OUR GUIDE TO FAIR DEAL FUNDING
The Nursing Homes Support Scheme, better known as ‘Fair Deal Funding’ or “Fair Deal Scheme” is a scheme of financial support for people who need long-term nursing home care. It replaces the Subvention Scheme which had been in existence since 1993.
Under the Nursing Homes Support Scheme, you will make a contribution towards the cost of your care and the State will pay the balance. This applies whether the nursing home is public, private or voluntary. For clarity Fair Deal funding does not apply to Convalescent or Respite care in a nursing home. The HSE administers the Fair Deal Scheme within the resources available and in line with the Nursing Home Support Scheme (NHSS) legislation.
Applicants cannot avail of State funding for a nursing home place prior to receiving approval of their Fair Deal application. The great benefit this NHSS legislation affords potential Nursing Home residents is the opportunity to choose which nursing home in Ireland they wish to stay/reside in. The scheme has a number of steps and these are set out in this information booklet.
APPLYING FOR THE SCHEME
In order to apply for the scheme you must be ordinarily resident in the State. Ordinarily resident means that you have been living in the State for at least a year or that you intend to live here for at least a year. Applications are made to your local Nursing Home Support Office on the standard application form. There are three steps to the application process.
Step 1: Is an application for a Care Needs Assessment.
The Care Needs Assessment identifies whether or not you need long-term nursing home care. This assessment is typically undertaken by the relevant healthcare professional e.g. public health nurse and you may hear this assessment being referred to as CSARS.
Step 2: Is an application for State Support.
This will be used to complete the Financial Assessment which determines your contribution to your care and your corresponding level of financial assistance (“State Support”). Steps 1 and 2 must be completed by all applicants
Step 3: Is an optional step.
Which should be completed if you wish to apply for the Nursing Home Loan (this is termed “Ancillary State Support” in the legislation). The loan is explained in section 5 of this information booklet.
The application form should be completed and signed by the person applying for nursing home care. However, in certain cases, another person such as a family member may apply on their behalf.
TYPICAL FAIR DEAL APPLICATION TO FUNDING RELEASE LEAD TIMES
- Preparing a Fair Deal Application, gathering financial information etc, – 2 weeks
- Application Processing by Fair Deal office – 4 weeks
- Processing the Ancillary State Support, Home Loan – 4 weeks
- Issuing of Approval Letter – 4 weeks
- Waiting for Funding Release – 10 weeks
- Total Elapsed time of the Fair Deal/NHSS Application Process* – 22 weeks
*There are additional HSE support mechanisms in place currently, to fund the interim cost of long term care in the Nursing Home setting while waiting for Fair Deal approved funding to be released.
What the Fair Deal Weekly Bed Rate Covers
The weekly Fair Deal rate for Long Term Residential Care covers;
- Bed and Board
- Nursing and personal care appropriate to the level of care needs of the person
- Laundry service and,
- Basic aids and appliances necessary to assist a person with the activities of daily living