Kent faces a significant challenge with a projected 56% increase in demand for nursing home places, a surge expected to cost taxpayers an additional £222 million annually. In response, Kent County Council (KCC) is initiating a comprehensive overhaul of its elderly care contracts. This is to manage the escalating costs and ensure sustainable provision of care.

New figures from Kent County Council reveal the dramatic increase in demand for long-term nursing care, primarily driven by an ageing population living longer. This demographic shift is placing immense pressure on local services and budgets, prompting the Reform UK-led KCC to urgently seek solutions for cost reduction and service improvement.
KCC’s Strategic Response to Rising Demand
KCC, led by Reform UK, will launch a formal tender process for its Older People Residential and Nursing (OPRN) care service. This new contract is scheduled to start on April 1, 2026.
The current system has been in place for nine years. It’s being replaced because it created problems. Kent County Council documents explain it led to “growing price variation, limited market control, and challenges in monitoring quality and performance.”
The new plan aims to fix these issues. It proposes five distinct service categories that better match current care needs. Plus, price changes will be limited to just one adjustment per year, bringing more stability.
Workforce Challenges and Political Reaction
A significant problem for Kent is finding and keeping enough skilled staff in the care sector. This is especially true in rural areas. KCC highlights that new contracts must include fair pricing to attract and retain high-quality workers. Without enough staff, opening new care beds and maintaining standards becomes difficult.
The situation has drawn strong criticism. Councillor Richard Streatfeild, Deputy Leader of the Liberal Democrats, called it “absolutely a crisis.” He believes the previous administration should have addressed this issue sooner.
While KCC aims to help people stay in their own homes for as long as possible, they also acknowledge that many individuals will eventually need care in a dedicated facility.
Understanding Care Home Costs in the UK
Kent’s projected increase in demand reflects a national trend of rising care home costs across the UK. For those paying for their own care (self-funders), the average weekly cost for residential care is about £1,291, which adds up to roughly £67,132 annually.
Nursing care, which includes the services of a registered nurse, is more expensive. It averages around £1,545 per week, or about £80,340 per year for self-funders. Specialised dementia care typically carries even higher fees.
These costs have been increasing. Carehome.co.uk reports that factors like rises in employer’s National Insurance contributions and the National Living Wage affect care providers’ operating expenses, pushing fees up. It’s also important to note that care costs vary significantly across different regions of the UK.
Funding Mechanisms for Care
How care home places are paid for often depends on a person’s financial situation. This is determined by a “means test.” If a person’s capital and savings are above the upper limit (currently £23,250 in England for 2025/26), they usually pay the full fee, according to carehome.co.uk. Local authorities may offer financial help if assets fall below certain levels.
The National Health Service (NHS) also provides funding in specific situations. NHS Continuing Healthcare (CHC) fully covers care costs for individuals with complex, ongoing health needs. Additionally, NHS-funded Nursing Care (FNC) offers a flat-rate payment for those in nursing homes who require care from a registered nurse but don’t qualify for full CHC.
Care home fees generally cover accommodation, meals, laundry, heating, and utilities. However, carehome.co.uk advises families to always confirm what is included to avoid unexpected extra charges for services like hairdressing.
Where Nursing Care Kent is Headed
Kent’s increasing need for nursing home places is a glaring example of a more widespread challenge. KCC’s attempts to redesign its care services are imperative. The aim is to provide enduring, high-quality care to the elderly, balanced with controlling the considerable financial burden on local taxpayers. These changes will be essential to addressing the region’s future care requirements.