Help for people with care needs
CARE and support services are arranged or provided by the local authority, mainly to adults with care needs. They include, for example, a place in a care home or services to enable a person to remain in their own home, such as help with washing and dressing.
A carer may also be entitled to support services provided or arranged by the local authority, but different rules apply to services for carers.
Care and support services do not include care that is provided by the NHS or by housing authorities, although they can include some health and housing services. A person may be entitled to have all of their care paid for by the NHS. This is known as NHS continuing healthcare. If a person is entitled to NHS continuing healthcare, the NHS and not the local authority should provide and pay for their care. If you think this applies you should seek more detailed advice. The process for getting care and support services has three stages: l The local authority must first decide what the person’s care and support needs are. It does this by carrying out a ‘needs assessment’, l Once the authority has assessed a person’s needs, it will decide what services they are entitled to. There are rules about how it makes this decision, l Once the authority has decided which services the person is entitled to, it should make a care and support plan and decide how the services will be provided, for example, whether the local authority will arrange the services or a person will receive direct payments to arrange their own services. Charging for social care and support services:
The local authority has the power to charge for some services.
It will work out how much a client has to pay once it has decided what services the client is entitled to.
The local authority must provide information and advice about care and support services to people in their local area. This should include information and advice on how to get care and support services and funding options to pay for services.
Your local Citizens Advice will be able to provide more detailed advice and will be able to explain what your local council’s policy and procedures are.
If you need extra help because of an illness, disability or mental health condition you could get Personal Independence Payment (PIP).
You don’t need to have worked or paid National Insurance to qualify for PIP, and it doesn’t matter what your income is, if you have any savings or you’re working. To get PIP you must: l be aged 16 to 64 l need help with everyday tasks or getting around l have needed this help for three months and expect it to need it for another nine months l usually be living in England, Wales or Scotland when you apply or have lived in England, Wales or Scotland for at least two years
There are exceptions to these rules if you’re terminally ill or in the armed forces.
If you’re already getting DLA and the DWP asks you to claim PIP there are different rules.
PIP is not based on the condition you have or the medication you take.
It is based on the level of help you need because of how your condition affects you.
You’re assessed on the level of help you need with specific activities. It’s hard to say if the level of help you need will qualify you for PIP. But, if you get or need help with any of the following because of your condition, you should consider applying: l preparing and cooking food l eating and drinking l managing your treatments l washing and bathing l managing toilet needs or incontinence l dressing and undressing l communicating with other people l reading and understanding written information l mixing with others l making decisions about money l planning a journey or following a route l moving around.
There is also Attendance Allowance. You need to be 65 or over to claim Attendance Allowance. You also need to have a disability or illness that makes it hard for you to look after yourself. To satisfy the disability conditions for Attendance Allowance, a person must need: l attention from another person or l supervision from another person or
another person to watch over them
The day condition is satisfied if a person is so severely disabled physically or mentally that, they require from another person:
frequent attention throughout the day in connection with bodily functions, or
continual supervision throughout the day in order to avoid substantial danger to themselves or others.
The night condition is satisfied if a person is so severely disabled physically or mentally that, at night they require:
prolonged or repeated attention in connection with bodily functions from
another person or another person to be awake for a prolonged period or at frequent intervals for the purpose of watching over them in order to avoid substantial danger to themselves or others. To find out more go to www.citizensadvice.org. uk or phone 0300 330 1153, Monday to Friday, 10am to 4pm.