Affordable, good quality childcare creates opportunities for many parents to better reconcile work and care or reduces family care to enable other valuable contributions to society. However, childcare studies often overlook parents of children with additional or complex care needs. These parents spend a greater amount of time on caregiving, providing care that goes beyond that of parents of typically developing children. As such, their opportunities beyond caregiving can be limited. Resources, like childcare services, can be crucial in supporting the reconciliation of care with other valued activities in life. This article contributes to the cross-national childcare policy literature by conceptualizing comparative indicators to assess the availability, accessibility, and affordability of childcare policy design for children with additional or complex care needs. It then applies these indicators to a comparison of childcare policy design in England and the Netherlands, providing an operationalization for further empirical analysis.