The report, by CareHomeGuide, predicts the district’s population aged 85 and over is set to nearly double by 2043, increasing by 92.8 per cent, presenting one of the fastest growth rates in England.

This significant rise in the elderly population is projected to exacerbate an already concerning national trend.

While the number of people aged 85 and over in England increased by 25.8 per cent from 2011 to 2025, the growth in care home bed capacity lagged significantly behind at just 7.2 per cent.

Without new capacity, this gap is expected to widen sharply by 2043.

Presently, England has approximately 306 care home beds for every 1,000 individuals aged 85 and over.

However, if the number of beds does not increase, this figure is projected to decrease to 186 per 1,000 by 2043, a relative decline of 39 per cent, as the elderly population is expected to grow by 65 per cent over the same period.

This escalating gap comes after CareHomeGuide found that bed capacity relative to the 85-plus population already decreased by 18 per cent between 2011 and 2025.

The analysis estimates that to maintain the current ratio, England would need roughly 298,000 additional care home beds by 2043, which is nearly two-thirds more capacity than currently exists.

Also revealed is that the fastest-growing demand for care home services is concentrated in rural and suburban districts, including West Oxfordshire, where the elderly population is set to more than double, often from a smaller existing base.

The findings suggest that councils in these areas may face a capacity crunch they may not yet be planning for.

Conversely, the thinnest current supply of care home beds is found in inner London and a scatter of other boroughs.

This is attributed to London’s care home land costs, which make the large single-storey buildings typically needed by the sector harder to site.

While the study highlights the urgency for new care home capacity, it also notes that bed capacity is a proxy for care availability, not a direct measure of quality, staffing, or actual accessible vacancy.

The analysis used a flat-supply scenario, showing what happens if bed numbers do not change rather than predicting that they won’t.

It combines live bed capacity data with Office for National Statistics (ONS) population projections.

The ONS now recommends the migration category variant as the principal variant for England.

While the Greater London Authority has raised concerns about the reliability of the 2022-based subnational projections at the local authority level, particularly once broken down by age, the analysis flags the caveat and includes London.

The findings underscore the urgent need for planning and investment in care home capacity to meet the demands of an ageing population, particularly in rural and suburban districts like West Oxfordshire.