Research · 2026 Q4

Care Access Gap: how many care home beds each area has for its older people

England has 482,756 registered care home beds for 11,234,391 people aged 65 and over: 43.0 beds per 1,000, or 31.8 per 100 people aged 85 and over. Access varies 5.8-fold between council areas: Hackney has 11.4 beds per 1,000 people aged 65+, against 65.9 in Middlesbrough.

Published 20 October 2026 · CQC register 19 October 2026 · ONS mid-2025 population · Download the data (CSV) · How to cite

  • 43.0care home beds per 1,000 people aged 65+ in England
  • 31.8beds per 100 people aged 85+
  • 482,756registered beds in 14,679 care homes
  • 12.0home care agencies per 10,000 people aged 65+

Key findings

  • England has 482,756 registered care home beds for 11,234,391 people aged 65 and over: 43.0 beds per 1,000, or 31.8 per 100 people aged 85 and over.
  • Access varies 5.8-fold between council areas: Hackney has 11.4 beds per 1,000 people aged 65+, against 65.9 in Middlesbrough.
  • The largest shortfall against the England rate is in Cornwall, which would need about 1,761 more beds to match it.
  • There are 13,478 CQC-registered home care agencies, 12.0 for every 10,000 people aged 65+.

Lowest access: fewest care home beds for older people

Council areas with at least 5,000 people aged 65+. "Beds short" is how many more beds the area would need to match the England rate.

Council areaRegionAged 65+BedsBeds per 1,000 aged 65+Beds shortHome care agencies per 10,000 aged 65+
HackneyLondon23,71627111.474916.0
HaringeyLondon31,06937512.196120.0
SouthwarkLondon29,96952117.476817.7
WestminsterLondon27,64348817.77017.2
CamdenLondon27,16051018.865816.9
Kensington and ChelseaLondon23,48644318.95676.0
Tower HamletsLondon20,31738719.048733.5
NewhamLondon29,30359220.266829.0
BrentLondon44,4791,03823.387520.5
HounslowLondon37,85588523.474316.4
GreenwichLondon33,42887926.355829.9
ThurrockEast of England24,84267627.239232.2
LewishamLondon32,53289527.550424.9
PortsmouthSouth East32,60793128.647116.9
EalingLondon50,3021,44528.771820.5

Largest shortfalls in beds

Beds each area would need to add to match England's 43.0 beds per 1,000 people aged 65+. Big counties top this list because they have the most older people.

Highest access

Council areaRegionBeds per 1,000 aged 65+Beds per 100 aged 85+
MiddlesbroughNorth East65.953.4
Windsor and MaidenheadSouth East63.040.2
SurreySouth East61.838.6
LeicesterEast Midlands60.449.3
Kingston upon ThamesLondon59.541.4
East SussexSouth East59.340.2
CroydonLondon58.442.8
Stoke-on-TrentWest Midlands58.146.3
East Riding of YorkshireYorkshire and the Humber57.743.4
Newcastle upon TyneNorth East54.239.6

By region

RegionAged 65+BedsBeds per 1,000 aged 65+Nursing beds per 1,000Dementia beds per 1,000Agencies per 10,000 aged 65+
East Midlands1,028,60245,42744.218.535.413.1
East of England1,342,06555,86341.617.835.312.9
London1,152,51837,10432.220.525.519.7
North East589,35126,40844.823.038.96.7
North West1,487,73663,01542.421.233.29.9
South East1,956,33895,60948.927.338.312.1
South West1,371,69556,01340.819.631.29.1
West Midlands1,187,35752,78444.523.337.412.6
Yorkshire and the Humber1,118,72950,53345.217.437.710.4
England11,234,391482,75643.021.334.712.0

Every council area

Council areaAged 65+ (% of people)Care homesBeds per 1,000 aged 65+Beds per 100 aged 85+Homes rated Good or OutstandingAgencies per 10,000 aged 65+
Barking and Dagenham20,520 (8.6%)2229.123.795.2%66.3
Barnet62,555 (15.3%)7447.030.786.8%13.6
Barnsley51,461 (20.4%)7043.837.781.8%10.5
Bath and North East Somerset39,917 (19.9%)5446.931.484.3%6.8
Bedford34,234 (17.4%)7248.934.277.1%19.9
Bexley43,380 (16.9%)3137.324.675.9%13.8
Birmingham156,241 (13.3%)27748.534.576.6%18.9
Blackburn with Darwen23,510 (14.4%)3444.739.680.6%14.5
Blackpool30,394 (21.2%)6353.542.177.8%8.6
Bolton53,127 (17.2%)5634.729.483.6%11.5
Bournemouth, Christchurch and Poole90,622 (22.3%)13350.432.596.1%13.4
Bracknell Forest21,603 (16.3%)1939.530.773.3%13.0
Bradford89,524 (16.1%)10845.934.776.0%11.7
Brent44,479 (12.6%)4623.317.686.7%20.5
Brighton and Hove41,753 (14.7%)8550.637.391.7%12.2
Bristol, City of63,056 (12.7%)9246.233.997.7%13.6
Bromley61,366 (18.3%)5230.620.093.3%13.4
Buckinghamshire113,210 (19.4%)13243.528.974.2%11.3
Bury37,185 (18.7%)5144.134.486.0%12.1
Calderdale42,185 (20.0%)4631.827.378.6%11.1
Cambridgeshire138,149 (19.3%)13940.729.592.8%9.8
Camden27,160 (12.5%)1118.815.190.9%16.9
Central Bedfordshire59,317 (18.4%)6233.226.475.0%9.4
Cheshire East97,536 (22.9%)10651.536.177.3%9.5
Cheshire West and Chester82,254 (22.0%)8541.130.674.3%8.9
City of London1,441 (9.2%)00.00.0–104.1
Cornwall154,714 (26.5%)19931.625.281.4%7.4
County Durham120,397 (22.3%)14343.436.192.8%4.9
Coventry51,703 (14.2%)7239.627.966.7%24.0
Croydon58,601 (14.3%)12658.442.890.1%23.5
Cumberland69,038 (24.5%)7834.026.679.5%8.5
Darlington24,376 (21.5%)3153.439.686.2%7.4
Derby45,389 (16.5%)6951.634.975.8%25.1
Derbyshire189,935 (23.0%)24039.832.481.0%7.5
Devon226,786 (26.8%)30838.027.390.0%6.4
Doncaster64,028 (19.8%)7938.732.181.3%10.6
Dorset121,959 (31.2%)11936.525.394.4%6.8
Dudley67,639 (20.3%)9237.627.070.2%9.0
Ealing50,302 (13.0%)3528.722.985.7%20.5
East Riding of Yorkshire99,256 (27.5%)14957.743.477.6%5.5
East Sussex152,307 (27.1%)29459.340.284.4%6.6
Enfield49,734 (15.1%)8140.427.282.7%22.7
Essex332,914 (21.1%)40339.127.883.7%13.5
Gateshead41,971 (20.7%)4947.435.197.9%9.8
Gloucestershire151,739 (22.6%)19940.529.385.8%11.5
Greenwich33,428 (11.1%)4226.323.782.5%29.9
Hackney23,716 (8.9%)1211.411.883.3%16.0
Halton25,817 (19.6%)2528.928.675.0%5.8
Hammersmith and Fulham21,378 (11.2%)1028.724.487.5%15.4
Hampshire332,688 (22.9%)48047.732.284.9%10.1
Haringey31,069 (11.7%)2412.110.687.5%20.0
Harrow43,860 (16.1%)5233.223.093.9%19.8
Hartlepool20,214 (20.3%)2749.839.892.6%5.4
Havering48,496 (17.3%)6040.626.792.3%23.5
Herefordshire, County of52,724 (27.4%)8642.231.184.1%9.1
Hertfordshire221,305 (17.9%)25445.429.876.5%14.2
Hillingdon44,348 (13.6%)4837.026.390.7%17.8
Hounslow37,855 (12.6%)3223.419.189.7%16.4
Isle of Wight43,599 (31.0%)6141.230.872.9%8.0
Isles of Scilly616 (26.8%)242.224.50.0%32.5
Islington22,477 (10.0%)1833.731.7100.0%20.0
Kensington and Chelsea23,486 (16.1%)1118.915.390.0%6.0
Kent342,980 (20.8%)50046.433.579.1%11.4
Kingston upon Hull, City of43,349 (15.9%)7851.645.572.9%11.8
Kingston upon Thames26,622 (15.4%)4359.541.489.5%16.9
Kirklees82,473 (18.5%)12441.933.078.9%8.7
Knowsley28,984 (17.7%)2736.332.378.3%7.6
Lambeth31,319 (10.0%)3431.328.175.8%18.2
Lancashire280,048 (21.4%)41848.137.782.5%9.8
Leeds133,810 (15.9%)15945.833.478.2%17.3
Leicester47,719 (12.5%)9960.449.380.6%35.2
Leicestershire160,849 (21.4%)16433.726.181.5%10.0
Lewisham32,532 (10.8%)4927.521.895.7%24.9
Lincolnshire195,402 (24.6%)28447.036.776.7%6.1
Liverpool79,708 (15.7%)8742.137.067.5%12.3
Luton27,710 (11.7%)3435.625.072.7%24.2
Manchester56,354 (9.6%)8138.335.782.9%16.7
Medway49,047 (16.8%)6534.828.970.0%20.4
Merton29,748 (13.6%)3529.322.0100.0%19.5
Middlesbrough26,536 (17.4%)4765.953.495.3%7.5
Milton Keynes44,895 (14.5%)4737.432.984.1%36.8
Newcastle upon Tyne48,474 (15.1%)7354.239.690.6%9.3
Newham29,303 (7.8%)2220.219.590.5%29.0
Norfolk239,700 (25.4%)31943.030.866.0%7.1
North East Lincolnshire35,303 (22.1%)5451.938.186.0%6.5
North Lincolnshire40,054 (23.4%)5948.537.880.4%4.7
North Northamptonshire70,585 (18.6%)10845.938.581.7%19.6
North Somerset55,209 (24.3%)9452.936.296.6%7.1
North Tyneside46,596 (21.6%)4337.930.790.2%7.9
North Yorkshire170,388 (26.7%)20243.031.985.6%8.6
Northumberland90,910 (27.2%)9438.432.190.3%4.6
Nottingham39,820 (12.2%)7750.339.076.4%33.1
Nottinghamshire188,852 (21.9%)27647.635.984.4%10.2
Oldham40,263 (16.0%)4540.833.885.4%14.9
Oxfordshire144,398 (18.8%)14648.332.687.4%11.6
Peterborough32,673 (14.5%)3748.435.887.9%36.1
Plymouth52,103 (19.2%)8643.332.678.8%9.2
Portsmouth32,607 (15.4%)2928.621.873.3%16.9
Reading22,678 (12.3%)3244.231.775.9%24.7
Redbridge41,272 (12.8%)7632.724.485.9%30.5
Redcar and Cleveland34,258 (24.6%)4239.531.285.0%5.5
Richmond upon Thames34,511 (17.5%)4129.722.895.0%7.2
Rochdale39,319 (16.5%)6141.337.964.8%13.2
Rotherham55,447 (19.9%)8447.137.088.6%9.4
Rutland11,243 (27.0%)1140.226.981.8%12.5
Salford37,448 (12.6%)4339.932.580.0%13.9
Sandwell51,493 (14.6%)9142.431.973.4%16.3
Sefton69,531 (24.2%)11050.334.579.4%7.0
Sheffield99,123 (17.1%)11442.630.585.0%13.0
Shropshire90,151 (27.1%)11642.430.179.8%9.3
Slough16,780 (10.0%)1634.028.657.1%39.9
Solihull47,662 (21.5%)6350.633.188.3%11.5
Somerset152,914 (25.9%)19741.730.389.2%7.7
South Gloucestershire58,415 (18.9%)8143.929.896.1%12.7
South Tyneside33,222 (22.0%)3440.332.693.5%5.1
Southampton36,191 (14.0%)5142.333.583.3%22.7
Southend-on-Sea36,514 (19.7%)8349.633.792.2%20.3
Southwark29,969 (9.6%)1317.416.276.9%17.7
St. Helens39,285 (20.7%)4135.928.789.2%9.9
Staffordshire208,682 (22.9%)26942.732.477.8%7.7
Stockport62,213 (20.4%)6743.029.572.1%10.1
Stockton-on-Tees41,554 (20.1%)5645.638.891.8%9.9
Stoke-on-Trent46,529 (17.1%)8458.146.380.5%16.3
Suffolk194,707 (24.7%)19541.929.480.2%10.3
Sunderland60,843 (21.2%)8743.936.393.1%6.9
Surrey245,022 (19.5%)38061.838.681.4%11.8
Sutton33,529 (15.7%)6840.528.695.4%15.5
Swindon41,020 (16.7%)4731.424.788.9%12.4
Tameside42,735 (17.7%)3432.328.671.4%6.3
Telford and Wrekin35,925 (18.0%)3635.029.778.8%16.7
Thurrock24,842 (13.7%)2627.222.692.0%32.2
Torbay38,913 (27.9%)7451.435.680.0%7.2
Tower Hamlets20,317 (6.1%)1019.018.490.0%33.5
Trafford43,246 (17.9%)5539.527.086.3%14.3
Wakefield71,492 (19.4%)9640.934.873.9%9.9
Walsall51,197 (17.3%)6139.027.268.4%16.2
Waltham Forest31,338 (11.0%)4632.726.595.3%16.9
Wandsworth34,764 (10.2%)2636.827.692.3%11.2
Warrington43,594 (20.2%)5648.936.281.1%9.4
Warwickshire133,118 (20.7%)17146.432.780.5%9.8
West Berkshire34,366 (20.8%)4434.927.389.7%11.1
West Northamptonshire78,808 (17.7%)10542.733.768.4%20.4
West Sussex217,984 (23.7%)34250.733.784.3%9.0
Westminster27,643 (13.0%)917.713.9100.0%7.2
Westmorland and Furness62,675 (27.1%)5930.822.889.1%7.3
Wigan67,701 (19.5%)5934.931.492.5%6.2
Wiltshire123,712 (23.5%)16341.429.489.1%11.2
Windsor and Maidenhead30,854 (19.3%)4163.040.271.8%9.1
Wirral75,771 (23.0%)11245.534.070.2%6.5
Wokingham33,376 (17.7%)4540.827.993.0%13.8
Wolverhampton45,574 (16.2%)7151.035.566.2%26.6
Worcestershire148,719 (23.8%)17444.432.386.1%7.5
York40,836 (19.5%)4247.331.485.7%10.5

Method

Supply is every care home and home care agency on the Care Quality Commission register that is active and not dormant, with the number of beds each care home is registered for. Demand is the ONS mid-2025 population estimate of people aged 65 and over, and 85 and over, for each county and unitary council (read from Nomis). The two are matched by council name; areas whose names don't match are left out (2 this edition).

Registered beds are capacity, not vacancies: some beds are double rooms used as singles, some homes care for younger adults, and people often move to a home in a neighbouring area. Read the figures as how much care home capacity an area has relative to its older population, not how easy it is to find a room this week. Updated each quarter with our Care Fees and Quality Index.

How to cite

Free to reuse under CC BY 4.0 with credit to The Care Panel and a link to this page.

The Care Panel, "Care Access Gap: care home beds and home care for older people in England", October 2026, using CQC and ONS data. https://thecarepanel.co.uk/care-access-gap/

Questions

How many care home beds are there in England?

The CQC register lists 482,756 beds in 14,679 active care homes in England (October 2026). That is 43.0 beds for every 1,000 people aged 65 and over, using ONS mid-2025 population estimates.

Which council areas have the fewest care home beds for older people?

Relative to people aged 65 and over: Hackney (11.4 per 1,000); Haringey (12.1 per 1,000); Southwark (17.4 per 1,000). Areas with few beds often rely more on home care or on homes in neighbouring areas.

Does a low number of beds mean I can't find a care home?

Not necessarily. Many people choose a home in a neighbouring area, and some areas have fewer beds because more people are supported at home. But fewer beds per person usually means fewer vacancies to choose from and more competition for the rooms councils will fund, so start looking early.

Where does the data come from?

Beds and agencies come from the Care Quality Commission register (Open Government Licence), counting active services that are not dormant. Population comes from ONS mid-2025 population estimates for county and unitary authorities, via Nomis. We match the two by council name.

Sources: Care Quality Commission register (Open Government Licence v3.0); Office for National Statistics mid-year population estimates via Nomis (Open Government Licence v3.0).

CQC register data (Oct 2026), reused under the Open Government Licence v3.0. The Care Panel is independent of every provider listed.