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Why might care needs change?

We recommend ‘future proofing’ care plans and show how to deal with a gradual or sudden decline in mental or physical health.
3 min read
In this article
Why changes in care needs occur A gradual decline A sudden decline
Preparing for the future

Why changes in care needs occur

Change is a natural part of life and growing older. A person’s physical health, such as their eyesight, hearing or mobility, may deteriorate over time. A person’s memory may also deteriorate as they get older, which could lead to them needing help.


Older people can also be more susceptible to illnesses and accidents, such as falls. Changes might be permanent or temporary. They might happen suddenly or very gradually over time.  As your loved one’s health changes, they might need different levels of care and support.

A gradual decline

More often than not, changes in physical or mental health will happen very slowly. Your loved one’s mental health might deteriorate gradually due to old age or the slow onset of a condition such as Alzheimer’s. In these cases, it can be difficult to spot that their care needs have changed, especially when you see them on a regular basis.


You might realise that the person you’re caring for is less mobile than they used to be, or that they are finding it more difficult to do everyday things. Because changes have happened gradually, it might take you both some time to identify there is a problem that needs addressing. However, this should give you more time to research and plan appropriate care.

A sudden decline

If your loved one suffers from an unexpected illness or injury – such as a stroke or a fall – the change in their mental or physical health might be sudden. They might struggle to carry out certain tasks that they managed without a problem the week before, or they might not be able to get around at all. For information on dealing with emergencies that result in your loved one going to hospital, see hospital admissions and discharge.


In these circumstances, it will be obvious that your loved one’s needs have changed and that they need a different level of help or support. You might need to take action quickly to get the right care in place.

Preparing for the future

As care needs often change over time, it’s a good idea to think about the future when making plans for a loved one’s care. Try to think ahead and keep your options open by choosing care options that can be changed without too much difficulty. For example, if considering a move into sheltered housing, you might choose a place that offers the option of extra care, so that it’s easier for personal care to be accessed in the event that it is needed in the future.


Alternatively, if you’re choosing a care home that offers personal care, consider one that also offers a higher level of nursing care, so that this option is available later on without them having to move. Of course, this level of choice won’t always be available, but it’s worth bearing in mind.


But don’t forget that the local authority will only fund current and eligible needs, so if there are any additional costs associated with these choices, your loved one would have to fund them privately.

Care homes near you
Use our directory to find local residential and nursing care homes across the UK.


Living will


Your friend or relative might find it helpful to put their wishes for future care in writing, in what’s called a living will. A living will, or as it’s sometimes known a ‘Advanced Decision’, is a legally binding document that can come into effect if someone loses the mental capacity to make decisions about their care in the future.


Living wills differ to Power of Attorney as a PoA allows a nominated person to deal with a person’s affairs, whereas a living will states specific treatments that your loved one does not want in the future. Which? Money has more guidance on living wills and how to set one up.

Further reading

Getting a needs assessment

A needs assessment is crucial to getting the care support you need. Read our guidance for how to get one.

Last updated: 18 Sep 2018