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Paying for social care

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Unlike health services, social care services are not free. If you are found eligible for support after an assessment , your local authority will do a financial assessment to determine how much you will need to contribute.

They will ask you about any benefits you receive, any pension or private income (such as earnings from rented property), and any savings you have. The amount of savings you are allowed may vary depending on where you live.

England and Northern Ireland

When assessing your contribution to the cost of your services, the local authority should take account of the ‘additional cost of disability’. This can include many different things – such as the additional cost of heating, if you have to use the heating more than would be expected, or additional laundry costs.

This can also protect some of your savings (for example, if you can show you need to save to replace an adapted vehicle or other specialist equipment). Ask for such costs to be taken into account.

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Direct Payments

Direct Payments are cash payments given by Local Authority Social Service Departments to people who have been assessed as needing community care services.

By receiving money instead of a social care service, people are able to make their own decisions about how their care needs are met and how services are delivered.

You might use Direct Payments:

To pay for some care while your carer has a break.

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Personal budgets

With a personal budget, you and your social worker agree a Support Plan. This looks at outcomes – what you would like to achieve – rather than simply focusing on how the money is spent.

For example, you can use it to pay for something such as gym membership – provided that it is helping you to achieve the outcomes agreed in your Support Plan.

Find out more about personal budgets on the (External) Department of Health website , and more about personalisation through the (External) National Centre for Independent Living .

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Multiple Sclerosis Society. Registered charity nos 1139257 / SC041990. Registered as a limited company in England and Wales 07451571

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