Paying for Home Care: What Support Is Available and What Families Need to Know
Understanding and accepting that you, or someone you love, has reached a point in life where some level of home care is needed can be daunting in itself. When the next step becomes thinking about how that care will be paid for, it can feel overwhelming — and it’s certainly not a journey any of us ever expect or hope to be on.
That said, having someone come into your home to support you in a way that is personal, respectful, and focused on promoting independence can make an enormous difference to quality of life. Our aim is to provide that kind of support to every person who needs it.
We understand how emotive and difficult this topic can be. Many people save throughout their lives to create a sense of security for their later years, and the realisation that this money may now need to be used to pay for domiciliary care can be hard to accept. These feelings are completely natural, and you are certainly not alone in having them.
Because of this, we wanted to help guide you through the basics of home care funding. Having clear, reliable information can help ensure that your money is used effectively and that you understand what options are available to you — both now and in the future.
When it comes to paying for home care, there are two main routes: self-funded care and local authority funding.
If you have savings or assets above the current threshold (excluding the value of your main home), you will usually be expected to pay for your care yourself. This is often referred to as being self-funded. While this can feel daunting, it does mean you have the freedom to choose the care provider that feels right for you and to arrange care in a way that suits your individual needs.
If your savings fall below this threshold, you may be eligible for support from your local authority. In Wiltshire, this begins with a care needs assessment, followed by a financial assessment, to determine what level of support you may be entitled to.

There are two main ways council-funded care can be arranged. The first is that the local authority organises the care on your behalf, selecting a provider from their approved list and managing payments directly. This can feel reassuring for some families, particularly at a time when there is already a lot to process.
The second option is known as direct payments. If you are assessed as having eligible care needs, the council will agree a personal budget for your care and pay this into a specific bank account set up for that purpose. This allows you, or someone acting on your behalf, to choose the care company you would like to support you and to pay them directly from this account. If the care you choose costs more than the council’s contribution, you can top up the difference privately.
Many people find that this option offers greater choice and flexibility, while still receiving financial support.
Whichever route applies to you, it’s important to know that circumstances can change. People often move between self-funded care and local authority support over time, and care arrangements can be adjusted as needs evolve.
Above all, it’s worth remembering that you don’t need to have everything figured out straight away (I for one am learning everyday, especially realising how much I don't know!). Asking questions, seeking advice, and having open conversations can make a confusing process feel far more manageable — and that’s exactly what support should be there for.
Useful links:

Wiltshire Council – Adult Care
General information about adult social care in Wiltshire:
👉 https://www.wiltshire.gov.uk/adult-care
Care Needs Assessments
How to request an assessment:
👉 https://adults.wiltshire.gov.uk/Information/assessment-of-need
Financial Assessments & Paying for Care.
Includes self-funders and council support:
👉 https://adults.wiltshire.gov.uk/Information/self-funders-advice
Contact Adult Social Care (Advice & Contact Team)
For guidance and referrals:
👉 https://adults.wiltshire.gov.uk/Information/contact-us
Age UK – Paying for Home Care
Clear, plain-English explanations:
👉 https://www.ageuk.org.uk/information-advice/care/paying-for-care/paying-for-homecare/
