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Paying for Home Care

OUR GUIDE TO FUNDING

Funding for home care

There are a few different options to consider when choosing a quality home care provider, but help is out there and funding for home care is available. If you are unable to self-fund your care, you may be qualified for assistance from your local council, the NHS or other means.

Local authority funding for care: how it works

There is local authority funding for care in your own home available, but how much they may offer you is up to the local council themselves. Firstly, you’ll need to determine who your local council is, and let them know of your situation. The council will identify the extent of the care required, to enable you or your loved one to live as independently as possible. This is called a ‘needs assessment’ and is free to anyone who would like one.+

If the council find that you require care either in your home or in a residential setting, they will then carry out a “means test”. This is a financial assessment of your ability to fund the care.

If you’re eligible for it, the council could pay for some, if not most, of your care. The council will then decide whether they will pay for the full cost of your care, they will pay for some and you will pay the rest, or you will pay for all of your care yourself. The table below shows how much you will put towards the care home fees depending on your capital (savings and assets), which is calculated using the means test:

How much you will pay related to your capital

The factors involved

What are the factors involved in the means test?

The means test looks at your income, benefits, entitlements, savings and other assets (such as property) to calculate your capital. You must ensure that you are getting all of your benefits and entitlements as the means test will assume that you are receiving them.


However, certain types of income and capital will not be counted in the means test, such as money from certain disability benefits.

Paying

Paying for home care if the council have agreed funding

If the council are happy to pay for your care, you’ll receive what’s known as a ‘personal budget’. The exact amount will be worked out by the council when they make care plans with you. You can choose to receive your personal budget in three ways:

  • A monthly direct payment into your bank account (the council will ask for receipts to verify you’re spending the money on your care)

  • The council will arrange and pay for the care for you (you won’t need to send receipts or arrange anything at all)

  • A mixed personal budget where the council arranges some of your care, but you organise and pay for the rest from your personal budget


If the council are arranging your care, it’s important to know that you still have the right to decide how your budget is spent. If you’re unhappy with the type of help that the council suggests, you are able to research services and ask them to change it if possible.

For free

Funding for home care: what you can get for free

Your council must provide some things if you’ve been assessed as needing them. It doesn’t matter how much you have or earn, they must provide:

  • Small pieces of equipment or adaptations to the home which each cost less than £1,000

  • Care after you’ve been discharged from a hospital

This is particularly important if you plan to receive care from your home, instead of residential care. These adaptations are helpful to make care easier at home, so make sure you question your local council about them.

Selling home

Will I have to sell my home to pay for home care fees?

If you wish to remain in your home, the means test won’t include the value of your property. However, if you need to permanently move into a care home, the test may include the value of your property. The value of your property is calculated by looking at its present value minus any mortgage or loans you have on it, as well as 10% of its value to account for selling costs. In some situations, your home won’t be taken into account in the means test, even if you are looking to move into a care home permanently. Your home won’t be taken into account if it is occupied by:

  • Your partner or former partner, unless they are estranged from you

  • Your estranged or divorced partner, IF they are also a lone parent

  • A relative who is aged 60 or over

  • A child of yours aged under 18

If your property is included in the permanent care home means test, the council must not take it into account for the first 12 weeks of your care. This will give you space and time to consider if this is the right option for you and to decide what you want to do with your properties and home care fees.

How to pay for home care

Entitled Benefits

The first steps towards funding for your care fees is to ensure that you are receiving all the benefits you’re entitled to. There are many benefit calculators available online to make sure you know what you’re eligible for.

NHS Continuing Healthcare

Another factor to consider is if you require medical attention, as you may be eligible for NHS continuing healthcare. This is a fully funded package provided by the NHS to continue your care at your home. This package is for adults, children and young people who have additional needs from a disability, accident or illness that aren’t met by existing services. If eligible, this package is typically put in place for a short period of time but can be used on a permanent basis as well. If your needs change, so will the care in place.

Immediate Needs Annuity

Another method of funding your care is through an immediate needs annuity, which is a type of insurance policy where a regular income is guaranteed (in exchange for an upfront lump sum) to meet the cost of your care. Also known as an immediate care plan, or an immediate need care-fee payment plan, an immediate needs annuity is a viable option for paying for home care for many people.

HAVE A QUESTIOn?

Our team is here to help with any questions you may have relating to funding your care. Whilst we cannot offer financial advice or advice relating to benefits, we can help direct you to the right place and advise on the types of care we can offer and costs.