Centre for Policy on Ageing
 

 

Nursing home closures
 — effects on capacity and reasons for closure
Author(s)Ann Netten, Robin Darton, Jacquetta Williams
Journal titleAge and Ageing, vol 32, no 3, May 2003
Pagespp 332-337
KeywordsNursing homes ; Closure ; Bed availability ; Consumer demand ; Social surveys ; England.
AnnotationThe rate of closure of nursing homes, the types of homes closing, and the reasons for closing were identified in a mixed method survey. 81 of 96 health authority and joint registration and inspection unit managers in England completed a census. 39 managers participated in a further telephone survey. Closures resulted in a net loss of 6% of nursing homes, and 4% of nursing places in 2000/01. Smaller homes were more likely to close and were increasingly seen as unviable. Most of the closed homes were reported to have provided good quality care. The dominant combination of factors identified by providers were low fees and concerns about the cost implications of the new care standards. Changes in demand were reflected in the placement of high dependency residents in residential rather than nursing homes. In the absence of policy interventions, capacity will continue to reduce, with smaller homes most likely to disappear. The supply and efficient use of nursing staff skills in care homes requires urgent attention. While fee levels are a primary concern, the effect of the proposed care standards was clearly having an effect. Unless authorities use capacity funding to raise fees and improve expectations, providers are likely to continue to exit the market. (RH).
Accession NumberCPA-030602206 A
ClassmarkLHB: 5YW: QKW: WYD: 3F: 82

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