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Paying for care

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 £34.42 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. 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 £1,300 per week. This average increases to over £1,500 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

Local authority care funding

What to expect from the financial assessment

The first step is to ask for a free care assessment from the social services department of your local authority.

What to expect from the financial assessment

Once your local authority has agreed your care needs, they’ll look into your finances to work out how much you should pay towards the cost. It could mean you’ll need to pay for none, part or all of your care, depending on your income, savings and property you own.

Only the finances of the person who needs care should be considered in the financial assessment.

Your savings, assets, and investments

One of the first questions you’ll be asked is whether you have more than £23,250 in capital assets. If the answer is yes, you’ll be considered a ‘self-funder’ and you’ll need to cover the full cost of your care.

The financial assessment will look at your income and assets, including:

  • Savings, including ISAs
  • Stocks and shares
  • Second homes or buy-to-let properties
  • Investments with a ‘cash-in’ value
  • Your property if you’re moving to a care home.

If you have savings below £23,250 Then you may be able to get help to pay for care from your local authority.

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 £36,750 (But up to £260.30 p/w contribution to personal care costs regardless of finances) £23,250

Your income from pensions, benefits and some other sources will be considered in a financial assessment. There are some types of income that won’t be counted, called ‘disregarded income’, and includes:

  • Disability Living Allowance or Personal Independence Payment mobility components
  • War Widows’ and Widowers’ special payments
  • Charitable and voluntary payments
  • Personal injury trust payments
  • Awards of certain damages
  • Any earnings from employment

The local authority should check you’re claiming all the financial support and benefits you’re entitled to when they do your assessment.

For care at home

After working out what income should be considered, you should be left with at least the Minimum Income Guarantee (MIG) after paying for care.

For a single person over State Pension age, the standard figure is £241.45 (£184.30 if you’re in a couple). This figure can be increased if you are also a carer. This is how much should be left over from your income after your rent, mortgage payments, ground rent and Council Tax payments are all taken care of.  

For people aged 25 and over, the figure is £120.40 for a single person (£94.55 if you’re a member of a couple).

For people aged 18 to 24 the figure is £95.40 for a single person (£94.55 if you’re in a couple).

These rates can be increased if you are a carer but also if you have a disability.

In Wales, the MIG is calculated differently and is around £345 for a single person of State Pension age and £130 for someone of working age. In Scotland and Northern Ireland personal care at home is free if your local authority has agreed you need it, so there is no MIG.

For care in a care home

As part of your financial assessment, the local authority must ensure that you are left with a weekly Personal Expenses Allowance (PEA).

Your allowance is a minimum of £31.80 per week and can be used however you wish. Many people choose to spend it on day trips, magazines, cosmetics or snacks. If your allowance is not enough to cover these costs, then you can ask your local authority to consider increasing it.  

In Scotland PEA is £35.90 per week and in Northern Ireland, it’s £27.19. In Wales, PEA is known as the Minimum Income Amount and is £46.35 per week. 

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’. 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 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. However, 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 in 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, with prices from £800 to in excess of £1,600 per 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.

Couples and care funding

Only the finances of the person who needs care can be taken into account in the financial assessment. Your partner’s finances shouldn’t be considered. The guidance given to local authorities says that they have:

“no power to assess couples or civil partners according to their joint resources. Each person must therefore be treated individually.”

If you have joint savings, the value will be divided equally between you. If one of you owns more than the other, you can show evidence of this to the local authority for the financial assessment.

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 after you've moved into a home, they should be able to use some 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 moving into a care home and are married or in a civil partnership, you can give half of any private or occupational pension 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.

Learn more about benefits

Care Concierge

If you would like some guidance on finding a new care provider or exploring funding options, you can talk with our Care Concierge team.

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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.

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.