What is a Care Needs Assessment — and How Do You Request One?
A care needs assessment is a formal evaluation carried out by your local authority to determine whether a person has eligible care and support needs under the Care Act 2014. It is free of charge, and every adult in England has the legal right to request one — regardless of their financial position, and regardless of whether they intend to apply for council funding.
What does it cover?
The assessment looks at how a person is managing with daily life — washing, dressing, eating, moving around safely, maintaining their home, staying socially connected, and managing their own safety. It considers both physical and mental health needs, and importantly it must also take into account the person's own wishes, feelings and cultural preferences, not just their clinical needs.
The assessment is usually carried out by a social worker or occupational therapist from the council's adult social care team, either in person at the individual's home or in a care setting. It typically takes between one and two hours.
Why is it important?
The care needs assessment is the gateway to local authority funding. Without one, the council cannot determine eligibility for a personal budget, direct payments, or a funded care home placement. Even for self-funders who do not need council funding, an independent assessment provides a clear and documented picture of what type and level of care is genuinely needed — which is invaluable when speaking with care providers and negotiating care packages.
What if the outcome does not reflect your loved one's needs?
You have the right to request a review of the assessment if you believe it is inaccurate or incomplete. You can also involve an independent advocate — someone who speaks on behalf of your loved one during the assessment — particularly if the person has communication difficulties or lacks capacity. If you disagree with the eligibility decision, you can make a formal complaint and request a reassessment.
The role of an independent assessment
An independent nursing assessment — carried out by a private care adviser rather than the local authority — provides an unbiased, detailed picture of your loved one's needs that can sit alongside or challenge the council's own assessment. It is particularly valuable for families who want a professional second opinion, for those challenging a CHC decision, and for solicitors and financial advisers who need a formal care needs report for legal or financial planning purposes.
This is a service we provide directly. If you are a solicitor, financial adviser or attorney acting in a client's best interests, our independent nursing assessments and formal care reports are designed specifically to support your work. Find out more about our services for professionals →
Whether you are just starting the process or feel that a previous assessment did not capture your loved one's true needs, we can help you navigate this with confidence. Speak to a care adviser →