The cadres and the playing field within the health care system are highly subject to change. The government plays an important role. Often driven from a financial perspective. There are also changing societal views about care consumption, care as well as housing. These have an impact on housing and care tasks. The organizations that are most responsive to this can be potentially most “confident” of their existence.
Important finding is that large institutions in the (elderly) care, efficiency based on the large numbers and the care grafted to the average standard of quality is largely no longer perceived as desirable. In itself not surprising. The Dutch population is constituted not a homogeneous mass, but diverse in age, income, ethnicity, religion, residential areas etc. The demand for customized solutions instead of standardization will hereby be more and more “the new standard”.
Not only changing laws will be in the care itself due to integrated care, substitution, integration, e-health and extramuralisation etc but also in housing and its manifestations will increase diversity. It arises as a result of the transition, changing demographics and demand for care demand and need for, inter alia, small-scale assisted living complexes, small scale and private care initiatives and inter-generational housing, etc. The care funding is also changing by the transfer of tasks to the local governments and the law on Long-term care. (Wet Langdurige Zorg). There will be a more population focused – rather than production-oriented system occur.
Funding is currently due to government and European policy with traditional suppliers difficult. Banks in the Netherlands because of Basel III policies are being forced to reduce real estate financing from a risk perspective greatly. Social housing corporations are limited in their investments due to new levies and are restricted to operate in the free market sector. By contrast, there is a growing interest from investors in healthcare real estate because of the substantial demand, however, one is wary of a vacancy scenario such as the commercial real estate sector. In this case a lot of capital evaporated and were pre yields projections not met.