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Ancillary State Support

Nursing Home Loan ("Ancillary State Support")

Where your assets include land and property in the State, the 5% contribution based on such assets may be deferred. This means that you do not have to find the money to pay this contribution during your lifetime.

Instead, if approved, the HSE will pay the money to the nursing home on your behalf and it will be collected after your death. This is an optional benefit of the scheme. It is effectively a loan advanced by the State which can be repaid at any time but will ultimately fall due for repayment upon your death.

Its purpose is to ensure that you don't have to sell assets such as your house during your lifetime. The legal term for the Nursing Home Loan is "Ancillary State Support" . You may choose to apply for this element of the scheme at the date of initial application or at any stage while resident in the nursing home.

You may wish to consider taking independent legal advice if applying for the Nursing Home Loan and you are free to do so.

Next Steps

Once the Care Needs and Financial Assessments have been processed the HSE will write to you. Firstly, it will advise you of your contribution to care and whether you are eligible for State Support.

Secondly, if you have applied for the Nursing Home Loan, it will also advise you about your eligibility for this.
Thirdly, it will provide you with a list of nursing homes to choose from. The list will include public nursing homes, voluntary nursing homes and approved private nursing homes. Approved private nursing homes are homes which have agreed the price charged for care with the National Treatment Purchase Fund and are approved for the purposes of the scheme.

You can choose care in any nursing home on the list. However, in order for financial support to be provided:

The home must have a place for you, and the home must be able to cater for your particular needs. The nursing home will have to carry out an assessment to determine whether it can meet your particular needs.

Your choice of nursing home is not connected in any way to the level of your contribution to care. If you select a public or voluntary nursing home, you will pay your contribution to the HSE or voluntary home as appropriate each week and the HSE will pay the balance. If you select an approved private nursing home, you will pay your contribution to the nursing home provider each week and the HSE will pay the balance.

The HSE is provided with a set level of funding for the scheme each year. While it is hoped that there would be sufficient funding to support everyone, there may be situations where a person's name must go onto a waiting list until funding becomes available.
If this is the case the HSE will notify you when it writes to advise you whether you are eligible for financial support. For Further Information on the Scheme, please contact your local HSE Nursing Homes Support Office, details are provided below.

You can also call the HSE infoline 1850 24 1850 or visit the website of the Department of Health and Children http://www.dohc.ie

Ancillary State Support | www.irishnursinghomes.eu
Guide to your Nursing Home

For further information on Irish Nursing Homes in Ireland feel free to check out the Health Information and Quality Authority (HIQA) website.

The address is http://www.hiqa.ie

Also check out some other useful services:

• Irish Wheelchair Association
• Alzheimer Society of Ireland
• Care Alliance Ireland
• Department of Health
• National Treatment Purchase Fund
• Third Age
• Friends of the elderly Ireland

Irish Nursing Homes in Ireland and Our Irish Health System

Leadership comes in many guises. True leadership must have at its core an integrity and a heart.
We expect our Irish Health System, acting as a leader, guide and mentor,
to look to its people with an outstretched hand.

It should assist and support in every way possible and together we will achieve those very high goals we all deserve

We must always strive for a better health and overall care for everyone.
We must continually challenge our standards of safety and the quality of our health services