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Mental Health Statistics: Analysis, statistics, UK market survey and report on mental health and specialist care: 2010/11

Title image - Mental Health and Specialist Care Services: UK Market Report 2010/11

 

Mental Health and Specialist Care Services: UK Market Report 2010/11

The Mental Health and Specialist Care Services UK Market Report 2010/11 collates the latest market statistics and analysis on a range of specialist health and care services provided by the independent sector – including mental health hospitals; care homes and related accommodation; support for learning, disabled, and mentally ill people; children's homes; and special schools.


Based on a wealth of public and private information sources, some available only to Laing & Buisson, the report offers unique data and in-depth analysis of each of the market segments, addressing key issues of interest to investors,

service providers, professional advisors, commissioners, regulators, and policy makers.


The report covers:

  • Key sector statistics

  • Market drivers

  • Demand and supply

  • Government policy and regulation

  • Industry structure

  • Profitability

  • Profiles of major players

  • Market prospects

  1. Independent mental health hospitals
  2. Care homes, supported living and domiciliary care

  3. for learning disabled and mentally ill adults

  4. Children's homes and special schools

 

 

Comparisons are drawn and differences highlighted between the market segments covered; and in the light of the

significant overlap between the segments, a special section is dedicated to profiling major providers' activities across

the full range of services covered.


This is a fully revised and updated Fourth Edition of the widely acclaimed Mental Health and Specialist Care Services Report first published in 2006. Delineating past trends and describing the present state of each of the markets covered, the report addresses key issues looking forward, including:

  • How will providers weather to the storms of public spending cuts?

  • Will government policy and regulation remain essentially benign towards the independent sector?

  • What are the prospects for continued outsourcing in markets dominated by public sector funding?

  • What are the drivers of demand?

  • What impact will the price pressure have on profit margins, and which segments are the most vulnerable?

  • What are the drivers of consolidation and which market segments offer the biggest opportunities for consolidation?


The report is essential reading for senior executives and managers within any organisation committed to, or

considering involvement in, each of the specialist sectors covered, including for-profit, 'third sector', and public sector

agencies.


What does the Mental Health and Specialist Care Services UK Market Report 2010/11 offer you?


A selection of some of the tables and figures included in the report


Mental health hospitals

  • Independent mental health hospitals/units and market size, UK 1988-2010

  • Independent mental health hospitals/units and beds by main client type, UK mid-2010

  • Mental health hospital and community health services market value, all sectors, UK 2009

  • Payment sources for independent mental health hospitals, UK 2009

  • Segmentation of public and private activity: acute, secure, and rehabilitation beds for mental health, UK 2010

  • Trends in detained patients, NHS and independent sector 1999-2010

  • Major providers of independent mental health hospitals with ‘acute’ primary client type, UK mid-2010

  • Secure capacity trends 2001-2010, mental illness and learning disabilities

  • Medium secure bed capacity by Strategic Health Authority, 2009/10

  • Major providers of independent mental health hospitals with medium secure primary client type, UK mid-2010

  • Major providers of low secure, non-secure, or stepdown independent mental health hospitals, UK mid-2010

  • Major providers of independent mental health hospitals and care homes with brain injury/neuro-rehabilitation as primary client type, UK mid-2010

  • Sources of margin pressure and defensive characteristics of the independent mental health hospital sector

  • Market concentration, independent mental health hospitals, beds (2010) and revenue (2009)

  • Share of the UK independent mental health hospital sector by ownership group, hospital, and beds 2010

  • Comparative financial analysis of major mental health hospital groups in the UK - most recent statutory accounts

  • Independent mental health hospitals with sector of ownership, group provider, patient types, and bed numbers, by region, UK mid-2010

  • Detained patients resident in mental health hospitals at March (1999-2008), independent sector and NHS, England

  • Admissions of detained patients, year ending March (1999-2008), independent sector and NHS, England care homes for learning disabled and mentally ill adults

  • Supply and value of services for adults with learning disabilities and mental health problems below the age of 65 in care homes & non-acute NHS provision, by sector, England April 2010

  • Capacity (places) in residential settings and recipients of home care - learning disabled and mentally ill adults aged under 65, England 2000–2010

  • Local authority Personal Social Services gross expenditure on services for adults with learning disabilities and mental illness, England 2004/05 – 2008/09

  • Average weekly fees paid by local authorities for independent sector residential and nursing care of adults with learning disabilities and mental illness, England 2004/05 – 2008/09

  • Occupancy rates in private and voluntary care homes for learning disabled and mentally ill people, UK 2000-2010

  • Day care and home care expenditure by local authorities on adults with learning disabilities and mental illness, England 2005/06 – 2008/09

 

 

 

Key findings and executive summary

This section summarises the key findings from the report. It contrasts and compares each of the main market segments, highlighting common themes and points of difference. It provides a brief summary of the main strengths and weaknesses of each market and, looking forward, the opportunities and potential threats for service providers and investors.


Mental health hospitals

  • Market size and growth

  • Payment sources (NHS; PMI; self-pay and other)

  • Demand and supply (detained and non-detained patients; future drivers of demand)

  • Segmentation by patient group (patient profile, fees, occupancy, leading providers by segment: acute psychiatry; secure treatment and stepdown; brain injury rehabilitation)

  • Funding - NHS funding of mental health and future funding prospects following the 2010 Comprehensive Spending Review

  • Purchasing dynamics (current balance of purchaser/provider market power and potential impact of the coalition government's NHS reforms)

  • Political environment (central government commitment to plurality of provision contrasted with NHS preference for in-house supply where possible)

  • Policy, legislation, and regulation (Mental Health Act 2007, the Health and Social Care Act 2008, C2A planning use class for secure facilities, the coalition government reforms, the development of MH hospital tariff prices and payment by results (PbR); implementation of Lord Bradley’s MH prison diversion review)

  • Market structure and profitability (including major provider penetration and recent profitability of major providers)

 

Care homes for learning disabled and mentally ill adults

  • Market size (for learning disabilities and mental illness, by provider sector, separately and combined)

  • Demand and supply (trends in care home capacity, home care, and supported housing; local authority placement trends; future drivers of demand)

  • Segmentation by client group (learning disabilities and mental illness; complex needs, challenging behaviour, etc.; fees, occupancy, leading providers)

  • Funding (recent growth in local authority and NHS funding of social care for learning disabilities and mental illness and future funding prospects

  • Purchasing dynamics (current balance of purchaser/provider market power and prospects for the future)

  • The drive towards personalised services (community based services, supported living, direct payments, and personal budgets)

  • Political environment (likely continuation of a benign environment for independent sector providers)

  • Legislation and regulation (the Health and Social Care Act 2008, the CQC and corresponding regulators in other parts of the UK)

  • Market structure and profitability (including major provider penetration and recent profitability of major providers)

 

Children’s homes and special schools

  • Market size (for children's homes and special schools)

  • Demand and supply (trends in capacity; local authority placement trends; future drivers of demand)

  • Segmentation by client group (client profiles, fees occupancy, leading providers)

  • Funding (local authority funding and future funding prospects)

  • Purchasing dynamics (current balance of purchaser/provider market power and prospects for the future following the 2010 Comprehensive Spending Review)

  • Political environment, legislation, and regulation

  • Market structure and profitability (including major provider penetration and recent profitability of major providers)

 

Profiles of major independent sector providers

  • Cross sector profiles of each major provider, including capacity metrics in each of the segments in which they are active (mental health hospitals, care homes, children's homes, and special schools)

 

A selection of some of the tables and figures included in the report

  • Leading independent sector providers of care homes for learning disabled and mentally ill adults by numbers of such homes owned or managed, UK mid-2010

  • Major provider penetration, share of independent sector care home capacity for learning disabled and mentally ill adults owned or managed by groups of 3 or more homes, UK 2003-2010

  • Share of care home capacity for learning disabled and mentally ill adults by ownership group, homes and bed capacity, UK mid-2010

  • Care homes capacity for learning disabled and mentally ill adults operated by major providers by category of provider, UK April 2010

  • Independent sector care homes for learning disabled and mentally ill adults, for-profit, and non-profit registered homes, places, and mean size, UK 2005-2010

  • New registrations of independent sector care homes for learning disabled and mentally ill adults, UK 2000-2010

  • Closures of independent sector care homes for learning disabled and mentally ill adults, UK 2000-2010

  • Comparative financial analysis of major learning disability and mental health care home groups in the UK- most recent statutory accounts


Children’s homes and special schools

  • Children’s homes and special schools, capacity and annual market value 2009/10, England

  • Demand for children’s homes (numbers supported by local authorities in England in the public and independent sectors) 2000/01 to 2009/10

  • Special school capacity and placement of pupils with SEN, England, by sector 2010

  • Pupils with statements of special educational needs by type of school, England 2001-2010

  • Schools, pupils, and pupils with SEN by category of school, UK 2007–2010

  • Local authority PSS gross expenditure on services for children, England 2005/06 – 2009/10

  • Average weekly fees paid by local authorities to independent and own provision children’s homes, and average occupied places, England 2002/03 – 2007/08

  • Major providers of children’s homes 2010

  • Major providers of independent special schools and colleges, top 20 in order of capacity, England, Mid-2010

  • Major provider penetration, independent special schools and colleges, England, Mid-2010


Profiles of major providers

  • Major operators of mental health and learning disability care, hospitals & care homes, UK, 2009

 

 

Prices and order information for Mental Health and Specialist Care Services UK Market Report 2010/11

Prices are shown below for the hard copy and PDF versions. To order your copy, Download the Mental Health and Specialist Care Services UK Market Report 2010/11 summary and order form (PDF).

 

Publication

Price

Mental Health and Specialist Care Services UK Market Report 2010/11

£745 hard copy only

£1105.00 hard copy & PDF