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Does dementia count as severely mentally impaired? A guide to the SMI Council Tax discount

4 min read

According to Dementia UK, many people living with dementia may be eligible for a significant reduction or exemption on their Council Tax through the Severely Mentally Impaired (SMI) discount. The official definition of 'severely mentally impaired' is a severe and permanent impairment of intellectual and social functioning. A dementia diagnosis is a key factor, but it is not the only requirement for eligibility for this specific financial relief.

Quick Summary

Dementia, including Alzheimer's disease, can qualify for the 'severely mentally impaired' (SMI) Council Tax discount, which requires medical certification and eligibility for specific benefits. This guide explains the qualifying criteria, application process, and potential discounts for households affected by dementia in the UK.

Key Points

  • Dementia is a qualifying condition for SMI status: Dementia, including Alzheimer's disease, is recognized as a condition that can lead to a 'severely mentally impaired' (SMI) designation for Council Tax purposes in the UK.

  • SMI status requires two criteria: To be classed as SMI for Council Tax relief, a person with dementia needs medical certification from a doctor and must be entitled to a specific qualifying state benefit.

  • Council Tax discounts vary by household: The level of Council Tax relief ranges from a 25% discount to a full 100% exemption, depending on the household's composition and the SMI person's living situation.

  • GPs must provide certification for free: Medical professionals, including GPs, are not permitted to charge for the certification of SMI status required for a Council Tax claim.

  • An appeal process is available for rejected claims: If a local council denies an SMI discount application, families can challenge the decision by appealing to the Valuation Tribunal.

  • The SMI person is 'disregarded': Once certified as SMI, the individual is no longer counted as an adult resident for Council Tax purposes, which forms the basis for the household discount.

In This Article

Understanding the 'Severely Mentally Impaired' (SMI) Designation

For Council Tax purposes in the UK, a person is considered 'severely mentally impaired' if they have a permanent, severe impairment of intellectual and social functioning, regardless of the cause. A diagnosis of dementia is one of the conditions that can lead to an SMI designation, but it is not automatic. The designation is officially a medical diagnosis in its own right and must be certified by a registered medical practitioner, such as a GP.

What the SMI Criteria Involves

To be granted the SMI classification for Council Tax relief, two core criteria must be met:

  • Medical Certification: A doctor or other medical professional must certify in writing that the individual has a severe, permanent impairment of intelligence and social functioning. Conditions commonly associated with this include Alzheimer's, other forms of dementia, Parkinson's disease, and learning disabilities.
  • Qualifying Benefits: The individual must also be entitled to, though not necessarily in receipt of, one of a number of state benefits. These benefits indicate that the person's condition has already been assessed as severe for welfare purposes. They can include Attendance Allowance, Personal Independence Payment (standard or enhanced daily living component), Disability Living Allowance (middle or higher rate care component), and Universal Credit with the Limited Capability for Work element, among others.

The Application Process for the SMI Discount

The process of applying for the SMI discount for dementia can be done by a family member or carer. While the exact forms differ slightly between councils, the general procedure is consistent across England, Scotland, and Wales.

Steps to Claim the SMI Discount:

  1. Contact the Local Council: Obtain an application form for the 'Severely Mentally Impaired' Council Tax discount from the local authority's website or by phone.
  2. Complete the Applicant's Section: Fill in your personal details and the Council Tax account number.
  3. Obtain Medical Certification: Have a registered medical practitioner, such as the individual's GP, complete the medical section of the form. This is to certify the SMI status. GPs are not allowed to charge for this service.
  4. Provide Benefit Evidence: Gather proof of entitlement to the qualifying benefit, such as a recent benefits award letter.
  5. Submit the Application: Send the completed form and supporting evidence to the local council's tax department. The form can often be uploaded online or sent by post.

Potential Council Tax Discounts for People with Dementia

The level of Council Tax discount or exemption available depends on the number of adults in the household and their personal circumstances. Once an individual with dementia is medically certified as SMI and is entitled to a qualifying benefit, they are 'disregarded' for Council Tax calculation purposes.

Household Composition Council Tax Discount Example Eligibility Details
SMI individual living alone 100% exemption An individual with dementia lives alone. The property is exempt, and no Council Tax is payable.
SMI individual with one non-SMI adult 25% discount A couple, where one partner has dementia and is SMI, and the other is a full Council Tax payer. The SMI person is disregarded, and the remaining person qualifies for the single person's discount.
Two or more SMI individuals 100% exemption Two siblings with severe learning disabilities or advanced dementia living together. All residents are disregarded, leading to a full exemption.
SMI individual with a live-in carer Potential 50% discount A person with dementia lives with their non-SMI adult child who provides 35+ hours of care per week. The SMI individual is disregarded, and the carer may also be disregarded if they meet specific criteria, leading to a 50% discount.

Common Pitfalls and How to Avoid Them

Applying for the SMI discount can be a complex process, and families often face challenges. Some common misunderstandings involve the eligibility criteria and the role of the GP. It is important to be proactive and understand the requirements fully before applying. Remember that the term SMI is a specific legal designation and not simply a general mental health diagnosis.

Documenting and Proving Eligibility

To prove eligibility, having proper documentation is key. This includes the medical certificate signed by a doctor and evidence of entitlement to one of the qualifying benefits. If the individual with dementia is of pensionable age, they might still qualify if they would have been entitled to a qualifying benefit had they been of working age. Some councils might confuse the SMI discount with other schemes like the Disabled Band Reduction, so being well-informed is crucial.

What if a Claim is Rejected?

If a local council rejects an SMI discount claim, it is possible to challenge the decision by appealing to the Valuation Tribunal. Families must appeal within two months of the council's decision. Evidence, such as a new medical report, may be required. While challenging a decision can be stressful, being prepared and having the right documentation increases the chances of a successful appeal.

Conclusion

Yes, dementia can and often does count as 'severely mentally impaired' for the purposes of the Council Tax discount in the UK, provided the individual meets the specific medical and benefits criteria. The designation is not automatic with a dementia diagnosis but requires formal certification from a medical professional and proof of entitlement to a qualifying benefit. Claiming this discount can provide vital financial relief for households supporting a person with dementia. Understanding the full criteria and the application process is key to navigating the system successfully and receiving the support that is available.

Dementia UK offers further information and support on Council Tax discounts for people with dementia and their families, including details on eligibility and how to apply.

Frequently Asked Questions

For Council Tax purposes, 'severely mentally impaired' means a severe impairment of intelligence and social functioning (however caused) that appears to be permanent. Conditions like dementia and Alzheimer's disease fall under this definition.

No, a dementia diagnosis alone is not enough. The individual must also be medically certified as 'severely mentally impaired' by a doctor and be entitled to a qualifying state benefit, such as Attendance Allowance or PIP.

You will need a completed application form from your local council, a medical certificate signed by a doctor, and evidence of entitlement to a qualifying benefit (like an award letter).

Yes. If a certified SMI person lives with one other non-SMI adult, the household can receive a 25% Council Tax discount. If they live alone or with only other disregarded adults, they may get a full 100% exemption.

No. Under British Medical Association regulations, a GP is not allowed to charge a fee for completing the medical certificate for an SMI Council Tax discount claim.

Backdating policies vary between different local councils, but many will backdate the discount. Some may backdate to the point of diagnosis or when the qualifying benefit was first received. It is worth inquiring with your local authority.

A person can still qualify if they are entitled to a qualifying benefit, even if they don't actually receive it. For example, some people of pensionable age might not receive benefits but would be entitled to them based on their condition, and this can still count.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice. Always consult a qualified healthcare provider regarding personal health decisions.