Care Market In Barnet


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Care Market In Barnet

  1. 1. Care Market in Barnet Most people receive care and support through informal arrangements and growth in demand is expected to impact on carers and communities as more and more families and households will be affected by carrying out caring responsibilities for short or long periods. We also know that people who care for long periods are especially vulnerable to physical and mental ill health which creates an individual personal burden, increases demands on health and social care services and undermines the viability of informal care arrangements. HM Government launched its National Strategy for Carers on 10 June 2008. Called "Carers at the heart of 21st century families and communities: A caring system on your side. A life of your own", it sets out a series of initiatives and some new commitments to help and improve the lives of carers. It gives a framework for a ten-year programme and a vision of what the Government wants to see in place for carers by 2018. It replaces the 1999 strategy “ Caring about Carers” . The strategy covers the United Kingdom and is a cross government initiative endorsed by the Prime Minister and seven Secretaries of State. Health and social care aspects are specific to England. There are some gaps in support for carers, including respite care and emergency home based respite which are set out further in section 4 of the JSNA. Apart from informal care, the care market in Barnet is dominated by residential care. Historically there have been a high numbers of people who fund their own care arrangements in Barnet reflecting the economic profile of the borough in particular of retirees. This has stimulated a large provision of private care homes and to a lesser extent domiciliary care agencies. However it is not clear that these self funders always have good access to advice and support which enables them to exercise choice of care arrangements and which would stimulate demand for alternative provisions. The latest demand analysis shows us that the Local Authority and local Primary Care Trust combined purchase less than 50% of the placements locally, although the proportions a higher for younger adults.. Supply Snapshot of local care homes registered for older people in London borough of Barnet: 1. 74 care homes in total. 2. 20 registered as ‘care homes with nursing’- including some registered to provide dementia care. 3. 54 ‘care homes only’ – of these most registered to provide dementia care including some with specialist units. 4. Places: Residential 1,741- inc. 327 shared and inc. 816 En Suite Nursing 1,029- inc. 146 shared and 882 En Suite. • In comparison with national supply ratios Barnet is oversupplied for care homes – based on places per nos. of people over 65 (CSCI ). • Size of homes vary from between 10 to 120 places however most between 30 and 60.
  2. 2. • Much of the building stock is relatively outdated – only new build must comply with new space regs. Etc. • Relatively limited spectrum of care offered at present. • 3 care home include day care units (block contract- catalyst) Occupancy levels of care homes are falling in line with the national picture. The market is accessed by a number of outside boroughs and PCTs which presents a number of risks which need to be locally managed. There are particular risks currently associated with this market as several of the larger asset based companies are affected by the economic climate and with lowering occupancy levels this increases the risk of relatively sudden care home closures. There is a need for more self contained accessible housing with 24 hour support and access to good quality homecare services which can support younger and older people with complex care needs. This has been reflected within the Barnet LAA in respect of people with mental health needs known to secondary mental health services.