Residential and Nursing Care Market Position Statement 2025 - 2040 - Current needs

• There are 105 Walsall Council funded clients under 65 years of age receiving residential care
• The primary needs of these 105 people under 65 years of age receiving residential care are listed below in the table. (Source: Mosaic Social Care Records) 

• There are 537 Walsall Council funded clients over 65 years of age receiving residential care
• The primary needs of these 537 people over 65 years of age receiving residential care is listed below in the table.

• There will always be a need for residential care in the Borough to meet the needs of people who cannot remain at home and the complexity of conditions of people coming into residential care is growing. However, residential care should be a last resort when an individual is no longer able to remain safely independent at home.
• The direction of travel is to better manage the scale and size of standard residential care given that more people are expected to remain independent in their home and communities for longer and to come into bed-based care later in life.
• It is expected that there will therefore be a need for more specialist bed-based care rather than standard residential care. Extra Care Housing (ECH) is a good alternative to bed-based care for over 55s and the growth of ECH is part of the future direction of travel.

Nursing Care Under 65 Primary Needs

• There are 57 Walsall Council funded under 65 yr olds receiving nursing care. 

• This needs analysis shows that the primary need of Council clients age under 65s in nursing care is mental health followed by personal care and support.  
• As complexity of need increases, it is expected that needs for nursing care will grow for under and over 65s.

• There are 352 Walsall Council supported clients over 65 + years of age in nursing care.  

• This data shows that the primary need of people over 65 in nursing care is physical disability (personal care and support and access and mobility) followed by mental health and memory and cognition.
• As complexity of need increases, it is expected that needs for nursing care will grow for under and over 65s. 

• There are 399 people receiving Walsall Council funded bed-based respite care. 277 of these people are under 65 and 122 are over 65 years of age.  

Under 65s 

• This analysis shows that the majority of respite clients are working age adults under 65 years of age and the predominant primary need is learning disability followed by personal care and support. 

Over 65s 

• There are 122 Walsall Council funded clients over 65 + currently receiving bed-based respite care.   

• This analysis shows that the predominant primary need of over 65s using respite services is physical disability (personal care and support followed by access and mobility).  

It is estimated that 29.8% of people in Walsall care homes are self-funders (Estimating the size of the self-funding population in the community, England - Office for National Statistics (ons.gov.uk). It is estimated that there are over 10 care homes in Walsall serving the self-funder market exclusively, with most homes accommodating a mixture of Council-supported clients, self-funders and people from other Local Authority areas. It is a key duty of the Council to market shape provision for self-funders as well as Council commissioned provision.

This data shows that physical support (personal care and support) is the primary support need of those in Pathway 2 hospital discharge beds followed by access and mobility issues. Individuals are supported in a mixture of nursing and residential provision.

This data shows that the primary needs of people in pathway 3 out of hospital beds are also physical support and are placed in a mixture of residential and nursing provision.