I Need to Plan for Care
Whether you are planning ahead or responding to a sudden change in circumstances, understanding the process for arranging care in the UK will help you make better decisions.
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Contact your local council's adult social care team to request a care needs assessment. This is free and available to anyone who appears to need care and support. The assessment looks at your physical, mental, and emotional needs and determines what support you require.
If you are assessed as having eligible care needs, the council will carry out a financial assessment (means test) to determine how much you should contribute towards your care costs. The current capital threshold is £23,250 — if you have more than this in assets, you will usually need to fund your own care (self-fund). Your home is not counted if you or your partner still lives there.
If you have not already, consider setting up a Lasting Power of Attorney (LPA) for both health and welfare decisions, and property and financial affairs. This must be done while the person has mental capacity. An LPA costs £82 per document to register with the Office of the Public Guardian.
Consider the different types of care available: home care (from a few hours a week to live-in care), residential care homes, and nursing homes. Check CQC ratings for any provider you are considering. Talk to the care provider, visit if possible, and ask detailed questions about what is included in the fees.
Based on your financial assessment, arrange how you will pay for care. Options include council-arranged care, self-funding, Attendance Allowance (if over State Pension age), NHS Continuing Healthcare (if you have a primary health need), and deferred payment agreements (which let you delay selling your home). Make sure any agreements are in writing.
Frequently asked questions
Will I have to sell my home to pay for care?
What is NHS Continuing Healthcare?
Official bodies and resources
Care Quality Commission
RegulatorThe independent regulator of health and adult social care in England, inspecting and rating care services.
Age UK
CharityThe country's leading charity dedicated to helping everyone make the most of later life, providing advice, support, and companionship.
National Health Service
GovernmentThe publicly funded healthcare system in the United Kingdom, providing free healthcare for all UK residents.
Citizens Advice
CharityProvides free, confidential, and independent advice on a wide range of issues including benefits, housing, debt, and employment.
Related guides
Care Needs Assessment Basics
A care needs assessment is a free evaluation carried out by your local council to find out what help you need with daily living. Anyone who appears to need care and support has the legal right to ask for one under the Care Act 2014, regardless of their financial situation.
6 min
Paying for Social Care
Unlike the NHS, most social care in England is not free. Whether you receive care at home or in a care home, your local council will carry out a financial assessment to decide how much — if anything — you must pay towards the cost. Understanding the rules can help you plan and avoid unexpected charges.
8 min
Lasting Power of Attorney
A Lasting Power of Attorney (LPA) is a legal document that lets you appoint one or more people (your 'attorneys') to make decisions on your behalf if you lose mental capacity in future. There are two types: one for property and financial affairs, and one for health and welfare. Making an LPA while you still have capacity is one of the most important planning steps you can take.
7 min
Care Home Fees Overview
Care home fees vary widely across England, typically ranging from £700 to over £2,000 per week depending on the type of care, location, and quality of the home. Understanding what the fees cover, how council-funded rates compare to self-funder rates, and what top-up fees are can help you make informed choices.
7 min
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