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

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

The most comprehensive free UK care cost calculator on the internet. Covers 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 the proposed £86,000 care cap. Plus — and this is what most calculators get wrong — 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

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.

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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See the full 50-year wealth trajectory, not just the care years

This calculator shows what care does to your starting capital. The much more useful question is: "given my actual finances today, what will I have when care begins — and what does the full trajectory from now through retirement to care look like?" That's what the in-app version does.

Forward projection from today — accumulation through retirement to care, in one chart
Uses your real data — tracked net worth, growth rate, contributions, retirement spending
Save & Compare scenarios — "self vs partner", "conservative vs aggressive growth"
Advanced overrides — model "retire at 60" or "save more" without touching profile
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Cancel any time during trial. Includes Cost of Raising a Child + Income Shock + Long-term Care scenarios, Save & Compare, cross-device sync, 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 (~£82 per LPA, ~£164 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 the only specialist IFA accreditation for care fees planning in the UK. 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, NHS Continuing Healthcare if eligible, and the £86,000 cap if toggled on.

1. Effective weekly care cost

effectiveWeekly = grossWeekly − freeNursing − freePersonal(if Scotland 65+) − homeCapAdjustment(if Wales home care)

For nursing and dementia care, the NHS Funded Nursing Care contribution (~£235/wk England, ~£200/wk Wales, ~£120/wk Scotland, ~£100/wk NI) is deducted before the means test applies. Scotland's free personal care (~£263/wk for over-65s) is deducted across all care settings. Wales caps home care at £100/wk regardless of actual cost.

2. Assessable capital

assessable = totalCapital − (homeEquity if spouse-protected residential)

For residential care in England, Wales and NI, the home is excluded from the means test if a spouse, civil partner or dependant lives in it. The calculator assumes 50% of starting capital is home equity unless that produces a number above £400k (a reasonable UK average ceiling). Home care never counts the home as a capital asset.

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, assessable)

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

else: selfPay = 0 (council pays in full)

The min(effectiveAnnual, assessable) cap is critical — 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 proposed cap only counts personal care costs at the council's standard rate; daily living costs and care above standard rate continue uncapped. As of 2026 the cap is not in force; toggle on to model the policy world if implemented.

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 ~£235/wk for nursing Tariff income £1/wk per £250 in the band
Scotland £35,000 £21,500 FPC ~£263/wk + FNC ~£120/wk (over 65s, any setting) Means test applies only to "hotel costs"
Wales £50,000 £50,000 (flat) FNC ~£200/wk for nursing £100/wk cap on home care; no tariff band
N. Ireland £23,250 £14,250 Nursing contribution ~£100/wk Mirrors England's bands and rules

The practical effect: a £40,000-asset household in Wales pays nothing for residential care; in England they'd self-fund until £23,250 then enter the tariff band. A Scottish over-65 in residential care pays only "hotel costs" (~£700-1000/wk) rather than the full £1,200/wk. For asset-rich households with home care needs, Wales is substantially cheaper than 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's protected. Home care (in your own home) never counts the home regardless. Scotland's free personal care system means assets are only assessed for "hotel costs" above the £35k threshold. Many families also use a deferred payment agreement with the council to delay paying using the home's value.
England & NI: above £23,250 self-fund in full; £14,250-£23,250 tariff band (£1/wk per £250 above lower); below £14,250 council pays. Scotland: £35,000 threshold but personal/nursing care are free for over-65s regardless. Wales: flat £50,000 threshold for residential — significantly more generous than England — and £100/wk cap on home care.
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.
A proposed lifetime cap on personal care costs in the Care Act 2014. Due to take effect October 2023 → delayed to October 2025 → as of 2026 uncertain (Labour govt has signalled abolition). The cap (if implemented) only counts personal care costs at the council's standard rate; daily living costs and care above standard rate continue uncapped. Toggle the option in the calculator to model both worlds.
Personal care (~£263/wk) and nursing care (~£120/wk) are free for those aged 65+ in any care setting — at home or in a care home. From the 2002 Free Personal and Nursing Care Act. NOT free: "hotel costs" (accommodation, food, activities) in residential settings. Above £35k capital you pay these in full; below it the council contributes. A Scottish residential stay typically costs £700-1,000/wk in hotel costs rather than the full £1,200/wk.
Yes, materially. Wales applies a flat £50,000 threshold — more than double England's £23,250 — and there's no graduated tariff band. Home care is capped at £100/week regardless of actual cost. For asset-rich households with home care needs, Wales is substantially cheaper than 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 (~£82 per LPA, ~£164 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 — the only UK specialist accreditation for 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.
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.
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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