Public policy and private provisions: changes in residential care from 1991 to 2001

Haynes, P., Balloch, Susan, Banks, Laura and Hill, Michael (2006) Public policy and private provisions: changes in residential care from 1991 to 2001 Health and Social Care in the Community, 14 (6). pp. 499-507. ISSN 1365-2524

[img]PDF - Published Version
Restricted to Registered users only


Official URL:


This research examined changes in the number of care homes and their residents in the UK between the 1991 and 2001 Censuses. Local-authority-owned provision universally declined in this period, but changes in private residential and nursing homes were far more varied. Some parts of Britain experienced a growth in this market, in particular Scotland. Regions which were traditionally linked with greater numbers of retired people in their populations declined in their private residential home markets (e.g. the South West and South East). Wales experienced a regional decline that was greater than most English regions. Using additional Department of Health data, it was possible to estimate which local authority areas in England were exporting state-funded supported residents to homes out of their area. Most of these authorities were in urban areas and the highest rates of exporting were from Inner London boroughs. Political control and average property prices were explored as possible independent variables influencing the percentage rate of decline in homes in a local authority area. It appeared that Conservative authorities experienced a more rapid decline in government-owned homes than those run by Labour, but the results were not statistically significant, suggesting that local politics was a not a key influence on the trend. Average property prices did not affect all areas of the country, but were found to have a negative and significant association with percentage rates of decline in care homes in both Wales and London.

Item Type:Journal article
Uncontrolled Keywords:adult social care; care homes; communal establishments; residential social care; social care market
Subjects:L000 Social Sciences
DOI (a stable link to the resource):10.1111/j.1365-2524.2006.00638.x
Faculties:Faculty of Health and Social Sciences > School of Applied Social Science
ID Code:2358
Deposited By:editor sass
Deposited On:19 Mar 2009
Last Modified:08 Oct 2013 12:21

Repository Staff Only: item control page