long term care guide

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Long Term Care

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A Guide For Long Term Care Created By Beacon Wealth Management Ltd

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Page 1: Long Term Care Guide

Long Term Care

Page 2: Long Term Care Guide

The content in this publication is for general information and use only and is not intended to address your particular

requirements. They should not be relied upon in their entirety and shall not be deemed to be, or constitute, advice. Although

endeavours have been made to provide accurate and timely information, there can be no guarantee that such information is

accurate as of the date it is received or that it will continue to be accurate in the future. No individual or company should act

upon the information without receiving appropriate professional advice through examination of their particular situation. We

cannot accept responsibility for any loss as a result of acts or omissions taken in respect of any articles. Mortgages are not

regulated by the Financial Conduct Authority (FCA). Your home maybe repossessed if you do not keep up repayments on your

mortgage. The value of your investments can go down as well as up.

Welcome to… Long Term

Care

Whether it is for you or a loved one Long Term Care can affect anyone, and planning is a crucial part of tackling this hurdle. Advice and support is important at this stage, and should be sought out to help guide you through the process more smoothly. If you have the correct support in place it can make the transition a lot easier. Long Term Care comes under a range of different definitions; it could mean care within your home via a nurse/carer, moving into a residential apartment whilst keeping your independence or moving into a care home. These services need to be paid for via Government funded schemes, self-funding or a combination of both. You need to research your options in order to give you some idea of what these services will cost. This is where professional help may be required. It may seem that there are an overwhelming amount of

options for funding Long Term Care. This brochure will help

guide you through specialised areas of Long Term Care.

There is a wealth of further information available that deals with

many different topics highlighted here. (You can find this

information on our website; www.beaconwealthmanagement.co.uk)

If you would like a complimentary first meeting, with one of our advisers, you can

find their details on page 8 or contact the office direct:

T: 01480 869466 | E: [email protected]

Contents

Funding Long Term Care:

1. Local Authority and NHS Funding

Types of Self-Funding

2. Immediate Care Fee Payment

Plans

3. Investment Bonds

4. Tax Efficiency

5. Estate Preservation

6. Equity Release

Types of Equity Release

7. Lifetime Mortgages

8. Downsizing

9. Other Options

10. Emergency Funding and

Insurance

11. 6 Steps in arranging Long Term

Care

12. About Us

13. Meet The Team

Contact us

Beacon Wealth Management Ltd

Page 3: Long Term Care Guide

Funding Long Term Care

Your circumstances will affect how you

fund your Long Term Care, if or when

you need it, and there are a variety of

options from self to part funded.

How much you have to pay will

ultimately be down to your health,

mobility, and how long care is needed.

Planning

It is always a good idea to set out a plan

for your needs and expectations. If you

know what sort of Long Term Care is

required, do some research and find

out rough costs in order to make a

budget plan.

NHS Funding

There may be some form of outside

funding available, for example, the NHS

continuing care scheme offers free

continuing care, funded solely by the

NHS wherever you need it, at home or

in the hospital. However, you must

satisfy the criteria set out by the NHS,

which usually means that you need a

nurse rather than a carer.

Local Authority Funding

Your local authority have a responsibility

to fund or provide Long Term Care. They

may be able to help you with the costs

of residential care or help you to adapt

your home so you can remain there for

longer. This form of funding is tested by

a financial assessment.

Benefits

It is important to claim any benefits you

may be entitled to, information can be

found via your local Government

authority.

However, even if you do qualify for any

of these schemes, it may not be enough

to cover your expectations within Long

Term Care. This is why it is paramount

that you start thinking about self-

funding early.

If you have a plan in place it will be

much easier to carry out when the time

comes. We will lay out some of the key

areas of self-funding within Long Term

Care to help guide you through the

process.

Local Authority and NHS Funding

Beacon Wealth Management Ltd

Page 4: Long Term Care Guide

Immediate Need Care Fee Payment Plans

An Immediate Need Care Fee payment plan is

a type of annuity contract. An annuity is a

form of insurance that provides a constant

income in exchange for an upfront lump sum

investment. This will guarantee an income for

life to fund your care.

The plan will aim to cover the shortfall

between your expected income and the care

costs you incur for the rest of your life. The

price of the plan will depend on a variety of

factors:

Your age

State of your health

The level of income you need

Your life expectancy.

Criteria

This plan is only suitable if you are already in a

care home, about to move into one or you are

receiving care at home and it needs to be

funded immediately over a period of time.

Capping Costs

Capping the cost of your care will hopefully

safeguard your remaining capital. Certain

clauses can be put in place if you die early,

meaning your beneficiaries could get some of

the payments back, however, this will depend

on individual providers.

This type of plan would not be suitable if you do not

need to pay for care immediately or the care is only for

a short period of time. Make sure you check if you

qualify for NHS funding, as self-funding could be a

waste, instead your money could be used within more

valuable investments.

Immediate Need Care Fee payment plans are like a

balancing act. You need to fund care immediately and

will have secure regular income to fund your care, but

once you have taken out the policy there is no turning

back. If you die earlier than expected the money

invested is difficult to claim back.

Advantages:

Aims to cover the shortfall between expected income and

the care costs you may incur

Suitable if you are already in a home or about to move

into one

Options to safeguard capital

Disadvantages:

Unsuitable if you do not need to pay for care immediately

Not suitable if you qualify for NHS funding

Clauses can prevent you from leaving the plan early

You can lose your money if you die earlier than expected

Types of Self-Funding

Beacon Wealth Management Ltd

Page 5: Long Term Care Guide

Investment Bonds are a way to gain regular

returns from the money you have invested.

They can ultimately offer higher returns than

from other payment plans due to the nature of

the fluctuating markets. However, this will

mean they are more vulnerable to the

changeable markets.

An Investment Bond is similar to an Immediate

Care Fee payment plan in that it is invested in

a life insurance company, but that is where the

similarities end.

With this type of investment, the company will

invest the money for you in a variety of

different funds, until you either cash it in or

die.

As this money is invested in life insurance, you

should receive some cover within the policy,

and on death it may pay out slightly more than

the value of the fund. Be aware, the fund is still

vulnerable to fluctuations in the market.

Investment Bonds are ideally used for medium

to long term investments and, therefore, you

may not be able to access your money for the

duration of the investment.

Note: Relying solely on these fluctuating

investments to fund your Long Term Care may

not match your attitude for risk. For this reason

they are not recommended for everyone.

Investment Bonds

Advantages:

The return on your investment can

be higher than a cash savings

account

In some cases the fund value might

be disregarded in a financial

assessment

If you only use the returns and

keep hold of your capital, the

investment bonds should produce

the money needed to fund your

care and be able to pass down a

lump sum to your beneficiaries

Providers will allow you to

withdraw up to 5% of the original

investment each year without

penalties (check this with your

provider first)

Disadvantages:

You will need to tie up your money

for at least five years; penalties

could be introduced if you cash the

bond in early

No guarantee that the returns will

cover the cost of your care

Extra charges may apply

Types of Self-Funding

Beacon Wealth Management Ltd

Page 6: Long Term Care Guide

There are two key areas of taxation

that need to be considered when

planning Long Term Care:

Tax position of the patient

The implications of Inheritance

Tax (IHT)

There are many complex areas of

taxation and how much you pay will

depend on your estate, which could

include properties, assets and income.

If one of the partners is in care or about

to move into a care home, then this will

need to be funded. You must consider

what happens if the other partner

needs care later on in life; funds need

to be set in place for both parties.

Tax efficiency can affect how much

money is left over for the other

partner, it is crucial to have a plan laid

out as to how the care will be funded.

Gifting money or assets

This involves ‘gifting’ sums of money or

property to friends or relatives. Gifting

money should be handled delicately as

it could cause undue stress amongst

the receiving party. Therefore,

involving a third party who is qualified

and can give professional advice is

important.

Tax Efficiency

Tax liability

Most pension income is potentially

taxable after personal allowances have

been considered. However, income

from other sources might be more or

less tax efficient. For example,

investments can have the potential to

deliver a tax free or tax deferred

income.

Some investments can take advantage

of the annual Capital Gains Tax

allowance. Other investments can roll

over gains or are exempt from IHT after

a defined period of time.

Inheritance Tax (IHT)

There are ways of effectively using IHT

allowances more than once. The last

survivor of a relationship may be able to

use two IHT allowances and enable

assets to pass to future generations tax

efficiently.

Due to the complex nature of taxation,

it is a good idea to seek Independent

Financial Advice to make sure you are

getting the full picture when it comes to

tax efficiency and Long Term Care.

Beacon Wealth Management Ltd

Page 7: Long Term Care Guide

An ‘estate’ is broadly defined as a

person’s money, possessions and

property. On death the estate would be

added up and divided as per the person’s

wishes.

If an individual requires Long Term Care,

the cost can decimate the value of an

estate, especially if care has been

delivered for a long time.

An individual needing care might wish to

pass their estate on to the next

generation. It would be disappointing to

find the majority of the estate had gone

into care fees after a lifetime of

accumulating a significant legacy.

Consider the impact this might have on a

surviving spouse or partner who might

require help themselves at a later time.

Planning for the possibility of Long Term

Care at an early stage is a powerful

strategy for ensuring your estate is

distributed according to your own wishes,

rather than someone else’s.

Frequently, advance planning has not

occurred, this can lead to whole estates

being used up for just one person’s care,

leaving a surviving spouse or partner with

no means to manage their own care.

Estate Preservation

Beacon Wealth Management Ltd

Page 8: Long Term Care Guide

Equity release schemes are for people who have

nearly or completely paid off their mortgage.

These schemes are not always considered the

best option, but are more of a last resort. If you

have no plan in place equity release can be a

viable option.

Equity release explained

It is a form of benefiting from the value of your

home and gaining access to some of the money

tied up in it, whilst still living in the house itself.

These types of schemes do not exclusively have

to be used to fund Long Term Care, but due to

the fact that it allows you to have access to one

lump sum, it is often used for this purpose.

How do they work?

As with most schemes there are different options

to suit your criteria, for example, downsizing and

lifetime mortgages (explained further within this

brochure.)

Planning

Alternatively, you may wish to remain in your

home for as long as possible, add this to your plan

and figure out whether you will need to downsize

or implement some form of equity release to

adapt your current home.

Equity Release

Advantages:

Provides a guaranteed monthly

income or large lump sum (used

for any purpose)

Equity-release schemes can help

reduce your estates vulnerability

to Inheritance Tax (IHT)

You can remain living in your

home

The equity released on your main

property is tax-free

The loan is usually repaid on death

or sale of property

Any money left over from the sale

of the property can be passed to

your beneficiaries

Disadvantages:

Inflexible to a change in

circumstances (need providers

permission for someone else to

move in, or selling up early can

incur a loss on the estate)

Extra fees will usually need to be

paid

It is your responsibility to keep

your home in good condition. You

must set aside money for

maintenance costs.

You will be required to have

buildings insurance

Beacon Wealth Management Ltd

Page 9: Long Term Care Guide

Lifetime Mortgages

Lifetime mortgages are ideal if you want to

release money tied up in your home whilst

remaining in the property. With any mortgage

there is a capital amount, and the interest on

that amount will need to be paid.

Lifetime mortgages are different to regular

mortgages. You do not have to make any

monthly repayments depending on your

circumstances.

How much equity is released depends on: your

age, how much of your mortgage is paid off and

what your property is currently worth.

Many schemes include a guarantee that the

amount owed will never exceed the property

value.

Fee Breakdown for Lifetime Mortgages:

- An arrangement fee- allocated to the

mortgage lender

- Early repayment charges- if you end up

having to repay the loan before you die

or move into a care home

- Buildings insurance- this is a

requirement when you invest in a

lifetime mortgage

- Legal fees- you will generally

accumulate legal fees with any

mortgages

- Valuation fees- for the provider to have

an idea of what the estate is worth an

evaluation will need to be completed

There are three different lifetime mortgage

options:

Interest-paying mortgage:

You make repayments on some or all

of the interest on the loan monthly

Upon selling your home the amount

you originally borrowed is repaid

You have the option of a fixed or

variable rate of interest (variable rates

will fluctuate)

Fixed-Repayment lifetime mortgage:

Interest is added to the loan

A repayment amount is agreed in

advance (that is higher than the loan)

You have to pay the provider the

higher amount when your home is

sold (works well if you live longer than

expected, but not so well if you have to

sell your home earlier)

Roll- up mortgage:

Interest is added to the loan

You do not make any regular

payments

The original amount borrowed plus

the ‘rolled-up’ interest will be repaid

when the home is eventually sold

The amount of interest you owe will

grow and, therefore, the total to be

paid back will accumulate quickly, as

no repayments are being made

throughout the term

Types of Equity Release

Beacon Wealth Management Ltd

Page 10: Long Term Care Guide

Downsizing

Downsizing is another way of gaining money

from your property to fund Long Term Care.

This is where you sell your existing home

and invest in a less expensive home instead,

to free up some money.

Downsizing has a lot of benefits compared

to other forms of funding, and can be more

cost effective than other equity release

options in the long term. It is also a great

way of having something to pass on to your

family.

This can be used in conjunction with a care

fee payment plan, as the lump sum you pay

can be generated by downsizing.

Downsizing has extra benefits that you

might not have considered. A smaller home

such as a bungalow or flat may be easier to

maintain and adapt to your needs, providing

you with the opportunity to stay in your

home for longer.

Always make sure you have calculated all of

your costs and expenditure, so you know

that downsizing is not putting you in a worse

position with moving fees and

adapting/renovating your new home.

Advantages:

Remaining in your own home

Adapt your home to your specific needs

Potential to have a large lump sum at

the end

May be more cost effective than other

equity release options

Disadvantages:

May incur costly moving fees

Your home may not be suitable to adapt

Could cause undue stress whilst moving

home

Types of Equity Release

Beacon Wealth Management Ltd

Page 11: Long Term Care Guide

Other Options

Money Has Run Out

If your fund has run out and you are still

in need of care, there are a few things

you can do:

1. Arrange for a care assessment-

This will update your circumstances

from your last review and you may

now be eligible for local authority

support. Alternatively, your

situation may have worsened and

you may now need to move into a

care home. Either way the funding

will need to be amended.

2. Arrange for a financial assessment-

This estimates whether you qualify

for funding and will take into

account your savings, income and

how much assets are worth.

Beacon Wealth Management Ltd

Page 12: Long Term Care Guide

Claiming On Insurance To Cover The Costs Of

Care

You may be able to claim on an existing insurance

policy, which will help towards the cost of care.

Often people have forgotten about these policies.

Such policies could include:

Life insurance with critical illness cover

A standalone critical illness policy

Over 50’s plan

Income protection cover

Joint policy taken out with your spouse or

partner

Cover taken out on your behalf by a

current or former employer

If you are unsure of whether you have any of

these policies, it is a good idea to seek

Independent Financial Advice where you will be

able to find out what policies are still held in your

name or on your behalf.

Emergency Funding

As a last resort, if the need to fund care is

suddenly forced upon you, some local

authorities may help with the first twelve weeks

of care home fees. This can only happen if:

You own your home (which you are

leaving empty)

Your capital comes to less than the

capital threshold for Long Term Care

Your income does not meet the care

home fees

Depending on your circumstances the Local

Authority may disregard your property for up to

twelve weeks in respect of the financial

assessment that will be completed.

Beacon Wealth Management Ltd

Emergency Funding

and Insurance

Page 13: Long Term Care Guide

1. Inform A Relative-

Inform a relative or close friend that you are considering Long Term

Care. Hopefully they will be able to support you through this process.

2. Seek Advice-

Ideally from an Independent Financial Adviser who has access to

whole market knowledge and can give the best advice for your

circumstances.

Look out for specific organisations that deal with Long Term Care

issues, SOLLA (Society of Later Life Advisers) being one of them. They

accredit Financial Advisers with qualifications to advise on specific

issues within Long Term Care, at Beacon Wealth Management we

currently have two SOLLA accredited advisers (details found on page

13).

3. Have Your Health and Social Needs Assessed-

Your GP can refer you for health reasons; everyone is entitled to an

assessment regardless of financial status.

4. Funding-

Make sure at this stage you have funding in place to allow you to

move to the next step in processing your Long Term Care.

5. Remaining In Your Own Home-

From adapting your home to maintaining your social life, some grants

and funding are available to help you achieve this.

6. Implementing care-

Make sure the allocation of estates, funding and personal care plans

are in place.

6 Steps In Arranging Long Term Care:

Beacon Wealth Management Ltd

Page 14: Long Term Care Guide

About Us

Page 15: Long Term Care Guide

Meet The Team

Tony Larkins APFS Chartered &

Certified Financial Planner.

(Managing Director)

Specialising in personal and

corporate financial planning as well

as Pensions and Investments

[email protected]

Adrian Banks Dip.PFS, Cert CII (ER & MP) SOLLA & Independent Financial Adviser

Specialising in long term care and

financial planning for later life clients

[email protected]

Chris Wills Dip.CII Independent Financial Adviser

..

Specialising in financial planning

..

[email protected]

Martin Eaton BSc, CEFA, CeMAP Independent Mortgage and General

Insurance Adviser

Specialising in mortgage and general

insurance

[email protected]

Mark Graddage Cert PFS, Cert CII (MP) Business Support Manager

………………………….

Specialising in mortgage and general

insurance

[email protected]

Beacon Wealth Management Ltd

Page 16: Long Term Care Guide

Beacon Wealth Management Ltd

voted the best independent financial

advisers of the year, in the East of

England 2013.

Beacon Wealth Management Ltd Chartered Financial Planners

The Old Chapel Thrapston Road

Kimbolton Cambridgeshire

PE28 0HW

T: 01480 869466

F: 01480 869477

[email protected]

www.beaconwealthmanagement.co.uk

Authorised and Regulated by Financial Conduct Authority. Registered in England and Wales No.526604