In 2006 the last four long term residents moved to nursing homes in response to changes in the clinical management of arthritis which had changed the emphasis from residential to community care. A major re-development of the Centre followed on from the opening of the new operating theatre suite with development of an entirely new reception area with improved facilities for patients attending the out-patient clinics, conversion of patients rooms to individual en-suite units and new day-case and physiotherapy centres.
Alongside all this went renewal of the therapy gardens with improved access for patients. To celebrate this major development in November 2011 local dignitaries led by the Mayor of Crowborough Councillor Kay Moss buried a time capsule alongside the Gwen Balchin memorial tree. It is hoped that some of the young children who were present on this occasion will return again in 50 years with their own children to learn about the Horder Centre.