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Care home cost guide

Who pays? The three main funding routes in England (and how they apply in London)

Self-funding

You typically self-fund if you have savings and capital above the threshold. If you have more than £23,250 in savings/capital, you usually pay the full cost yourself. If your savings fall towards £23,250, you can request a needs assessment and financial assessment as you may then become eligible for help.

Local authority (council)

If your savings and capital are below the threshold, the council may contribute. The council will do a needs assessment and a financial assessment to work out how much you pay. Even with support, you will usually contribute most of your income, while keeping a small weekly amount for personal spending also known as Personal Expenses Allowance which is £30.65 per week.

HS funding

Some people with complex health needs qualify for free care arranged and funded by the NHS, even in a care home. NHS Continuing Healthcare (CHC) covers the full package of care for eligible individuals. Eligibility is based on health needs, not diagnosis or finances. If someone is in a nursing home but does not qualify for CHC, they may still receive NHS-Funded Nursing Care (FNC)

Short-term care

£1,000–£1,300

/ Week

Short-term or respite live-in care is when a caregiver lives in someone’s home for a limited time to provide full support, usually to give the regular caregiver (often a family member) a break.

Specialist or complex live-in care

$3,000

/ Week

Specialist or complex live-in care means a trained caregiver lives in the person’s home to provide 24/7, high-level support for serious health or disability needs. It’s more advanced than standard home care or basic residential care.

Hourly Home Care

$19

/ Hour

The hourly home care price depends a lot on whether it’s public (municipal) care or private care, and also on the level of help needed.

Standard live-in care

£1200 - £1500

/ Week

Standard live-in care is when a caregiver lives in a person’s home to provide full-time daily support, mainly with personal care and everyday tasks (not advanced medical care).

Live-in care for couples

£1,600 - £1,900

/ Week

Live-in care for couples means one (or sometimes two) caregivers live in the home to support both partners together, so they can stay in their own home instead of moving to a care home.

Dementia home care

£1,500 - £1,700

/ Week

Dementia home care is support provided at home for people living with Dementia. The goal is to help the person stay safe, comfortable, and as independent as possible in a familiar environment.

pricing

The cost of home care in London varies, with the average prices for basic live-in care and basic hourly care falling at around £152.68/day and £19.78/hr respectively.

Cost of Home Care in London

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