The Financial Assessment Process
When an individual requires long-term care in a care home, the local authority conducts a financial assessment, often referred to as a means test. The purpose of this assessment is to determine how much the individual must contribute towards the cost of their care. It’s a comprehensive review of the individual's finances, including income and capital.
Countable Assets: What Is Included?
For the financial assessment, local councils consider a person's capital and income. The capital component includes a wide range of assets that can be converted into cash. These are the assets that are typically taken into account for care home fees:
- Savings: This includes money held in bank and building society accounts, ISAs, and premium bonds.
- Investments: Stocks, shares, unit trusts, and other investment portfolios are all typically considered.
- Property: The value of any property or land you own, besides your main home under certain conditions, can be included in the assessment.
- Business Assets: If you own a business, those assets will generally be counted, though there may be temporary exemptions if they are being sold.
- Bonds and Other Financial Products: The value of certain financial products that could be cashed in will also be assessed.
Exempt Assets: What Is Disregarded?
While the list of countable assets is long, several key assets are disregarded during the financial assessment. These are important exemptions that can protect a significant portion of an individual's estate:
- The value of a main home is often disregarded, particularly for the first 12 weeks of permanent residential care. It is also ignored indefinitely if a spouse, partner, or certain relatives (over 60, under 16, or incapacitated) continue to live in it.
- Personal Possessions: Items such as a car, clothing, jewelry, and furniture are generally disregarded, unless they are of very high monetary value and considered an investment rather than a personal possession.
- Life Insurance Policies: The surrender value of a life insurance policy is typically exempt.
- Certain Pensions: The capital value of occupational pensions is usually exempt, although the income derived from it is not.
- Personal Injury Awards: These are often disregarded for a period or held in trust to be disregarded indefinitely.
Special Consideration for Property
Property is often the most significant asset and a major concern for many families. The rules are complex and depend on who resides in the home. Here is a simplified breakdown of the key scenarios:
- If a spouse or partner remains in the home: The property's value is completely disregarded from the financial assessment.
- If a relative remains in the home: The property may be disregarded if the relative is over 60, under 16, or incapacitated.
- If the resident is the sole occupant: The property is disregarded for the first 12 weeks of permanent care. After this period, its value is usually included in the assessment unless there are other qualifying occupants. Many people use a deferred payment agreement in this situation, allowing the council to be paid back from the sale of the house later.
The Issue of Deliberate Deprivation of Assets
Some individuals might attempt to reduce their assets to avoid or minimize care home fees, such as by giving away money or property to relatives. This is known as a 'deliberate deprivation of assets' and local authorities have the power to investigate and, if proven, treat the individual as if they still own the asset. This could mean a significant and unexpected financial burden for the family, so it's vital to seek expert advice before gifting any significant assets with the intention of avoiding care costs.
The Financial Thresholds and Calculation
Financial assessments are based on national upper and lower capital limits. These limits determine how much, if any, financial assistance a person is entitled to from the local authority. If a person's assets exceed the upper limit, they are deemed a 'self-funder' and must pay their care fees in full. If their assets fall below the lower limit, they will be entitled to maximum support, with the council paying for their care. For assets between the two limits, the council provides some funding, but the individual must contribute from their capital and income.
How the Financial Contribution is Calculated
- Add up all countable assets and income. This includes all savings, investments, property (if not exempt), and any regular income from pensions or benefits.
- Disregard exempt assets. The value of the main home, personal belongings, and certain financial products are removed from the calculation.
- Check against capital limits. The total countable capital is compared to the national upper and lower limits.
- Calculate contribution from capital. A 'tariff income' is assumed for every £250 of capital between the upper and lower limits, requiring a weekly contribution.
- Calculate contribution from income. Most income, including pensions and benefits, is included in the assessment. A certain amount is disregarded for personal expenses.
A Table of Countable vs. Exempt Assets
| Type of Asset | Is it taken into account? | Notes |
|---|---|---|
| Savings Accounts | Yes | Includes ISAs, premium bonds, bank accounts. |
| Investments (Stocks/Shares) | Yes | Includes any stocks, shares, or unit trusts. |
| Main Home | Sometimes | Disregarded if a spouse or certain relatives live there. |
| Second Property | Yes | Valued and counted as part of capital. |
| Personal Possessions | No | Generally exempt unless deemed an investment. |
| Life Insurance (Surrender Value) | No | The capital value is typically disregarded. |
| Business Assets | Yes | Included in the assessment, unless an exemption applies. |
| Occupational Pension (Capital) | No | Capital value is disregarded; income is counted. |
Planning for Care Home Fees
Effective financial planning for care costs is vital for protecting your assets and ensuring your wishes are respected. Given the complexity of the financial assessment, seeking legal and financial advice early is crucial. An expert in elder law can help you navigate the system, understand all your options, and explore legal mechanisms for protecting assets, such as trusts. Taking a proactive approach can help you make informed decisions and mitigate the financial burden on you and your family.
For more detailed guidance on financing later life, you can explore resources from official bodies like MoneyHelper.
Conclusion
Navigating the financial assessment for care home fees requires a detailed understanding of both countable and exempt assets. While savings, investments, and second properties are almost always included, the main home may be protected under specific circumstances. The rules around deliberate deprivation of assets make professional financial and legal advice essential to avoid complications. By planning ahead and understanding the system, individuals can ensure they are as prepared as possible for the costs of long-term care and protect their financial well-being.