"As with many of Britain’s social ills, the architecture of today’s care system is a product of Thatcherism, essentially unaltered by the Blair administration: an archipelago of small firms, each owning a single care home, alongside huge chains backed by venture capital. Long-term NHS geriatric beds are gone, and local authority homes have almost vanished."

https://www.lrb.co.uk/the-paper/v45/n05/james-butler/this-concerns-everyone