R05 State and NHS funding for care: free practice questions

1. Question 1 of 5

   Which statement about NHS responsibility for long-term care is correct?

   Option A: The NHS covers medical and health care, but not generally personal careOption B: The NHS only pays for care in privately owned homesOption C: The NHS has no role at all in long-term careOption D: The NHS pays for all long-term care costs in full, whatever the setting

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   The answer is A: The NHS covers medical and health care, but not generally personal care

   It is a misconception that long-term care is wholly the NHS's responsibility. The NHS covers medical and health care at home or in hospital, but not generally personal or domiciliary care.

   Why the other options are wrong

   B

   NHS responsibility doesn't depend on who owns the home.

   C

   The NHS does have a role, for health-based needs and nursing care.

   D

   It's a misconception that the NHS pays for all long-term care.

2. Question 2 of 5

   When does the NHS meet the full cost of a person's care in a care home?

   Option A: When the person has savings below £23,250Option B: When they have lived in the home for five yearsOption C: When their primary need for care is health-basedOption D: When the person is aged 85 or over

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   The answer is C: When their primary need for care is health-based

   NHS continuing healthcare, often called fully funded care, is available where the primary need is health-based, assessed under national frameworks. It is not available in Northern Ireland.

   Why the other options are wrong

   A

   Savings below £23,250 affect local authority help, not NHS funding.

   B

   Length of stay doesn't decide NHS funding.

   D

   Age alone doesn't give NHS funding.

3. Question 3 of 5

   Marjorie, 82, pays her own care home fees and needs help with personal care day and night. Which benefit can she claim?

   Option A: Attendance Allowance at the higher rateOption B: Carer's Allowance at the higher rateOption C: Jobseeker's AllowanceOption D: Personal Independence Payment

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   The answer is A: Attendance Allowance at the higher rate

   Self-funders over State Pension age can claim Attendance Allowance. The higher rate applies where care is needed during both day and night. PIP is for those under SPA.

   Why the other options are wrong

   B

   Carer's Allowance is for carers, not the person needing care.

   C

   Jobseeker's Allowance is for people looking for work.

   D

   PIP is for people under State Pension age.

4. Question 4 of 5

   Under the Care Act 2014, which is a duty of local authorities in England?

   Option A: To provide free care to anyone who has been diagnosed with dementiaOption B: To pay the full cost of care for everyone over 65 in its areaOption C: To sell residents' homes in order to pay for their careOption D: To assess care needs on request and carry out a financial assessment

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   The answer is D: To assess care needs on request and carry out a financial assessment

   Local authorities must assess care needs, including carers' needs, on request, carry out a means test to decide on funding, and determine maximum fee levels.

   Why the other options are wrong

   A

   Dementia doesn't automatically mean free care.

   B

   Local authorities don't pay the full cost of care for everyone over 65.

   C

   Local authorities don't have a duty to sell residents' homes.

5. Question 5 of 5

   What is the purpose of the personal expenses allowance in care funding assessments?

   Option A: To fund the cost of the resident's funeralOption B: To reimburse family members for the cost of their visitsOption C: To pay part of the resident's care home feesOption D: To leave the resident money for items such as toiletries

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   The answer is D: To leave the resident money for items such as toiletries

   When assessing contributions, the local authority must leave the resident a personal expenses allowance, set by the Government each year, for items such as toiletries and newspapers.

   Why the other options are wrong

   A

   It isn't a funeral fund.

   B

   It doesn't reimburse family visits.

   C

   The allowance is kept by the resident, not paid towards fees.

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