In 2022, HC-One was the largest care home operator in England with a market share of 3.4 percent. This was closely followed by Barchester with a market share of 3.2 percent, while Care UK had a 2.4 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 20,700. Four Seasons Health Care (FSHC) and Barchester Healthcare completed the top three with 17,000 and 12,400 beds respectively.

In 2022, there were around 385 thousand beds in care homes in England. That year, with 13.9 thousand care home beds, HC-One operated more beds than any other operators in England. Barchester had the second-highest number of care home beds, with 13.1 thousand beds in 2022.

From 2018 to 2021, Care UK Nursing & Residential Care Services opened the most care home in the United Kingdom. During this period, this operator opened 17 new care homes. The care home operator which opened the second most homes in the UK was Barchester, with nine openings.

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.

From 2018 to 2021, Care UK Nursing & Residential Care Services opened the most care home beds in the United Kingdom. During this period, this operator opened 1,150 new beds within its care homes. The care home operator which opened the second most beds in the UK was Barchester, with 619 openings.

Retirement homes have faced a challenging period. They depend on self-funders or local council funding that covers the retirement needs of people who satisfy financial assessment means tests. Tightening government budgets have meant publicly funded fees have failed to cover providers’ operating costs in recent years, forcing retirement homes to cross-subsidise local authority beds with fees from self-funded residents. Revenue is anticipated to inch down at a compound annual rate of 0.2% over the five years through 2024-25 to £10.3 billion, but it’s set rise by 1.1% in 2024-25. Much of this is down to care homes fees mounting to cover costs and being paid for by self-funders, who are seeing their disposable income levels tick upwards in 2024-25. Although the ageing population supports revenue, constrained government spending, delayed reform changes and rising costs (particularly for labour) have put pressure on profit. Demand for beds far outstrips the supply, which is driving investment into the industry. The COVID-19 pandemic caused revenue to decline significantly in 2020-21, but the successful roll-out of vaccinations significantly reduced the death rate in care homes. This, combined with mounting demand from residents who had delayed joining a retirement home during the lockdowns, contributed to strong growth in revenue in 2021-22. Care homes fees then edged up in the three years through 2024-25 to cope with enhanced staffing costs, mounting mortgage payments and heightened energy costs – these were all the result of high inflation. This has been to the dismay of many retirees whose purse strings have tightened thanks to the cost-of-living crisis, making hit harder for them to afford to move into retirement homes. Higher fees have therefore dampened some of demand for beds, but they’ve also increased the overall takings of care homes. Retirement home revenue is expected to climb at a compound annual rate of 1.9% over the five years through 2029-30 to £11.3 billion, driven by an ageing population. By 2036, the number of people aged 85 and over will hit 2.6 million, representing 3.5% of the UK population, according to the Office for National Statistics. However, medical advances will make an older population healthier, allowing people to live independently for longer, dampening growth.

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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.

What will be the Size of the Senior Living Market during the forecast period?

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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

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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.

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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?

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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

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.

This is a monthly report on publicly funded community services for people of all ages using data from the Community Services Data Set (CSDS) reported in England for December 2023. It has been developed to help achieve better outcomes and provide data that will be used to commission services in a way that improves health, reduces inequalities, and supports service improvement and clinical quality. These statistics are classified as experimental and should be used with caution. Experimental statistics are new official statistics undergoing evaluation. More information about experimental statistics can be found on the UK Statistics Authority website (linked at the bottom of this page). A provisional data file for January 2024 is now included in this publication. Please note this is intended as an early view until providers submit a refresh of their data, which will be published next month.

This report shows monthly numbers of NHS Hospital and Community Health Services (HCHS) staff working in NHS Trusts and other core organisations in England (excluding primary care staff). Data are available as headcount and full-time equivalents and for all months from 30 September 2009 onwards. These data are a summary of the validated data extracted from the NHS HR and Payroll system. Additional statistics on staff in NHS Trusts and other core organisations and information for NHS Support Organisations and Central Bodies are published each: September (showing June statistics) December/January (showing September statistics) March (showing December statistics) June (showing March statistics) Quarterly NHS Staff Earnings, monthly NHS Staff Sickness Absence reports, and data relating to the General Practice workforce and the Independent Healthcare Provider workforce are also available via the Related Links below. We welcome feedback on the methodology and tables within this publication. Please email us with your comments and suggestions, clearly stating Monthly HCHS Workforce as the subject heading, via enquiries@nhsdigital.nhs.uk or 0300 303 5678.

In 2022, there were a total of over ** thousand care homes across the United Kingdom. In the UK, roughly ** percent of care homes are residential care homes with nursing homes accounted for ***** in ten care homes.

Abstract copyright UK Data Service and data collection copyright owner.

The National Patient Survey Programme is one of the largest patient survey programmes in the world. It provides an opportunity to monitor experiences of health and provides data to assist with registration of trusts and monitoring on-going compliance. Understanding what people think about the care and treatment they receive is crucial to improving the quality of care being delivered by healthcare organisations. One way of doing this is by asking people who have recently used the health service to tell the Care Quality Commission (CQC) about their experiences.

The CQC will use the results from the surveys in the regulation, monitoring and inspection of NHS acute trusts (or, for community mental health service user surveys, providers of mental health services) in England. Data are used in CQC Insight, an intelligence tool which identifies potential changes in quality of care and then supports deciding on the right regulatory response. Survey data will also be used to support CQC inspections.

Each survey has a different focus. These include patients' experiences in outpatient and accident and emergency departments in Acute Trusts, and the experiences of people using mental health services in the community.

History of the programme

The National Patient Survey Programme began in 2002, and was then conducted by the Commission for Health Improvement (CHI), along with the Commission for Healthcare Audit and Inspection (CHAI). Administration of the programme was taken over by the Healthcare Commission in time for the 2004 series. On 1 April 2009, the CQC was formed, which replaced the Healthcare Commission.

Further information about the National Patient Survey Programme may be found on the CQC Patient Survey Programme web pages.

The Community Mental Health Service User Survey, 2017 (MH17) was designed to provide actionable feedback to each participating trust on service users' views of the care they had received. The survey covers issues that affect the quality of care that people receive and were identified by people as important to them. Topics covered include: health and social care workers, planning care, reviewing care, crisis care, treatments and other areas of life. The results are primarily intended for use by NHS trusts to help them improve their performance. The results from this survey will be used by the Care Quality Commission in its assessment of NHS mental health trusts in England. Data from the survey will also be included in the data packs for inspections.

In 2014, the Community Mental Health Service User Survey was substantially redeveloped and results from 2014 onwards are not comparable with previous surveys.

Further information may be found on the CQC Community Mental Health Survey, 2017 webpage.


Main Topics:

The survey covered issues that affect the quality of care that service users receive and were identified as important to them. Topics included: