If the differences between East and West Europe are big in hospitals, in the care home sector they are often a gaping chasm. Apart from Slovenia, the private sector remains all but non-existent or in fragmented into mom’n’pop businesses across the region. But changes are coming, as countries start to open the sector to private investors and start to restructure hospitals, which often contain many of the infirm elderly, who would be in care homes in the West.