UNPARALLELED ADVICE ON MEETING THE COST OF CARE FEES
It has always been a fundamental concern of Care Directions that people should be fully prepared to be able to make the best choices - whatever the care needed, for themselves or their loved ones. All too often, a 'head in the sand' attitude results in crisis management - with resultant heavy costs to pay in both financial and emotional terms.
The following information is provided by NHFA, the UK’s leading
specialist care fees advisory practice. When moving into a care home
fully understanding what the State provides and being certain about
costs and affordability is essential for all involved. Seeking
independent advice is important – and here we seek to
answer some of the most commonly asked questions.
Who pays for what?
State funding
Who qualifies for local authority
financial assistance?
If you have been assessed as needing a care home place and your
capital is below £23,250, you should be entitled to financial support
from your local authority. If you have capital below £14,250 you
will be entitled to maximum support, although you will still
contribute your income less £22.30 a week retained for personal
expenses. If you have capital between £14,250 and £23,250 you will
also pay a capital tariff of £1 per week for each £250, or part
thereof between these two figures.
If the State is paying do I have a choice
of care home?
Yes and it can even be in a different county. The home you choose
must be suitable for your assessed needs, comply with any terms and
conditions set by the authority – and not cost any more than that
authority would usually pay for someone with your needs.
What if the home costs more than the
local authority is prepared to
pay for?
The local authority will allow the fees to be topped up by a third
party, who is able to do so over the long term. You are not allowed
to top up the fees yourself from capital below £23,250.
My partner needs care, how does this
financially affect me?
Only the partner requiring care should be means tested. Property
occupied by a partner is disregarded and only 50% of any private
pension should be taken into account. The Local Authority will take
into account 50% of joint savings. To accelerate financial help,
therefore, it is better to have separate single accounts meeting care
costs, from the account of the person in the care home.
Self-funding
Will social services pay my fees whilst
I am selling my former home?
If, apart from your property, your other capital is below £23,250 and
your income is insufficient to meet the care home’s fees, the local
authority can assist with the costs – as if you were funded by them
for the first twelve weeks of permanent care. Beyond that period,
any financial help will be charged against the value of your former
home and recovered from the eventual sale proceeds.
Do I have to pay council tax on an
empty property?
If you move into a care home and your property is left empty, then
you should receive full exemption from Council Tax until it’s sold.
Is there any financial help that is not
means tested?
If you are self funding, Attendance Allowance is a non-means tested,
non-taxable allowance – paid at the lower rate of £47.80 per week for
those needing care by day or night – and at a higher rate of £71.40
per week for those needing care by day and night. Also, whether your
stay is temporary or permanent, if you receive nursing care in a
nursing home you should be entitled to an NHS Nursing Care
Contribution towards the cost of your nursing care. This equates to
£108.70 per week, which is paid direct to the nursing home towards
the fees.
If your needs are primarily health care needs, you may be entitled to
full funding from your local Primary Care Trust (PCT), following an
assessment under their continuing care eligibility criteria.
The above applies to England only. Wales, Northern Ireland and Scotland pay different amounts. Visit www.wales.gov.uk, www.healthandcareni.co.uk and www.scotland.gov.uk for more information. Benefit rates usually change once a year, in April. Rates may also be subject to change throughout the year. The rates quoted on this page are based on NHFA's understanding as at April 2010.
What happens if I move into a care home independently and run out of
money?
Once your capital reduces to £23,250 you can seek local authority
assistance. If this is likely, you should seek an assessment from
the local authority well before your capital falls to this
threshold. In these circumstances you may find that the home costs
more than the local authority usually pays and, if it won’t reduce
its fees to the local authority rate, you may have to find a source
of top-up, or seek less expensive accommodation. Moving care homes
could be detrimental to health and wellbeing and should really be
avoided unless it’s absolutely necessary.
What can I do to avoid this situation?
There are specially designed financial products available that can
undertake to meet care costs for as long as care is needed, often
requiring just a part of your capital – so releasing the remainder
for the eventual inheritance that so many older people wish to leave.
NHFA specialist care fees advisers will provide financial advice to
help you understand any State help you are entitled to. This advice
will also help you make informed decisions as to the optimum solution
to enable you to afford the best quality care in line with your
individual circumstances – whilst also preserving your capital as far
as possible.
For expert advice on all aspects of paying for care or a free copy of
NHFA’s Long Term Care Guide, please complete and submit the form below.
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