Getting your care needs assessed by your Health and Social Care Trust, carers' assessments, paying for a care home, when your home counts and how to complain to the Ombudsman.
Adults in Northern Ireland who need help to manage day to day because of illness, disability or age, and the family members or friends who care for them. It covers getting your needs assessed, carers' assessments, paying for a care home and how to complain.
In Northern Ireland your Health and Social Care Trust, not a council, carries out care needs assessments. The five Trusts are Belfast, Northern, South Eastern, Southern and Western.
Care in your own home is offered to people who need help with things like washing, dressing, cooking, cleaning or managing money. Ask your Trust for an assessment.
You will have a needs assessment before a financial assessment.
You can ask the Trust for a carer's assessment. Your right to an assessment, and to the support you may get, is not linked to your income or capital.
Social services draw up a care plan based on your carer's assessment and the assessment of the person you care for. Make sure it covers what would happen in an emergency.
Before you move into a home, the Trust assesses your income and capital to work out how much you pay.
If you own your home, it counts as capital 12 weeks after you move permanently into a care home. It does not count while any of these still live there: your spouse, partner or civil partner; a close relative who is 60 or over or disabled; a close relative under 16 you are legally responsible for; or an ex-partner who is a lone parent. During a temporary stay your home is not counted.
If you live in a nursing home and have assessed nursing needs, the Trust pays £100 a week towards the cost of the nursing.
In a care home you must be left with £34.10 a week to spend as you want.
Giving money or property away: the Trust may decide you deprived yourself of it to reduce your charge, and treat you as still having it.
Complain to your Trust first. From 1 January 2026 every HSC organisation follows the Northern Ireland Public Services Ombudsman's two-stage model complaints procedure.
If you are still unhappy, you can go to the Northern Ireland Public Services Ombudsman (NIPSO). It generally expects complaints within 6 months of being told the complaints procedure is complete.
Your Health and Social Care Trust: to ask for a needs assessment or a carer's assessment.
Northern Ireland Public Services Ombudsman (NIPSO): freephone 0800 34 34 24, nipso.org.uk
Advice NI: 0800 915 4604
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