What happens when money for care runs out?

This page covers:

  • Help from the local council when the money runs out,
  • Reasons people worry about money running out,
  • Jacky’s story of her mum’s move to a more expensive area of England.

A common worry for people who pay for their own care is about what will happen if their money runs out. Some people we spoke to had been to their local council for a financial assessment. Although they did not get help from their council with funding to begin with, they were told to come back for an assessment when their money got down to near the financial threshold. For more about this, see What is a financial assessment.

If a council starts to contribute towards the costs of care following a financial assessment, this can be organised in a number of ways. For example, the council can manage the care by appointing a care agency without the need for the person receiving care to handle the money. Alternatively, the person needing care can be given the money by the council so that they can manage and pay their own care workers at home. This is what Janine’s mum had. It’s called a ‘direct payment’.

When her mum’s money reduced to below the threshold, Janine opened an account to pay the care workers.

Age at interview 63

Gender Female

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Councils have an upper limit on the weekly amount they will pay for a care home. This is enough to cover the fees of some care homes but not others. Some people were told that they would have to top up the fees if their care home was more expensive than the local council limit. This payment is known as a ‘third party top up’ and must be paid by someone other than the care home resident, for example, their partner or family.

Margaret pays a top up for her husband’s care.

Gender Female

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Some families did not feel that it was affordable for them to pay top up fees. This led to worries about whether their loved one might have to move to a different care home or have a different care team coming to their home.

Deryck was worried his mum might have to move to a different care home.

Age at interview 71

Gender Male

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People told us that care home managers also seemed worried about what happens when the money runs out. When choosing a care home, some people were asked to prove that they had enough money to pay for their care for a year or two.

Simon’s mum was refused a place at one care home because she couldn’t pay for a full year.

Age at interview 60

Gender Male

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People moving to a care home in another region can find that the fees vary in different parts of the country. Jacky told us about her mum’s move to the south of England and what happened when her money began to run out.

Jacky’s parents lived in a care home in the north of England and after her father died, Jacky wanted to move her mum to be near her in the south of England. She got advice from Age UK about the move and was careful to choose a care home that was not too expensive.

Jacky knew the fees would be higher and was worried about what would happen when the money ran out.

Age at interview 65

Gender Female

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Jacky talked to the care home managers about her mum’s financial position to make sure she would be able to stay after the local council adult social care department started to contribute towards her care.

Jacky looked for a home that could be funded through the local council adult social care department.

Age at interview 65

Gender Female

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Jacky said that a top up would not be affordable and she knew that the local council adult social care department must offer a place that would meet her mum’s physical, emotional and social needs.

Jacky did not want her mum to be moved and refused to pay top up fees.

Age at interview 65

Gender Female

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Jacky and other people’s stories show that there can be some difficult negotiations about paying for care as money is running out. Some people told us they wanted to avoid the worry and so decided take financial advice from a specialist later life adviser about buying an immediate needs annuity which would pay for care for the rest of their life. For more information, see the summary What is an Immediate Needs Annuity?

Mark says that buying the annuity meant they knew dad could stay in the home where he was happy.

Age at interview 58

Gender Male

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