Friday, January 9, 2026

Fair Deal Scheme and Property: What Happens to the Family Home?

When a loved one moves into long-term nursing home care, one of the biggest concerns for families is what happens to the family home. In Ireland, the Fair Deal Scheme, officially known as the Nursing Home Support Scheme, provides financial support towards nursing home costs—but it also considers property and assets as part of the assessment.

Understanding how the nursing home support scheme Fair Deal affects the family home can help families plan with confidence and avoid unnecessary stress.

Fair Deal Scheme

How the Fair Deal Scheme Assesses Property

Under the Fair Deal Scheme, a financial assessment determines how much a person contributes towards their nursing home care. This assessment is based on:

  • Income (such as pensions or rental income)

  • Assets, including savings, investments, and property

The family home is included as an asset, but the contribution is limited and structured to protect families from excessive financial burden.

What Percentage of the Home Is Assessed?

For the principal private residence, the Fair Deal Scheme applies a contribution of 7.5% per year of the property’s value. Importantly, this contribution is capped at three years, meaning a maximum of 22.5% of the home’s value is considered—regardless of how long the person remains in care.

This cap is a key protection within the nursing home support scheme Fair Deal, offering reassurance to homeowners and their families.

What If a Spouse or Family Member Lives in the Home?

If a spouse, partner, or dependent relative continues to live in the family home, the property contribution may be deferred while they remain there. This ensures that family members are not forced to sell or leave the home during a difficult time.

In many cases, the contribution linked to the home is postponed until the property is sold or transferred, or after the individual’s passing.

Do You Have to Sell the Family Home?

No—selling the family home is not required under the Fair Deal Scheme. Families can choose to defer the property contribution through the Ancillary State Support loan, which allows nursing home fees linked to the property to be paid later.

This option provides flexibility and peace of mind, particularly for families wishing to retain ownership of the home.

Why Professional Advice Matters

While the Fair Deal Scheme offers vital support, property rules can be complex and vary depending on personal circumstances. Seeking expert guidance ensures that applications are accurate, entitlements are maximised, and long-term financial implications are fully understood.

At Fair Deal Advice, we help families navigate the nursing home support scheme Fair Deal with clarity and confidence—especially when property and the family home are involved.

Get Expert Support with Your Fair Deal Application

Understanding what happens to the family home under the Fair Deal Scheme is essential for informed decision-making. With the right advice, families can protect their assets while securing the care their loved ones need.

Contact Fair Deal Advice today for clear, professional guidance on the Fair Deal Scheme and property-related concerns.

Friday, December 19, 2025

End-of-Year Planning for the Fair Deal Scheme: What You Need to Know

As the year draws to a close, it's the perfect time to reflect on your long-term care planning and ensure you’re ready for the year ahead. If you're considering applying for the Fair Deal Scheme or reviewing your existing plan, this post is for you. We’ll walk you through essential steps to ensure you’re fully prepared for the nursing home support scheme in Ireland and how to make the most of it in 2026.

The Fair Deal Scheme is a crucial government initiative designed to support those in need of long-term care in Ireland. This financial assistance helps individuals and families manage the often hefty costs associated with residential nursing care. Whether you're just beginning to explore the scheme or revisiting your options for the new year, here’s what you need to know.

What is the Fair Deal Scheme?

The Fair Deal Scheme (also known as the Nursing Home Support Scheme) is a financial assistance programme introduced by the Irish government to help people who need long-term nursing home care. Under this scheme, individuals contribute a percentage of their income and assets towards the cost of their care, while the government helps cover the remainder.

For those with limited resources, the nursing home support scheme in Ireland provides a way to access necessary care without the financial burden being overwhelming. The scheme is available to people over the age of 65, and it’s designed to ensure that everyone has equal access to long-term care, regardless of their financial situation.

Key Considerations for End-of-Year Planning

As we enter 2026, it’s essential to review your current situation and take necessary actions for the upcoming year. Here are the steps to consider as part of your end-of-year planning for the Fair Deal Scheme:

1. Review Your Eligibility

One of the first things you should do is ensure that you (or a loved one) meet the eligibility criteria for the Fair Deal Scheme. The scheme is available to people aged 65 and older, but there are a few additional factors to consider:

  • Medical Need: You must require long-term nursing home care. If you’re already in a nursing home, you may be eligible for support under the scheme.

  • Financial Assessment: Your financial situation will be assessed to determine the level of support you can receive. This includes income, assets, and property.

  • Residency: You must be an Irish citizen or legally reside in Ireland to qualify for the nursing home support scheme in Ireland.

As we approach 2026, it’s a good idea to revisit these eligibility requirements and confirm that nothing has changed regarding your eligibility or that of your loved one.

2. Update Your Financial Information

The Fair Deal Scheme requires a detailed assessment of your financial situation to determine how much assistance you’ll receive. This includes an assessment of:

  • Income: This could include wages, pensions, social welfare benefits, and any other sources of income.

  • Assets: Property, savings, investments, and other assets will be taken into account. However, your primary residence may not be fully included in the assessment if you have a spouse or dependent children living in it.

Before the new year begins, ensure that all your financial records are up to date. This will streamline the application process and ensure you don’t encounter any delays in accessing support.

3. Plan for Property and Asset Transfers

If you’re considering transferring property or assets, now is the time to consult with a financial advisor or legal expert. The Fair Deal Scheme has specific rules regarding asset transfers, and it’s important to understand how any changes might affect your eligibility for financial assistance.

For example, if you give away or sell assets in the five years leading up to your application, they may still be considered when calculating your contribution to the cost of care. This is known as the 5-year clawback rule. If you’re planning any changes, make sure you consult with an expert to avoid surprises down the road.

4. Consider the Impact of Inflation on Care Costs

The cost of nursing home care can vary and increase over time, particularly with inflation. It’s important to consider how inflation could impact your out-of-pocket costs in 2026. While the Fair Deal Scheme will cover a portion of the cost, it’s important to be realistic about the contribution you may need to make.

You may want to consider additional financial planning, such as exploring other insurance options or setting aside additional savings to cover the potential shortfall. Reviewing your current financial plans at the end of the year will help you make adjustments as needed for the year ahead.

5. Take Advantage of Tax Breaks

Certain tax credits and deductions can help reduce the cost of long-term care. For example, if you are caring for a loved one, you may be eligible for the caregiver tax credit. Additionally, some medical expenses related to nursing home care may be tax-deductible.

It’s always a good idea to consult with a tax professional to ensure you’re taking full advantage of any available tax breaks that can help reduce your overall care costs.

6. Set Up a Power of Attorney (If Necessary)

If you’re considering applying for the Fair Deal Scheme on behalf of a family member or loved one, it may be beneficial to set up a power of attorney (POA). This will allow you to manage their financial and healthcare decisions if they are no longer able to do so themselves.

It’s crucial to have a legal document in place that allows someone you trust to make decisions regarding care and finances, particularly as your loved one enters their later years.

7. Speak to a Fair Deal Advisor

If you’re unsure about any part of the process or need assistance with the application, it’s worth reaching out to a Fair Deal Scheme advisor. They can help guide you through the process, answer any questions, and provide advice on the best course of action. Consulting with an advisor ensures that you’re fully prepared for any changes in the year ahead.

Conclusion: Preparing for 2026 with the Fair Deal Scheme

As we step into 2026, it’s essential to take proactive steps to ensure that you or your loved one are prepared for the Fair Deal Scheme. From reviewing eligibility to updating financial records and considering the impact of inflation, the end of the year is the perfect time to plan ahead.

By staying on top of these considerations, you can ensure that the nursing home support scheme in Ireland will provide the necessary support when it’s needed most. Whether you’re applying for the first time or reassessing your current plan, now is the time to act. For personalised advice, don’t hesitate to contact Fair Deal Advice and ensure you're fully prepared for the year ahead.

Friday, November 28, 2025

The Future of the Nursing Home Support Scheme Fair Deal: Trends & Policy Updates

The nursing home support scheme Fair Deal has been central to Ireland’s long-term care system for over a decade, helping thousands of families access affordable nursing home care. As Ireland’s ageing population grows and care needs become more complex, the Government continues to review and refine the Fair Deal nursing home scheme to ensure it remains fair, functional, and financially sustainable.

In this blog, we explore current trends, potential reforms, and what families can expect in the coming years.

Nursing Home Support Scheme Fair Deal

1. Increasing Demand for Long-Term Care

Ireland’s population over the age of 65 is expanding rapidly. This increase is expected to place additional pressure on the nursing home support scheme Fair Deal, potentially prompting future adjustments to funding models, assessment processes, and capacity planning. Ensuring faster processing times and improved accessibility may become a priority.

2. Ongoing Review of Cost Contributions

One area likely to be revisited is how contributions are calculated. While the current system of assessing income and assets has remained consistent, rising living costs and higher demand may lead to further discussions about the balance of State and family contributions. Any updates to the 3-year property cap or income thresholds would have significant implications for applicants.

3. Support for Family Carers and Home Care

A growing trend in Irish policy is to encourage ageing at home for as long as possible. Future updates to the fair deal nursing home scheme may expand flexibility or integrate more closely with home care supports, ensuring families can choose the most suitable care pathway without unnecessary financial pressure.

4. Streamlining Farm and Business Asset Rules

Recent reforms have already improved fairness for farms and family businesses. It’s expected that further clarifications or administrative improvements will be made to ensure transparency and ease of application, especially for multi-generational households.

5. More Transparency and Digital Processing

The Government has expressed interest in modernising application systems. Digital platforms that allow families to track applications, submit documents, or request assessments could be part of future improvements, making the Fair Deal process faster and more user-friendly.

Final Thoughts

The nursing home support scheme Fair Deal will continue to evolve as Ireland adapts to changing care needs. For families, staying informed about these developments is key to making confident financial decisions. At Fair Deal Advice, we monitor policy updates closely to ensure you always receive the most accurate and up-to-date guidance.

If you need personalised advice about current rules or potential changes to the fair deal nursing home scheme, our team is here to help.

Friday, November 21, 2025

How the Nursing Home Support Scheme Works: Eligibility, Assessments, and Benefits


The Nursing Home Support Scheme, widely known as the Fair Deal Scheme, is one of the most important systems in Ireland for individuals who need long-term nursing home care. For families navigating this stage of life, understanding how the scheme works can ease stress, reduce confusion, and help ensure that loved ones receive the right level of support.

This guide explains the core elements of the scheme, including eligibility, assessments, and the role of the Nursing Home Loan Scheme, which provides additional financial flexibility for applicants.

Understanding Eligibility for the Nursing Home Support Scheme

Eligibility for the Nursing Home Support Scheme is based on the individual’s need for long-term residential care. The process begins with a care needs assessment, which is carried out by healthcare professionals who review the applicant’s medical condition, daily challenges, and overall level of support required. This assessment does not focus solely on age or illness; rather, it looks at a combination of factors that determine whether nursing home care is the most appropriate option.

Once the care needs assessment confirms the requirement for long-term support, the applicant can proceed to the financial assessment stage. This ensures the scheme is applied fairly and consistently to everyone who applies.

How the Financial Assessment Works

The financial assessment is designed to understand the applicant’s ability to contribute towards the cost of nursing home care. It takes into account income, savings, property, and other assets. The goal is not to cause financial hardship but to create a balanced approach where the individual contributes what they can reasonably afford while the state provides support for the remaining cost.

A key reassurance for families is that the assessment is carried out in a structured, transparent manner. It aims to protect the applicant’s ability to maintain everyday living expenses while still ensuring access to suitable and high-quality nursing home care. The scheme operates on the principle that long-term care should remain affordable and fair, regardless of a person’s financial situation.

The Role of the Nursing Home Loan Scheme

Many families express concern about the portion of the financial assessment related to property or other significant assets. This is where the Nursing Home Loan Scheme becomes especially valuable. Also known as the Ancillary State Support Scheme, this loan option allows applicants to defer the part of the contribution linked to property-based assets.

Instead of having to release funds immediately, the Nursing Home Loan Scheme enables this portion to be postponed. The deferred contribution only becomes payable at a much later stage, usually when the property is sold or when the applicant’s estate is being managed. This gives families time, space, and flexibility, removing the pressure to make sudden financial decisions at an already stressful time.


The Nursing Home Loan Scheme has been extremely helpful for families who wish to retain property during the applicant’s lifetime or who face difficulty accessing funds quickly. It ensures that the applicant can still access appropriate nursing home care without needing to liquidate important assets in haste.

Key Benefits for Families and Applicants

The combined support offered by the Nursing Home Support Scheme and the Nursing Home Loan Scheme provides many important benefits. Families gain clarity around the care planning process and confidence that financial challenges will not prevent access to long-term nursing home care. The care needs assessment ensures that each applicant receives support based on their genuine requirements, while the financial assessment provides a fair and carefully considered contribution system.

The Nursing Home Loan Scheme further strengthens the system by offering flexibility to those with property or large assets. Instead of facing difficult or immediate financial decisions, families can rely on a deferred contribution model that allows them to plan more comfortably for the future.

Final Thoughts

Securing long-term nursing home care is a major step in any family’s life, and the Nursing Home Support Scheme is designed to make that process more manageable. By offering clear assessments, structured financial planning, and the helpful option of the Nursing Home Loan Scheme, the system supports both individuals and their families at a time when stability and reassurance matter most.

 

Friday, November 7, 2025

The Future of the Nursing Home Loan Scheme: Changes and Updates to Look Out For

When planning for long‑term residential care in Ireland, many families look to the Nursing Homes Support Scheme (commonly called the fair deal nursing home scheme) to understand funding options. One important element of that scheme is the nursing home loan scheme (also known as “Ancillary State Support”) which allows individuals to delay paying certain contributions until a later date. 

As legislation, costs and demographic patterns evolve, so too does the support framework. In this blog we explore key recent updates and potential future changes to the nursing home loan scheme — helping individuals and their families remain informed when deliberating care options.

Nursing Home Loan Scheme

What is the Nursing Home Loan Scheme?

Under the fair deal nursing home scheme, after a person is approved for state support via the Nursing Homes Support Scheme (NHSS), the nursing home loan scheme gives the option to defer contributions based on land or property.  Essentially:

  • If you have assets (for example land, business property or your home) the state may provide support under the NHSS and you can choose to defer the portion of your contribution relating to those assets rather than paying immediately. 

  • The debt is repaid after death (or when the asset is sold or transferred) and interest/ inflation adjustment may apply.

  • It is an optional choice: you can apply for the loan element or not, but it is part of the wider fair deal nursing home scheme.

Understanding this framework is essential when preparing for long‑term care. But equally important is being aware of how it may change or evolve in the future.

Recent & Emerging Changes to Look Out For

Below are some of the key updates and areas of change under the nursing home loan scheme and the broader fair deal nursing home scheme that applicants and family members should monitor.

1. Legislative amendments and regulations

The primary legislation governing the scheme is the Nursing Homes Support Scheme Act 2009, and it has been updated with subsequent amendments and regulations.
For example, the Act now reflects new statutory instruments (Regulations) under the scheme. These might change aspects like how asset values are treated, how interest applies to the loan, or how contributions are assessed.

2. Inflation / Consumer Price Index adjustments

A notable change is that the loan amount under the nursing home loan scheme will be adjusted by the Consumer Price Index (CPI) between the time the loan is advanced and the time of repayment. 
This means that even if the asset value remains static, the repayable amount may increase because of inflation. Applicants and their estates should be aware of this when considering the loan option.

3. Deferral / repayment conditions

There are strict rules about when the loan becomes repayable, how interest is applied, and when a deferral may be granted (for example to a spouse or partner). 

As changes emerge, expect more clarity (or potential tightening) of these conditions — for instance, how quickly the estate must repay the loan, or how the loan behaves if an asset is sold during the person’s lifetime.

4. Treatment of the principal residence and asset caps

Under the fair deal nursing home scheme, the applicant’s main home receives special treatment: only for a limited time will its value be included in the contribution calculation. 

However, as real‑estate values rise and demographics shift, there may be review of how the principal residence is treated — potentially impacting the viability or attractiveness of taking the nursing home loan option.

5. Changing demographics and demand for care

As Ireland’s population ages and demand for long‑term residential care rises, the financial pressure on the state increases. This may lead to policy reviews of the fair deal nursing home scheme and associated loan options.
Expect consultation, possible changes in eligibility, asset thresholds, or contribution rates.

6. Increased regulatory compliance and transparency

With more scrutiny on care costs, asset valuations and fairness, regulations around auditing asset declarations, verifying property values and enforcing repayment may become more stringent. The role of estates, executors and relevant accountable persons (for repayment) may be more closely regulated. 

What These Changes Mean for Applicants & Families

Given these developments, here are practical implications and actions for those considering the nursing home loan scheme within the fair deal nursing home scheme:

  • Act sooner rather than later: If you have property or other significant assets, applying early may lock in terms before any future tightening of rules or changes in valuations.

  • Seek independent advice: Because your home, land or business may be used as security or may be subject to a charge, it’s wise to seek legal, financial and tax advice.

  • Understand the long‑term implications: A deferred loan might seem attractive but remember it accumulates inflation and may reduce the value of the estate you leave behind.

  • Keep up to date with policy changes: Monitor updates from the Health Service Executive (HSE) and Government on the scheme. Rules on asset caps, contribution rates or deferral criteria can change.

  • Plan for your spouse or partner: If your partner remains at home, or if you wish them to benefit from deferred payment arrangements, make sure half of the picture is considered — joint asset treatment, spouse deferral rights etc.

  • Prepare your estate: The nursing home loan scheme means the state will have a charge against your residence or property; your estate must be ready to handle the repayment when due.

  • Review alternative options: The nursing home loan scheme is one option within the fair deal nursing home scheme. Private funding, downsizing assets, or early care funding may still be relevant depending on your situation.

Looking Ahead: What Might Change Next?

While no definitive announcements may yet exist for every element, here are possibilities to watch:

  • Reduced cap periods: The three‑year cap on the full inclusion of the main residence may be reduced.

  • Higher contribution rates or asset thresholds: As costs rise, the percentage of assets or income you contribute may increase.

  • More rigorous asset valuations: Valuations of land, business property, holiday homes or second properties may become stricter.

  • New deferral criteria: Conditions to defer repayment might be strengthened (for example requiring demonstration of spouse’s financial need).

  • Digitisation of application and asset tracking: Improved digital platforms may allow easier monitoring of assets and repayments, but may also increase transparency and enforcement.

  • Targeted reforms for equity & fairness: There could be reforms aimed at reducing the financial burden on lower/middle income households and ensuring the scheme remains sustainable.

Conclusion

The nursing home loan scheme within the broader fair deal nursing home scheme remains a valuable option for those with assets who wish to delay paying the asset‑based contribution towards long‑term residential care. But with legislative amendments, inflation considerations, asset‑treatment changes and shifting demographics, staying informed is essential.

If you or a loved one are exploring long‑term care options, understanding the evolving landscape of the fair deal nursing home scheme and consulting skilled advisers like Fair Deal Advice can help you make informed decisions and protect your family’s future.

For personalised advice on how emerging changes may affect your situation under the nursing home loan scheme or the fair deal scheme, contact Fair Deal Advice today.

Friday, October 10, 2025

Tips to Speed Up Your Fair Deal Scheme Application Approval

Applying for the Fair Deal Scheme, also known as the Nursing Home Support Scheme Fair Deal, can be a time-consuming and often stressful process for families. With multiple documents to prepare and strict eligibility checks to pass, even small errors can lead to delays in approval. If you’re seeking financial support for long-term nursing home care, understanding how to streamline your application can make all the difference.

At Fair Deal Advice, we’ve helped countless families across Ireland navigate this complex process efficiently. Here are some practical tips to help you speed up your Fair Deal Scheme application approval.

Fair Deal Scheme

1. Gather All Required Documents Early

Before starting your application, make sure you have all the necessary paperwork ready. This includes proof of income, details of assets, bank statements, medical assessments, and identification documents. Missing or incomplete documents are among the most common causes of processing delays. Having everything prepared in advance ensures a smoother review by the HSE.

2. Ensure Accuracy in Financial Details

The Fair Deal Scheme involves a detailed financial assessment to determine how much you contribute towards your care. Double-check all figures and ensure your asset valuations, income records, and property details are up to date. Even minor errors or inconsistencies can cause the HSE to request clarifications, extending the approval timeline.

3. Get a Professional Assessment Early

A key part of the nursing home support scheme Fair Deal process is the care needs assessment, which confirms the level of support required. Arranging this as early as possible can prevent bottlenecks later in the process. The assessment must be completed before financial approval is granted, so booking it early can save valuable time.

4. Seek Expert Help from Fair Deal Specialists

Applying for the Fair Deal Scheme can be confusing, especially when dealing with financial assessments and property-related queries. Professional advice from experienced consultants, like Fair Deal Advice, can significantly reduce errors and help you understand your entitlements. Expert guidance ensures your application is complete, compliant, and ready for faster approval.

5. Follow Up Regularly with the HSE

After submitting your application, don’t hesitate to follow up with the HSE office handling your case. Regular communication helps you stay updated on your application’s progress and allows you to quickly provide any additional information requested. Staying proactive shows you’re engaged and helps prevent unnecessary hold-ups.

6. Keep Copies of Everything

Always retain copies of all forms and documents submitted. If any paperwork goes missing or additional copies are required, having them ready avoids delays and confusion. A well-organised record also helps if you need to reference specific details during follow-ups.

7. Plan Ahead for Long-Term Care Needs

Starting your application early — before the need becomes urgent — can make a major difference. Many families wait until a loved one’s condition worsens before applying, which can lead to rushed decisions and longer waiting periods. Planning ahead gives you the flexibility to prepare a complete and accurate application without pressure.

Final Thoughts

The Fair Deal Scheme is a valuable support system for families seeking affordable nursing home care. However, without the right preparation, the process can be slow and complicated. By gathering documents early, ensuring accuracy, and seeking professional guidance from Fair Deal Advice, you can avoid common pitfalls and secure faster approval.

If you’re unsure about the process or need expert help completing your nursing home support scheme Fair Deal application, get in touch with Fair Deal Advice today. Our experienced advisors are here to guide you every step of the way, helping you save time, stress, and money.

Friday, October 3, 2025

Understanding the Nursing Home Support Scheme: What You Need to Know About the Cost of Care

When the time comes to consider long-term residential or nursing care, one of the biggest concerns for families is the financial side. The nursing home support scheme cost of care can feel overwhelming, but the Irish Government introduced the Fair Deal Scheme to make this process more manageable. In this guide, we break down exactly how the scheme works, who qualifies, and what you should expect when it comes to the cost of care.

Nursing home support scheme cost of care

What exactly is the Nursing Home Support Scheme?

The Nursing Home Support Scheme, more commonly known as the Fair Deal Scheme, is a government initiative that helps people meet the cost of long-term nursing home care. Instead of paying the full fees yourself, the scheme allows you to contribute based on your means (income and assets), while the State pays the balance.

Its goal is to ensure that everyone who needs nursing care can access it without being placed under unreasonable financial strain.

Who is eligible under the Fair Deal Scheme?

To qualify for the scheme, you must:

  • Be ordinarily resident in Ireland.

  • Undergo a care needs assessment to confirm that long-term nursing home care is required.

  • Undergo a financial assessment to determine how much you are required to contribute.

There is no strict age limit, but the majority of applicants are older adults who can no longer live independently.

How is the cost of care calculated under the scheme?

The nursing home support scheme cost of care is based on two main factors:

  1. Care needs assessment – This confirms that nursing home care is necessary.

  2. Financial assessment – This determines how much you must pay towards your care.

Under the scheme, you are expected to contribute:

  • 80% of your assessable income (such as pensions or rental income).

  • 7.5% of the value of your assets per year (up to a capped amount and limited to three years for your family home).

The State then covers the shortfall between your contribution and the approved cost of care in your chosen nursing home.

What costs will you still have to cover?

The Fair Deal Scheme covers the basic cost of care, which generally includes:

  • Nursing and personal care

  • Bed and board

  • Basic laundry services

  • Routine aids and appliances

However, you may still need to pay separately for:

  • Social activities and outings

  • Hairdressing and personal grooming

  • Specialist medical services not included in standard care

  • Certain therapies or upgraded room options

It’s important to confirm with your nursing home what is included in the approved fee and what extras may apply.

How does income and assets affect your contribution?

The financial assessment reviews both your income and your assets:

  • Income – You will usually contribute 80% of your weekly income (for example, your State pension or occupational pension).

  • Assets – You may need to contribute 7.5% of the value of assets per year, including savings, investments, or property.

Special protections are in place for the family home:

  • Only 7.5% per year is assessed, and this is capped at 3 years (so a maximum of 22.5% in total).

  • If a spouse, partner, or certain dependants live in the home, additional safeguards apply.

This structure ensures fairness while still making care accessible.

What happens if your circumstances change?

Life circumstances can change, and the Fair Deal Scheme accounts for this. If your:

  • Income decreases (e.g. loss of a pension), your contribution can be reassessed.

  • Assets are reduced or sold, this must be declared, and your contribution may change.

  • Health status changes, the level of care required might also be reassessed.

Always inform the scheme administrators of significant changes, as this can reduce your required contribution.

How to apply and what to expect

The application process has three stages:

  1. Care needs assessment – A healthcare professional assesses whether long-term care is appropriate.

  2. Financial assessment – Your income and assets are reviewed to determine your contribution.

  3. Approval and placement – Once approved, you can select an approved nursing home. The HSE pays the balance directly to the home, while you contribute your share.

You’ll need documents such as proof of income, bank statements, and details of property or savings. Processing can take several weeks, so applying early is recommended.

Tips to minimise or manage your cost of care

  • Plan early – Understanding the rules before care is needed can prevent last-minute stress.

  • Seek advice – Professionals like Fair Deal Advice can help you navigate assessments and protect your assets.

  • Understand what is included – Clarify which costs are covered and what extras may arise.

  • Keep records updated – Ensure all income, savings, and property details are accurately declared.

  • Review regularly – Your contribution can be reassessed if circumstances change.

Summary & Key Take-aways

The nursing home support scheme cost of care is designed to ensure fair access to long-term residential care. Under the Fair Deal Scheme, you pay a contribution based on your means, while the State pays the rest. While it doesn’t cover every extra expense, it greatly reduces the financial burden for families.

For tailored guidance and to make sure you don’t pay more than you need to, professional advice can make a significant difference.

Frequently Asked Questions (FAQs)

Q: What is the difference between the Nursing Home Support Scheme and the Fair Deal Scheme?
They are the same. The Nursing Home Support Scheme is the official name, while the Fair Deal Scheme is the commonly used term.

Q: If I have limited savings, will I still need to pay under the scheme?
Yes, but your contribution will be based only on what you can afford. If your income and assets are low, the State covers the majority of the costs.

Q: Can my contribution increase over time?
Yes. If your income or assets rise, your assessed contribution could also increase. However, the 7.5% annual charge on your home is capped at 3 years.

Q: What happens if I disagree with the financial assessment?
You can request a review or appeal if you believe the calculation is incorrect or unfair.

Q: Can I switch from private care to the Fair Deal Scheme later?
Yes. You can apply to the scheme at any stage. Once approved, the State begins contributing towards your care costs.

Q: How often is my payment or contribution reviewed?
Your situation is usually reassessed if your financial or personal circumstances change, or if you request a review.