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Adult Specialist Care UK Market Report

Publisher LaingBuisson Ltd.
Published Jul 17, 2025
Length 422 Pages
SKU # LBU20492825

Description

This fully updated seventh edition of LaingBuisson’s Adult Specialist Care UK Market Report provides a comprehensive analysis of services for working-age adults (18–64) with long-term care needs. It covers the care and housing needs of groups including learning disabilities, autism, mental health conditions, acquired brain injury, substance misuse, early-onset dementia, and complex physical and sensory disabilities up to the financial year 2024/25.

The report examines a £19.0 billion UK market that is now entirely dependent on the independent sector for service delivery. It details demand and segmentation, with learning disabilities and autism dominating expenditure at £8.8 billion in England alone. Based on the latest data up to March 2025, we estimate that over 750,000 younger adults are in receipt of long-term care in the UK and this number is only set to expand, driven by demography.

The report explores the interplay between demographics, funding constraints and investment appetite. Despite a decade-long fall in aggregated operating profit margins for adult specialist care home groups (from 27% in the immediate pre-austerity period to 15% for statutory accounts ending in the year 2024), the market continues to attract strong private equity and REIT interest. This is supported by society’s long-term commitment to high-cost, high-need individuals. It also assesses trends in supported living and residential settings, regional commissioning gaps, the role of housing supply, and how workforce pressures have eased post-Covid.

Table of Contents

422 Pages
EXECUTIVE SUMMARY AND HIGHLIGHTS
MARKET
1.1 Definition, scope and data sources
1.2 Market size
1.3 Market growth
1.4 Market segmentation by support setting
1.5 Market segmentation by broad client type
1.6 Funding profile
1.7 Customer profiles
1.8 Demand drivers
1.9 Key operational metrics
1.10 Operating models
1.11 Investment models
1.12 Performance measures
1.13 Supported accommodation – a parallel market
POLITICS AND REGULATION
2.1 Impact of government policy
2.2 Public spending on younger adult social care
2.3 Immigration policy and social care staffing
2.4 Other government policies
2.5 Regulation of adult social care provision
2.6 Regulations affecting payroll
PAYORS
3.1 Public funding
3.2 Local authority market environment
3.3 NHS
3.4 Private funding
WORKFORCE
4.1 Workforce statistics
4.2 Workforce regulation
4.3 Long-term prospects
MARKET STRUCTURE
5.1 Market concentration and leading providers’ shares
5.2 Consolidation (absence of)
5.3 Balance of for-profit and not-for-profit supply
5.4 Capacity turnover – openings and closures
5.5 Profile of younger adult care homes
5.6 Entries and exits
5.7 Business failures and recapitalisations
5.8 Economies of scale and scope
5.9 Brand values unimportant
5.10 Absence of intermediation
5.11 Barriers to entry
5.12 Sources of capital
INVESTORS
6.1 Private equity
6.2 Other financial institutions
6.3 Enterprise values and exit multiples
MARKET POTENTIAL
7.1 Strong fundamentals
7.2 Recognition as an investment opportunity
7.3 Contiguous market segments
7.4 Digital technologies
7.5 Artificial intelligence and robotisation
7.6 Absence of any transnational dimension
APPENDICES
Appendix 1. Glossary
Appendix 2. Key legislation
Appendix 3. Regulators
Appendix 4. Trade associations
Appendix 5. History
Appendix 6. Major provider profiles
Appendix 7. Financial appendix

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