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Protect Council Funding for Live in Care: UK Timing 2026/27

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Live-in care in the UK typically costs between £800 and £1,600 a week, according to NHS guidance on self-funding, with London and the South East often at the top of that range. Before you commit to a figure, check your eligibility for NHS Continuing Healthcare and ask your local council for a financial assessment. Region and the level of dependency involved will shape the final price more than anything else.

TL;DR:

  • Agency fees usually cover recruitment, background checks, payroll, insurance, and supervision, while specialist nursing, equipment hire, and travel beyond normal duties may cost extra.
  • Request an NHS Continuing Healthcare checklist through a GP, hospital discharge team, or Integrated Care Board before paying privately; eligibility depends on health needs, not savings.
  • For 2026/27, savings above £23,250 usually mean self funding; between £14,250 and £23,250, tariff income reduces support, so contact your council early.
  • Attendance Allowance pays £76.70 or £114.60 weekly in 2026/27 for eligible people over State Pension age, regardless of income, but does not cover full care costs.
  • Direct payments can reduce agency overhead, but budgets must also cover employer National Insurance, pension contributions, holiday pay, and sick pay when you hire a carer.
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Table of Contents

Typical costs and what affects them

The weekly cost of live-in care moves a great deal depending on how much support someone needs. A person who mainly needs companionship and light help with meals and household tasks sits at the lower end of the £800 to £1,600 range. Someone with dementia, complex mobility needs, or conditions that need two carers attending will sit towards the top, and sometimes beyond it.

Location matters almost as much as need. Practitioners note that London and the South East consistently sit at the top of national cost bands, largely because wages and living costs for carers are higher there than elsewhere in the country, a pattern confirmed in the same NHS self-funding guidance. Our guide to London home care costs sets out how agency rates in the capital compare with the rest of England.

Agencies and direct employment carry different cost structures. An agency fee usually bundles recruitment, DBS checks, payroll, insurance and ongoing supervision into one weekly price. Employing a personal assistant directly can look cheaper on paper, but you take on employer duties yourself, including tax, National Insurance and cover arrangements when your carer is ill or on leave.

Most live-in care fees cover:

  • The carer’s board and accommodation in your home.
  • Day-to-day personal care, companionship and domestic support.
  • Standard administrative costs such as payroll and insurance when using an agency.

Fees rarely cover specialist nursing input, equipment hire, or a carer’s time travelling outside their normal duties, so it is worth asking any provider exactly what sits inside and outside the weekly figure. Our piece on live-in carer room requirements explains what families are expected to provide as part of the arrangement.

Funding routes: Attendance Allowance, PIP and Carer’s Allowance

A handful of benefits can help offset the cost of live-in care, though none of them are designed to cover the full weekly fee on their own.

Attendance Allowance pays £76.70 a week at the lower rate or £114.60 at the higher rate for 2026/27, and it is not means-tested. It is aimed at people over State Pension age who need help with personal care or supervision because of a disability or long-term health condition, and the money can go towards care costs, though it is paid regardless of how you spend it. Our Attendance Allowance eligibility guide walks through who qualifies and how to claim.

Personal Independence Payment (PIP) serves a similar purpose for people under State Pension age, with a daily living component that varies according to assessed need.

Carer’s Allowance supports someone who spends significant time caring for another person, but it has earnings limits and is not intended to fund a paid carer’s wages; it exists to support unpaid family carers, not to pay for professional live-in support.

Key points to weigh up:

  • Attendance Allowance and PIP are paid regardless of income or savings.
  • Carer’s Allowance has earnings restrictions that can be affected if you are also working.
  • None of these benefits are likely to cover a full live-in care package alone, so most families combine them with savings, a council contribution, or NHS funding.

NHS continuing healthcare and NHS-funded nursing care

NHS Continuing Healthcare (CHC) is worth checking before you assume you must self-fund. It is a package of care arranged and paid for by the NHS, and eligibility depends on the complexity and intensity of someone’s health needs rather than their savings or income. If you qualify, CHC is not means-tested, and it can fund a full live-in care package where health needs are the primary driver.

There is a trade-off worth knowing about: if CHC is awarded, the Integrated Care Board commissions the package, which can mean less choice over provider than when you arrange and pay for care privately. CHC also cannot be topped up with private money to buy a more expensive arrangement.

Practical steps:

  • Ask your GP, hospital discharge team or local Integrated Care Board for a CHC checklist assessment.
  • Request this before assuming you have to pay privately, since eligibility is based on need, not finances.
  • Our guide to NHS Continuing Healthcare eligibility sets out the application steps in more detail.

Pro Tip: Ask for the CHC checklist in writing and keep a copy, since it starts a formal record of the assessment process.

Council funding and means testing: capital limits and timing

Savings approach a council funding threshold over time

If CHC does not apply, your local council can assess what it might contribute, based on a financial assessment rather than health need. For 2026/27, the upper capital limit is £23,250 and the lower capital limit is £14,250. Above the upper limit, you are normally treated as a self-funder. Between the two limits, you are assessed as having a notional ‘tariff income’ from your savings, which reduces any council contribution without wiping it out entirely.

A few mechanics matter here:

  • Your home is usually disregarded from the assessment for the first twelve weeks of care, giving you time to plan.
  • The Minimum Income Guarantee protects a baseline level of income, and for 2026/27 the personal expenses allowance for care-home residents is £31.80 a week.
  • Councils begin providing support from the date you first contact them, so delaying that call can cost you money.

Practitioners recommend contacting your council around three months before you expect your savings to drop below the upper threshold, so the assessment is ready when you need it.

Personal budgets, direct payments and employing a carer

A direct payment lets you take your council-assessed personal budget as cash and arrange your own live-in care, rather than having the council commission it for you. There are three common routes:

  1. A managed account, where a third party handles the payments and paperwork for you.
  2. A payroll service, where you employ the carer directly but outsource tax and National Insurance administration.
  3. Full self-management, where you take on every employer responsibility yourself.

Employing a carer directly can reduce agency overheads, but councils expect your personal budget to include employer National Insurance, pension contributions, holiday and sick pay, so these costs need budgeting properly rather than treated as savings. A mixed package, where the council continues to manage some elements while you take on others, can ease the transition to full direct management.

Pro Tip: Ask your council for a breakdown of what your direct payment is expected to cover before signing any employment contract.

Practical planning checklist: budgeting and next steps

A clear sequence helps avoid wasted weeks:

  1. Estimate your likely weekly cost using regional benchmarks for your area.
  2. Check Attendance Allowance, PIP and Carer’s Allowance eligibility.
  3. Request an NHS Continuing Healthcare checklist assessment.
  4. Contact your council for a financial assessment if CHC does not apply.
  5. Negotiate the care contract once funding is confirmed.

For the financial assessment, have bank statements, pension details, property valuations and existing benefit award letters ready. While decisions are pending, a short-term care package or respite cover can bridge the gap. Read any contract carefully for notice periods, cover arrangements during illness, and exactly what the weekly fee includes.

How live-in care compares with care homes

The arithmetic often favours live-in care for couples, since one weekly fee can sometimes cover both partners rather than two separate care-home places, as explored in our piece on live-in care for couples. Beyond cost, live-in care keeps someone in a familiar environment with a consistent routine and more scope for family involvement.

  • Care homes can be more cost-effective for very high-dependency or complex nursing needs that require round-the-clock clinical staff.
  • Live-in care tends to suit people who value independence and continuity above all else.
  • Dementia care in particular often benefits from familiar surroundings, which our dementia live-in care guide covers in more depth.

Kells’ practical perspective and examples from practice

Over more than 30 years of arranging home care across London, we have seen how much clarity families gain once contracts spell out cover for sickness and holiday, not just day-to-day duties. As a CQC-regulated agency with fully DBS-checked carers, we build packages around the client’s actual routine rather than a fixed template, and we always encourage families to check contractual cover arrangements before signing with any provider.

Balancing cost, quality and timing

Live-in care earns its cost when independence and familiar surroundings genuinely matter to the person receiving it, not just when it looks cheaper on a spreadsheet. The single biggest mistake we see is families delaying contact with their council or skipping the CHC check altogether. If your situation is complicated, an independent financial adviser specialising in care costs is worth the conversation.

— Dan

How Kells Domiciliary Care can help with live-in care in London

If you have checked your council and CHC options and are weighing up providers, our live-in care services are built around DBS-checked, CQC-regulated carers with over 30 years of experience across London. We tailor packages to the routine and needs of the person receiving care, from companionship through to high-dependency support. Before arranging anything, we always suggest comparing costs and confirming what your council or the NHS might contribute. Get in touch through our live-in care page to talk through an initial package and request a quote.

This article is general information, not a substitute for advice from a qualified financial advisor. Consult a qualified financial professional about your own circumstances before acting on anything here.

FAQ

How much does live-in care cost per week in the UK?

Live-in care typically costs between £800 and £1,600 a week depending on the level of support needed and where you live, according to NHS guidance. London and the South East tend to sit towards the higher end because of local wage costs.

Is NHS Continuing Healthcare means-tested?

No, NHS Continuing Healthcare is not means-tested. Eligibility depends on the complexity of someone’s health needs rather than their income or savings.

What are the capital limits for council-funded care in 2026/27?

For 2026/27, the upper capital limit is £23,250 and the lower capital limit is £14,250. Above the upper limit you are normally treated as a self-funder, while savings between the two limits reduce any council contribution through tariff income.

Can Attendance Allowance cover the full cost of live-in care?

Attendance Allowance pays £76.70 or £114.60 a week depending on the rate, which rarely covers a full live-in care package alone. Most families combine it with savings, council support or NHS funding.

Can I use a direct payment to employ a live-in carer myself?

Yes, a direct payment from your council can be used to employ a carer directly or through a managed account. Your personal budget should include employer costs such as National Insurance, pension contributions and holiday pay.

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