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Paying for adult social care


Charges for Care and Support

Your needs assessment will identify what care and support services you need. (This is also known as a community care assessment.) We’ll work out a personal budget for the support you need. Unlike health care, social care services are not free and you will need to pay for them.

If you have less than £23,250 in capital, you may be eligible for some help with care costs. 

The amount you pay for care will vary depending on your individual situation and your financial circumstances.

You may have to pay for all of the costs, or you may be able to apply for financial assistance. If you apply there is a financial assessment process to determine how much you will have to pay.

The amount you pay will depend on your capital, assets, income, savings and benefits.

Eligibility

You can use our eligibility checker to see if you could receive financial assistance.

Eligibility checker

You can find out more in:

Where Adult Social Care arranges services, the total cost of the care services is usually within a set price range. These costs are detailed in the following schedule of charges.

Fees and charges

Further information on when a charge will be applied for Adult Social Care can be found on our needs assessment page.

What happens in a financial assessment?

A financial assessment looks at the money you have coming in and going out. This is to see whether you are eligible for help with the costs of care. It will also see how much you will need to pay towards your overall care costs.

You can complete your financial assessment online and in your own time. The online financial assessment form can be accessed below.

BetterCare Cornwall

You will need to have your Mosaic identification number, your NHS number and you National Insurance Number to submit the form. If you only want to get an indication of the amount you may have to pay you don't need a Mosaic ID number, but you won't be able to submit the form for checking. This means we won't be able to view the details that you submit.

Our Financial Assessment Officers will be on hand to support you through this process if you need it. If you are unable to complete your assessment online a Financial Assessment Officer can arrange a phone call with you.

We’ll ask you to tell us about your income, savings and other assets such as property. We will also ask you about the money you spend on rent, mortgage and council tax, and any money you spend because of your disability or illness.  When you have completed the online financial assessment, you will be given an indication of what you will be expected to pay.  You will also be asked to provide evidence documents to support the information you have given.  We will contact you to ask for further information or to confirm how much you will have to pay. 

You can ask for a light touch assessment instead if:

  • you think you would be able to pay for your care yourself
  • you don’t want to have a full financial assessment

You will need to pay the full cost of your care if you do this. You can still ask for a full financial assessment later on.

How to pay your financial contribution

If you receive care at home from an agency, or if you attend a day centre, your service provider will invoice you for your contribution. They will tell you how to pay them. If you receive more than one service, you may receive invoices from one or more of your providers.

The amount you have to pay won’t be more than your assessed weekly charge.

If you have a direct cash payment, the payment you receive from us will be reduced by the amount of your assessed contribution. This means that you need to pay your assessed contribution into your direct payment account.
If you move to a care home, you will need to pay any assessed contribution for your placement to the Council.

The safest and most convenient way to do this is via Direct Debit. Alternatively you can pay over the telephone by calling 0300 1234 200 and selecting option 3. You will will need their invoice number available.

If you have queries regarding existing bills or invoices you can contact the Charging Income Team on 01872 324190 or at adultcarebilling@cornwall.gov.uk.

You will need to pay the home for sundry items such as newspapers, chiropody and hairdressing.

Deferred payment agreements

If you need to move into permanent residential care and you own your own home, you may be assessed to pay the full cost of your care. This is unless your home is occupied by:

  • your spouse
  • partner
  • civil partner
  • or a qualifying *relative

Where your property is not occupied by one of those people you will usually be assessed to meet the full cost of your care. This is either immediately or after the first 12 weeks. However, you may be eligible for a deferred payment agreement.

This means that you should not have to sell your home in your lifetime to pay for your care.

A deferred payment agreement is an arrangement with the Council that lets you use the value of your home to pay for your residential care. If you are eligible, the Council can pay your care home bills on your behalf to the home.

You can delay repaying us until you choose to sell your home or until after your death – or at an earlier time if you wish.

We’ll charge interest on the amount owed to us. There will be a fee for setting up this arrangement and some ongoing administrative charges.

See our:

Deferred Payments Fees and Charges

Set up fees

Cost type

Type of charge

Amount

Sole-owned and registered property

One off cost whether or not the application proceeds to completion

£419.29

Jointly owned/ unregistered/mortgaged property

One off cost whether or not the application proceeds to completion

£589.88

Valuation fees

Chargeable whenever a valuation is needed or requested.  See * and ** below

£450

 * If the property is out of county and it is necessary to commission a surveyor local to that area for a valuation, this may attract additional costs.

**When 70% of the equity value (deferred amount) has been reached there will be a further valuation. We also reserve the right to undertake further valuations. This is where there is significant change which is likely to have impacted on the value of the property. This charge will also be raised when the person requests a further valuation.

Fixed legal charges

Cost type

Amount

Priority search

£3

Copy of Land register and title plan

£6

Land Charge search unregistered land

£2 per name

Application to register at Land Registry

£20-£140


Closing fees

Cost type

Amount

Sole-owned and registered property

£134.04

 

Other administration fees to be added and due for payment at the time of closure

Cost type

Amount

Redemption statement

£31.02

6 monthly statement

£31.02

Reminder letter issued for repayment of debt after agreement has ended

£12.74

Debt recovery costs
(any costs incurred in recovering the debt, if not repaid in full at the end of the agreement, may be charged in full)

Variable

 

Deferred Payments Interest charges

Interest will be charged at the maximum rate set by the Department of Health and Social Care. This is currently:

01/01/2024 – 30/06/2024 (inclusive) at 4.65% (compounded daily)

The interest rate is reviewed twice-yearly by the Department of Health and Social Care in January and July. 

There are options available to enable you to pay the cost of your permanent residential care placement.  We recommend that you seek independent financial advice to choose the best option for you.

You can find advice on picking a Financial Adviser and whether you need one on the Money Saving Expert website.

The Society of Later Life Advisers (SOLLA) can help you find a local Financial Adviser.  They provide expert advice around paying for care and understanding the options available.

Paying for transport to day services

If you need help to get to a service, we’ll discuss this with you.

We use our transport policy and eligibility criteria to look at the different ways you might access services. Please also be aware of the cancellation of transport and payment of contributions procedure.

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