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Est. 2019

Financial Assessment for Care Home Fees — Know What You Should Really Pay

If your local authority has completed a financial assessment and told you how much must be paid towards care home fees, that figure should be based on statutory rules — not discretion. Financial assessments are governed by the Care Act 2014 and charging regulations. If those rules have been applied incorrectly, your contribution may be wrong. We provide independent review and structured advice so you understand your position before accepting a decision.

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Understanding the Financial Assessment Process

Why a Financial Assessment Is Required

When someone is not eligible for NHS Continuing Healthcare, the local authority must assess both care needs and financial resources. The financial assessment determines how much a person must contribute towards residential or nursing care.

What the Council Must Consider

A lawful assessment considers income, savings, capital, property, jointly held assets and certain investments. It must follow statutory charging regulations - it is not simply an estimate.

Why Errors Matter

Small miscalculations can significantly affect weekly care contributions. Incorrect inclusion of property or savings can mean thousands of pounds paid unnecessarily over time.

Key Areas That Affect What You Pay

Financial assessments must apply national charging regulations consistently. Several specific elements determine the final contribution figure. Understanding these areas helps clarify whether the calculation is accurate.

Capital Thresholds

Local authorities must apply nationally set upper and lower capital limits. Where capital exceeds the upper threshold, a person may be required to self-fund. Between the thresholds, tariff income rules may apply. Misapplication of these limits can significantly alter assessed contributions.

Property and the Family Home

Property cannot automatically be included in a financial assessment. Mandatory and discretionary disregards may apply, particularly where a spouse or qualifying relative remains living in the home. Deferred Payment Agreements may also be available to prevent immediate sale.

Income and Personal Allowances

Assessments must correctly treat pensions, benefits and other income sources. A Personal Expenses Allowance must be applied in residential care settings. Incorrect treatment of income or failure to apply allowances properly can distort the final contribution.

Deprivation of Assets

If assets have been transferred or gifted, the authority may consider whether intentional deprivation has occurred. However, there must be evidence of intent to avoid care charges. Timing, purpose and circumstances are legally relevant and must be assessed fairly.

When a Financial Assessment Should Be Reviewed

A financial assessment must be transparent, reasoned and compliant with statutory charging regulations. If the calculation is unclear, property has been included without explanation, capital appears miscalculated, or deprivation of assets has been assumed without proper evidence, the decision may warrant review.

Local authorities are required to provide a written breakdown explaining how contributions have been calculated.

 

If that explanation does not clearly demonstrate compliance with the Care Act 2014 and charging regulations, independent review can clarify whether the assessment is lawful and proportionate.

Understanding the basis of the calculation before accepting long-term financial responsibility is often essential.

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Frequently Asked Questions

  • Not automatically. Property may be subject to mandatory or discretionary disregard rules under charging regulations. If a spouse, civil partner or qualifying relative continues to live in the property, it may be excluded from the financial assessment. Deferred Payment Agreements may also be available to prevent immediate sale.

  • The upper capital limit is set nationally and reviewed periodically. If capital exceeds this limit, a person may be required to self-fund. However, capital must be calculated correctly and in accordance with statutory regulations.

  • Yes. You can request a written breakdown of how the calculation was made, ask for reassessment, and submit representations if charging rules have been misapplied. Formal complaint procedures are available where necessary.

  • Treatment of benefits depends on the care setting and funding position. In residential care settings funded by the local authority, certain benefits may cease. The interaction between benefits and contributions must follow statutory guidance.

  • Deprivation of assets involves transferring or reducing assets with the intention of avoiding care charges. The local authority must consider timing, motivation and evidence of intent. Not all gifts or spending patterns amount to deprivation.

  • If a person is eligible for NHS Continuing Healthcare, the NHS is responsible for funding care and no means test applies. If CHC is not awarded, the local authority may carry out a financial assessment under the Care Act 2014.

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