Local authority care assessments explained
Every adult in the UK is entitled to a free care needs assessment from their local council. The assessment looks at what help is needed and produces a care plan. A separate means test then decides who pays — and how much.
The two-stage process
1. Care needs assessment
A social worker explores how your relative manages day-to-day: washing, dressing, getting around, social contact, the home environment. The assessment is free, isn't means-tested, and there's no obligation to accept any care services that come out of it.
2. Financial (means-test) assessment
If the council thinks support is needed, a financial assessment decides who pays. In England, capital above £23,250 means self-funding; below £14,250 the council pays in full subject to income contributions; in between, contributions are tapered.
How to request an assessment
- Find your local council on gov.uk and look for "adult social care".
- Most councils have an online referral form — anyone can submit one (the person themselves, a relative, a GP).
- You'll usually be contacted within 2–6 weeks to arrange a visit.
- Make notes about a typical day before the visit so you don't forget important details under the spotlight.
If the council won't fund care
If you self-fund, the council still has a duty to provide information and advice — and you can ask them to arrange care on your behalf (sometimes called brokerage). It's also worth asking about the NHS Continuing Healthcare route if needs are health-led.