Paying for care home fees in the UK can feel confusing and stressful. Many families are caught off guard by how much care actually costs and what funding help is available.
You might be wondering: Do I have to sell my home? Will the NHS help? Who pays if my savings run out?
The good news is, there’s a clear system in place, and this blog will walk you through it in plain English.
We’ll explain who pays for care home fees, how the means test for care home fees works, and how to apply for care home funding step by step.
Let’s look at fees first before we talk about who pays them or how to apply for help.
The cost of care homes in the UK depends on two main things:
Here’s a breakdown of average weekly costs across the UK in 2025:
Region | Residential Care (Weekly) | Nursing Care (Weekly) |
---|---|---|
London | £800 – £1,300 | £1,100 – £1,600 |
South East | £750 – £1,100 | £950 – £1,400 |
Midlands | £600 – £900 | £800 – £1,200 |
North of England | £550 – £850 | £750 – £1,100 |
Scotland | £600 – £900 | £800 – £1,200 |
Wales | £550 – £850 | £750 – £1,050 |
Northern Ireland | £500 – £800 | £700 – £1,000 |
Note: These are average ranges. Actual costs may vary depending on the care provider, care needs, and whether you are self-funding or supported by your local authority.
Additional Notes:
Paying for care home fees in the UK depends on two main checks: your care needs and your finances. Once the local council agrees you need a care home, they’ll carry out a means test to see how much you can pay—and whether they can help.
Capital (Savings + Property) | Who Pays? |
---|---|
Over £23,250 | You pay full fees (self-funding) |
£14,250 – £23,250 | You pay some; council pays the rest |
Below £14,250 | Council pays; you contribute income |
If you qualify for help, most of your weekly income (pensions, benefits) goes towards care. You keep a Personal Expenses Allowance of £30.65/week for personal use.
Your home counts only if:
If your chosen care home charges more than the council’s rate, a family member may pay the extra through a top-up agreement.
If you’re not eligible for full council or NHS funding, or if you’re self-funding and looking for options to manage costs, there are a few other ways to cover care home fees.
Many people choose to sell their home to pay for long-term care. However, if selling immediately isn’t ideal, you can ask your local council for a Deferred Payment Agreement. This allows you to delay payment until the property is sold later or after your death. The council places a legal charge on the home, and interest may apply.
An immediate needs annuity is a type of insurance product that provides a guaranteed income for life to cover care fees. You pay a one-time lump sum, and the insurer pays regular amounts directly to the care provider. It can give peace of mind and protect remaining assets, but it’s a permanent decision, so financial advice is recommended.
In some cases, children or other relatives may contribute to care fees, especially through top-up payments if you’re receiving local authority funding but want to stay in a more expensive home.
If you or a loved one needs help paying for care, the first step is to contact your local council’s adult social care team. You can apply whether you’re looking for care now or planning ahead.
This is a free service where a social worker visits to assess your physical and mental health needs. It determines whether a care home is necessary or if home care services could be a better fit (especially in areas like Wolverhampton, where community care is well established).
The council must carry out the assessment, even if you have high savings and expect to self-fund.
If the care needs assessment confirms that a care home is required, the council will arrange a means test for care home fees. This looks at your income, savings, and property. Based on the outcome, the council will calculate:
If your needs are health-related, ask for an NHS Continuing Healthcare funding assessment. You can apply directly through your GP or local NHS team. If approved, the NHS pays the full cost of care.
It’s helpful to involve family early in the process and keep records of all communication. If you’re unsure, charities like Age UK or Citizens Advice can guide you through the application.
Planning for care home fees can feel overwhelming, but knowing your options makes a big difference. Whether you’re self-funding or applying for support, understanding how savings, property, and income affect your eligibility is key.
Don’t wait until a crisis forces quick decisions. Speak to your local council, get a care needs assessment, and explore NHS and financial support options early.
If you’re not ready for full-time care, you may also want to consider home care services in Wolverhampton, which offer flexible support while staying in your own home.
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