Costs and Funding

Meeting the cost of care in old age is a growing issue for many people in the UK.

As life expectancy continues to lengthen, more of us can expect to require some form of long term care, whether at home or in a residential setting.

The costs involved can be daunting to say the least. The average cost of residential care in the UK is now estimated at £24,908 a year. If nursing is also required, this can rise to £34,788 a year.  Care at home can, for some people, be a realistic alternative to residential care, but there are still serious financial aspects to be planned for.

While the State can help with some costs, eligibility for help is limited and many people find themselves over the threshold at which state support is provided. The subject of state funding of long term care has been receiving increased political
and media attention, but any significant changes will take years to implement. In the meantime, an increasing number of elderly people are therefore having to self-fund their care.

It’s therefore really important to understand realistic costs to provide high quality care at home, and to understand what benefits, state support and other entitlements may be avaialbe to help fund care.

Our Costs

Our Charges

Our charges vary depending on the level of help you require. These prices are fully inclusive with no hidden additional costs, and the same price applies weekdays, weekends and bank holidays.

Level 1:          Domestic support only – cleaning, shopping, laundry, meal preparation etc

£17.00 per hour, booked in hour blocks only

Level 2:          Personal Care – bathing, dressing, toileting, medication etc

£19.50 per hour (for visits of an hour or longer)

£15.75 for a 45 minute visit

Level 3:           VIP Service

£25.00 per hour, booked in hour blocks only

Mileage for trips out of the home are charged separately at £0.40 per mile, for example to assist you to get out to social activities.

VIP Service

To ensure our clients maintain independence and quality of life we believe that hands-on care is only part of the equation. There are many little jobs that often get overlooked and cause unnecessary hassle to you and your loved ones.

The VIP Service compliments our care, by supporting you and your family in all areas of your life, providing you with peace of mind that the tasks are being taken care of.

Bridging the gap by offering a full-support package to keep you safe, independent and happy.

The VIP Service includes a dedicated priority phone number, priority choice of named carers (depending on their availability), and priority when requesting visits at certain times of day.

To give you some ideas, the additional aspects could include:

  • Medication management – monitoring, reordering, collection or arranging delivery and liaison with GPs as prescriptions change
  • Appointments – arranging and co-ordinating appointments eg. Doctors, dentists
  • Co-ordinating home maintenance
  • Arranging specialist equipment – mobility aids, home adaptions (eg. grab rails)
  • Food and supplies ordering – maintaining nutrition and general well being
  • Liaising with NHS and local authorities

Funding Your Care

Health and money are two of our greatest worries in life. Unfortunately, when many people choose private care to look after loved ones, they eliminate one of those worries only to replace it with the other.

In-home care is not cheap – care homes even more so – but there are many options you can explore to help plan for and reduce these costs. We can only give a pen sketch here, but you will find much more in our Information Library.

Social Services Care Funding

Local authorities are obliged to carry out community care assessments, regardless of someone’s personal circumstances. Ask for this because it can provide valuable information about your loved one’s options.

An assessor will consider whether they qualify for help with both services and funding. Assets (including property) over a certain level will make someone ineligible for help. Assets under that level will entitle them to partial funding and once assets have reached a bottom level cut-off point the local authority will meet all fees – but only up to the level of care your loved one is judged to need.

Be aware that assets are calculated for someone as an individual. If they live with a partner shared assets are halved for the calculations.

Benefits

Over £5 billion in benefits goes unclaimed by the elderly every year so be sure to discover what your loved one is entitled to! You should explore:

  • Pension Credit
  • Attendance Allowance (which is not means tested)
  • Housing Benefit
  • Council Tax Benefit

Grants

Whilst grants are not going to assist with the ongoing costs of care, they can help other areas of your loved one’s finances. Local authority grants can help with necessary home improvements to make life easier. The government’s Social Fund can also help with one-off unexpected expenses, as will numerous charities who help the elderly and disabled.

Downsizing

Your loved one’s home may have great emotional value, but one of the best ways of funding care is to move to a less expensive property and use the cash released. This is a much better option than the following one…

Equity Release

A finance company will ‘release’ part of a property’s value, providing a cash lump sum. This money is only repaid when the property is finally sold, so the owner can continue living there until they die or go into residential care.

Equity release schemes have received a lot of critical attention from consumer groups and should be approached with caution. Always seek independent financial advice and don’t rely solely on information provided by a scheme’s advisers.

Long-Term Care Plan

Also known as an immediate needs annuity, this is a form of care insurance which pays for care fees for the rest of an individual’s life. This provides total peace of mind but necessitates a very large initial payment. This payment is determined by the individual’s age, gender and physical condition – in other words, their life expectancy. The longer the life expectancy, the higher the cost of the plan. The advantage over normal annuities is that no tax is paid, so long as the money is paid directly to the care provider.

NHS Continuing Healthcare

If your loved one’s medical condition is severe enough they may be entitled to NHS Continuing Healthcare. This will pay all the costs of necessary care for that condition, whether at home or in residential care, regardless of personal financial circumstances. Read more in our article, NHS Continuing Healthcare…

Independent Financial Advisers

This should be your first port of call, but don’t just use any IFA. Different advisers will specialise in different things – you need one who deals with long-term care planning. Look for the following qualifications: CII, CF8 and CeLTCI.

This is an area which is constantly changing, so it’s important to stay up to date.

Alternatively, you can speak with one of our own friendly and knowledgeable care advisers, who will provide guidance for your own particular circumstances: 03333 444880

Financial FAQs

How much do you charge per hour?

Please see Our Costs page

How can I pay for my care?

You can pay for your support by either bank transfer, direct debit or cheque payment.  Unfortunately we are not yet able to take credit card payments

How are we invoiced?

We invoice all our private pay clients every 4 weeks, not by calendar months. We are able to provide the invoicing dates for the year ahead.

If I go out with a support worker, do I pay petrol?

We charge 40p per mile when using a support workers vehicle to go out and about. Any mileage and parking expenses will be detailed and charged back to you on your 4 weekly invoice. We ask that you do not pay your support worker directly. All our support workers drive, are insured, and their driving credentials are checked prior to starting with us.

Are there any other costs I will be expected to pay?

If you wish to go somewhere special where there is an entrance fee, you will be expected to pay for your support worker and any parking charges you may incur. You are not expected to provide refreshment for the support worker unless you wish for them to eat with you.

Do I pay ‘expenses’ per trip or is it added onto my invoice?

Entrance fees and parking charges need to be paid for per trip, any mileage will be added to your 4 weekly invoice.

Do I have to pay my support worker any money?

We do ask that you do not give the support workers any money for the service you receive from them. Support workers are able to assist you with shopping and paying bills etc, but should not be given money by you as a form of payment.

Is there a minimum amount I must use your agency each week in order to keep my ‘account’ active?

No – we will need to ensure that we can continue to support you if the support you require is sporadic but if we agree the support then there is no minimum.

Is there a minimum amount of hours I must have a carer?

For daily visits, a minimum of 30 minute visits.  Where the frequency is less than daily, these are a minimum of 2 hours per visit

What if I need more or less support in the future?

We can increase or decrease the amount of support given in consultation with our Client Manager. Just give Nikki a call and she can come and review your needs. For clients who are not self funding, your Council Care Manager will need to review your package with us and agree any increase or decreases that need to be made.

If I need to change my hours on a one off basis how much notice do you need?

24 hours if possible but always call if there is a problem and we can try and work around it. If you are cancelling a call, if you give less than 24 hours notice you will still be charged for the call.

I wanted to thank you all once again for the excellent service you provided us at a time of crisis for our mother. Your agency shone out with compassion and capability compared with everyone else we were talking to at the time and I would have no hesitation in recommending you as outstanding in your service.

We tried very hard to keep mum out of a nursing home for as long as possible and a very large part of the credit goes to the girls at Nobilis

Mum didn't really like the idea of having support but she is actually very happy with the way things are going at the moment. Having a key worker is very important so that she sees a familiar face every day instead of seeing different people all the time

I have used several agencies, all have different standards. Nobilis is at the top of the list (Very Good!). The standard of care is high, they do this job because they want to, not because they cant get anything else. Keep it up! Nobilis is flexible (ie take me shopping, swimming etc), caring and importantly intelligent high standard staff

I would like to take this opportunity to thank you for the very efficient way your company has provided care, and for the very high standard of carers. Everyone has been pleasant, cheerful and efficient and I would ask you to pass on our grateful thanks to all who have been involved