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Residential and Nursing Care Market Position Statement 2025 - 2040

Introduction to Market Position Statement

This residential and nursing care Market Position Statement sets out information on current and future projected demand and supply of residential and nursing care in Walsall from 2025-2040. The information contained within this document is the best estimation at the time of writing with the intelligence available to us.

We are ambitious for modern, good quality, affordable residential and nursing care in the Borough of Walsall. We seek to create the right conditions for a sustainable market that is ‘right sized’ to meet the current and future projected needs of Walsall citizens. We welcome new providers to the Borough that can meet identified gaps in the market, as well as working with existing good -quality providers of residential and nursing care.

The development of the workforce for residential and nursing care in Walsall is of pivotal importance. We seek to support the retention and recruitment of carers to the residential and nursing sector through strategic workforce development with partners and providers.

Scope of this Market Position Statement:

18-64 years of age residential care

Discharge to Assess Pathway beds

65+ years of age nursing care

Respite beds

18-64 years of age nursing care

65+ years of age residential care

Definitions of residential and nursing care

Residential Care

Residential care refers to accommodation and 24-hour personal care and support to people who cannot live independently but do not require nursing care. Residential care provides people with a home, care according to their needs (such as help with washing, dressing, toileting, administering medication and mobility) and social activities. People can go into residential care from a variety of routes including from hospital.

Nursing Care

Nursing care refers to registered nursing care for people who need higher levels of care, including immediate care following discharge from hospital or due to a longer-term care need. Nursing homes offer a qualified nurse on site around-the-clock, supported by care assistants, as well as social activities. Both residential care and nursing care require providers to be registered with the Care Quality Commission (CQC).

Short term bed-based care

Short-term bed-based care includes respite care and out of hospital care and refers to short-term care for people who need extra support following a hospital stay, or a period of illness or following recovery from an injury or illness, or it can be temporary care while the person’s regular carer takes a break. A respite care placement will provide tailored, 24-hour support for older people in need of a short-term stay.

Hospital Discharge Bed-based Care

Walsall’s Intermediate Care Service (ICS) facilitates hospital discharge through one of four pathways with returning home (pathways 0 or 1) being the primary option. Pathways 2 and 3 support individuals who require a period of time within a bedded provision.

Pathway 2Pathway 3

Pathway 2 supports individuals being discharged from hospital who require recovery, rehabilitation, assessment or short-term intensive support in a 24-hour bed-based setting, before returning home. 

We currently commission 10 rehabilitation beds with one nursing home provider. All further beds required to support Pathway 2 discharges are currently spot purchased from the nursing and residential care market.

Pathway 3 supports those individuals being discharged from hospital who require 24 hour care and have complex care needs which require a long term bedded placement following either a health or social care assessment phase. 

The Council currently spot purchases from the nursing and residential care market the bed provision required to support hospital discharge through Pathway 3. Work is being undertaken across the health and social care system understand how we can better support hospital discharge in bed-based provision.