1. Everything your solicitor should have told you!
Liz Holdsworth
Consultant Solicitor
WACE MORGAN LLP

2. Action you should take! If you have one or more people you trust :-
Complete a Finance and Property Lasting Power of Attorney (LPA)
WHY?
If you lose capacity to deal with your financial affairs in your lifetime
Someone – probably your closest relative – will have to apply to the Court of Protection
This means serious money, delay and distress

3. What else?
Complete a Health and Welfare Lasting Power of Attorney (LPA)
WHY?
If you lose capacity during your lifetime there is no-one in place legally to make decisions for you about health or welfare
What kind of decisions are these?
Where you live, what medical examination you consent to and even end of life decisions

4. What if I don’t have a Health and Welfare LPA? Who makes decisions then?
Either a medical or social care team who may never have met you
An attorney under a registered Health and Welfare LPA is legally empowered to make all these decisions for you if you cannot

5. What else should I consider ?
Preparation of a statement which outlines what you would want to happen in the future about where you would live etc
An advance statement is vital IF you do not have a Health and Welfare LPA to enable medical or social care teams to take account of your wishes
An Advance decision/living will
WHY?
To refuse life sustaining treatment in certain circumstances

6. Is that all? NO! What about the way you jointly own your property?
There are two ways. In one, on the death of the first joint owner, his or her share automatically passes to the survivor
Isn’t this good?
Not if the survivor is in a care home for many years and all the money is used up
What can I do
It is simple to change to the second way so that you can leave your half share either to the children or into a discretionary trust

7. Should I make a will?
Most people know that they should make a will or review their existing will
Many don’t know all the reasons!
Everything left to a spouse may be used up in care fees
Without a will your assets will pass to relatives in a way you may not expect!
If you are not married your partner will receive nothing unless you make a will or they make a claim
If you and your spouse die together your spouse’s
family may inherit everything and your family nothing

8. How else can a will be of benefit?
To appoint who will administer the will
To make gifts of money and personal items to friends and family including much loved grandchildren
To leave money to important charities such as Age UK Shropshire Telford and the Wrekin!
To direct what will happen if one of the beneficiaries dies before you
To protect money for a sick spouse or disabled adult child
To let your family know whether you would wish to be buried or cremated and all about the service

9. What if I need care in the future? Who will pay?
Knowledge is power !
There are three main ways of paying for care
If you have a PRIMARY Health need ALL your care will be funded FREE by the NHS
Is this anywhere ?
Yes! You remain a patient of the NHS whether you are in hospital, a care home, or at home
You should have an assessment to see if your needs qualify you for NHS Continuing healthcare funding to see if your nursing needs are more than incidental or ancillary to your need for accommodation

10. What other funding is free?
Intermediate care of up to six weeks free should be available
If you have been sectioned under section 3 of the Mental Health Act and continue to need care it should be free under section 117
The Veterans agency can pay towards the cost of a care home to someone receiving the higher rate of war pension

11. If I don’t have a Primary health need what then?
It is only if your nursing needs are INCIDENTAL or ANCILLARY to your need for accommodation that you should be means tested
If you have over £23,250 in England or £22,500 in Wales you will pay for your own care
Will I get any help?
Yes

12. You will receive Attendance Allowance per week of
£73.50 higher rate or
£ lower rate
If you are in a nursing home the NHS funded nursing care contribution
In England £108.90
In Wales £120.55

13. What if I don’t have that much capital ?
You will get some help from the Local Authority/Council
Your income will go towards your fees though some will be disregarded and you must be left with money for your personal expenses. England £22.60 Wales £23
The Council pay a “standard” amount – almost always less than the care home fees
Your family will be asked to pay the difference the “third party top up”

14. Should they pay? Almost certainly not!
The Council are under a DUTY to pay the FULL amount if you are in the most suitable care home which is meeting ALL your needs and there is nowhere cheaper which could do the same
Does this just mean medical or personal care needs?
No!
They can include social, psychological, religious, cultural and/ethnic needs

15. What’s happening locally
The Local Government Ombudsman has responded to several complaints, by making visits to Shropshire Council which, in the experience of Wace Morgan, has unlawfully been asking families for a contribution to their loved ones/s care
In many cases these “contributions” are very significant
The LGO has recommended to Shropshire Council that it should be checking all care home residents to see whether a third party top up has been asked for unlawfully
All care homes should have been asked to put up a notice to that effect

16. Is my house part of the means test?
Not necessarily!
It will not be taken into account if
Your placement is temporary
It is the family home and your spouse or partner lives there
A specific relative of yours or a family member( from a specified list) lives there who is
over 60, a child under 16 you are liable to maintain or incapacitated
There is a discretion to disregard the value of the property in certain circumstances

17. An Example
Mr and Mrs Campling live in a manor house worth 2 million with £100,000 of antiques
Mrs Campling has £100,000 in savings
Mr Campling has £10,000 and his state pension
He goes into a residential home most suited to his needs
The council will pay but only up to a certain amount. They ask Mrs Campling for a top up
After advice she refuses and the council fund the full amount as Mr C is in the most appropriate place to meet all his care needs and there is nowhere cheaper
He uses his state pension but keeps £21.90 for personal expenses

18. What about care at home ?
Sec 47(1) of the National Health and Community Care Act 1990 imposes a duty on Local Authorities to carry out an assessment of anyone who MAY be in need of community care services
The personal finances are irrelevant – the assessment is free!
There is a difference between presenting needs and eligible needs ( those which fall within the LA’s eligibility criteria)
Only those whose needs are in the critical or substantial bands will receive help from the LA
Locally the telephone number to contact is

19. What next ?
There will be a financial assessment of the cared for person
Until recently the council when undertaking a financial assessment were taking in to account the savings of the spouse
This is wrong!
It is against Government guidance under the “Fairer charging policy”
Wace Morgan made many representations and have been told that the policy has been changed

20. What’s important to know
Always ask for the legal authority which the person is using to assess you or your loved ones
Always ask for the LA’s policy. There should be a document available
Disability related expenditure should be taken into account
Never be rushed into anything!

21. Is there more information available?
Yes!
“Who cares who pays Funding of Long Term care and related legal issues”
Information on LPAs and Advance decisions
“What is a Health and Welfare LPA?”
“Who should fund long term care- should it be the NHS?”
“Is your relation about to enter a care home? Should you pay the Third party top up?”