If you’re disabled and need support, you can ask for a needs assessment from your local authority. If you’re eligible, you’ll get a care and support plan. You may get a personal budget, which is what the council thinks your care will cost.
You can let the council manage your personal budget or decide to manage it yourself. If you manage it yourself, you receive the money to pay for your care as a direct payment.
You can also choose a ‘mixed package’. This means the council arranges your care and you only receive some of your personal budget as a direct payment.
Your care and support plan will decide:
the type and level of support you need
how your support will be provided
how much it will cost
Your council can organise your care for you or you can choose to do it yourself. If you decide to do it yourself, you’ll receive your personal budget as a direct payment. You may wish to think about how you manage this money so that you can keep a separate record of your social care expenses.
Depending on your needs assessment, you may have to pay some extra money on top of your direct payment.
Your local authority will review your direct payments after the first 6 months, and then every 12 months.
Advantages of direct payments
With direct payments, you have control over:
who provides your care
where to recruit your PA from (councils select from a small range of approved service providers)
Disadvantages of direct payments
It takes time and effort to organise your support. If you employ a personal assistant, you:
have the responsibilities of an employer
must keep all receipts and other financial documents to show how you spend your personal budget
need to arrange back-up support if your regular PA is ill or on holiday
Using direct payments
You must use direct payments for things agreed in your care and support plan.
These may include:
care agency support
support at work or in education
help eating or preparing meals
club memberships, such as gyms or social groups
leisure activities and short breaks
hiring a personal assistant
These may not include:
permanent residential care
services that your local authority already provides
illegal goods or activities
Warning Direct payments and coronavirus
Changes to the Care Act during coronavirus should not affect your usual direct payment. But your local authority or CCG should be flexible so you can use it to get replacement care support.