A registered lasting power of attorney is filed with the Office of the Public Guardian. The date it starts being used is not filed anywhere. The accountant's engagement records show it, because somebody new began approving the return.
The family may then make decisions about the client’s capital, sometimes soon after a hospital discharge.
The means test in England
The Department of Health and Social Care publishes a circular each February setting the figures local authorities in England use to charge for care. The current one, Social care: charging for care and support 2026 to 2027, reference LAC(DHSC)(2026)2, was published on 17 February 2026. It raised the personal expenses allowance for care home residents to £31.80 a week, and the minimum income guarantee for a single person of pension credit age to £241.45 a week, both by 3.8%.
It did not move the capital limits. The upper limit stays at £23,250 and the lower limit at £14,250, the levels set in 2010, now held for a sixteenth year. Above £23,250 a person meets the full cost of their care. Below £14,250 their capital is left alone and they contribute from income. Between the two, a tariff income of £1 a week is assumed for every £250, or part of £250, above the lower limit. At £23,250 that is £36 a week of income the person does not receive.
Two further rules decide the size of the bill. For a permanent move into residential care, the person's main or only home is disregarded for the first 12 weeks. It is disregarded indefinitely where a qualifying relative occupied it as their main home before the move: a partner, a relative aged 60 or over, an incapacitated relative, or a child under 18 (Care and Support Statutory Guidance, Annex B). Whether an adult child lives in the client's house decides whether the house is counted.
The 2021 charging reforms, which would have raised the upper limit to £100,000 and introduced an £86,000 lifetime cap on care costs, were cancelled in July 2024. The Casey Commission, set up to design a national care service, set out initial recommendations in March 2026, and the government wrote to Baroness Casey on 22 June 2026 with progress against them. Its second phase is due to report in 2028.
The figures for one client
Illustration, using a made-up client. A client is 84, widowed, and moves permanently into residential care in the spring. Her house is worth £310,000 and stands empty. She holds £190,000 in deposits and investment bonds. Her income is the full new State Pension of £241.30 a week for 2026 to 2027 plus a private pension of £180 a week, £421.30 in total. The care home charges £1,250 a week.
Because she meets the full cost herself she keeps Attendance Allowance at the higher rate, £114.60 a week for 2026 to 2027 (gov.uk, Attendance Allowance). The weekly gap is £1,250 less £421.30 of pension and £114.60 of Attendance Allowance: £714.10 a week, or £37,133 a year.
Suppose instead that her son, aged 62, had been living in the house as his main home before she moved. The property is disregarded. Her assessed capital is £190,000, she reaches the upper limit in about four and a half years, and the local authority then contributes towards the fees. The outcome depends on a fact about the family that the accountant knows.
Once the local authority starts paying, in full or in part, Attendance Allowance stops 28 days later (gov.uk, Attendance Allowance). In this illustration that removes £5,959 a year of tax-free income.
What the practice can see
Three things sit in an accountancy practice's records. The change of signatory itself. The shape of the income: deposit interest falling because a large sum was withdrawn, rental income stopping because a let property was sold, a chargeable event certificate arriving because a bond was surrendered. And the whole picture: the property, the investments, the pension income, the other children, the earlier gifts, and the will you were told about when the trust was set up, the same view we described in what the trust register tells you.
The other facts a client file shows are set out in what a client file already shows.
What is not yet settled
The figures above are for England. Scotland, Wales and Northern Ireland run different charging regimes with different thresholds, and a client with a property in one nation and a care placement in another needs the position checked in both. The Casey Commission's second phase, reporting in 2028, may change who pays; its first-phase recommendations in March 2026 concentrated on delivery. Until legislation follows, £23,250 is the figure, as it has been since 2010.
Who opens the conversation
The FCA's Financial Lives 2024 survey found that 8.6% of UK adults had taken regulated financial advice in the previous twelve months, and 13% of the self-employed. The lang cat's State of Advice Report 2025 put the average age of an IFA client at 59, the average new client portfolio at £411,000, and the number of IFA firms in the UK below 5,000. The advice gap sets out what those figures mean for the clients an accountant acts for.