A care needs assessment is a free assessment carried out by your local council to understand what support may help you live safely, comfortably, and independently. It looks at more than just physical health — it also considers emotional wellbeing, social connections, daily routines, and how manageable everyday tasks are.
You can request an assessment for yourself or on behalf of someone else, as long as they have given permission.
A needs assessment is usually the first step if you are seeking support from the local authority, including help paying for care at home or residential care services. It helps the council understand what support is needed and whether you may be eligible for funded care or other forms of assistance.
If you are paying for your own care services privately, you do not have to go through the local authority needs assessment process. However, many people still find an assessment helpful because it can identify the types of support, services, or adaptations that may improve quality of life and help them remain independent for longer.
What Happens During the Assessment?
The assessment may happen in person, over the phone, or online. You’ll usually be asked questions about your health, your home, and any help you already receive from family or friends. The goal is to understand where extra support could make life easier or safer.
What Kind of Questions Might Be Asked?
The assessor may ask about:
- Mobility and managing stairs
- Cooking, shopping, or personal care
- Medication and medical conditions
- Loneliness or social activities
- Support from family members or carers
Why Being Honest Matters
It’s important to be honest about any difficulties — even small ones. Many people downplay their struggles, but the assessment can only recommend support based on what’s shared.
How to Prepare
Before the assessment, it can help to make notes about:
- Tasks you find difficult
- Times of day when support is needed
- Any worries about safety, health, or isolation
- Support family members currently provide (especially if it may not be sustainable long term)
You may also wish to have a family member, friend, or advocate present during the assessment to help explain your situation clearly.
Further Support
For more detailed guidance and example questions, read our resource: Preparing for the Needs Assessment.