications ensure safety and compliance. Hospital bed linens and covers, along with anti-embolism stockings, contribute to patient care and hygiene. Fall prevention systems and repair services ensure patient safety and bed longevity.

Operating room tables and electric actuators facilitate

The National Survey of Bereaved People (VOICES - Views of Informal Carers - Evaluation of Services) is an annual survey designed to measure the quality of end of life care. The VOICES survey particularly focuses on the last three months of life. Results are used to inform policy decisions and enable evaluation of the quality of end of life care by age group, sex, in different settings (home, hospital, care homes and hospices) and by different causes of death. Quality of end of life care is also included as an indicator in the NHS Outcomes Framework and the VOICES survey is used to monitor progress against this.

The Department of Health (DH) first commissioned the survey in 2011 to follow up on a commitment made in the End of Life Care Strategy. Previously, very little systematic information was available about the quality of care delivered to people approaching the end of life, despite reports from the Healthcare Commission and the Neuberger review highlighting deficiencies in care. The commissioning responsibility for the survey moved from DH to NHS England following the restructuring of the Health and Care systems in England in April 2013.

Each year a sample of approximately 49,000 adults who died in England is selected from the deaths registration database held by the Office for National Statistics (ONS). To ensure the sample represents the deaths in England for the given period and covers the key domains of interest, the sample is stratified according to the cause of death, place of death and geography. For the 2011 and 2012 surveys, geography was based on Primary Care Trust (PCT) clusters. For the 2013 survey onwards, this is based on NHS Area Teams (NHS Area Team 2013 has also been applied to the earlier datasets).

The VOICES questionnaire is sent by post to the person who registered the death of the deceased; this is usually a relative or friend of the deceased. Questionnaires are sent out between 4 and 11 months after the patient has died. As is standard in most postal surveys, if no response is received, this first questionnaire is then followed up with two reminders. Once fieldwork, data capture, cleaning and processing are complete, findings are disseminated at both the national and sub-national level.

Further information about the survey and links to related publications may be found on the ONS National Bereavement Survey (VOICES) QMI webpage.

End User Licence and Secure Access versions available
The UK Data Service holds standard End User Licence (EUL) and Secure Access versions of the National Survey of Bereaved People data. EUL data are available to registered users but Secure Access data are only available to ONS Accredited Researchers (in addition, project approval and successful completion of a stringent training course are required before access can be granted). The Secure Access version contains finer detail variables (e.g. IMD deciles as opposed to quintiles in the EUL data, Strategic Clinical Network in addition to NHS Area Teams, and more detailed information on age, causes, dates and place of death). Users are strongly advised to check whether the EUL data are sufficient for their research needs before making an application for the Secure Access version.

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Retirement Communities Market Size 2025-2029

The retirement communities market size is forecast to increase by USD 47.4 billion at a CAGR of 4.9% between 2024 and 2029.

The market is experiencing significant growth, driven by the rising life expectancy and the resulting demand for specialized living arrangements for the aging population. This demographic shift presents favorable business opportunities for real estate developers, particularly those who can offer innovative and high-quality solutions tailored to the unique needs of seniors. Regulatory compliance is paramount, with licensure requirements and accreditation standards ensuring quality healthcare services, such as geriatric care, skilled nursing, rehabilitation, and hospice care. However, the market also faces challenges, including the need to provide proper healthcare solutions and addressing the diverse requirements of an aging population with varying health conditions and income levels.
Effectively navigating these challenges and capitalizing on the opportunities requires a deep understanding of the evolving needs and preferences of the senior demographic, as well as the ability to offer flexible and comprehensive solutions that address their physical, emotional, and social needs. Companies that can successfully meet these demands will be well-positioned to thrive in this dynamic market. Outright purchases, leases or rentals, and hybrid models are all viable options for seniors, depending on their financial situation and lifestyle preferences. Senior living marketing strategies are focussing on addressing the demands and touch points of prospects.

What will be the Size of the Retirement Communities Market during the forecast period?

Explore in-depth regional segment analysis with market size data - historical 2019-2023 and forecasts 2025-2029 - in the full report.
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The market encompasses a range of senior housing options, including life care communities, assisted living facilities, and active adult communities. Security measures, emergency response systems, and memory care units cater to the unique needs of the aging population, particularly those with Alzheimer's disease. Capital expenditures for housing options, staffing ratios, and caregiver training programs are essential for maintaining resident satisfaction. Financial planning services, estate planning, and long-term care insurance are crucial for managing the financial aspects of retirement living.
Housing options span from independent living facilities to age-restricted communities, catering to various needs and preferences. Attractive financing options, availability of land, and various models, including outright purchases, leases or rentals, hybrid models, and senior living facilities, cater to diverse lifestyle preferences and budgets. Wellness centers, community resources, and transportation services contribute to the overall quality of life. Optometry, pharmaceutical, and palliative care programs further enhance the comprehensive range of services offered. Turnover rates in retirement communities remain a significant consideration, with ongoing staff training and Medicare and Medicaid coverage playing crucial roles in addressing workforce challenges. Fire safety systems and certification programs ensure the safety and security of residents.

How is this Retirement Communities Industry segmented?

The retirement communities industry research report provides comprehensive data (region-wise segment analysis), with forecasts and estimates in 'USD billion' for the period 2025-2029, as well as historical data from 2019-2023 for the following segments.

Type

  Assisted living facilities
  Continuing care retirement communities
  Rest homes


Application

  Elderly people
  Disabled people


Gender

  Female
  Male


Geography

  North America

    US
    Canada
    Mexico


  Europe

    France
    Germany
    Italy
    UK


  APAC

    China
    India
    Japan


  Rest of World (ROW)

By Type Insights

The assisted living facilities segment is estimated to witness significant growth during the forecast period. Assisted living communities within the retirement market cater to seniors who necessitate aid with activities of daily living but do not warrant continuous medical supervision. These facilities provide essential services such as meal preparation, housekeeping, medication management, and personal care assistance to uphold residents' autonomy and enhance their living experience. Assisted living residences are meticulously designed to emulate a homelike atmosphere, featuring private or semi-private living quarters and communal spaces for social interaction and recreational activities. Many establishments offer additional amenities, including fitness centers, libraries, beauty salons, and transportation services, to encourage residents' physical and mental w

In 2020, the share of daily nursing home costs that are handled by public authorities or insurances varies greatly from one European country to another. How European countries regulate nursing home costs depends on their public health expense policies. Long-term care is a significant part of a country’s healthcare expenditure. To a certain extent, health costs and medical expenses are financed by local authorities, national or regional health insurance, and national nursing care insurance. In Ireland, ** percent of the cost per day of a nursing home was borne by the financial support derived from the Fair Deal Scheme. In Czechia, only ** percent of the daily nursing home costs were supported by health insurance. The complex landscape of European nursing homes In 2020, the landscape of nursing homes in Europe was diverse with different shares of homes owned by public or private institutions. During that year, over ** percent of nursing homes were publicly owned in Norway and Denmark. Within privately owned homes, some were for-profit and others not. For instance, ** percent of nursing homes were owned by for-profit private companies in the UK, whereas ** percent of nursing homes were owned by the private non-profit sector in the Netherlands. Therefore, the share of nursing home beds managed by the public or private sector was also very different from one European country to another. The costs of nursing homes in Europe In 2019, the average daily cost of a care home could reach over *** euros in some European countries and less than ** euros in others. During that year, the average monthly cost of a care home amounted to **** euros in the United Kingdom and Germany. The cost of care homes is expected to increase as the need will escalate in Europe due to its aging population. Nonetheless, European health systems rely significantly on informal care, a potentially risky strategy.

Abstract copyright UK Data Service and data collection copyright owner.

The National Survey of Bereaved People (VOICES - Views of Informal Carers - Evaluation of Services) is an annual survey designed to measure the quality of end of life care. The VOICES survey particularly focuses on the last three months of life. Results are used to inform policy decisions and enable evaluation of the quality of end of life care by age group, sex, in different settings (home, hospital, care homes and hospices) and by different causes of death. Quality of end of life care is also included as an indicator in the NHS Outcomes Framework and the VOICES survey is used to monitor progress against this.

The Department of Health (DH) first commissioned the survey in 2011 to follow up on a commitment made in the End of Life Care Strategy. Previously, very little systematic information was available about the quality of care delivered to people approaching the end of life, despite reports from the Healthcare Commission and the Neuberger review highlighting deficiencies in care. The commissioning responsibility for the survey moved from DH to NHS England following the restructuring of the Health and Care systems in England in April 2013.

Each year a sample of approximately 49,000 adults who died in England is selected from the deaths registration database held by the Office for National Statistics (ONS). To ensure the sample represents the deaths in England for the given period and covers the key domains of interest, the sample is stratified according to the cause of death, place of death and geography. For the 2011 and 2012 surveys, geography was based on Primary Care Trust (PCT) clusters. For the 2013 survey onwards, this is based on NHS Area Teams (NHS Area Team 2013 has also been applied to the earlier datasets).

The VOICES questionnaire is sent by post to the person who registered the death of the deceased; this is usually a relative or friend of the deceased. Questionnaires are sent out between 4 and 11 months after the patient has died. As is standard in most postal surveys, if no response is received, this first questionnaire is then followed up with two reminders. Once fieldwork, data capture, cleaning and processing are complete, findings are disseminated at both the national and sub-national level.

Further information about the survey and links to related publications may be found on the ONS National Bereavement Survey (VOICES) QMI webpage.

End User Licence and Secure Access versions available
The UK Data Service holds standard End User Licence (EUL) and Secure Access versions of the National Survey of Bereaved People data. EUL data are available to registered users but Secure Access data are only available to ONS Accredited Researchers (in addition, project approval and successful completion of a stringent training course are required before access can be granted). The Secure Access version contains finer detail variables (e.g. IMD deciles as opposed to quintiles in the EUL data, Strategic Clinical Network in addition to NHS Area Teams, and more detailed information on age, causes, dates and place of death). Users are strongly advised to check whether the EUL data are sufficient for their research needs before making an application for the Secure Access version.


Main Topics:
Date, cause and place of death; quality and standards of medical, nursing, social and pastoral care in the last three months of life; support for relatives/carers; demographics of deceased person and respondent.

Whilst the clinical problems, treatment and care needs of people with Parkinson’s disease in the early stages are increasingly well known, there is little information on those in the late stages who have the greatest needs. This project aimed to assess the clinical problems and impact of late stage Parkinsonism on patients and their carers, examine what their medical and social needs are, as well as their use, costs and impact of, health-care in six European countries. These aims were achieved through the following tasks: a full systematic reviews of the existing literature; qualitative interviews were conducted with people with late stage parkinsonism and with carers, and in-depth assessments were performed in a large, representative number of 692 individuals affected by late stage parkinsonism and their carers. We also conducted a randomised trial examining the impact of a specialist review and recommendations to the primary physician. The study also examined the usefulness of existing assessment tools in the population of patients with late stage parkinsonism. Bringing together the information from these different work streams, we identified the key problems encountered by people with late stage parkinsonism and their carers, including a range of motor and non-motor problems, of which problems Off-periods, autonomic features, cognitive impairment and neuropschiatric features such as delusions, hallucinations, apathy, depression and dementia were most frequent and severe. These were common in patients at home but particularly those in nursing homes, who were often given other treatments for these problems in addition to the antiparkinsonian medications. The qualitative interviews provided information on what support and care needs exist from patients‘ and carers‘ points of view. In addition to the clinical problems, and access to treatments for these, the interviews revealed that the complex needs of this populations require a more flexibility and personalised service than is currently received. It was also found that support for patients in their own homes and positive relationships with healthcare providers help those with Parkinson’s keep independent and maintain a sense of themselves, and that the provision of information help them maintain some control and stay at home. Family caregivers were the main co-ordinators and monitors of care delivery, with significant impact on their own lives, demonstrated in the analysis of qualitative and quantitative data. The treatment trial identified deficiencies in the current model of management in this disease stage in the traditional secondary care model, including the diffiulties in providing information and advice that is translated into management changes, but showed that specialist input, despite the limitations in implementation, improves quality of life in late stage parkinsonism. Taking the information from the literature reviews and the quantitative and qualitative studies, we devised a new tool to assess patients with late stage parkinsonism in any setting to provide the most appropriate care for patients in this complex late disease stage. Further data analysis is ongoing on longitudinal changes. Our data will provide the basis for better provision of treatment and care of this underserved population and support care for this severely affected patient group.

There are a few large companies operating in the Dry-Cleaning and Other Cleaning Services industry, but they only make up a little of the market and there are also many small businesses. The market is relatively fragmented because location plays a big part in demand – dry cleaners need to be based near their customers. Successful companies build a loyal customer base in the neighbourhood where they operate. Over the five years through 2024-25, revenue is forecast to fall at a compound annual rate of 2.3% to £1.6 billion, including a rise of 3.7% in 2024-25. In 2020-21, the COVID-19 pandemic slashed demand, particularly from office workers, the hospitality sector and older adults. The gradual return to offices, the reopening of the hospitality sector and the rollout of the vaccination program helped revenue recover in 2021-22, but it stayed well below its pre-pandemic level, driven by weaker demand from households because of increased home working. Recovery has been further held back by growing eco-consciousness and businesses bringing cleaning in-house to combat rising costs. Disposable incomes are rising in 2024-25, benefiting demand for non-essential services like dry cleaning and boosting industry revenue. Dry-cleaning businesses have tried to attract more demand by bringing in services catering to consumers' busy lifestyles, like offering door-to-door collection and delivery services. Revenue is expected to edge upwards at a compound annual rate of 1.6% over the five years through 2029-30 to £1.7 billion. Both consumer confidence and disposable incomes are expected to improve as economic activity picks up, benefitting dry-cleaning demand. An ageing population is expected to increase demand from the residential care home market, with companies including Elis UK Ltd opening dedicated laundry facilities to cater to the care home market. At the same time, dry cleaners' increased use of mobile apps and online delivery services should open up new markets.

Abstract copyright UK Data Service and data collection copyright owner.The National Survey of Bereaved People (VOICES - Views of Informal Carers - Evaluation of Services) is an annual survey designed to measure the quality of end of life care. The VOICES survey particularly focuses on the last three months of life. Results are used to inform policy decisions and enable evaluation of the quality of end of life care by age group, sex, in different settings (home, hospital, care homes and hospices) and by different causes of death. Quality of end of life care is also included as an indicator in the NHS Outcomes Framework and the VOICES survey is used to monitor progress against this. The Department of Health (DH) first commissioned the survey in 2011 to follow up on a commitment made in the End of Life Care Strategy. Previously, very little systematic information was available about the quality of care delivered to people approaching the end of life, despite reports from the Healthcare Commission and the Neuberger review highlighting deficiencies in care. The commissioning responsibility for the survey moved from DH to NHS England following the restructuring of the Health and Care systems in England in April 2013. Each year a sample of approximately 49,000 adults who died in England is selected from the deaths registration database held by the Office for National Statistics (ONS). To ensure the sample represents the deaths in England for the given period and covers the key domains of interest, the sample is stratified according to the cause of death, place of death and geography. For the 2011 and 2012 surveys, geography was based on Primary Care Trust (PCT) clusters. For the 2013 survey onwards, this is based on NHS Area Teams (NHS Area Team 2013 has also been applied to the earlier datasets). The VOICES questionnaire is sent by post to the person who registered the death of the deceased; this is usually a relative or friend of the deceased. Questionnaires are sent out between 4 and 11 months after the patient has died. As is standard in most postal surveys, if no response is received, this first questionnaire is then followed up with two reminders. Once fieldwork, data capture, cleaning and processing are complete, findings are disseminated at both the national and sub-national level. Further information about the survey and links to related publications may be found on the ONS National Bereavement Survey (VOICES) QMI webpage. End User Licence and Secure Access versions available The UK Data Service holds standard End User Licence (EUL) and Secure Access versions of the National Survey of Bereaved People data. EUL data are available to registered users but Secure Access data are only available to ONS Accredited Researchers (in addition, project approval and successful completion of a stringent training course are required before access can be granted). The Secure Access version contains finer detail variables (e.g. IMD deciles as opposed to quintiles in the EUL data, Strategic Clinical Network in addition to NHS Area Teams, and more detailed information on age, causes, dates and place of death). Users are strongly advised to check whether the EUL data are sufficient for their research needs before making an application for the Secure Access version. Main Topics:Date, cause and place of death; quality and standards of medical, nursing, social and pastoral care in the last three months of life; support for relatives/carers; demographics of deceased person and respondent.