ILR: Adult Dependent Relatives

Settlement for adult dependent relatives already in the UK on long-term personal care leave — a complex, high-scrutiny route.

Reviewed by Border & Boundaries Immigration Team·Last updated 30 Aug 2026

Overview

Adult dependent relatives granted leave because they need long-term personal care from a UK relative may later seek ILR. Requirements remain strict at settlement stage.

Overview & Eligibility

ILR after adult dependent relative leave

Settlement on this route usually follows a grant of leave based on long-term personal care needs. Ongoing care and sponsor capacity remain central at ILR.

Who may qualify

Applicants who still meet the care test, have a willing sponsor, and meet English and Life in the UK requirements where applicable may qualify. Outcomes are never guaranteed.

Why scrutiny stays high

The Home Office continues to test whether care is needed and whether it could be provided abroad. Updated medical and practical care evidence is essential.

Requirements & Evidence

Updated medical and care evidence

Provide current reports describing personal care needs and why UK-based care remains necessary. Generic letters carry little weight.

Sponsor maintenance

The sponsor must still show they can maintain and accommodate without recourse to public funds where the Rules require it.

English and Life in the UK

Age or disability exemptions may apply. Where tests are required, pass them before filing.

Applying, Costs & Refusals

How to apply

Apply for ILR in the correct category with updated care and sponsor evidence. We review medical letters before submission.

Costs & processing time

The ILR fee applies. Gathering medical evidence often takes longer than the online form. Plan ahead of leave expiry.

Common reasons applications are refused

Care needs not evidenced as ongoing long-term personal care
Failure to show care remains unavailable or unaffordable abroad
Weak sponsor maintenance evidence
Missing English or Life in the UK certificates where required

Key Requirements

Existing leave	Must usually hold valid leave as an adult dependent relative
Care requirement	Must still need long-term personal care that cannot reasonably be provided abroad
Sponsor	UK sponsor must still be able and willing to provide care and maintenance
English language	Usually B1 unless exempt due to age or disability
Life in the UK Test	Must usually be passed unless exempt

Complex Route — Expert Advice Essential

Adult dependent relative cases have high refusal rates at entry and ILR. Professional support is strongly recommended.

Typical Supporting Documents

Passport and BRP or eVisa evidence
Updated medical evidence confirming ongoing care needs
Evidence of sponsor's ability to maintain and accommodate
Evidence of relationship to UK sponsor
Life in the UK test pass certificate (if required)
English language test certificate (if required)

Frequently Asked Questions

Is ILR automatic for adult dependent relatives?

No. You must apply and still meet the care and sponsor tests, plus English and Life in the UK where required. Entry clearance success does not guarantee settlement.

Do I need new medical evidence for ILR?

Usually yes. Decision makers expect up-to-date evidence of ongoing personal care needs. Old letters from the entry application are rarely enough alone.

Can my sponsor’s income be checked again?

Yes. Maintenance and accommodation may be reassessed. Keep financial evidence organised and consistent with the Rules.

Send an enquiry

A qualified immigration lawyer will handle your consultation.

Preparing Adult Dependent Relative ILR?

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