UK Live-in Care Cost Calculator
Estimate the weekly cost of a live-in carer in your parent's own home, based on UK 2026 rates from Hometouch, Helping Hands, Elder, and other major providers. Includes a side-by-side comparison with a typical care home — for couples, live-in care is often dramatically cheaper. Reviewed by a working UK care-home operator.
Worked example: George and Margaret, mid-80s, couples care, Surrey
George (87) has Parkinson's and needs help with mobility, medication, and personal care. Margaret (84) has early-stage dementia and increasingly forgets to eat or take her medication. They want to stay in their bungalow together. They have £35,000 in joint savings (the bungalow is fully owned and not counted because it's their home).
The family runs the calculator: England · South East · Couple care · £35,000.
- Live-in care (couple): £1,750 base × 1.15 (South East) = £2,013/week.
- Annual cost: ~£104,650.
- Compare with two nursing-home placements in Surrey: 2 × £1,512 × 1.15 = £3,478/week, ~£181,000/year. Live-in saves ~£76,000/year plus the couple stays together at home.
- Means test: £35,000 in capital — over the £23,250 upper limit, so they're self-funders for the council component, but the home is not counted because they still live in it.
- They pay: the full £2,013/week net of any benefits.
- Benefits to claim: Both apply for Attendance Allowance (£114.60/week each = £229.20/week); Margaret applies for the SMI council tax exemption (likely 25% reduction since George still pays).
How live-in care funding works
The means test (England)
Live-in care is community care — delivered in your parent's own home. The home is therefore not counted in the financial assessment, only savings and investments. Capital thresholds match residential care: £14,250 lower / £23,250 upper, frozen since 2010 (per the DHSC 2026/27 charging circular).
The Care Act 2014 gives anyone an entitlement to a free needs assessment. If your parent has eligible needs, the council should offer a Personal Budget — even if they're over the financial threshold for council-subsidy.
Will the council fund live-in care directly?
Rarely. Most councils' starting position is "we'll fund the equivalent of a residential placement (typically £900–£1,300/week) and you can top up if you want live-in instead." A few councils are more flexible if the family makes a strong case — particularly when:
- The cost of live-in is genuinely competitive with the council's residential rate
- The person's needs are better met at home (e.g. severe dementia where familiar surroundings reduce distress)
- A spouse or family member would otherwise lose their home
The most common funding pattern is: small council contribution + Direct Payment from a Personal Budget + family top-up + Attendance Allowance + (rarely) NHS Continuing Healthcare. See Elder's local authority funding guide for a detailed breakdown.
NHS Continuing Healthcare (CHC)
If your parent's primary need is health-related, the NHS funds the full care package wherever delivered, including live-in care at home. CHC is non-means-tested. ICBs often default to cheaper residential placements, so winning CHC for home-based care is harder than for a nursing home — but worth requesting if needs are complex. Use our NHS CHC Eligibility Checker.
Attendance Allowance + Carer's Allowance
Two non-means-tested benefits that materially help live-in care budgets:
- Attendance Allowance: £76.70 lower / £114.60 higher per week, 2026/27. For over-State-Pension-age people who need help due to disability. Source: DWP 2026/27 rates.
- Carer's Allowance: £86.45/week 2026/27 — but for live-in care this only applies to a family member providing 35+ unpaid hours/week additional to the paid live-in carer (relatively unusual).
How this calculator works (methodology)
The estimates are built from current 2026 published rates from the major UK live-in care providers:
- Single client, standard needs: £1,350/week midpoint — drawn from Hometouch 2026 (£1,200–£1,500), Lottie 2026, and Helping Hands' published 2026 rate (£1,675).
- Single client, complex needs: £1,650/week — for advanced dementia, severe mobility/transfer needs, or significant behavioural management. Hometouch quotes £1,600–£1,800 for this band.
- Couple ("companion care"): £1,750/week — Hometouch and Helping Hands published rates. Typically 10–15% above single-person care because one carer supports both.
- Two carers: £2,400/week — required when one carer can't safely meet needs (heavy two-person transfers, severe behavioural challenges in dementia). Roughly doubles the fee.
- Respite live-in: £2,150/week — short-term placements priced higher per day. Helping Hands quotes £345/day for respite (£2,415/week); the figure used is a midpoint across providers.
- Regional multiplier — London ×1.20, South East ×1.15, North of England ×0.85, Wales ×0.85, rest of UK ×1.00.
- Means-test calculation per nation, with the home excluded for community care.
- Care home comparison uses the UK average nursing home weekly fee of £1,512 (Lottie 2026) — adjusted by the same regional multiplier — and shows whether live-in care is cheaper or more expensive.
How to use this calculator
- Pick your parent's nation.
- Choose region.
- Pick the care type that matches the actual need. Most live-in care is "single, standard"; if your parent has advanced dementia or recurring transfer needs, choose complex. Couple care is for when both partners need support.
- Enter savings and investments only. Do NOT include the value of the home — for live-in care, the property is disregarded.
What's NOT included in this calculator
- Household running costs. Live-in care doesn't include heating, council tax (though SMI may apply for dementia), groceries, food for the carer (~£40-£60/week), broadband, or home maintenance. A care home rolls these into one fee.
- Carer break cover. The 2-hour daily break is built into provider rates, but extended breaks (e.g. carer's annual leave) are typically covered by a substitute carer at the same daily rate.
- NHS Continuing Healthcare — if eligible, the NHS funds the full package. Check separately with our CHC Eligibility Checker.
- Attendance Allowance and Carer's Allowance.
- Severe Mental Impairment council tax exemption for dementia families — see our Dementia Care Cost Calculator for details.
- One-off costs — initial assessment, equipment hire (hospital bed, hoists), home adaptations, replacement carer fees if you need to switch mid-package.
- Provider variation. Within the same care type, fully-managed agencies (Helping Hands) charge 20–30% more than introducer marketplaces (Hometouch, Curam, Elder). The calculator uses a midpoint.
The weekly rates reflect current 2026 published prices from Hometouch, Helping Hands, Elder, Promedica24, and Curam — cross-checked against Lottie's 2026 home-care data. Means-test rules and benefit rates are sourced from the DHSC 2026/27 charging circular and the DWP 2026/27 benefit rates.
The tool is reviewed by Hinesh Patel, owner-operator of Birkdale Village Care Home, with over a decade of UK care-sector experience. The methodology — including how the care-home comparison is calculated and where regional uplifts apply — is published openly above.
Frequently asked questions
How much does live-in care cost per week in the UK in 2026?
UK live-in care costs £1,200–£1,500/week for one person with straightforward needs in 2026 (national midpoint around £1,350). Complex needs push this to £1,600–£1,800/week, and cases requiring two carers can exceed £2,000/week. Couples ("companion care") typically cost £1,500–£2,000/week — only 10-15% more than single, since one carer supports both. Provider rates vary: Hometouch and Elder operate introducer models from £1,150–£1,500; Helping Hands is fully managed at £1,675/week single / £2,125 couple.
Is live-in care cheaper than a nursing home?
For individuals, broadly comparable. UK average nursing home is £1,512/week; live-in care averages £1,350/week — slightly cheaper but the gap closes once you factor in keeping the home running (heating, council tax, food for the carer). For couples, live-in is decisively cheaper: one live-in carer at £1,800/week supports both vs two nursing-home places at £3,000+. In London, where nursing homes routinely exceed £1,800/week, live-in care wins on cost for individuals too. Use our Nursing Home Cost Calculator for the direct comparison.
Is live-in care cheaper than a residential care home?
For individuals, residential care homes (£1,300/week UK average) are typically slightly cheaper than live-in care (£1,350/week). For couples, live-in is significantly cheaper. The non-cost factors — staying in familiar surroundings, keeping pets, maintaining a daily routine — often weigh more heavily for families than the £50/week price difference, especially in early to mid dementia.
How much is live-in care for a couple?
Live-in care for a couple ("companion care") costs £1,500–£2,000/week — typically only 10–15% more than single-person care because one carer supports both. Compared with two care home places (which would cost £2,600–£3,000+/week), live-in care saves £30,000–£50,000/year for couples, plus the emotional benefit of staying together at home.
Will the council pay for live-in care?
Rarely directly. Most councils will fund the equivalent value of a residential placement (typically £900–£1,300/week) and leave families to top up if they want live-in instead. Some councils accept a Personal Budget paid as a Direct Payment, which can then be used to commission live-in care. The home is NOT counted in the means test for community care, so the £14,250 / £23,250 capital thresholds (England) only apply to savings.
Can I get NHS Continuing Healthcare for live-in care at home?
Yes in principle — CHC is non-means-tested and not setting-specific, so the NHS can fund care wherever it's delivered, including live-in at home. In practice, ICBs often prefer cheaper care home placements unless the person has specific reasons to remain at home (ventilator dependency, particular vulnerability, family preference where home is the assessed best interest). It's harder to win CHC for home-based care but worth requesting a Checklist if needs are complex.
What's included in a live-in care package?
Standard live-in care includes 24/7 presence, personal care (washing, dressing, toileting), meal preparation, light housekeeping, medication prompts, companionship, and daily living support. The carer must have a private bedroom, food and drink provided by the household, and is entitled to a daily 2-hour break. NOT typically included: groceries, household bills, specialist nursing tasks (those need community nurses or CHC), and the carer's pre-arranged time off (covered by a replacement, usually built into the package fee).
Do I need to provide food for the live-in carer?
Yes. Live-in carers eat meals from the household — this is industry standard and built into provider expectations. Most carers eat what the family eats; some have specific dietary requirements that families accommodate. Budget for one extra adult's food (typically £40–£60/week). The carer must also have a private bedroom, ideally with a lock, and access to bathroom facilities.
How does a live-in carer get time off?
Live-in carers are entitled to a 2-hour break each day, typically arranged so a family member, friend, or visiting carer covers. For longer breaks, providers rotate carers — most agencies swap every 2–4 weeks, with the new carer arriving as the previous one leaves. For high-needs cases where two carers are required (heavy moving and handling, severe behavioural challenges in dementia), the package fee roughly doubles.
What's the difference between live-in care and 24-hour care?
Live-in care is one carer present 24/7 with a daily 2-hour break, sleeping at night with up to two brief overnight calls allowed (per Mencap v Tomlinson-Blake). Cost: £1,200–£1,500/week single. True 24-hour care is two carers in shift rotation providing continuous active staffing — required for very high needs and costing £2,000+/week. Most families assume 'live-in' means 'awake all night' but it doesn't; if your parent regularly needs help overnight, you need waking-night cover (see our Home Care Cost Calculator) or 24-hour active care, not standard live-in.
Last updated: May 2026. Sources: Hometouch 2026 live-in pricing; Helping Hands 2026 live-in pricing; Elder live-in cost guide; Lottie 2026 home-care data; DHSC 2026/27 charging circular.