Paying for care in Wales

Paying for social care can be a concern for many people. Read about the various ways to pay for social care in Wales, and the amount someone might be expected to pay.

Who pays for care?

Many people with dementia will need care and support as their condition progresses. This is often a mix of care from family, friends and professionals. Paid care can take a number of different forms and focuses on meeting the person’s needs to improve their wellbeing.

The Care Act (2014) sets out the legal responsibilities of local authorities for adults who need care, as well as their carers.

Although there are national rules about who is required to pay for care and support, some local areas may have different arrangements from others. These mainly depend on the type of care and support that the person needs and where they live.

Paying for care in own home

If someone is still living in their own home, they might have to pay for the costs of their own care and support, but the local authority (council) may also contribute. This depends on the person’s income and other assets (such as savings or shares). Some people will be assessed as having to pay for all their own care and support at home. These people are sometimes termed ‘self-funders’. People living in their own home must still be left with a basic level of income, and the Social Services and Wellbeing (Wales) Act 2014 states that charges must be ‘reasonable’.

Paying for a care home

If someone is living in a care home, they might pay for all of their care and support costs (self-funders), or they may make a contribution, with the local authority also contributing. Again, this depends on the person’s income and assets. Some people in care homes may have all of their care funded by the local authority if they have a low income or few assets. Some people may have all or part of their care funded by the NHS.

Live in England or Northern Ireland?

This information is for people living in Wales and is not intended for those in England and Northern Ireland, where the laws are different. Select from the options below for information about care costs where you live. 

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