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Care home confidence remains strong despite continuing fee and cost pressures

Care home operators are showing continued appetite for growth and investment, with more than half considering an acquisition over the next 12 months, according to Christie & Co’s latest assessment of the UK care market.

The property specialist’s Care Market Review 2026 reports that 52% of operators surveyed are looking to acquire another care home during the coming year, while occupancy also remains healthy. More than two-thirds (69%) of providers reported occupancy levels of at least 90%.

The findings come against a backdrop of strong investor interest in UK healthcare property. More than £12 billion of transactions were recorded during 2025, which Christie & Co described as a record year, with overseas investment, particularly from the US, continuing to play an important role.

Buyer demand has remained strong into 2026. Deals brokered by Christie & Co attracted an average of more than five offers per instruction and achieved 97% of asking price on average during the first half of the year.

Small and medium-sized operators with between three and 19 homes were the most active purchasers, accounting for 38% of completed transactions. Christie & Co also reported increasing activity from first-time buyers with previous experience of working in the care sector.

However, the report highlights continuing pressure on operating costs and funding. Average local authority fee increases for 2026/27 ranged from 4.3% to 5.1% across Great Britain, with the proportion of operators receiving increases above 5% falling from 31% in 2025 to 22% this year.

This is leaving providers increasingly reliant on private fee growth and operational efficiencies to protect financial performance.

Sustainability is also moving further up the agenda. Some 43% of operators now have an ESG strategy, compared with 33% last year, while two-thirds intend to develop or strengthen their approach during the next 12 months.

Richard Lunn, Managing Director – Care at Christie & Co, said the market had maintained “positive momentum”, with strong interest from buyers, investors and lenders, although workforce retention and local authority funding remain important challenges for providers.

Image credit: https://unsplash.com/photos/a-woman-talking-to-another-woman-in-a-hospital-hallway-PuCtm8SOqLo