Background: The number of people in need of care increases throughout Germany. Outpatient care before inpatient care has been a political aim for years. The provision cannot be covered by formal care. Therefore informal care must be strengthened and promoted. This is a major challenge, particularly in structurally weak rural regions, but a big chance. Aims: To provide assistance and support needs for informal caregivers in the care of people in need of care at home. Based on this recommendations for action for a regional policy approach in Oberfanken have to be developed. Methods: Structured daily discussions were conducted for the researcher to approach the research field and an interview guide was developed. This interview guide was used in half-structured interviews with informal carers. After this the results were validated and ideas of experts for solutions were aggregated in a Delphi study. Results: There are many existing support possibilities within the framework of the longterm care insurance, for example, are unsuitable or not known for relief services. Cooperation and exchange of actors of the health system should work better. Neighborhood support and social networks within the community are important. Conclusion: Rural, structurally weak regions need an overall concept that pursues the out- patient approach and a committed society that is interested in one another.