Care at home support helps reduce some of the strain and worry you may feel when struggling to complete routine activities. A home care package gives you extra support with essential tasks such as cooking and cleaning, or taking medicine, as examples.
Despite the appeal of having a trusted person who can support you in daily living, you may still be concerned about in-home care costs in Scotland, wondering whether a home care package is even affordable.
Thankfully, in-home care costs can be funded by the local authority, if you’re aged 65 or over and qualify by need.
To find out whether you qualify, you should first arrange a care needs assessment through your local authority. The needs assessment will evaluate your day-to-day support requirements, and determine whether your needs can be supported within your own home, or whether a 24/7 care home environment is required.
This bit is particularly important: Regardless of your financial status, you should always arrange a needs assessment through your council’s social work department before contracting with any in-home care service providers. Not doing so could mean you lose out on care at home funding in Scotland.
Home care package costs and personal care fees
Everyone in Scotland over the age of 65 is entitled to free personal care if they are assessed as requiring it. (See note 1.) To determine if you qualify for local authority funding, a social worker will assess you for:
- Personal hygiene
- Continence management
- Food and diet
- Immobility problems
- Counselling and support
- Simple medical treatments
- Personal assistance
- Meal preparation support
A social worker will determine whether you need personal care, and whether it can be delivered at home. If you do require a home care package, you can select your preferred care provider. If you’ve not yet received a care needs assessment, you may find it useful check for 7 signs that can tell you if an elderly person needs assisted living.
Free personal care in Scotland does not necessarily apply to all domestic activities, however. For example, you may be charged for support with:
- Services outwith your home (i.e. day care centres or lunch clubs)
- The cost of supplying food or pre-prepared meals
You’ll also be eligible for Attendance Allowance if you qualify for free personal care at home in Scotland. Attendance Allowance helps offset extra costs you may incur if you have a severe disability that requires someone to help look after you (although you don’t need to have a carer in order to claim). If you are 65 or older, and have a disability related to physical or mental health, you may qualify for Attendance Allowance. (See note 2.)
In home nursing care costs
Depending on the outcome of your care needs assessment, nursing care can sometimes be provided in-home. When this is possible, nursing care at home can be a welcome alternative to moving into a care home.
People in Scotland of any age can access free nursing care, as long as you’ve been assessed as requiring nursing care support. (See note 3.)
When nursing care is provided at home, district or community nurses tend to be allocated through your local GP. If you have a more complex or ongoing need for nursing care, you may be advised to apply to a nursing care home. Learn more about local authority funded nursing care in a care home setting.
Hourly cost of care at home
Across the UK, the average hourly cost of care at home is £15, according to the Money Advice Service. This works out to £11,000 per year, based on 14 hours of care per week. (See note 4.)
To get a better picture of how much care at home can cost in Scotland, let’s consider Edinburgh as an example. In Edinburgh, care and support at home costs £16.60 per hour. (See note 5.) This includes help with:
- washing and dressing
- getting in and out of bed
- taking medication
- meal preparation
Making the most of home care package costs in Scotland
When applying for a personal care package in Scotland, one of the most important things you can do is nurture the relationship with your social worker. This person may be able to exercise discretion in how many hours of funded personal care you can receive. Your social worker may also be able to arrange support with some of the care areas that aren’t automatically provided for, such as shopping, laundry or housework.
Entitlement to free care at home, which reduces the burden of in-home care costs, is unique to Scotland. Across the border, you’ll find that local authority funding for care in your own home is means-based in England.
It’s also quite different from applying for funding to cover care home fees in Scotland. In that context, a means-based test is applied, making funding harder to come by. During your care needs assessment, you’ll get to talk with a team of health professionals about which setting is most appropriate for your needs.
Last updated 18 May 2018