16/04/2026
What happens if the care home you choose costs more than the Local Authority will pay?
This is where many families first hear about top-up fees.
🟦 Care Necessities Bitesize Guide #9
Local Authority Funding & Third-Party Top-Up Fees
💡 If someone is eligible for Local Authority funding, the Local Authority must offer at least one suitable care home that can meet their needs within their budget.
👉 In other words:
The placement should be funded entirely by the Local Authority, with a contribution from the person receiving care based on their assessed income — with no top-up required.
💬 However, families are often presented with other care home options that may be more expensive.
👉 If a more expensive home is chosen, a third-party top-up fee may be required.
💡 For example:
The Local Authority rate: £750 per week
Preferred care home: £900 per week
👉 The difference of £150 per week would need to be paid as a top-up
⚠️ Why is it called a third-party top-up?
👉 Because:
The financial assessment has already determined that the person receiving care does not have sufficient capital to pay for their care in full
The Local Authority must ensure that at least one suitable placement is available within budget
👉 In most cases, the top-up must therefore be paid by someone else — usually a family member.
⚠️ It is very important to consider affordability.
Top-up fees are an ongoing commitment.
💬 If they cannot be sustained, it may result in the person needing to move to a different care home — which can be highly disruptive once they have settled.
💡 Choosing a care home is not just about preference — it is also about long-term sustainability.
If you would like to talk through your situation, please feel free to get in touch — we’re here to help.
📞 01754 800551
📧 info@care-necessities.co.uk
👉 In our next Bitesize Guide:
Deferred Payment Agreements — do you have to sell the house to pay for care?