Accessing social care: Needs and financial assessments
For an older person with no money, the primary route to care and support is through their local council's adult social services. This process begins with a free care needs assessment to determine if they meet national eligibility criteria for care. If eligible, a financial assessment is conducted to determine their contribution to care costs.
How the financial assessment works in England
Individuals with capital below £14,250 typically have care costs paid by the local authority, with potential contributions from income. For those with capital between £14,250 and £23,250, funding is partial, requiring contributions from both income and a 'tariff income' from savings. If capital exceeds £23,250, individuals are considered 'self-funders', though they can reapply for council funding if their money runs out. The assessment considers income, savings, and assets, often including the value of a home unless specific exemptions apply.
Residential care and Deferred Payment Agreements
Elderly individuals needing care home placement but lacking immediate funds may be eligible for a Deferred Payment Agreement (DPA) if they own their home. A DPA allows the council to cover care costs temporarily, which are repaid later from the sale of the property, often with interest.
Comparison of care funding options for the elderly
| Feature | Council-Funded Care | NHS Continuing Healthcare (CHC) | Deferred Payment Agreement (DPA) |
|---|---|---|---|
| Funding Source | Local Council | National Health Service (NHS) | Loan from Local Council |
| Eligibility Basis | Means-tested (financial) and needs-tested | Health-based needs only (not means-tested) | Needs-tested, plus asset requirements (owning a home) |
| Covered Costs | Social care (personal care, daily tasks) | Full cost of care (health and social) | Care home fees, repayable later |
| Key Requirement | Savings below the upper capital limit (£23,250 in England) | 'Primary health need' assessment by NHS | Long-term care in a care home and owning a property |
| Best Suited For | Elderly with low income and assets needing social care | Individuals with severe, complex health needs | Homeowners needing to pay for residential care but lacking cash reserves |
Key benefits and allowances for low-income pensioners
Older people with limited or no savings can claim several benefits:
- Pension Credit: Tops up low weekly income and provides access to other benefits.
- Attendance Allowance: Non-means-tested benefit for care needs due to illness or disability for those over State Pension age.
- Housing Benefit: Helps with rent for those on low income.
- Winter Fuel Payment: Annual payment for heating costs.
- Warm Home Discount: One-off electricity bill discount.
Charitable support and additional resources
Various charities offer support beyond government aid, providing grants, befriending services, and advice.
- Age UK: Offers free information and advice on benefits and care.
- Independent Age: Provides advice and a friendship service.
- Turn2Us: Features a tool to find charitable grants.
- The Silver Line: A 24/7 helpline for older people.
Conclusion
A safety net exists for elderly individuals in the UK with no money, primarily through local authority social care and DWP benefits. The process starts with a council needs assessment, potentially leading to funded care based on a financial assessment. Benefits like Attendance Allowance and Pension Credit provide crucial financial support. Charities also offer valuable advice, grants, and companionship. Seeking information and completing assessments is essential to access available support, with resources from the NHS, Age UK, and Citizens Advice available to help.
How to get started
- Request a Care Needs Assessment: Contact your local council's adult social services.
- Apply for Benefits: Check eligibility and apply for Pension Credit and Attendance Allowance.
- Explore Charity Grants: Use tools like Turn2Us or contact relevant charities.
- Consider a Deferred Payment Agreement: Discuss this with your local council if you own your home and need residential care.
- Utilise Helplines: Contact Age UK or The Silver Line for advice or support.