Organising and paying for home care

There is a wide range of services you can receive at home, which can help you to stay safe, well and independent.

Home care is a chargeable service. In some circumstances we may make a contribution towards the costs of your care.

You can choose your own support if:

  • you will be paying for your own home care (also known as self-funding)
  • you are receiving financial support from us and manage your budget through direct payment 

If you will be paying for the full cost of your care (sometimes known as a self-funder) and ask us to arrange your home and community care for you, we will charge an annual, recurring arrangement fee of £400 to organise this on your behalf.

To help you make informed choices, these websites and checklists can help you choose a provider: 

If you are assessed to be eligible for care and support services in the home we will work out how much it will cost to enable you to live the life you want. Most people pay for some, or all, of their care costs.

Services you may pay for

Depending on your financial circumstances we may be able to make a contribution towards the cost of your support. Support at home or non-residential support can include:

  • home support, day or night
  • Direct Payments scheme
  • community support
  • day service
  • Shared Lives Scheme 
  • respite care

Support you don't pay for

You will not be asked to pay towards the following support:

  • time-limited care e.g. following an illness or stay in hospital 
  • equipment available on loan following an assessment
  • minor adaptations to your home costing less than £1000
  • support received as a carer
  • aftercare received under Section 117 of the Mental Health Act 1983
  • if you need high levels of health care, you may be able to get your full care costs paid for by the NHS under the criteria for continuing health care

Financial assessment

The Fairer contributions policy means that no one will pay more than they can afford towards their support.

Payment options

Once the amount you need to pay has been worked out, you will receive a letter that explains how it was worked out and how much you will have to pay.

Direct Payments

If you choose to manage your care support yourself using Direct Payments you will receive the money to meet your care costs, minus your ‘maximum weekly contribution’.

For example, if your support costs £48 per week and your ‘maximum weekly contribution’ is £28 per week, we will pay £20 into your dedicated Direct Payments bank account, you will deposit your contribution of £28 into the same account. You will then pay your provider/s directly when you are invoiced by them.

Find out more about Direct Payments.

Arranged support

If we arrange your support, an invoice will usually be sent to you on a four weekly basis and you can pay your contribution:

  • By direct debit
  • At the post office or Pay Point
  • By cheque
  • By debit or credit card (online or over the phone)

Both Direct Payments and arranged support

If you have both arranged services from us and Direct Payments, there are two ways you will pay your contribution depending on how you manage your services:

  • Pay into your Direct Payments bank account if your Direct Payments are more than your arranged services.
  • Where your arranged services are more than the Direct Payments, an invoice for your contribution will be sent to you.

Find out more about Direct Payments.

How will I know what to pay?

We will send you an invoice for your care and support services, normally every four weeks. The invoice will show the charge payable for the services you have received. You must make sure you pay invoices in full within the timeframe given, by whichever payment method you choose.

When will I start paying for my care?

Your bill will start from the date that your care begins. We will usually invoice you four weeks after your care has started.

NHS continuing healthcare

If you need high levels of health care, you may be able to get your full care costs paid for by the NHS under the criteria for continuing health care.

Contact us

If you have a question or concern about your financial assessment please contact our Revenue and Assessment Team.

Box No: SCO2205

Room No: 2nd floor
Scott House
5 George Street
Huntingdon
PE29 3AD
Telephone: 0300 126 3003

Adult Social Care charging policy April 2020300KBpdf
Size: 300KBFile format: pdf

Independent Age advice guides and factsheets including paying for care in a care home

There is a Local Government Association survey for anyone who uses a personal assistant. The LGA wants to get a clearer picture of the challenges faced by people in recruiting and retaining personal assistants.

Contact us

If you have any concerns about your care service, please contact your Key Worker.

If you do not have contact details for a Key Worker, you can contact adult services using the online form or telephone number below.

Telephone: 0345 045 5202

8am to 6pm Monday to Friday

9am to 1pm on Saturday