Written answers

Tuesday, 7 November 2017

Department of Health

Nursing Homes Support Scheme Administration

Photo of John BradyJohn Brady (Wicklow, Sinn Fein)
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625. To ask the Minister for Health the procedure for a person being transferred into the nursing home or fair deal scheme; and if he will make a statement on the matter. [45650/17]

Photo of Jim DalyJim Daly (Cork South West, Fine Gael)
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The Nursing Homes Support Scheme (NHSS) is a system of financial support for those in need of long-term nursing home care. Participants contribute to the cost of their care according to their income and assets while the State pays the balance of the cost. The Scheme aims to ensure that long-term nursing home care is accessible and affordable for everyone and that people are cared for in the most appropriate settings.

In line with the legislation there are three main steps to the application process

- Step 1is an application for a Care Needs Assessment. The Care Needs Assessment identifies whether or not the person needs long-term nursing home care.

- Step 2is an application for State Support. This is used to complete the Financial Assessment by the HSE which assesses the person’s contribution to care and his/her corresponding level of financial assistance (“State Support”). The Financial Assessment takes account of a person’s income and assets in order to determine the person’s contribution to their care.

- Step 3is the decision to approve financial support for the applicant under the scheme.

The Nursing Home Loan (Ancillary State Support) is an optional benefit of the Nursing Homes Support Scheme, the purpose of which is to ensure that a person does not have to sell their home during their lifetime to pay for long-term nursing home care. Where a person’s assets include land and property in the State, the contribution based on such assets (7.5% of the value of such assets per annum) may be deferred. The loan can be repaid at any time but will ultimately fall due for repayment upon the applicant’s death.

Applicants to the scheme can choose any public, voluntary or approved private nursing home. However, in order for financial support to be provided, the nursing home must have an available bed and be able to cater for the applicant's particular need. The HSE's Nursing Homes Support Offices can advise an applicant or their family on the options available to them.

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