Funding Live-in Care 

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Live-in care is an increasingly popular option for those who require assistance with daily activities but wish to remain in their own homes. For many, it’s a preferable alternative to residential care, offering a sense of independence and comfort. However, the cost of live-in care can be substantial, and understanding the various funding options available is crucial for making informed decisions. This article delves into several key funding sources: Attendance Allowance, Direct Payments, Immediate Needs Annuity, Equity Release, and NHS Continuing Healthcare.

Attendance Allowance

Attendance Allowance is a benefit provided by the UK government for individuals aged 65 or over who need help with personal care due to physical or mental disability. It’s a non-means-tested benefit, meaning it’s available regardless of income, savings, or national insurance contributions. There are two rates – a lower rate for those who need daytime help and a higher rate for those requiring around-the-clock care. This allowance can be a significant help in offsetting the cost of live-in care.

Direct Payments

Direct Payments are an arrangement where individuals receive funds directly from their local council to organize and pay for their care, instead of receiving the care arranged by the council. These payments are part of a broader move towards personalization in social care, allowing greater choice and control over the services received. Individuals can use these funds to hire a live-in carer, giving them the flexibility to choose who provides their care and how it is administered.

Immediate Needs Annuity

An Immediate Needs Annuity is a specialised insurance product designed for those facing significant care costs. It involves paying a lump sum to an insurance company in exchange for a regular income that is tax-free if paid directly to a registered care provider. This income is guaranteed for life and can be an effective way to manage the long-term costs of live-in care, ensuring that the care needs are always covered without the risk of funds running out.

Equity Release

Equity release schemes allow homeowners to access the money tied up in their home without the need to move out. There are two main types: lifetime mortgages and home reversion plans. Both options provide a lump sum or regular payments that can be used to fund live-in care, but they have different implications for homeownership and inheritance. It’s crucial to seek independent financial advice before opting for equity release, as it can affect your entitlement to means-tested benefits and the value of your estate.

NHS Continuing Healthcare

NHS Continuing Healthcare is a free care package arranged and funded by the NHS for individuals with significant, ongoing healthcare needs. This funding covers the full cost of care, whether provided in a care home or the individual’s own home. Eligibility is based on a comprehensive assessment of healthcare needs, not on the individual’s diagnosis or condition. If eligible, this can be a substantial financial relief, as it covers the total cost of care, including live-in care.

Local Authority Funding

Local authorities may offer financial support for those who have been assessed as needing care and support. The level of funding depends on two assessments – a needs assessment and a financial assessment. If an individual’s capital and income are below a certain threshold, they may be eligible for partial or full funding for their care needs.


Many individuals end up self-funding their care due to their financial situation. This means using personal savings, income, pensions, or other assets to pay for care. While self-funding offers the most choice and control, it’s essential to plan carefully to ensure that funds are sufficient over the long term.

Charity and Trust Grants

There are various charities and trusts in the UK that provide grants to individuals requiring care. These grants can sometimes cover the full cost or contribute towards the expenses of live-in care. It’s worth researching and applying to relevant charities and benevolent societies, as they can be an invaluable resource, especially for those with specific conditions or affiliations.

Veterans’ Support

Veterans of the armed forces may have access to additional funding sources. The Armed Forces Compensation Scheme and the War Pension Scheme offer financial support to those injured as a result of their military service. Moreover, specific charities cater to the needs of veterans, providing financial assistance and support for care needs.

Joint Funding

In some cases, care costs can be jointly funded by the NHS and local authorities. This is particularly relevant when an individual has both healthcare and social care needs. While NHS Continuing Healthcare covers healthcare needs fully, joint funding arrangements can be made for individuals who don’t qualify for full NHS funding but still have substantial health and care requirements.

Insurance Products

Apart from Immediate Needs Annuities, there are other insurance products designed to cover long-term care costs. These can include long-term care insurance policies that pay out a fixed amount towards care costs, providing financial support as care needs arise. The availability of these products is


The landscape of funding for live-in care in the UK is complex and varies depending on individual circumstances. It’s essential to explore all available options, considering both public and private sources, to ensure that the chosen care solution is sustainable over the long term. Seeking advice from financial advisors specializing in care funding and consulting with local authorities can provide clarity and help in making the best decision for one’s specific needs. With the right funding in place, live-in care can be an excellent option for maintaining independence and quality of life in familiar surroundings.

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