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Paying for your care and support

Information about the costs of adult social care, the different options for paying for services and how we might be able to help with your care costs.

What do you pay for?

If you receive support from Lewisham Adult Social Care, you are responsible for paying for your care and support. If you cannot afford the full cost, the Council may help cover some or all of it based on a financial assessment.

Care at home – will I need to pay?

Answer a few quick questions to see if you’re likely to contribute toward the cost of your home care support.

Paying for care in your own home

Find out how much you might pay for home care services, how financial assessments work, and what counts as disability-related expenditure. Shape

Paying for residential and nursing care

Find out how much you might pay for residential or nursing care, how we assess your finances, and how property ownership, benefits and other factors may affect your charges.

Eligibility for financial support with care costs

To qualify for financial support with your care costs, you must be assessed under the Care Act 2014.

Payment options

There are different ways you can pay us for care, after we have sent you an invoice.

Financial assessment process

The financial assessment is a means-tested process that determines how much you must pay towards the cost of your care and support.

Managing social care debt

What to do if you have money worries.

Self-funding your care

If you are responsible for paying the full cost of your own care (self-funding), it’s important to understand your options, rights, and financial planning considerations.

Personal budgets

If you need support with health and social care, we will work with you to make sure the support you receive is tailored to your individual needs.

Direct payments

If you qualify for support from Lewisham Council, you can choose to receive your personal budget as a direct payment.

Managing someone else's finances

If you are looking after someone who cannot manage their own finances, you may need to take on financial responsibilities for them.

Independent financial advice and consumer guidance

If you're buying care products or services, it's important to ensure you're getting the right quality and value for money. Here’s how you can make informed choices and protect yourself financially.

Deferred payments scheme

If you need to pay for your care but can't access all your money (for example, because it is tied up in a property you own) then a deferred payment agreement might be the right option for you.

Kitbag

How to get your Kitbag of activities.

Adult social care factsheet library

You can download printable factsheets that explain some of the key areas of Adult Social Care - including how funding works, how to get support, and what to expect.
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