Nursing Home Costs Explained

Unlike residential care, everybody who requires nursing care is eligible for some level of funding. First things first, it is important to understand the difference between a Residential Care Home and a Nursing Home:

Residential Care Home: Care is provided 24 hours a day by trained Care Assistants. Commonly, residents are elderly, and their need for care is often due to degenerative health conditions associated with ageing, such as reduced mobility.

Nursing Home: Care is provided 24 hours a day by Registered Nurses who are supported by Care Assistants. All residents require some element of nursing care, such as the administration of intravenous medication and/or wound care; these are just a few possible reasons why 24-hour nursing care would be required.

Typically, nursing home costs are higher than those of a residential care home. The reason for this is that the needs of the individual are generally greater, and as such, require additional staff, facilities, and resources to support their complex care requirements.

If you have nursing needs, it is likely that several healthcare professionals will already be involved in your care. A Social Worker, Registered Nurse and Doctor will all be able to inform you of whether your care needs should be supported within a nursing home or a residential home.

Everybody who requires nursing care is eligible for Funded Nursing Care (FNC).

If you have been assessed as requiring nursing care, then you will be eligible for Funded Nursing Care (FNC), which is paid directly to the nursing home. From 1st April 2025, FNC will be paid at a flat rate of £254.06 per week, unless you are eligible for the higher rate of FNC, which is paid at £349.50 per week.

The local Integrated Care Board (ICB) is responsible for managing the NHS budget in your location. They will conduct an assessment to determine your eligibility for FNC. If you are eligible, the payment will be made directly to the nursing home.

The only people who are not eligible for FNC are those who have been awarded NHS Continuing Healthcare (CHC), as this covers the complete cost of nursing care; again, this is paid directly to the Nursing Home.

Who is eligible for NHS Continuing Healthcare?

If you have significant ongoing healthcare needs, then you might be eligible to have your care funded by the NHS. This specific type of funding is called Continuing Healthcare (CHC).

CHC is a package of care which is arranged and funded solely by the NHS for people outside of hospital who have a primary and ongoing healthcare need. This type of funded care package is available to anyone over 18 who has an ongoing care requirement due to disability, illness, or accident.

Continuing Healthcare can be paid in any setting, including the person's own home or a residential care home

Scenario: Your Mother has been admitted to the hospital after suffering from a stroke, she has lost mobility down her right side and now requires permanent nursing care.

The hospital needs to determine that your Mother’s care needs can be met before discharging her from the hospital. As part of the discharge process, a Social Worker, Discharge Co-Ordinator, or Discharge Nurse will complete a checklist which identifies whether you are a candidate for CHC funding.

Providing she is a candidate, then she will be referred for a full assessment, which is conducted by a CHC Assessor and involves the input of all relevant healthcare professionals. When the team of healthcare professionals meet to discuss eligibility you are very welcome to attend this meeting, this team will then give their recommendation to the ICB who will then confirm funding.

The ICB will then write to you with their decision.

Fast track funding:

If your health is deteriorating quickly and your care needs are becoming palliative, then your CHC assessment will likely be fast-tracked so your funding can be secured without delay. Government guidance states that care should be put in place within 48 hours if an individual is found eligible under the fast-track pathway.

FNC doesn’t cover all of my nursing home costs, I’m not eligible for CHC, do I have to pay for the rest of my fees?

If you have less than £23,250 in assets, you will be eligible for some level of council funding. This is the same process that people who require residential care go through. To find out more about funding thresholds and how to secure funding, please see here.

How much should I expect to pay for a care home?

Much like house prices, your postcode has a huge impact on what you can expect to pay. Typically, the cost of care is cheaper in the North of England than in the South:

*Please be advised these costs are based on the average cost of care in nursing homes within each region, updated Apr 2025.