Both the NHS and your Local Authority have a responsibility to help you to
stay put when your health declines.
1. NHS and Telecare
The NHS is committed to using telecare and telehealth services for people
with long-term conditions. Telehealth monitoring equipment enables people with
complex conditions to stay at home, avoid hospital stays, but still stay in
touch with their GP or other health professional. The NHS has published a
patient information leaflet on telehealth services which you can access through
the NHS Choices website. NHS telecare is free.
2. Intermediate care
If you have been in hospital, and your care is deemed to be intermediate or “reablement”,
care can be provided free either at home or in a residential care environment.
This is usually following an illness or decline in health and the stay is to
avoid having to go into hospital. This can be put in place for up to 6 weeks.
Your GP or health support worker will arrange this. Of course you may prefer to
make your own alternative arrangements if you have health insurance or are
3. Local Authority Needs Assessment
If you are having difficulty coping with your daily activities at home, you
can ask your local authority social services department (often known as adult
services) to carry out a care (or needs) assessment. LAs have a duty to undertake
an assessment even if you will not qualify financially. It is worth noting:
- The assessment will make recommendations on the care services, aids and
equipment and adjustments necessary to keep you safe and healthy at home.
- Some of these are free but many can only be provided through social
services if you are below an income and capital limit.
- Even if you qualify financially you may not get help with day to day
tasks, shopping or housework. With limited budgets, LA’s are now only
providing for those at risk.
- It is still worth getting an assessment to find out what kind of aids
and adjustments might help, which you can get free, and to ensure you are
getting all the medical help you need.
- Sometimes you might be entitled to a grant for a very basic product and
you can top up to get exactly what you want.
- They can often advise on other grants or charitable trusts that can
- They will also be up to date on community groups in your area who can
help with transport, or run social events.
- If you don’t qualify financially and decide to pay privately for help,
they will have a list of care agencies that you can use and their prices.
They will not make direct recommendations but careful questioning can reveal
- They will have other support services such as Care and Repair (see repairs and adaptations below) that you can use.
You can find out how to apply here or get in touch with
your Social Services (Adult Services) Department.