Find out top ten tips for paying for care in the UK
Published: 09/05/2024
If you are considering care for yourself or a loved one, here is some useful information.
- Get a Needs Assessment: This free assessment can be done by your local council and determines the level of care you require. It's crucial for determining eligibility for financial support https://www.nhs.uk/conditions/social-care-and-support-guide/money-work-and-benefits/when-the-council-might-pay-for-your-care/.
- Financial Assessment: After the needs assessment, the council conducts a means test to assess your income and savings. This determines how much you contribute to your care. See details at the bottom of this article.
- Council Support: The council may contribute to your care costs based on the means test. You might get a personal budget to manage your care or have the council arrange and pay providers directly https://www.nhs.uk/conditions/social-care-and-support-guide/money-work-and-benefits/when-the-council-might-pay-for-your-care/.
- NHS Funding: If your primary needs are health-based, the NHS might fully fund your care under NHS continuing healthcare (NHS CHC). The council must refer you for assessment if it seems applicable https://www.ageuk.org.uk/information-advice/care/paying-for-care/paying-for-homecare/ In our experience this is very, very difficult to get.
- Self-Funding: You can arrange and pay for care privately without involving the council. This option gives you more control but requires significant financial resources https://www.nhs.uk/conditions/social-care-and-support-guide/money-work-and-benefits/paying-for-your-own-care-self-funding/.
- Benefits: Explore benefits like Attendance Allowance or Personal Independence Payment (PIP) that can help with care costs, irrespective of your means https://www.nhs.uk/conditions/social-care-and-support-guide/money-work-and-benefits/paying-for-your-own-care-self-funding/. or https://www.grey-matters-consultancy.com/services/attendance-allowance/
- Planning Ahead: Consider care costs in your long-term financial planning. Saving or purchasing care insurance can ease the burden when care is needed https://www.which.co.uk/money/insurance/health-insurance.
- Seek Advice: Talk to your local council, Age UK, or Citizens Advice for personalized guidance on your care options and financial support https://www.ageuk.org.uk/, https://www.citizensadvice.org.uk/.
- Understand Care Costs: Research care fees in your area to get a realistic idea of the financial commitment involved.
- Equity release is an option to pay for care whilst you are still living in your home if you are asset rich but cash poor. https://www.moneyhelper.org.uk/en/homes/buying-a-home/what-is-equity-release?source=mas#equity-release-options A financial assessment, also known as a means test, is part of the process of determining how much you will need to pay for care in the UK. Here's a breakdown of what it means:
Purpose:
- Local councils use it to assess your ability to contribute towards your care costs.
What they look at:
- Income: This includes your pensions, benefits, and any earnings from work.
- Capital: This refers to your savings and investments, any land or property (including overseas property), and business assets.
How it works:
- There are two main thresholds for capital:
- Upper Capital Limit: Currently £23,250 (rising to £100,000 in October 2025....). If your capital is below this, the council will likely contribute more to your care.
- Lower Capital Limit: Currently £14,250 (England only). If your capital falls between these limits, the council will consider it to generate income (called the 'tariff income') and factor that into your contribution.
- Exemptions: Some income and assets are disregarded, such as your home (if receiving care at home) and some earnings.
Outcome:
- Based on your income and capital, the council determines how much you need to contribute to your care.
- There are different scenarios:
- Council pays most/all: If you have limited resources, the council might cover most or all of your care costs.
- Shared contribution: You might pay a portion, and the council covers the rest.
- Self-funding: If you have significant assets, you might need to fund your care entirely.
Additional points:
- The financial assessment is free.
- You don't need to request it yourself; the council will conduct it after your needs assessment.
- It's crucial to understand the financial assessment process as it can significantly affect your care costs.