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Inshore Independent Financial Advisers   278 Lymington Road   Highcliffe   Christchurch   Dorset   BH23 5ET



Inshore Independent Financial Advisers Ltd is an appointed representative of The Whitechurch Network Limited which is authorised and regulated by the Financial Services Authority.







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Long Term Care

How can we help?

We are based in Christchurch, Brockenhurst and Swanage and our independent care fees advisers operate in Hampshire, Dorset, Wiltshire and the New Forest. If you are arranging care at home or considering nursing homes we can alleviate the worry of paying for care with our specialist advice, helping families choose the most suitable financial options for meeting long term care costs.

We will look at entitlement to local authority support, health authority responsibilities, welfare benefits, legislative matters and tax arrangements. We consider how best to meet full care costs from all appropriate financial products including those designed specifically for this purpose such as immediate needs annuities and incorporating the flexibility required to meet any future changes in care needs. These could be fee increases or additional costs, as dependency increases.
  • We offer a free initial consultation to discuss your requirements thereafter we work purely on a fee basis to maintain our independence.

  • Our service consists of a two step process. First we will produce an initial report, which will examine all the appropriate solutions and point out the advantages and disadvantages of those on offer.

  • Once you have had time to examine the report we will have a follow on meeting where we will discuss the options and agree on the best course of action.

  • We will then produce a detailed personal report on the recommended solution that will clearly explain and illustrate how care costs can be met over the long-term.

What does it cost?

The initial report is for a fixed fee of £500 and if you do not require any further advice this is all you will have to pay. If you decide to proceed with a second meeting and report detailing our recommendations we charge fixed fees dependent upon the amount of money involved, this starts at 3% but reduces accordingly dependent upon amount.

Qualifications

Darryl Charlwood the Managing Director of Inshore is one of the few advisers locally who has attained an accreditation from the Financial Services Skills Council as a later life adviser. This is a qualification given as a way of recognising financial advisers with the enhanced specialist skills, knowledge and empathy needed to work specifically with older clients. He is a member of the Society of Later Life Advisers www.societyoflaterlifeadvisers.co.uk whose members specialise in advising on long term care and respite care options, equity release, annuities, investment and portfolio planning and Inheritance tax planning.

What is long term care?

Long term care is needed when a person becomes ill or suffers a disability that makes them unable to carry out their activities of daily living, with the probability that this disability will continue over the long term. More often than not, it is the elderly who require care over the longer term and it is typically occasioned by either increasing frailty due to ageing or the chronic aftermath of acute conditions such as a stroke or a fall.

Long Term Care can also be required if a person is mentally impaired. The most common form of impairment for elderly people is dementia, and a common form of dementia is Alzheimer's Disease. A person suffering from dementia will need personal supervision and assistance to carry out normal daily activities.

The care required can take many forms, from simple domestic assistance to medical interventions and may be provided in a care home or in the person's own home.

The long term nature of the care needed, and the fact the person is unlikely to recover (they have a chronic condition), is what distinguishes this situation from the conditions covered by Private Medical Insurance - which covers acute medical conditions (i.e. conditions from which a recovery is expected).

Many people would have hoped the National Health Service would look after them. They might have paid National Insurance contributions and taxes all their working lives, and recall the original intention of the Welfare State to care for people 'from cradle to grave'. But the NHS no longer covers all the costs associated with the care of incurable conditions in old age.

Since the Community Care Act, which was passed in 1990, took effect in 1993, that task has been transferred to Local Authorities. The NHS will only provide and/or pay for the Nursing Care Service Component of a person's long term care service needs. All other costs and services associated with long term care are the care recipient's responsibility unless they qualify for Local Authority assistance. Although in Scotland from July 2002 Free Personal Care has been available.

Who pays for long term care?

One of the problems for the current generation of elderly people is that they were brought up believing that the State would look after them 'from cradle to grave.' This is not the case though, and as far as long term care costs are concerned, in general the State only pays for the least wealthy.

The provision of long term care outside hospitals has become the responsibility of individual Local Authorities and it is not free to everyone. However, all nursing care whether at home or via a care home should be provided free.

If your Local Authority agrees that you need care home care it will assess your means to work out what proportion of the costs is your responsibility, and what the Local Authority will pay. If you can expect a contribution from the Local Authority, the Authority will contract with the care home, pay the home direct but ask that you make your contribution towards the fees to them. The size of the contribution depends on the assessment of your wealth by a means test.

What is a Means Test?

Your Local Authority will use the national guidelines to take all your assets and income into account when they assess how much they will provide towards your care.

If your Local Authority decides care can be provided in your own home and you qualify for their help, you may still have to pay for Local Authority Services although they must always allow you to retain a certain level of income after they have made charges for care services.

If your Local Authority decides care should be provided in a care home and you qualify for their help, you will be expected to contribute all of your income towards the cost of your care although you will be allowed to retain a small amount called the Personal Expense Allowance. Local Authorities will always set a fee scale for their area. This is the amount they will not go beyond in paying for a care home place.

There are rules that prevent you from giving your money away or spending large amounts in order to benefit from means testing. Any money you get rid of in this way will usually be added back to the value of the investments you have left. There is no time limit after which this rule is not applied.

Means test limits with effect from April 2009 for England are:
  • Upper limit £23,000
  • Lower limit £14,000
Local Authority financial contribution for Care Home residents

Value of Assets, Savings & Investments Expected Contribution
Up to lower means test limit Income, less the Personal Expense Allowance, will be assessed and topped up to the Local Authority fee scale
Between means test limits Income plus an amount of tariff income, less the Personal Expense Allowance, will be assessed and topped up to the Local Authority fee scale.

Tariff income is calculated as follows: For every £250, or part thereof, in assets held above the lower means test limit, £1 per week will be added to the income calculations.
Over upper means test limit Local Authority financial assistance is not available.

Assets & Savings- what is included / excluded?

Generally speaking all of your assets will be included in the means test. If assets are owned jointly then the value will be shared equally among the owners but only the value of your own share can be included in the means test.

If you are moving into a care home permanently then the value of your house will be disregarded for the first 12 weeks or if it is occupied by:
  • A partner or spouse
  • A relative who is aged 60 or over
  • A relative with an incapacity
  • A dependant child under the age of 16

Income- what is included / excluded?

If you are on your own then the Local Authority will expect you to contribute all of your income less the Personal Expense Allowance towards the cost of your care in a care home.

If you are on your own then the Local Authority will expect you to contribute all of your income less the Personal Expense Allowance towards the cost of your care in a care home.

If you have a partner then the Local Authority will expect you to contribute all of your State Pension and at least 50% of any Personal or Company pensions you may have. The other 50% may be disregarded providing it is paid to your partner in order that they can afford to continue to live at home.

Making the right decision

Independent advice is essential before you decide which course of action to take. We will inform you of the long term care options available to you. We will advise on the financial implications of long term residential and non- residential care and the funding options that you may wish to consider including immediate needs annuities, investment, equity release or selling your home.
© Inshore 2008 | Registered address: Brearley House, Suite 2, 278 Lymington Rd, Highcliffe, Christchurch, Dorset, BH23 5ET.
Office facilities at 41 Brookley Rd, Brockenhurst, Hampshire SO42 7RB and 7 Institute Rd, Swanage, Dorset, BH19 1BT.
Company Registration Number 4886425 Tel: 01425 282181 Fax: 01425 282182

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