long term care

Martin Tyrrell –  Financial Planner

Like most developed countries, the UK has an ageing population. There are nearly 12 million people aged over 65 in the UK, 5.4 million of whom are aged over 75, and 1.6 million over 85[i]. This latter group is the fastest growing sector; set to double to 3.2 million by 2041, and treble by 2066.

Currently, the average age to enter a care home is 85 with a stay of almost three years[i], costing around £800 per week in the UK. This cost can be as high as £1,500 per week in the south east[ii], meaning that a self-funder here could pay almost £250,000 in fees if they remained in care for three years. Potentially even more frightening, is that 42% of everyone currently in a residential care home have been there for longer.

The COVID-19[i]pandemic has been devasting for residential care homes, with almost 13% of residents dying from the virus. This in turn means that these sky-high care fees will likely increase as homes scramble to remain solvent. It is perhaps no surprise then, that the provision and funding for long-term care is set to play a major part in most people’s financial plans.

Funding plans

The financing of long-term care and later life decisions usually requires the advice of an experienced and suitably qualified financial planner, who can guide clients through a sometimes confusing web of rules and regulations. Whilst there is no obligation on behalf of clients to seek financial advice, in most cases it is crucial to do so.

Many advisers are members of associations like the Society of Later Life Advisers (SOLLA), having specific qualifications to advise in this field. They have many years’ experience of helping people decide upon the best way to fund care, be it in the home or on a residential basis.

The starting point should always be a cash flow analysis to determine the optimal way of funding care, raising a number of questions:
 

  • Which assets will fund the care, and in what order?
  • What are the associated tax implications?
  • How can family members be protected?

Advisers, along with solicitors and care consultants, find solutions to these questions through two main elements: the non-regulated area (finding an appropriate home for the client’s needs), and the regulated area – how to pay for care.

The regulations surrounding the provision of care are increasingly complex, and advisers will take into account:

  • What care is available?
  • What help is needed?
  • What is the client entitled to?
  • How much of it will the client need to pay for?

It is also important to consider:

  • the attitude of the family, and the client’s wish to protecting legacy assets
  • current income sources and benefits
  • what state support might be available
  • the tax implications of disposing of assets
  • what assets are deemed assessable by the local council
  • the position of trusts, including pensions
  • the vulnerability / mental capacity of the client
  • The attitude to investment risk and capacity for financial loss of the client / patient
  • affordability and suitability of plans, both now and in the future

Once all details of assets and income are known, and the estimated care costs received, the adviser uses cash flow modelling to identify potential shortfalls in financing that care, and when these could occur. Client and adviser can combat these together in many ways, for example, explaining how to generate income from existing investments, to minimising tax implications. 

 

The family home

 

It is important to note that a residential property, where for many a lot of estate value is tied up, has certain exemptionsfrom local authority assessment of meanswhen one member of a couple requires residential care. For example, solicitors are able to change the ownership structure of the property from joint tenants to tenants in common, ensuring wills and trusts are still appropriate.

 

Many people will choose to downsize their home in later years to something more manageable, potentially releasing equity from the home and freeing themselves from capital gains tax. Any excess can be used to pay care costs directly or purchase an immediate needs annuity.

 

This is not suitable for everyone, however, with many choosing to stay in a home they have a strong emotional connection with. In these cases, they may wish to derive value from the home in a lump sum or as an income through equity release plans, meaning they are can remain in their home as long as possible.

 

The correct solution depends entirely on the individual and their families, and a suitably qualified team of financial planners and solicitors will ensure the best client outcome. Solictors can work well with financial advisers. Long term care planning frequently involves vulnerable clients, many of whom may have mental capacity issues. Lasting powers of attorny for health and welfare, financial affairs and the involvement of a solicitor are usually required when advising these clients.  

 

 Sources:  

[i]https://www.statista.com/statistics/281174/uk-population-by-age/ 

[ii]Office for National Statistics Changes in the Older Care Resident Home Population https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/ageing/articles/changesintheolderresidentcarehomepopulationbetween2001and2011/2014-08-01

[iii]Which Cost of Care and Eligibility Calculator 2020 https://www.which.co.uk/later-life-care/financing-care/cost-of-care-and-eligibility-checker 

[iiii]Office for National Statistics Deaths registered weekly in England and Wales https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/bulletins/deathsregisteredweeklyinenglandandwalesprovisional/weekending12june2020

 

This blog is published and provided for informational purposes only. The information in the Blog constitutes the author’s own opinions and should be considered as guidance and not advice.  It is important for all individuals examining their pensions to seek expert financial advice from a regulated financial adviser.  Solicitors should be cautious when examining pensions with their clients as it is easy to stray into the area of regulated financial advice.  None of the information contained in the Blog constitutes a recommendation that any particular investment strategy is suitable for any specific person. 

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