Wedding carersSpecial situations

Getting married quickly in hospital, a hospice or at home

Yes, you can get married in a hospital, a hospice, a care home or at home when one of you is seriously ill, and in England and Wales it can happen within hours. Which route you use depends on how unwell the person is, whether they can be moved, where you live in the UK, and whether you want a church service. This guide sets the routes out side by side, with who to ring first.

By James Bowdler, founder of PrimeCarers  ·  Updated October 2026  ·  15 min read · See the routes side by side

Part of our guide to wedding carers.

The routes side by side

Which route fits depends on how ill they are and where they are

There are four ways to marry quickly in England and Wales, and one main route in each of Scotland and Northern Ireland. Start from the person's health and whether they can travel, and the right route usually becomes clear.

In England and Wales you normally give notice at your local register office at least 29 days before the ceremony. When one of you is seriously ill, the wait and the choice of places can both be set aside.

The question that decides the route is whether the person can be moved. If a doctor says they are seriously ill, not expected to recover and cannot be moved to a venue, the licence route is open and you can marry where they are, usually the same day. If they are expected to stay where they are for months, for example living in a care home or at home after a stroke, the housebound route lets the registrar come to them, with the usual 28 days between notice and ceremony. If they can still travel but you cannot wait 28 days, you can ask the Registrar General to shorten the wait.

England and Wales

Registrar General's licence

Fastest
Who it is for
One of you is seriously ill, is not expected to recover and cannot be moved to a register office or licensed venue.
What you need
A letter from the doctor treating them, on the form the register office gives you, which also confirms they understand the nature and purpose of the ceremony. ID for both of you.
How soon
No waiting period. Once the licence is granted the ceremony can take place the same day, at any hour.
Where the ceremony can be
Wherever the person is: a hospital ward, a hospice, a care home or their own home. A civil ceremony, or a religious one of any faith except the Church of England and Church in Wales.
How long it lasts
One month, and only for the place where notice was given.

Housebound or detained notice

Usual 28 days
Who it is for
Someone who should not move for at least three months because of illness or disability, or who is detained in hospital or prison.
What you need
A doctor's statement signed no more than 14 days before notice is given. For someone detained, a statement from the hospital or prison made within 21 days.
How soon
The registrar takes notice where the person is, then the normal 28 days must pass before the ceremony.
Where the ceremony can be
The place where the person lives or is detained, including a care home or hospital. Civil or religious.
How long it lasts
Three months from notice.

Shortened notice period

If they can travel
Who it is for
Couples who can get to a register office or licensed venue but cannot wait 28 days, for example because of serious illness in the family.
What you need
Notice from both of you, an application to the Registrar General with supporting evidence, and a non-refundable fee for each of you.
How soon
Decided by the General Register Office. Some councils say to allow at least 24 hours, and it is not guaranteed.
Where the ceremony can be
A register office or a licensed venue.
How long it lasts
As for an ordinary notice.

Archbishop's special licence

Church of England
Who it is for
Couples who want a Church of England or Church in Wales service at home, in hospital or in a hospice because one of them is seriously ill.
What you need
A special licence issued by the Faculty Office of the Archbishop of Canterbury. Start by speaking to the hospital chaplain or your parish priest.
How soon
Not published as a fixed time. Tell the chaplain or priest how urgent it is.
Where the ceremony can be
The home, hospital or hospice named in the licence.
How long it lasts
Ask the Faculty Office when it is issued.

Scotland

Short notice dispensation

Instead of 29 days
Who it is for
Couples facing a serious health condition who cannot wait the usual 29 days after giving notice.
What you need
Notice forms (M10) for both of you, a letter from a consultant or specialist, and a signed letter explaining your circumstances. The registrar sends it to National Records of Scotland.
How soon
The Registrar General can allow the marriage before the 29 days are up.
Where the ceremony can be
A hospital, hospice or palliative care unit, or anywhere agreed with the registrar or the religious or belief celebrant.
How long it lasts
Ask the registrar, who will confirm the date and place.

Northern Ireland

Reduced notice and a ceremony where they are

Exceptional circumstances
Who it is for
Couples who cannot wait the 28-day minimum, where one of them is seriously ill.
What you need
A request to the district registrar, decided by the Registrar General, and for a civil ceremony away from a register office, a doctor's statement that the person ought not to move for three months.
How soon
Only in exceptional circumstances will the Registrar General allow a marriage with less than 28 days' notice.
Where the ceremony can be
With the Registrar General's approval, a civil marriage can take place wherever the ill person is.
How long it lasts
Ask the district registrar.
In England and Wales the same routes exist for civil partnerships. Every route needs two adult witnesses, and the person who is ill must be able to consent for themselves, because nobody can agree to a marriage on their behalf.

If you are organising this for someone else, a son or daughter arranging it for a parent who wants to marry their partner for example, you can make the phone calls, but the notice is given by the couple themselves, and the person who is ill must be able to say for themselves that they want to marry. If you are not sure whether a parent with dementia can make that decision, can someone with dementia get married explains how capacity to marry is judged.

The Registrar General's licence

The Registrar General's licence lets you marry within hours

This is the route for a hospital or hospice wedding when there is no time to wait. It exists under the Marriage (Registrar General's Licence) Act 1970 and covers England and Wales.

The Registrar General can only grant the licence if satisfied that one of you is "seriously ill and is not expected to recover and cannot be moved" to a register office or licensed venue. The register office gives you a letter for the doctor to sign, and the doctor has to be the one treating the person. The letter confirms those three things, and it also confirms that the person understands the nature and purpose of the ceremony. Ask the nurse in charge who the right doctor is; at home it may be the GP.

Once the letter is signed, one of you gives notice to the registrar, usually the partner who is well. Councils describe how quickly it can then go: Islington says the licence "can be granted in minutes if the criteria is met" and the ceremony can take place straight away or on another date within one month. Bath and North East Somerset says it can happen "very quickly afterwards at any hour of the day". The notice is only good for the place where the person is when it is given, so if they move to a hospice or home before the ceremony, tell the registrar, because a new notice is needed.

  1. First

    Ring the register office for where they are now

    Use the local council's register office number, or its out-of-hours line in the evening or at the weekend. Say that one of you is seriously ill and you want a Registrar General's licence. They will send the doctor's letter and tell you which documents to bring.

  2. Same time

    Ask the ward or hospice team for the doctor

    The doctor treating the person signs the letter. Give the nurse in charge the form as soon as you have it, and tell them how much time you think there is.

  3. Next

    Gather ID for both of you

    Passports or other identity and nationality documents, and proof that any earlier marriage or civil partnership has ended. Islington says proof of address is not needed for this route.

  4. Then

    The registrar takes notice and the licence is granted

    The registrar takes notice, which may be at the bedside, and checks the documents. The Registrar General then decides on the licence.

  5. Same day if needed

    The ceremony

    It takes place where the person is, with two adult witnesses.

  6. Within a month

    If you need more time

    The licence lasts one month, so a ceremony a few days later is possible if the person would like family there. Check this with the registrar when you book.

The fees for this route are small compared with an ordinary wedding. The councils we checked list between about £25 and £30 for the notice and licence together, plus £12.50 for each marriage certificate, and Cambridgeshire gives its own fees and an urgent number on its page. The ceremony can be civil, or religious in any faith except the Church of England and Church in Wales, which have their own route described further down.

Housebound and shorter notice

When there is a little more time: notice at home, in a care home or in hospital

Not everyone who is too unwell to travel needs a same-day wedding. If the person is expected to stay where they are for some months, the housebound route lets the registrar come to them and the wedding is planned in the usual time.

The housebound route comes from the Marriage Act 1983. A doctor signs a statement, no more than 14 days before notice is given, saying the person ought not to move or be moved because of illness or disability, and that this is likely to be the case for at least the next three months. The registrar then takes notice at the place where the person lives, which can be their own home, a hospital, a hospice or a care home. Both of you give notice, the usual 28 days must pass, and the ceremony must take place within three months. It can be civil or religious. If either of you is subject to immigration control, the waiting period can be longer, so mention it when you first ring.

So the answer to "can you get married in a care home" is yes. If your relative lives in a care home and cannot travel to a venue, the housebound route lets the wedding take place in the home, and if they meet the licence test it can happen sooner. Talk to the care home manager early, because they will want to plan the room and the staffing. If they are well enough for a day out instead, bringing a relative from a care home to a wedding covers how to arrange it.

Someone detained in hospital under the Mental Health Act, or in prison, can also marry where they are. The hospital or prison provides a statement, made within 21 days before notice, and the registrar takes notice there. Fees for these routes are higher than for the licence and vary by council. Cambridgeshire lists £341.50 in all for a housebound wedding, including one certificate.

If the person can still travel but you cannot wait 28 days, you can apply to the Registrar General to shorten the notice period. Both of you give notice, you explain the reason with evidence, and each of you pays a non-refundable fee. Bath and North East Somerset says to allow at least 24 hours for a decision and that it is not guaranteed.

Words the register office may use

Giving notice
The formal statement, made to a registrar, that you intend to marry. It is the legal start of every route.
Registrar General
The head of the General Register Office, who decides on licences and requests to shorten the notice period.
Medical statement
The doctor's signed letter or statement. Each route has its own wording, so use the form the register office gives you.
Approved premises
A venue licensed for civil weddings, such as a hotel. The urgent routes let you marry somewhere that is not one.

Church, Scotland and Northern Ireland

Church weddings, other faiths, and the rules in Scotland and Northern Ireland

The Registrar General's licence is a civil route, and it only covers England and Wales. A church service, or a wedding in Scotland or Northern Ireland, goes a different way.

A Church of England or Church in Wales service

An Anglican wedding at home, in hospital or in a hospice needs a special licence from the Faculty Office of the Archbishop of Canterbury. Speak to the hospital or hospice chaplain, or your parish priest, and tell them how urgent it is.

Special licence from the Faculty Office

Other faiths in England and Wales

A religious ceremony of another faith can take place under the Registrar General's licence or the housebound route. Ask the register office and your minister, imam, rabbi or other faith leader how the two fit together.

The licence or the housebound route

Scotland

The usual notice is 29 days. Your local registrar can ask National Records of Scotland for a dispensation, with a letter from a consultant or specialist. The ceremony can be in a hospital, hospice or palliative care unit.

Short notice dispensation

Northern Ireland

The minimum notice is 28 days, and the Registrar General can allow less only in exceptional circumstances. With a doctor's statement and the Registrar General's approval, a civil ceremony can take place where the person is.

Exceptional circumstances

In Scotland, NHS inform's guide to short notice marriage sets out what the registrar needs. The ceremony can be civil, with a registrar, or religious or belief, with an approved celebrant, and the person must be well enough to consent and take part.

In Northern Ireland, nidirect's page on giving notice says notice goes to the registrar for the council district where the marriage will take place. The Marriage (Northern Ireland) Order 2003 allows a civil marriage wherever a seriously ill person is, with a doctor's statement and the Registrar General's approval.

For a Church of England service, the Faculty Office issues special marriage licences on behalf of the Archbishop of Canterbury. Approach it through the chaplain or priest who would take the service, since they will need to agree to conduct it.

On the ward or at home

Making the ceremony work on a ward, in a hospice or at home

Once the paperwork is moving, plan the day around the person who is ill, including how long they can manage and who they want with them.

Tell the nurse in charge as early as you can, and ask whether there is a quiet room, a garden or a family room the person could be wheeled to, or whether the ceremony is best at the bedside. Ask the nurses which time of day the person tends to be most alert and comfortable, and plan around it. The registrar will go through the legal words with you. A hospice may also have a chaplain or spiritual care team who can help with readings or a blessing; what a hospice offers explains the wider support.

What to have ready for an urgent wedding

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The paperwork

The people

The small things

Capacity matters for every route. The doctor's letter for the licence confirms the person understands the ceremony, and in England and Wales the Mental Capacity Act 2005 says nothing in it permits anyone to consent to a marriage on someone else's behalf, so an attorney under a lasting power of attorney cannot agree for them. A diagnosis such as dementia does not settle the question by itself; how mental capacity is assessed explains the general test.

A bedside wedding can include more people than the couple. A grandparent who is frail themselves may want to be there, and the person who usually looks after them may be the one getting married, or a parent with their own worries that day. If nobody else can stay with that grandparent, you could book a wedding carer who stays with them all day, from the journey there to the journey home, so everyone else can be present for the ceremony. Who does what for an older relative on the day helps you share the jobs out in the family, and a wedding day care plan puts medicines, meals and contacts on one page for whoever is helping.

You could hold the legal ceremony quickly and plan a celebration or a blessing later, when more family can travel. If a grandparent will not be able to come to that later celebration, bringing the day to a grandparent who cannot come has ideas, from a visit in the wedding clothes to a video call.

Questions

Questions about getting married in hospital, a hospice or a care home

Yes. In England and Wales, if one of you is seriously ill, not expected to recover and cannot be moved, a Registrar General's licence lets you marry on the ward, often the same day. If the person will be in hospital for three months or more, the registrar can take notice there under the housebound route. Scotland and Northern Ireland allow a hospital wedding with a dispensation or the Registrar General's approval. Ring the register office for the area where the hospital is.

Yes. A hospice wedding uses the same routes as a hospital one: the Registrar General's licence if there is no time to wait, or the housebound route if there is. In Scotland, NHS inform says a short notice wedding can take place in a hospital, hospice or palliative care unit. Tell the hospice team early so they can help with the room and the timing.

It can be within hours. There is no waiting period once the licence is granted, and councils say the ceremony can take place the same day and at any hour. What takes time is getting the doctor's letter signed and the registrar to the bedside, so ring the register office and ask the ward for the doctor at the same time. The licence lasts one month.

Yes. If your relative cannot travel to a venue and is expected to stay in the care home for at least three months, the housebound route lets the registrar take notice at the home, and the wedding follows after the usual 28 days. If they are seriously ill and cannot be moved, the Registrar General's licence can be used there instead.

Yes. For the licence, the doctor confirms that the person understands the nature and purpose of the ceremony, and in every route the registrar must be satisfied that they consent. In England and Wales the Mental Capacity Act says nobody can consent to a marriage on someone else's behalf, including an attorney. A dementia diagnosis alone does not mean someone cannot marry.

Yes. A Church of England or Church in Wales service away from a church needs a special licence from the Faculty Office of the Archbishop of Canterbury; the hospital chaplain or your parish priest can help you apply. Other faiths can use the Registrar General's licence or the housebound route.

Where to read next

More practical guidance

Use these guides to work through the next decision at your own pace.

Want someone to look after a frail relative on the wedding day?

If an older or disabled relative is coming to the ceremony or the celebration afterwards, a wedding carer can stay with them through the day so the family can be with the couple. £350 covers up to 12 hours, and nothing is paid when you enquire.

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