King's College London

Research portal

Care homes: averting market failure in a post-covid-19 world

Research output: Contribution to journalEditorialpeer-review

Jill Manthorpe, Steve Iliffe

Original languageEnglish
Article number372:n118
JournalBritish Medical Journal
Issue number118
Published18 Jan 2021

King's Authors


We need public and political consensus about long term options. Our population is not ageing well. The proportion of older people affected by medium to high disability in England is increasing, but social care cannot meet their needs and seems curiously separate from the NHS. It took a global pandemic for data on care home capacity to be collected weekly and shared with England’s regulators and commissioners. If we assume that half of older people with medium to high disability are cared for in their own homes, by 2025 an additional 71 000 care home places could be needed. Some 5500 organisations operate care homes; 90% of these are private providers, including some charities. The five largest chains in England provide only 15% of places. Around 70% of providers have three or fewer care homes.

View graph of relations

© 2020 King's College London | Strand | London WC2R 2LS | England | United Kingdom | Tel +44 (0)20 7836 5454