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Financial Assessment – common elements for care at home and care in a care or nursing home
The following rules apply to financial assessment for both residential care and care at home;
Residents with over £23,250 savings/capital will meet the full costs of their care and are considered able to pay for their own care in full.
Residents with between £14,250 and £23,250 will contribute from their savings/capital as a tariff income of £1.00 for every £250 or part of, a contribution from income will also be assessed
Residents with Savings/Capital below £14,250 will not contribute from capital, but a contribution from income will be assessed.
The Local Authority won’t charge for:
Giving information or advice
Assessing your needs
Arranging community care services for you
Occupational Therapy assessment
Equipment and minor adaptations (up to £1000)
After care services provided under Section 117 of the Mental Health Act 1983
Any Non Residential Services required by individuals suffering from Creuzfeldt Jacob Disease
Re-ablement services (for up to 6 weeks) to help you stay independent
The Care Act 2014 is a reforming law, modernising the legal framework for health and social care. It received Royal Assent on 14th May 2014 and is supported by the Care and Support Regulations and Statutory Guidance.
The Care Act 2014 repeals, revokes and cancels 40 primary, secondary law and guidance including some of the most well-known;
National Assistance Act 1948
Chronically Sick and Disabled Persons Act 1970
Charging for residential accommodation guidance
Part 1 of the Care Act 2014 came into force throughout England from 1st April 2015. Following much consultation part two of the Care Act was delayed until 2020 and the possibility of a "Care Cap system”, Care Insurance and more Adult Social Care reform is likely over the coming years but Part One of the Care Act 2014 is in force and includes:
Assessment and eligibility - A national criteria for assessing care and support needs was introduced from 1st April 2015 under the Care Act 2014. Local authorities must promote well being when carrying out any of their care and support functions.
Carers may also be eligible for support whether or not the adult for whom they care has eligible needs. The eligibility determination must be made based on the carer’s needs and how these impact on their well-being
Prevention - To meet the challenges of the future, it will be vital that the care and support system intervenes early to support individuals and help people retain or regain their skills and confidence. Some prevention services are FREE such as Reablement, information, and Occupational Therapy assessments, aids and minor adaptations. Assistive technology (pendants, alarms, medication reminders...) and other services are designed to help someone retain their independence.
Information and advice - Information and advice is fundamental for enabling people to make well-informed choices about, their care and support and how they fund it. Not only does information and advice help to promote people’s well being by increasing choice and control, it is vital for preventing or delaying people’s need for care and support.
Local authorities must: “establish and maintain a service for providing people in its area with information and advice relating to care and support for adults and support for carers” which includes unregulated and regulated financial information and advice.
Independent Advocacy - Important that everyone is able to take part in an assessment of their care and support needs, for those who require support to do this the Local Authority must provide an independent advocate.
Safeguarding - A new statutory framework protecting adults from neglect and abuse requires Safeguarding Adult's Boards to be set up in every area. Section 14 of the Care Act (2014) replaces the “No Secrets” guidance. The safeguarding duties apply to an adult who has needs for care and support (whether or not the local authority is meeting any of those needs) and is experiencing, or at risk of, abuse or neglect; and as a result of those care and support needs is unable to protect themselves from either the risk of, or the experience of abuse or neglect.
Integration - For people to receive quality health and care and support, local organisations need to work in a person – centred, more joined-up way.
Deferred Payment Agreements (DPA) can allow someone to ‘defer’ or delay paying the costs of their care and support until a later date.
MEMBERS log into access more info on DPA's including the current interest rate and rates table, when a DPA MUST or MAY be offered, rights to refuse...