Quick Guide To Funding Care

Get the benefits you are entitled to:

These are the simplest ways to maximise income, much more people are eligible than claim. This can help you afford the care you want.

Key benefits to look at are

Attendance Allowance – Carers UK

Pension Credit – GOV.UK (www.gov.uk)

Understanding Pension Credit | nidirect

Carer’s Allowance – GOV.UK (www.gov.uk)

England

Check your eligibility for NHS Funding

NHS funding is the most difficult type of funding to get. However, should you qualify, you’re able to get your full cost of care covered.

Ask your GP for a Continuing Healthcare Checklist which is a quick screening test to see whether you are suitable for a full assessment. With a Personal Health Budget NHS England » What are personal health budgets (PHBs)?

Personal health budgets are a way of personalising care, based around what matters to people and their individual strengths and needs. They give disabled people and people with long term conditions more choice, control and flexibility over their healthcare.

Local Authority care funding

Local Authorities have a duty to assess all people with care and support needs under the Care Act 2014 regardless of whether an individual may be self-funding or not. Following a needs assessment, a financial assessment will be completed to establish whether a person is entitled to funding for their care. Those with assets not exceeding £23,250 will qualify for funding towards care costs. You can request your funding as a Direct Payment which puts you in control of how you would like to spend it. 

Apply for direct payments – GOV.UK (www.gov.uk)

Self-funding care and support

If you are not able to have your care funded by the Local Authority or NHS, you can purchase your care using your liquid assets or use any of a range of financial products to help you pay for your care including equity release

What is equity release? | Age UK

Wales

Check your eligibility for NHS Funding

CHC is a complete package of ongoing care arranged and funded solely by the NHS through local health boards (LHBs), where an individual’s primary need has been assessed as health-based.

CHC framework has been reviewed and is due to be implemented from November 2021

NHS Continuing Healthcare – The National Framework for Implementation in Wales (gov.wales)

Local Authority care funding

Local Authorities have a duty to assess all people with care and support needs under the Social Services and Wellbeing Act (Wales) 2014. You may have to pay up to a maximum of £100 a week if:

  • You have a high level of disposable income
  • You have savings and investments over £24.00, not including the value of your home.

In deciding charges for non-residential care, local authorities must allow you to keep a set amount to help you meet your daily living costs.

You can work with the local authority to decide how your care and support needs will be met using direct payments. You can decide who provides that support and control how, where and when it is delivered. 

Information about Direct Payments can be found here Direct Payments: A Guide | Social Care Wales

Self-funding care and support

If you are not able to have your care funded by the Local Authority or NHS, you can purchase your care using your liquid assets or use any of a range of financial products to help you pay for your care including equity release.

What is equity release? | Age UK

Scotland

Check your eligibility for NHS Funding

In Scotland personal and nursing care may be an option to enable you to live safely and comfortably at home.

To find out if you are eligible for health or nursing care funding you need to contact your local authority for an assessment of your needs. 

Adults with healthcare needs will be required to contribute towards the funding of their social care and accommodation, either through eligibility for local authority funding or by their own means. The adult still has the option of applying for the Free Personal and Nursing Care allowance to go towards the cost of their care.

More information can be found at Home | Care Information Scotland (careinfoscotland.scot)

Local Authority care funding

Contact your local council’s Find My Council | Care Information Scotland (careinfoscotland.scot) for an Assessment of your care needs | Care Information Scotland (careinfoscotland.scot)

Your GP, district nurse or health visitor can also arrange one for you.

The council might have a waiting list for care assessments, so let the social care department know if you need urgent help.

Your needs will be discussed with you during a home visit, then the social care department will write to you and let you know what help you can get.

You should be advised which of the services you need are free and which would be chargeable. If chargeable, the social care department may be able to help you find someone to provide those services.

Providers of home care can include:

  • your social care department
  • a home care agency

Carers Scotland provide information about assessments Factsheet_S1020__Assessments_-_guide_to_getting_help.pdf (carersuk.org)

Self-Directed Support

Although direct payments have been around for some time, councils now have a legal duty offer 4 options to people who have been assessed as needing a community care service:

  • option 1 – a direct payment, which is a payment to a person or third party to purchase their own support
  • option 2 – the person directs the available support
  • option 3 – the local council arranges the support
  • option 4 – a mix of the above

You may not eligible for all of these 4 options, but whichever option you choose, you should still be made aware of the amount of your budget.

Information on these options can be found at Self Directed Support Scotland (SDSS) – Self Directed Support Scotland (sdsscotland.org.uk)

Self-funding care and support

Age Scotland have a useful practical guide to arranging care care-11-care-and-support-at-home-practical-help-may-2021.pdf (ageuk.org.uk)

If you are not able to have your care funded by the Local Authority or NHS, you can purchase your care using your liquid assets or use any of a range of financial products to help you pay for your care including equity release

What is equity release? | Age UK

Northern Ireland

Check your eligibility for NHS Funding

Most people have to pay something towards the care they receive. But some people with ongoing significant health needs can get their care paid for through a scheme called NHS continuing healthcare.

To get NHS continuing healthcare you must:

  • have ongoing significant health needs, and
  • require care primarily because of the nature of your health needs

The assessment process starts with the completion of a checklist by a nurse or a social worker trained to complete it. The checklist identifies what your needs are and shows whether you need to have a full NHS continuing healthcare assessment.

More information can be found here NHS continuing healthcare | Free care for people with significant health needs | Age UK

Local Authority care funding

The Health & Social Care Trust in your area can provide services to help you. You can find your HSCT here Health and Social Care Trusts – HSCNI Online

A health and social care assessment with the social services department of your local trust is often the first step towards getting the help and support you need. The assessment is an ‘assessment of need’.

Direct Payments

Direct payments are local Health and Social Care (HSC) Trust payments for people who have been assessed as needing help from social services, and who would like to arrange and pay for their own care and support services instead of receiving them directly from the local trust.

Direct payments | nidirect

Self-funding care and support

If you are not able to have your care funded by the HSCT, you can purchase your care using your liquid assets or use any of a range of financial products to help you pay for your care including equity release

Equity release | Age UK