Alzheimer's & Dementia

Dementia care costs by region (2026): care homes and care at home

Dementia care costs about £1,465 a week in a residential care home and £1,670 with nursing in England, from £1,225 in the North East to £1,865 in London. Region-by-region costs for care homes and care at home.

Dementia care in a care home costs about £1,465 a week in England for residential dementia care and about £1,670 a week for nursing dementia care. Prices range from about £1,225 a week in the North East to £1,665 in London. Dementia care at home is usually paid by the hour: agencies that offer dementia care publish a median of about £29.75 an hour, and live-in dementia care is usually £1,400 to £1,600 a week. This page breaks the costs down by region.

At a glance

  • Residential dementia care: about £1,465 a week in England, £1,225 (North East) to £1,665 (London).
  • Nursing dementia care: about £1,670 a week in England, £1,365 (North East) to £1,865 (London), before NHS-funded nursing care is deducted.
  • Dementia care usually costs £35 to £80 a week more than standard residential care in the same region.
  • Home care: a median of about £29.75 an hour published by agencies that offer dementia care.
  • Councils paid home care agencies an average of £25.05 an hour in 2025/26, well below what self-funders are usually charged.

Dementia care home costs by region

RegionResidential dementia a weekA yearNursing dementia a weekNursing dementia after FNCExtra over standard residential
North East£1,225£63,700£1,365£1,097+£40
North West£1,255£65,260£1,575£1,307+£50
Yorkshire and the Humber£1,265£65,780£1,560£1,292+£35
East Midlands£1,285£66,820£1,540£1,272+£35
West Midlands£1,340£69,680£1,535£1,267+£45
East of England£1,500£78,000£1,685£1,417+£45
London£1,665£86,580£1,865£1,597+£50
South East£1,620£84,240£1,845£1,577+£65
South West£1,525£79,300£1,690£1,422+£80
England£1,465£76,180£1,670£1,402+£65

“After FNC” takes off the NHS-funded nursing care payment of £267.68 a week (2026/27), which the NHS pays to the home for anyone assessed as needing nursing care. See FNC rates by year. Figures are typical self-funder prices. Individual homes can be well above or below them.

Dementia care at home: hourly rates by region

These are the median hourly rates published on the websites of home care agencies that list dementia care, checked in October 2026. Many are “from” prices, so expect to pay more for short visits, evenings and weekends.

RegionMedian published rate an hourAgencies with a published price
East Midlands£32.459
South West£34.757
East of England£29.0012
South East£28.7516
North West£26.757
West Midlands£26.4310
London£26.0021
England£29.7582

We have too few published prices from the North East and Yorkshire and the Humber to show a reliable figure. Our wider benchmark for visiting home care is about £33.50 an hour in England and £37.50 in London.

What dementia care at home costs in a week

Level of supportHours a weekCost a week at £29.75 an hour
One hour a day7£208
Two hours a day14£417
Four hours a day28£833
Live-in care (one carer living in)–£1,400 to £1,600
Waking nights, 7 nights–about £1,600 (median £231 a night)

Once someone needs more than about six hours of help a day, or help at night, live-in care is often cheaper than hourly visits. See live-in care costs by city and the cost of dementia care at home.

Comparing dementia care near you? Every agency and care home is listed with its latest CQC rating. Search by postcode →

What councils pay

If the council arranges your care, it pays the provider its own rate, which is usually far lower than self-funders pay. In 2025/26 councils in England paid an average of £25.05 an hour for home care, £956 a week for a care home place without nursing and £1,089 a week with nursing (people aged 65 and over). Many care homes ask for a top-up when the council rate is below their price. Find your council’s guide to paying for care to see its own rates.

Help with the cost

  • NHS Continuing Healthcare pays the full cost for people whose main need is health care. Advanced dementia with complex behaviour or physical health needs can qualify. See FNC vs CHC.
  • NHS-funded nursing care pays £267.68 a week towards nursing in a care home.
  • Attendance Allowance is not means-tested and can help pay for care at home. See using Attendance Allowance for home care.
  • The council may pay part of the cost after a care needs assessment and a financial assessment.

Sources

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Reviewed by The Care Panel team on 26 October 2026. This guide is general information about care in England, not legal, medical or financial advice. Rules and rates change; check with your council or an adviser before making decisions.

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