When care can be free of charge
Not all care is means-tested. Where someone has complex, ongoing health needs, they may qualify for NHS continuing healthcare, which is arranged and funded by the NHS and is free of charge, based on assessed health needs rather than income or savings (NHS, as at July 2026, subject to change). Eligibility depends on needs, not on any single diagnosis. Our note on NHS continuing healthcare explains how the assessment works and who it may cover.
Scotland, Wales and Northern Ireland
The capital limits above apply to England. The other UK nations run their own systems with different thresholds and rules. Scotland has higher capital limits and provides some personal and nursing care without charge for those assessed as needing it. Wales uses a single, higher capital limit for residential care and caps non-residential charges. Northern Ireland operates broadly similar limits to England. Because the figures and rules differ, anyone with care needs in those nations can check their own government's guidance or take local advice.
Frequently asked questions
How much savings can you have before paying for care?
In England, someone with capital above the upper limit of £23,250 is generally expected to pay the full cost of their care, while below the lower limit of £14,250 their capital is not counted, though income is still assessed (gov.uk, as at July 2026, subject to change). Different limits apply in Scotland, Wales and Northern Ireland.
Is your house included in the care home means test?
It can be, but not always. When someone moves permanently into a care home, the value of their main home is disregarded for the first 12 weeks, and it is generally left out for as long as a spouse, partner or a relative aged 60 or over or disabled still lives there (Age UK, as at July 2026, subject to change). The detail depends on your circumstances.
Does income count in the care means test?
Yes. Alongside capital, most income such as pensions is assessed towards care fees, though a permanent resident in England is generally left with a Personal Expenses Allowance of £31.80 a week for their own use (gov.uk, as at July 2026, subject to change). Some income is disregarded or partly protected, depending on the circumstances.
Can you give money away to avoid care fees?
Councils can review whether assets were deliberately given away to reduce a care contribution, under the deprivation of assets rules, and may treat that capital as if it were still held (gov.uk, as at July 2026, subject to change). There is no fixed lookback period, so deliberately transferring assets to avoid fees can be challenged. Many people discuss any planning with a qualified professional first.
Is NHS continuing healthcare means-tested?
No. NHS continuing healthcare is arranged and funded by the NHS and is free of charge, based on a person's assessed health needs rather than their income or savings (NHS, as at July 2026, subject to change). It is separate from the local-authority means test and depends on assessed needs, not on any particular diagnosis or condition.
What is a deferred payment agreement?
It is an arrangement where the council meets care home fees for now and is repaid later, usually from the value of your home, often once it is sold (NHS, as at July 2026, subject to change). It can act like a bridging arrangement so a property need not be sold immediately. Eligibility and any interest or charges depend on the council and your circumstances.
About Fairchild Oldfield
The Fairchild Oldfield team brings together estate planning, tax, independent financial advice and client care, working with families across England and Wales.
Fairchild Oldfield are estate planning specialists and will writers, not a firm of solicitors. This article is general information based on practical experience, not legal, tax or financial advice.
Important: This article is general information only and is not legal, tax or financial advice. Reading it does not create a professional relationship. It is based on the law of England and Wales, and other UK jurisdictions may differ. Figures and rules are current as at July 2026 and are subject to change. Before acting, many people choose to seek advice from a suitably qualified professional, such as a solicitor, a STEP practitioner, an accountant, or an FCA-authorised financial adviser, who can consider your individual circumstances.