Can anyone advise me please regarding 'top up' fees for private nursing home care? To set the scene - husband of a friend of mine has been in care in a private nursing home for a year now. Local Authority have just completed an assessment and have told the wife that she must find in excess of £200 each week as 'top up' fees. This will cause great hardship and financial worry for my friend. The £12,000which they have in a joint bank account will not last long if there is a drain of £200each week being taken out. I think that an arrangement is possible whereby the 'top up' fee can be paid by the local authority and this money could eventually be reclaimed when the jointly owned home is sold. I cannot think where I read this or if I misunderstood and have got it all wrong. Many thanks to anyone who might be able to clear this up for me.