WealthR · Free tools · Long-term Care UK
UK 2026 · All four nations · No signup

UK long-term care — what does it actually cost?

A free UK care cost calculator covering England, Scotland, Wales, and Northern Ireland with their actual statutory means-test rules, NHS Continuing Healthcare pass-through, free personal/nursing care contributions, home protection logic, and a what-if toggle for the £86,000 care cap (cancelled in July 2024). Plus the conversations that protect your family regardless of the numbers: Power of Attorney, an up-to-date will, and a SOLLA-accredited adviser.

Read the founder essay → "The real cost of long-term care in the UK — and why most calculators get it wrong"

Your figures

Where in the UK?
Type of care expected
£ total
years
£ /week

Median UK residential stay is ~2-3 years; right tail is long for dementia (5-10+ years). For "capital when care begins" enter total assets including investments and property — we'll handle the home protection rules below. Weekly income defaults to the full new State Pension for 2026/27 (£241.30). The income test is simplified: in a care home, anyone the council helps pays their income less a personal allowance; for care at home, councils protect a minimum income instead, which this calculator does not model, so income is treated as not assessed there.

Means-test essentials
NHS Continuing Healthcare eligible?

NHS CHC pays the full cost when the primary need is a health need. Not means-tested. Assessed by NHS using a Decision Support Tool. Significantly under-claimed — worth requesting an assessment.

Total care cost
—
Gross over the modelled period
What you pay
—
After CHC / council / cap
Estate impact
—
Share of starting capital
Assets remaining year-by-year (care period)
Without care need With care drawdown
Selected region rules
—
Information only, not financial, legal or medical advice. Care fees planning is highly individual. For decisions that matter, the right person to speak to is a SOLLA-accredited adviser. Free help also available from Age UK, MoneyHelper and Carers UK.
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Cancel any time during trial. Includes the Long-term Care and Cost of Raising a Child scenarios, Save & Compare, PDF reports, Tax Optimiser.

What to think about now

The numbers above are projections. The items below are worth doing regardless of those numbers. They protect your plan and your family. Tap any item to expand.
Lasting Power of Attorney Most time-sensitive ▾

Two types — both worth setting up:

  • Property & Finance — lets a trusted person manage bank accounts, pay bills, sell property if needed.
  • Health & Welfare — covers medical and care decisions when you can't make them yourself.

Cannot be set up after mental capacity is lost — that's a one-way door. The application is a single online form on gov.uk (£92 per LPA, £184 for both). Takes ~10 weeks to register. Without one, family must apply through the Court of Protection — a much longer, more expensive process.

Open gov.uk LPA application →
Up-to-date will ▾

Care costs deplete estates faster than most people realise. An out-of-date will leads to unintended inheritance outcomes — assets going to ex-spouses, estranged children, or under intestacy rules that don't match your wishes.

Worth reviewing every 5 years, or after any major life change (marriage, divorce, new grandchild, property purchase, business sale). For complex estates a solicitor is worth the £200-500 fee; for simpler estates MoneyHelper has free templates and guidance.

MoneyHelper will guidance →
Advance care plan ▾

Records wishes about treatment, end-of-life care, and CPR preferences. Comes in two forms:

  • Advance Decision to Refuse Treatment (ADRT) — legally binding for refusals of specific treatments. Must be in writing, signed and witnessed.
  • Advance Statement — non-binding but guides clinicians on broader preferences (faith, dignity, who to involve).

NHS clinicians honour these when known. Pairs naturally with an LPA Health & Welfare so someone you trust can advocate for your wishes. Free to set up — templates available from Compassion in Dying and Marie Curie.

NHS advance decision guidance →
SOLLA-accredited adviser Recommended ▾

The Society of Later Life Advisers (SOLLA) is a specialist accreditation for financial advisers working in later-life and care fees planning. The right person for:

  • Immediate-needs annuity decisions — buying guaranteed care income for life from a lump sum.
  • Equity release in a care-funding context — when it works, when it doesn't.
  • Self-fund vs deferred-payment trade-offs — using your home equity to delay paying.
  • Care fees structuring — pension, ISA, GIA, property — what to draw from in what order.

Free directory at societyoflaterlifeadvisers.co.uk. Initial consultations are typically free; ongoing advice fees apply.

Find a SOLLA adviser near you →
Free help and support ▾

Free, independent help is available from several UK charities and government services:

  • Age UK · advice line 0800 678 1602 (Mon-Fri 8am-7pm)
  • Carers UK · for those supporting an ageing parent or partner
  • Alzheimer's Society · 0333 150 3456 for dementia-specific support
  • MoneyHelper · government-backed free money guidance
  • Relate · counselling support for difficult family conversations about care

For local council social care assessments: each council has a duty under the Care Act 2014 to assess any adult who appears to need care. Free; take it up before crisis hits.

How the maths works

The calculator runs the year-by-year drawdown of your starting capital against the means-test bands for your selected UK nation, applying free personal/nursing care contributions, a simplified income test, NHS Continuing Healthcare if eligible, and the cancelled £86,000 cap as a what-if if toggled on.

1. Effective weekly care cost

effectiveWeekly = grossWeekly − freeNursing − freePersonal(if Scotland) − homeCapAdjustment(if Wales home care)

For nursing and dementia care, the NHS Funded Nursing Care contribution (£267.68/wk England 2026/27, ~£200/wk Wales, £117.10/wk Scotland, ~£100/wk NI) is deducted before the means test applies. Scotland's free personal care (£260.30/wk, adults of any age assessed as needing it) is deducted across all care settings. In Wales the council can charge no more than £100/wk for care at home it arranges. In Northern Ireland, care at home arranged by an HSC Trust is normally not charged for, so the calculator shows nothing to pay.

2. Assessable capital

assessable = totalCapital − (homeEquity if care at home, or if spouse-protected in a care home)

For a care home, the home is excluded from the means test if a spouse, civil partner or dependant lives in it. For care at home, the home's value is ignored in every nation. The calculator assumes 50% of starting capital is home equity, up to £400k. Wales uses a £24,000 capital limit for care at home instead of £50,000.

3. Year-by-year drawdown

Each year, the engine determines which means-test band applies and what the user actually pays:

if assessable > upperThreshold: selfPay = min(effectiveAnnual, income + assessable)

else if assessable > lowerThreshold and tariff applies: selfPay = min(effectiveAnnual, assessedIncome + tariffIncome × 52)

else: selfPay = min(effectiveAnnual, assessedIncome) (council pays the rest)

Self-funders pay from income first and draw on capital for the rest. assessedIncome is a simplified income test: in a care home it is your weekly income less the personal allowance for your nation (England £31.80 for 2026/27; Scotland £37.65 from April 2026; Wales £46.35 Minimum Income Amount; NI £34.10). For care at home, councils protect a higher minimum income instead, which is not modelled, so income is treated as not assessed there. You can't pay £62,400 of care from £49,000 of savings: the council picks up the shortfall when self-pay can't cover the cost.

4. £86,000 care cap (if toggled on)

if capEnabled and totalSelfPay > 86000: totalSelfPay = 86000, council picks up the excess

The £86,000 cap was cancelled in July 2024 and is not in force; the toggle is a hypothetical. As designed it would only have counted personal care costs at the council's standard rate, so this simplified toggle overstates what it would have saved.

UK nation comparison

The four UK nations have materially different care funding rules. This is the single biggest variable for many households after care type and duration:

Nation Upper threshold Lower threshold Free care Special rules
England £23,250 £14,250 FNC £267.68/wk for nursing (2026/27) Tariff income £1/wk per £250 in the band
Scotland £36,750 £22,750 FPC £260.30/wk + FNC £117.10/wk (any age if assessed, any setting) Means test applies only to "hotel costs"
Wales £50,000 £50,000 (flat) FNC ~£200/wk for nursing Care home limits shown; care at home uses £24,000 and a £100/wk maximum charge; no tariff band
N. Ireland £23,250 £14,250 Nursing contribution ~£100/wk Mirrors England's care home bands; HSC Trust care at home normally not charged for

The practical effect: a person with £40,000 of assets in Wales is below the £50,000 care home limit, so the council helps with the fees from the start, though their income (State Pension, pensions) still goes towards them apart from a £46.35/wk Minimum Income Amount; in England they'd self-fund until £23,250 then enter the tariff band. A Scottish resident in a care home pays "hotel costs" (~£700-1,000/wk) rather than the full £1,200/wk. For households with substantial savings and care needs at home, Wales's £100/wk maximum charge is the largest difference from England.

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Plan for self, partner, and ageing parent — side-by-side

Most care planning isn't just about you — it's about the whole family. The in-app version lets you save scenarios for each person and compare them, model joint household impact, and surface the conversation prompts (POA, will, SOLLA referral) appropriate to each.

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Frequently asked

Residential care: ~£1,200/week (£62,400/year) UK average. Nursing care: ~£1,500/week (£78,000/year). Specialist dementia care: ~£1,750/week (£91,000/year). London and the South East run 20-40% above these averages. Source: LaingBuisson Care of Older People market reports 2026.
In England, Wales and Northern Ireland the home is counted as a capital asset for residential care UNLESS a spouse, civil partner or dependant still lives in it, in which case it is protected. Scotland applies similar protection. For care at home, your home's value is ignored in every UK nation, whoever lives there. Scotland's free personal and nursing care payments are made whatever your assets; above £36,750 of capital (from 6 April 2026) you pay the remaining 'hotel costs' of a care home yourself. Many families also use a deferred payment agreement: the council pays the care home fees and recovers them from the home's value later, usually when it is sold.
England and Northern Ireland: above £23,250 in assets you self-fund care in full; between £14,250 and £23,250 the council contributes and you pay a tariff of £1/week for every £250 above the lower limit; below £14,250 the council pays the rest. In a care home your income (State Pension, pensions) also goes towards the fees, apart from a weekly personal expenses allowance (£31.80 in England for 2026/27). Scotland (from 6 April 2026): upper limit £36,750, lower limit £22,750, and personal and nursing care are free for adults of any age assessed as needing them. Wales: £50,000 capital limit for a care home, £24,000 for care at home, and a £100/week maximum charge for care at home arranged by the council.
Fully NHS-funded care for adults whose primary need is a health need rather than a social care need. Not means-tested — eligibility is purely clinical. Assessed via a Decision Support Tool against four indicators: nature, complexity, intensity and unpredictability of needs. Significantly under-claimed — estimates suggest tens of thousands of UK adults who would qualify never apply. Worth requesting an assessment if there's any significant health need driving care.
The Care Act 2014 included a lifetime cap on personal care costs, later set at £86,000. It was due in October 2023, was delayed to October 2025, and was cancelled in July 2024. It is not in force; the toggle in the calculator is a hypothetical. As designed, the cap would only have counted personal care costs at the council's standard rate; daily living costs and care above that rate would not have counted.
Personal care (£260.30/week in a care home) and nursing care (£117.10/week) are free for adults of any age assessed as needing them, in any care setting, at home or in a care home (rates from April 2026). Free personal and nursing care began in 2002 for over-65s and was extended to all ages in April 2019. What is NOT free: "hotel costs" (accommodation, food, activities) in a care home. Above £36,750 of capital you pay these in full; below it the council contributes, and your income goes towards them. So a Scottish care home place costs roughly £700-1,000/week in hotel costs rather than the full £1,200/week: a meaningful reduction but not free.
In some ways. Wales uses a £50,000 capital limit for a care home, more than double England's £23,250, with no tariff band; your income still goes towards the fees, apart from a £46.35/week Minimum Income Amount. For care at home the capital limit is £24,000, your home's value is ignored, and the council can charge no more than £100 a week for the care it arranges, whatever it costs. For households with substantial savings and care needs at home, that £100 maximum is the largest difference from England.
Median residential stay ~2-3 years, but the distribution is heavily right-skewed. ~20% of residents stay 5+ years; dementia-specific stays often 5-10+ years. Home care arrangements can run 10-15+ years for progressive needs. Planning for 5 years rather than 2 gives a more realistic upper-bound scenario.
A legal document letting someone you trust make decisions on your behalf if you lose mental capacity. Two types: Property & Finance + Health & Welfare. Cannot be set up after mental capacity is lost — that's a one-way door. Single online form on gov.uk (£92 per LPA, £184 for both), takes ~10 weeks to register. Without one, family must apply through the Court of Protection — much longer, more expensive. The most time-sensitive item in care planning.
The Society of Later Life Advisers (SOLLA) is a specialist accreditation for financial advisers working in later-life and care fees planning. The right adviser for immediate-needs annuities, equity release in care context, deferred payment agreements, and self-fund vs council-funded trade-offs. Free directory at societyoflaterlifeadvisers.co.uk. Initial consultations typically free; ongoing advice fees apply.
An Advance Care Plan documents your wishes about treatment and end-of-life care. Comes in two forms: an Advance Decision to Refuse Treatment (ADRT) which is legally binding for specific treatment refusals (must be in writing, signed and witnessed), and an Advance Statement which is non-binding but guides clinicians on broader preferences. NHS clinicians honour these when known. Pairs naturally with an LPA Health & Welfare so a trusted person can advocate for your wishes. Free to set up — templates available from Compassion in Dying, Marie Curie and the NHS.
This is called deprivation of assets and councils actively assess for it. If you transfer assets specifically to avoid care fees, the council can treat you as if you still owned them. No time limit (unlike inheritance tax's 7-year rule). Gifts made for other genuine reasons generally aren't deemed deprivation, but the burden falls on the family to evidence the genuine purpose. Talk to a SOLLA-accredited adviser before any meaningful asset transfer near retirement.
Age UK runs a free advice line (0800 678 1602, Mon-Fri 8am-7pm). Carers UK supports those looking after an ageing parent or partner. Alzheimer's Society (0333 150 3456) provides dementia-specific support. MoneyHelper is the government-backed free money guidance service. Each local council has a duty under the Care Act 2014 to assess any adult who appears to need care — free, take it up before crisis hits. Compassion in Dying offers free advance care plan templates. For complex situations, a SOLLA-accredited adviser provides regulated paid advice.
This standalone calculator gives a one-shot projection at a starting capital you enter. WealthR Pro (£5.99/mo, 7-day free trial) runs the same UK care maths against your actual tracked wealth — projecting net worth forward from today through accumulation, retirement drawdown, and care fees in one continuous chart. Plus Save & Compare scenarios so you can model "self vs partner", "conservative vs aggressive growth", "retire at 60 vs 67".
No. This is an information tool for projecting typical UK care costs. WealthR doesn't give financial, tax, legal or medical advice. For your specific situation a SOLLA-accredited adviser is the right professional.
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