The State of Care in Hertfordshire
Hertfordshire is home to a large and growing older population, many of whom are living independently, supported by family, or beginning to need more regular care. This page brings together key local figures to help make sense of the care landscape, from ageing and unpaid care to provider quality and service availability, so families can better understand what support might look like now and in the years ahead.
What this page covers
- How Hertfordshire compares with England on ageing and household profile
- What the figures show about the county's older population
- How many people are providing unpaid care
- Why dementia remains an important part of the local care picture
- How much choice exists across home care services
- Why provider quality matters when families are trying to decide what to do next
Hertfordshire at a glance
Hertfordshire is home to 1,198,792 people. Within that total, 204,268 people are aged 65 or over, meaning older adults account for 17.0% of the county's population. Residents aged 85 and over represent around 2.5% of the population. The share aged 65+ is below the England average of 18.4%, while the share aged 85+ is slightly above the England average of 2.4%.
That age profile has practical implications for care. Hertfordshire has 92,781 unpaid carers and a network of registered home care providers, while many older people would prefer to remain in their own home. As needs become more complex, the balance between family support and formal care becomes increasingly important.
Age profile and living situation
Hertfordshire has a smaller share of people aged 65 and over than England overall, while its 85+ share is slightly above the national average. The chart below brings together the county's total population, the size of its older population, and the share aged 85 and over, an age group in which care needs can become more common or complex.
is the recorded dementia diagnosis rate in Hertfordshire. The local estimate also identifies 5,691 people who may be living with undiagnosed dementia.
What stands out first
Hertfordshire has 204,268 people aged 65+, representing 17.0% of residents across the county.
The oldest age group still matters
Hertfordshire's 85+ population is around 2.5% of residents, slightly above the England average of 2.4% shown in the source data. This age group can be more likely to need help with personal care, mobility, frailty, falls or multiple health conditions.
Dementia need is significant
Hertfordshire has a 63.7% dementia diagnosis rate, with an estimated 5,691 people living with undiagnosed dementia. This can create a need for support before and after diagnosis.
How Hertfordshire compares with the rest of England
Hertfordshire's age profile is close to the national picture, but with some differences. People aged 65 and over make up 17.0% of Hertfordshire residents, compared with 18.4% across England. For people aged 85 and over, the local figure is around 2.5%, slightly above the England average of 2.4%. This means Hertfordshire has a somewhat smaller 65+ share overall, while its oldest age group is slightly more concentrated than the national average.
Hertfordshire has 92,781 unpaid carers, equal to 8.2% of residents aged 5 and over in the source data. Of these, 24,038 provide 50 or more hours of unpaid care each week, showing the scale of high-intensity caring across the county.
The role of unpaid carers in Hertfordshire
Unpaid carers remain one of the most important parts of the local care picture. Hertfordshire has 92,781 unpaid carers, equal to 8.2% of residents aged 5 and over in the source data. Of those carers, 24,038 provide 50 or more hours of unpaid care each week. That is 25.9% of unpaid carers, showing how many people are carrying a substantial caring responsibility.
For many families, paid care does not replace family involvement. It supports it. That can mean sharing responsibility, providing more consistency, or helping an older person remain at home when family members cannot safely cover everything themselves.
The pressure often builds gradually. What begins as help with shopping, appointments or household tasks can become much more demanding as mobility, memory or health changes.
Unpaid care at a glance
25.9% of unpaid carers provide 50+ hours a week
That is more than one in four unpaid carers in the county, highlighting the pressure that can fall on families providing substantial support.
Dementia remains a major part of local care need
The dementia care picture in Hertfordshire sits within a wider context of an ageing population. With 204,268 residents aged 65 and over, dementia support is likely to remain an important part of local care planning across the county.
For families, the need for support often appears before there is a clear decision about long-term care. Memory loss, confusion, repetition, changes in mood, reduced confidence and difficulties with everyday tasks can all increase the amount of help someone needs at home.
Good dementia care is not simply about supervision. It is also about consistency, familiar routines, careful matching and support that can adapt as needs change.
Why ageing matters for dementia care
Residents aged 65+
A large older population means dementia support remains a significant local consideration.
Residents aged 85+
This is slightly above the England average of 2.4% shown in the source data.
For families, planning earlier can make it easier to introduce support gradually and preserve familiar routines rather than making decisions only after a crisis.
Care demand and home care provision
Hertfordshire has 329 CQC-registered home care providers, with 198 rated in the source data. Of those rated providers, 164 are rated Good or Outstanding, while 34 are rated Requires improvement or Inadequate.
Equivalent county-level commissioning and workforce figures were not available in the dataset used for this page, so they are not shown here. The figures that are available still show a sizeable local care market, but provider numbers alone do not tell families how consistent, well managed or suitable an individual service will be.
What these figures tell us
- 329 registered providers gives Hertfordshire a broad home care market, with 198 rated in the source data
- 82.83% of rated providers are Good or Outstanding, equal to 164 of the 198 rated providers
- 34 rated providers are below Good, including 30 rated Requires improvement and 4 rated Inadequate
- 24,038 unpaid carers provide 50+ hours a week, showing substantial caring pressure alongside formal services
For families, these figures mean choice exists, but choosing well still requires careful comparison. Availability alone is not the same as confidence.
Home care quality in Hertfordshire
Hertfordshire has 329 registered home care providers. Of the 198 rated providers in the source data, 164 are rated Good or Outstanding, equal to 82.83%. That means families have a range of providers to choose from, but it also means quality is not uniform across every provider.
CQC ratings are an important starting point, but they are not the only thing families may want to consider. Consistency, Caregiver matching, communication, management oversight and the ability to adapt support as needs change all affect day-to-day experience.
For families comparing care, the useful question is not simply who is available. It is who can provide reliable, well-managed support that feels right for the person receiving care.
Why those ratings matter
When families are comparing providers, the strongest services should be able to show not only a good inspection result, but also how care is managed, how Caregivers are matched and how consistency is maintained over time.
Unique Senior Care's live-in care service is rated Outstanding by the CQC.
That gives families an independent quality benchmark when comparing live-in care options in Hertfordshire.
82.83% of rated Hertfordshire providers are Good or Outstanding.
That still leaves meaningful variation across the market, which is why families benefit from looking beyond availability alone.
What this means for families in Hertfordshire
Hertfordshire has 204,268 residents aged 65+, equal to 17.0% of the population, while around 2.5% are aged 85+, slightly above the England average of 2.4% shown in the source data. In practical terms, that means a large number of families are already supporting older relatives or thinking about what may be needed if health, mobility or memory begins to change.
Unpaid care is a major part of that picture, with 92,781 people providing support and 24,038 providing 50 or more hours each week. Formal care often works alongside that family involvement rather than replacing it, particularly when needs become too demanding or unpredictable for relatives to manage alone.
The county has 329 registered home care providers. Of the 198 rated providers, 82.83% are rated Good or Outstanding. Even with that choice, comparison still needs care. Families still need to understand how care is managed, how Caregivers are matched and what happens when needs change.
For many families, planning earlier gives more time to compare options properly and make decisions around the person's routines, preferences and longer-term needs rather than under pressure after a fall, hospital stay or sudden change.
Related Hertfordshire pages
Page written by:
With over 30 years of experience in the care industry, providing outstanding care has always been Helena’s core mission.
Helena has been a dedicated member of Unique Senior Care for 10 years, starting as Care Manager and advancing to Head of Extra Care and now serving as Director of Operations.
She holds a Level 5 Diploma in Leadership for Health and Social Care and Children and Young People’s Services (England), as well as a Diploma in Welfare Services. Helena has completed various leadership and management courses, enhancing her expertise in the care industry.
Helena has authored published articles, including one for Skills for Care on managing change through the COVID pandemic. She has a steadfast commitment to advocating for and supporting those in need, ensuring their voices are heard and their rights upheld.