We use national rules to work out if you are eligible for us to help pay for any care and support that you need. There are two sets of rules; care eligibility and financial eligibility.
If you live in Somerset, are at least 18 years old and have a care need that significantly affects your wellbeing, for example, with your personal care, staying independent, keeping safe, staying physically and mentally well, or maintaining relationships that are important to you, we may be able to help you pay for your care and support.
We may also support you if you are providing necessary care for someone else and are not being paid to do so. Please see our carers information.
We can’t financially help everyone who asks because we are only able to support people who meet the National Eligibility Criteria. If you meet the criteria we will still check to see if there is another person or organisation who could reasonably be expected to help you.
We will only help you pay for unmet eligible needs – things that cannot be provided in any other way, or by anyone else.
Wellbeing is a broad concept, and relates to a person’s:
- personal dignity (including being treated with respect)
- physical and mental health, and emotional wellbeing
- protection from abuse and neglect
- control over day-to-day life (including how care and support is provided)
- participation in work, education, training or recreation
- social and economic wellbeing
- domestic, family and personal life
- suitability of living accommodation
- contribution to society
National Eligibility Criteria
The criteria are based on identifying how your needs affect your wellbeing. If you meet all the following criteria, you are likely to be eligible:
1. Your care needs are due to a physical impairment or mental impairment or illness
2. As a result of your care needs you are unable to achieve two or more of the things in this list:
- Managing and maintaining nutrition
- Maintaining personal hygiene
- Managing toilet needs
- Being appropriately clothed
- Being able to make use of your home safely
- Maintaining a habitable environment
- Developing and maintaining family or other personal relationships
- Accessing and engaging in work, training, education or volunteering
- Making use of necessary facilities or services in the local community including public transport and recreational facilities or services
- Carrying out any caring responsibilities an adult has for a child
3. As a result of not being able to achieve these things, it has a significant impact on your wellbeing.
If you are eligible following a care and support assessment, we will then carry out a financial assessment. If you have more than £23,250 in capital and savings, you are not eligible. You will be asked to make your own care arrangements and pay the full cost of your care. You can ask us to make arrangements for you if your needs are eligible but we may charge an arrangement fee for this.
If you have less than £23,250 in capital and savings we may be able to help you with the cost of your care and support. Depending on your personal circumstances, you may have to pay a contribution towards your care costs.
Independent financial advice
Although we have lots of information available to help you, we always recommend that you talk to someone completely independent about money matters.
You may want to visit our Independent financial advice page for suggestions of who can help you.