New to disability benefits- help pls

Pinklepurr

elsien said:

If they are fully health funded, then all their care will be covered. The fact they’ve had a stroke and are incapacitated and needing 24/7 care does not mean they will automatically get health funding, just so that you are aware. People can be in a nursing home and not get full health funding. 

Many needs which people consider to be health needs – washing dressing feeding continence etc are social care unless complex in some way. It is more usual to be primarily social care funded with a nursing top-up. In which case the person’s assets will be taken into account. See the fact sheet below. 

If they are primarily social care funded (which is more usual)  a financial assessment would be completed to see how much they had to contribute. The property would be taken into account and potentially a deferred payment agreement could be made any money out would be paid when the house was sold. If there’s no one else living there, which means that it would be disregarded. 

Anyone who is not self funding, all their benefits apart from a £25 a week personal allowance plus any PIP mobility would go towards paying for their care.
https://www.ageuk.org.uk/information-advice/care/paying-for-care/paying-for-a-care-home/
Family members are under no obligation to pay any top up - Third-party top ups are voluntary and should be considered very carefully because of the ongoing commitment. 

They will not be entitled to PIP while in hospital or in care homes aside from the mobility component. 

Thank you for this information, I have read the age.uk link with interest.  We certainly have a lot to learn, understand and navigate in the next few months. 

elsien

It varies between geographical areas but where I am people will leave hospital for a nursing home and then the full CHC (health needs/funding assessment) takes place in the nursing home.
You might find the links in here useful to work through that process. 
Beacon CHC | What is NHS Continuing Healthcare? - Beacon CHC
The system (or at least the way it operates at present) seems designed to exclude as many people from full health funding as possible. Anyone supporting with the assessment needs to be clear on how it works and what they need to be highlighting in terms of nursing need. It's not an easy process to get to grips with. 

Danien

Savvy_Sue said:

Danien said:

elsien said:

For my own knowledge, does anyone know how UC would be impacted by someone being in a care home/hospital if they will definitely not be returning home? Would the home that they are not living in then count as an asset for benefit purposes?

If fully funded by NHS due to health needs then the house wouldn't count, but if self funded then it would. 

Although might that depend who else was living in the house prior to the claimant's need for care elsewhere? 

I only know about the rules for older people: MiL's house is disregarded because BiL lives there (always has), and he is 60+. 

Yes, I should have clarified, count according to the rules governing it. But it seems according to OP they will be fully NHS funded. If NHS funded, house is ignored.

https://www.nhs.uk/conditions/social-care-and-support-guide/money-work-and-benefits/nhs-continuing-healthcare/

I'm a bit rusty on the benefits side. But my understanding is if living in a nursing home, hospital or in their own home or supported housing, they can claim Universal credit due to being sick or disabled. They won't be able to claim other disability benefits such as PIP if in hospital or care home.

If they receive care in their own home, or in residential setting where it is classed as their own home such as some types of supported housing (the type is very important to whether they qualify), then they will also be able to claim PIP or AA (depending on age), but no one would be able to claim carer's allowance for them.

Happy to be corrected as it's been a few years since I did these types of claims for people.

poppy12345

Danien said:

I'm a bit rusty on the benefits side. But my understanding is if living in a nursing home, hospital or in their own home or supported housing, they can claim Universal credit due to being sick or disabled. They won't be able to claim other disability benefits such as PIP.

Living in their own home or supported housing doesn't prevent them claiming disability benefits such as PIP/ADP/AA.

Danien said:

If they receive care in their own home, or in residential setting where it is classed as their own home such as some types of supported housing (the type is very important to whether they qualify), then they will also be able to claim PIP or AA (depending on age), but no one would be able to claim carer's allowance for them.

That doesn't prevent anyone claiming either carers allowance or carers element of UC for looking after them. 

Danien

poppy12345 said:

Danien said:

I'm a bit rusty on the benefits side. But my understanding is if living in a nursing home, hospital or in their own home or supported housing, they can claim Universal credit due to being sick or disabled. They won't be able to claim other disability benefits such as PIP.

Living in their own home or supported housing doesn't prevent them claiming disability benefits such as PIP/ADP/AA.

Danien said:

If they receive care in their own home, or in residential setting where it is classed as their own home such as some types of supported housing (the type is very important to whether they qualify), then they will also be able to claim PIP or AA (depending on age), but no one would be able to claim carer's allowance for them.

That doesn't prevent anyone claiming either carers allowance or carers element of UC for looking after them. 

Thanks, I got distracted during editing and didn't add the end of the sentence on PIP and hospital/nursing/care homes, I've corrected that now.

Can someone get carers allowance now with NHS continuing care? Thanks for the correction, that never used to be the case, but as I said my knowledge is a little dated - I did a lot of claims in fully staffed supported housing, but didn't have any where care was fully provided by NHS continung care in someone's own home that wasn'tpart of a fully staffed facility - do continuning care do that? I'll have to look at that. 

Obviously in order to get carer's allowance you have to be providing 35 hours of care a week. If the care is being provided entirely by on site staff then carer's allowance cannot be claimed. Same with in own home - the person claiming carer's allowance has to be providing care, so for instance if the person claiming is providing night care then would count even if day care is provided by NHS continuing care.

poppy12345

Danien said:

poppy12345 said:

Danien said:

I'm a bit rusty on the benefits side. But my understanding is if living in a nursing home, hospital or in their own home or supported housing, they can claim Universal credit due to being sick or disabled. They won't be able to claim other disability benefits such as PIP.

Living in their own home or supported housing doesn't prevent them claiming disability benefits such as PIP/ADP/AA.

Danien said:

If they receive care in their own home, or in residential setting where it is classed as their own home such as some types of supported housing (the type is very important to whether they qualify), then they will also be able to claim PIP or AA (depending on age), but no one would be able to claim carer's allowance for them.

That doesn't prevent anyone claiming either carers allowance or carers element of UC for looking after them. 

Thanks, I got distracted during editing and didn't add the end of the sentence on PIP and hospital/nursing/care homes, I've corrected that now.

Can someone get carers allowance now with NHS continuing care? Thanks for the correction, that never used to be the case, but as I said my knowledge is a little dated - I did a lot of claims in fully staffed supported housing, but didn't have any where care was fully provided by NHS continung care in someone's own home that wasn'tpart of a fully staffed facility - do continuning care do that? I'll have to look at that. 

Obviously in order to get carer's allowance you have to be providing 35 hours of care a week. If the care is being provided entirely by on site staff then carer's allowance cannot be claimed. Same with in own home - the person claiming carer's allowance has to be providing care, so for instance if the person claiming is providing night care then would count even if day care is provided by NHS continuing care.

Naturally someone claiming either carers allowance oe carers element of UC must be caring for at least 35 hours per week. Someone receiving NHS continuing health care living in their own home doesn't prevent someone claiming either of those benefits for looking after them. Please provide a source for the information you gave. 

If someone is in a care home or residential home for more than 28 days then disability benefits stop (unless you're paying for the care yourself) so no CA or CE can be claimed. (if in a residential home the mobility part continues) 

Danien

poppy12345 said:

Danien said:

poppy12345 said:

Danien said:

I'm a bit rusty on the benefits side. But my understanding is if living in a nursing home, hospital or in their own home or supported housing, they can claim Universal credit due to being sick or disabled. They won't be able to claim other disability benefits such as PIP.

Living in their own home or supported housing doesn't prevent them claiming disability benefits such as PIP/ADP/AA.

Danien said:

If they receive care in their own home, or in residential setting where it is classed as their own home such as some types of supported housing (the type is very important to whether they qualify), then they will also be able to claim PIP or AA (depending on age), but no one would be able to claim carer's allowance for them.

That doesn't prevent anyone claiming either carers allowance or carers element of UC for looking after them. 

Thanks, I got distracted during editing and didn't add the end of the sentence on PIP and hospital/nursing/care homes, I've corrected that now.

Can someone get carers allowance now with NHS continuing care? Thanks for the correction, that never used to be the case, but as I said my knowledge is a little dated - I did a lot of claims in fully staffed supported housing, but didn't have any where care was fully provided by NHS continung care in someone's own home that wasn'tpart of a fully staffed facility - do continuning care do that? I'll have to look at that. 

Obviously in order to get carer's allowance you have to be providing 35 hours of care a week. If the care is being provided entirely by on site staff then carer's allowance cannot be claimed. Same with in own home - the person claiming carer's allowance has to be providing care, so for instance if the person claiming is providing night care then would count even if day care is provided by NHS continuing care.

Naturally someone claiming either carers allowance oe carers element of UC must be caring for at least 35 hours per week. Someone receiving NHS continuing health care living in their own home doesn't prevent someone claiming either of those benefits for looking after them. Please provide a source for the information you gave. 

If someone is in a care home or residential home for more than 28 days then disability benefits stop (unless you're paying for the care yourself) so no CA or CE can be claimed. (if in a residential home the mobility part continues) 

The source for which information?

poppy12345

Danien said:

poppy12345 said:

Danien said:

poppy12345 said:

Danien said:

I'm a bit rusty on the benefits side. But my understanding is if living in a nursing home, hospital or in their own home or supported housing, they can claim Universal credit due to being sick or disabled. They won't be able to claim other disability benefits such as PIP.

Living in their own home or supported housing doesn't prevent them claiming disability benefits such as PIP/ADP/AA.

Danien said:

If they receive care in their own home, or in residential setting where it is classed as their own home such as some types of supported housing (the type is very important to whether they qualify), then they will also be able to claim PIP or AA (depending on age), but no one would be able to claim carer's allowance for them.

That doesn't prevent anyone claiming either carers allowance or carers element of UC for looking after them. 

Thanks, I got distracted during editing and didn't add the end of the sentence on PIP and hospital/nursing/care homes, I've corrected that now.

Can someone get carers allowance now with NHS continuing care? Thanks for the correction, that never used to be the case, but as I said my knowledge is a little dated - I did a lot of claims in fully staffed supported housing, but didn't have any where care was fully provided by NHS continung care in someone's own home that wasn'tpart of a fully staffed facility - do continuning care do that? I'll have to look at that. 

Obviously in order to get carer's allowance you have to be providing 35 hours of care a week. If the care is being provided entirely by on site staff then carer's allowance cannot be claimed. Same with in own home - the person claiming carer's allowance has to be providing care, so for instance if the person claiming is providing night care then would count even if day care is provided by NHS continuing care.

Naturally someone claiming either carers allowance oe carers element of UC must be caring for at least 35 hours per week. Someone receiving NHS continuing health care living in their own home doesn't prevent someone claiming either of those benefits for looking after them. Please provide a source for the information you gave. 

If someone is in a care home or residential home for more than 28 days then disability benefits stop (unless you're paying for the care yourself) so no CA or CE can be claimed. (if in a residential home the mobility part continues) 

The source for which information?

That someone can't claim carers allowance for someone receiving NHS continuing health care if they live in their own home.

Danien

poppy12345 said:

Danien said:

poppy12345 said:

Danien said:

poppy12345 said:

Danien said:

I'm a bit rusty on the benefits side. But my understanding is if living in a nursing home, hospital or in their own home or supported housing, they can claim Universal credit due to being sick or disabled. They won't be able to claim other disability benefits such as PIP.

Living in their own home or supported housing doesn't prevent them claiming disability benefits such as PIP/ADP/AA.

Danien said:

If they receive care in their own home, or in residential setting where it is classed as their own home such as some types of supported housing (the type is very important to whether they qualify), then they will also be able to claim PIP or AA (depending on age), but no one would be able to claim carer's allowance for them.

That doesn't prevent anyone claiming either carers allowance or carers element of UC for looking after them. 

Thanks, I got distracted during editing and didn't add the end of the sentence on PIP and hospital/nursing/care homes, I've corrected that now.

Can someone get carers allowance now with NHS continuing care? Thanks for the correction, that never used to be the case, but as I said my knowledge is a little dated - I did a lot of claims in fully staffed supported housing, but didn't have any where care was fully provided by NHS continung care in someone's own home that wasn'tpart of a fully staffed facility - do continuning care do that? I'll have to look at that. 

Obviously in order to get carer's allowance you have to be providing 35 hours of care a week. If the care is being provided entirely by on site staff then carer's allowance cannot be claimed. Same with in own home - the person claiming carer's allowance has to be providing care, so for instance if the person claiming is providing night care then would count even if day care is provided by NHS continuing care.

Naturally someone claiming either carers allowance oe carers element of UC must be caring for at least 35 hours per week. Someone receiving NHS continuing health care living in their own home doesn't prevent someone claiming either of those benefits for looking after them. Please provide a source for the information you gave. 

If someone is in a care home or residential home for more than 28 days then disability benefits stop (unless you're paying for the care yourself) so no CA or CE can be claimed. (if in a residential home the mobility part continues) 

The source for which information?

That someone can't claim carers allowance for someone receiving NHS continuing health care if they live in their own home.

Poppy, I didn't say they couldn't. If you read my post I explained that I hadn't done any benefits claims for someone in their own home on continuing care, but had given given benefit advice to those in supported living with 24hr onsite care, and they couldn't. I was asking for someone to give further input on that point - maybe inexpertly, but I have some cognitive issues which impact language, so I apologise if I don't express myself well enough for you to understand.