Residential and Nursing Care Market Position Statement 2025 - 2040 - Commissioned residential and nursing care
There are an estimated 862 people receiving residential and nursing care commissioned by Walsall Adult Social Care as of early March 2025. There is roughly a two-thirds and one-third split between the number of people receiving residential care and the number receiving nursing care.
Greatest current demand is for residential EMI (dementia) care, residential care, nursing care and nursing EMI (dementia) care.
Weekly costs have risen over time with the exception of specialist placement costs that have tapered back down over time. Most placements are at standard rate and 1-20% higher than standard rate, with a proportion still at 20-50% higher than standard rates. There is also a significant degree of first party top-ups: Walsall Council is currently estimated to be picking up 397 first party top-ups currently and additional negotiated costs, hence the total fees paid by the Council are currently higher than published rates
18-64 Residential and Nursing Care
Trends in Walsall in new admissions to 18-64 residential and nursing care between 2022 and 2023 showed gradually increased new admissions to residential and nursing care and a downturn in comparative performance in this metric against national, comparator group and regional comparator averages. However, new admissions started to decrease in 2023-2024 and the same in 2024/2025. This suggests that younger people’s needs may be being met in other provision such as Supported Living as demand for supported living has increased in the same period and/or that less new entrants with these needs have come into adult social care since May 2024.
Over 65s Residential and Nursing Care
The trends in new admissions to residential and nursing care for Walsall Council clients age 65+ show a decrease in new placements to bed-based care, although the historical trend has been upwards. Carer breakdown, falls, deterioration in mental -health and other health conditions and depletion in self-funder funds are key reasons for people coming into bed-based care in the Borough.