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Introduction to the Community Care Act

The Community Care Act became law in April 1993.  The Act's aim is to help people who need care to stay in their own homes if possible.  It does this by:

  • encouraging day care and caring for people at home;
  • giving practical support such as breaks from caring for friends and relatives;
  • properly managing and assessing the need for care;
  • encouraging private sector care organisations;
  • explaining care agencies' responsibilities; and
  • making sure taxpayers get value for money.

The Act made the following important changes:

  • Local Authorities must now assess the need for care, choose someone to provide it and make sure that it is delivered within the Local Authority's available funds.
  • Local Authorities plan how community care services should develop.
  • Local Authorities must use private care organisations as much as possible.
  • A new funding structure was introduced from April 1993 for people going into care homes.  Each Local Authority has a set of fee guidelines for community care services.  They also have guidelines on how to assess services and decide who will benefit from them.
  • If a person is entitled to Income Support or Housing Benefit, they will be paid wherever they live.
  • Local Authorities must develop social care for people who have a serious mental illness.

The Local Authority involved will be the one for your county, metropolitan borough or district, London borough or for the City of London.  Their phone number and full address will be in the phone book.

In the UK, Social Services and the National Health Service are responsible for providing community care services, except in Northern Ireland where the appropriate Area Health and Social Services Board is responsible.

Social Services are responsible for:

  • home help or home care;
  • respite care;
  • day care;
  • night-sitting services;
  • care home care;
  • providing equipment to help people cope with day-to-day tasks.

The NHS is responsible for:

  • nursing;
  • chiropody or physiotherapy;
  • supplies for people who are incontinent.

The Health and Social Care Act 2001 introduced free nursing care. NHS Funded Nursing Care only applies to people in a care home setting and is different for each country within the UK. It is NOT paid to the person receiving care but to the care home directly and therefore may not result in a reduction in the fees charged. The value of this 'free' nursing is as follows:

England

From 1st April 2008, a single flat rate of £103.80 per week.

Wales

A single flat rate of £114.90 per week.

Northern Ireland

A single flat rate of £100 per week.

Scotland

The Scottish parliament have decided they can afford to provide free personal care as well as free nursing care. Care home residents needing personal care only will receive £149 per week and those requiring nursing £216 per week. But they will not be able to claim Attendance Allowance or DLA. The personal care element is also available to those receiving care at home.


Please note that long term care insurance products cannot be purchased through this site. Lifetime Care Products are only available via financial advisers.

The address for written communication is AXA, PO Box 1810, Bristol BS99 5SN.

AXA Sun Life plc is the provider of the Lifetime Care range of plans. Head Office: PO Box 1810, Bristol BS99 5SN. Tel 0845 30 30 430. Facsimile 0117 989 0202. Minicom 0845 603 0803. Website www.lifetimecare.co.uk AXA is a worldwide insurance group. In the UK one of the companies is AXA Sun Life plc. Authorised and regulated by the Financial Services Authority. (www.fsa.gov.uk/register). AXA Sun Life plc is a company limited by shares, registered in England No 3291349. Registered office: 5, Old Broad Street, London EC2N 1AD. As part of our commitment to quality service, telephone calls may be recorded

The information contained within this website is intended for UK residents only.