ASSESSMENT FOR FAIR DEAL FUNDING
CARE NEEDS ASSESSMENT
The Care Needs Assessment identifies whether or not you need long term nursing home care in Ireland. Its purpose is to ensure that long-term nursing home care is necessary and is the right choice for you.
The assessment will consider whether you can be supported to continue living at home or whether long-term nursing home care is more appropriate. The Care Needs Assessment will be carried out by appropriate healthcare professionals, for example, a nurse etc, appointed by the HSE. An assessment may be completed at any time in a hospital or a community setting such as your own home.
The assessment will include consideration of the following:
- your ability to carry out the activities of daily living, e.g. bathing, shopping, dressing and moving around
- the medical, health and personal social services being provided to you or available to you both at the time of the carrying out of the assessment and generally
- the family and community support available to you, and
- your wishes and preferences
Please note that the assessment may include a physical examination by a healthcare professional. The results of the Care Needs Assessment will be submitted to the HSE in the form of a report.
You must be assessed as needing nursing home care in order to be eligible for either State Support or the Nursing Home Loan. However, prior to the Care Need assessment being carried out you must firstly apply for the Fair Deal Scheme, the HSE office will then make contact with the relevant local healthcare professional who in turn carries out the care needs assessment.
The Financial Assessment looks at your income and assets in order to work out what your contribution to care will be. The HSE will then pay the balance of your cost of care. For example, if the cost of your care was €1,000 and your weekly contribution was €300, the HSE will pay the weekly balance of €700. This payment by the HSE is called State Support. The Financial Assessment looks at all of your income and assets.
Your Income and Assets
Income includes any earnings, pension income, social welfare benefits/ allowances, rental income, income from holding an office or directorship, income from fees, commissions, dividends or interest, or any income which you have deprived yourself of in the 5 years leading up to your application. Broadly speaking, an asset is any material property or wealth, including property or wealth outside of the State.
If you have a spouse or a partner living at home, the assessment will be based on half of the couple’s combined income and assets. For example, if a couple’s income was €600 per week, the assessment of the person needing care would be based on 50% of €600, or €300. In other words, the person needing care would be considered to have a total income of €300 per week.
A couple is defined as (a) a married couple who are living together or (b) a heterosexual or same sex couple who are cohabiting as life partners for at least three years. The assessment will not take into account the income of other relatives such as your children.
Typical List of Information Required by the HSE for your Financial Assessment:
- Documentary evidence of assets held (bank, credit union statements etc)
- Details of income ( occupation pension and state pension, rental income, royalties and annuities)
- Details of property, land or valuables owned by you and your spouse or partner, whether within the state or outside
For Further Information on the Scheme and a Fair Deal application form, please contact the FirstCare Support Office on (01) 2020799.