Taking a few minutes to understand the costs and how to pay for the care can really help when it comes to making future decisions
The cost of care
Many people needing care find they’ll have to cover some or all of the costs themselves, which can be daunting. Thinking them through in advance will help you choose your next steps carefully. That can even stop you having to move to a new care provider later on if your care needs change.
In-home care costs
The United Kingdom Homecare Association (UKHCA) calculated a minimum price for homecare of £28.53 per hour. It covers the UK Living Wage for careworkers, and includes their travel time, mileage and wage-related costs. The rate also includes a minimum payment towards running a care business at a financially sustainable level.
Care home costs
Care home fees can be significant, though they will vary depending on where you live and what your needs are. In many homes you can expect to pay more than £1,000 per week, in fact the average weekly cost for a private payer in a residential care home is approximately £1,100 per week. This average increases to over £1,400 where nursing care is required.
Our quick and easy Care Costs Calculator
If you want to understand how your care may be paid for, our calculator can give you an answer in just five easy steps
Capital limits for local authority support in UK countries
‘Capital’ refers to the value of any savings or investments you have.
England | Wales | Scotland | Northern Ireland | |
---|---|---|---|---|
Home Care Capital Limit | £23,250 | £24,000 | N/A (Free when assessed as needing care by your local authority) | N/A (Free when assessed as needing care by your local authority) |
Care Home Capital Limit | £23,250 | £50,000 | £35,000 | £23,250 |
How local authority care payments work
If your local authority agrees to help you pay for care, they’ll decide a personal budget that covers the care needs they’ve identified.
For residential care in a home, this is sometimes called the ‘usual cost’ and your local authority must make sure that at least one care home has availability to meet your needs within the budget they set.
If you’re granted funding for care, your local authority should give you a written breakdown of how much they’ll contribute and how much you’ll be expected to pay. This total figure is your ‘personal budget’, which is the amount of money required to cover your care needs.
There are several ways of using your personal budget:
- A direct payment (where the money is given directly to you)
- A budget managed by the local authority
- Having your budget managed by a third party (such as a care provider)
- A combination of the above.
Most commonly, people ask the local authority to manage their budget and arrange their services, but you can receive your budget in the way that suits you best.
In most cases, your local authority will arrange to pay your care home directly. If you or a family member need to pay something towards your care as well, your payments can be arranged with the local authority or the care home. Start by talking to your local authority to set it up.
Once a local authority has worked out what they’ll pay and how much you’ll need to chip in, there may still be a gap to cover the full cost of the care you want. So, you might be asked to find a ‘third party top-up’. This can’t come from your own savings; it needs to be paid by someone close to you, like a partner, family member or friend.
A local authority can only ever ask for top-ups if they’ve found a lower cost care home for you that meets all your assessed needs and has availability. If they can’t find one, they’ll need to pay to cover your current shortfall.
There are two situations where you can pay your own top-up:
- During the first 12 weeks of moving into a care home (12-week property disregard) as a permanent resident, if you’re going to use your property to pay for your care.
- If you have a Deferred Payment Agreement. Where the local authority contributes to your care now, with repayment from the value of your property later.
Live-in care can be expensive, often costing more than £1,000 a week, which means it’s unlikely that a local authority will fund the full cost. Instead, they might recommend a care home as a lower cost alternative. Or, they could give you a personal budget, which you can top up with your own money or with help from family to meet the cost of a live-in carer.
If you think your care needs wouldn’t be properly met in a care home, you can challenge the local authority’s decision not to pay for live-in care.
You may also wish to explore releasing equity from your home to help give you greater flexibility.
Find out if you could use the value of your home to pay for any shortfall for in home care by completing our Care Costs Calculator.
Please be aware, if you take equity out of your home, you may no longer be eligible for financial support from your local authority.
Rules for couples
Often, it’s our partners who give the most support if we start to need help day to day. So, it’s essential that they get all the practical and emotional support they need.
If you contact your local authority and ask them to assess your care needs, they can look at support for your partner at the same time with a carer's assessment. Most local authorities offer a range of services to support carers, like temporary care for you to give your partner some time out for themselves, or details of local carers’ support groups and services to lend a little help around the home.
Find out more about support for carers, including details of local groups, at Carers UK.
Frequently Asked Questions
These can help you understand the rules for couples and what support may be available.
For as long as one of you lives in your home, its value can’t be used to pay for the other person's care. If the person living at home moves out, then the your partner’s share of the property can be considered from that day forward.
If your partner decides to downsize to a property that suits them better after you've moved into a home, they should be able to use some or all of your share of your home's value to cover the cost of the move. If there’s any money left over, it will likely be considered as belonging to you and be used to pay for your care.
The local authority aren’t allowed to consider your partner's finances when they assess your ability to pay for care. It’s up to your partner whether they contribute anything from their personal finances to cover the cost.
If care is being paid for by the local authority, it has a duty to arrange a care home that meets your needs without anyone else having to contribute. But your partner can choose to chip in extra to make up the shortfall of a more expensive care home if they want to – this is called a ‘third party top-up’.
If you're married or in a civil partnership, are moving into a care home and you have a private or occupational pension, you can give half of it over to your partner.
Your other half should also check whether they’re entitled to any means-tested benefits. The local Adult Social Care team should be able to look at which benefits they could receive at the same time they support you to get the right care in place.
Care Concierge
If you would like some expert advice on finding a new care provider, resolving a dispute or exploring funding options then you might benefit from talking with our Care Concierge team.
Read more
NHS funding
If you need help because you have certain medical needs as well as personal care needs, some or all of your care costs could be paid for by the NHS.
Mythbusting
Protecting your money from the cost of care: the facts.
Care needs assessment
Your local authority could help you to get the right support in place, whether you’re in need of care yourself or looking after someone else.