A direct payment is a cash payment made directly to you so you can buy your own care support rather than having it delivered to you by your local authority.


The payment must be enough for you to buy services that meet your care needs and the money must be spent on services that meet those needs.


Direct payments are voluntary, and you need to request or agree to have one. You can not be forced to have direct payments. If you decide to have direct payments, you can change your mind about it when you want to. If you no longer want direct payments, contact your local authority and ask them to arrange services.


Many people take a direct payment so that they can employ their own personal assistant. There are direct payment support services available to help you manage your direct payment.


Majesty Healthcare has extensive experience of supporting people who are in receipt of a direct payment.


We will send you an easy to understand bill every week for you to pay and the amount will be agreed before our care starts.


To request a direct payment, you need to contact your social services department who will arrange a community care assessment.


Your social worker or care co-ordinator will discuss the assessment when you meet. Once you have been assessed, there is no time limit for you to decide whether to have a direct payment or not.


Majesty Healthcare does not believe in one size fits all, the cost of our services depends on the needs of the individual, however, we pride ourselves on the high-quality service and responsive client service.


Please see Care Services for more information about home care service.


The support services offered to direct payment recipients do vary from one local authority area to another.


Here are some questions that we are frequently asked about direct payments.


How do I get a direct payment?

Your social services department will make an appointment to visit you at a convenient time to discuss your direct payment, together with your options and your responsibilities. If you still wish to use a direct payment, your ILA will be available to offer support as necessary.


Will I have to pay any of my own money towards my care?


You may be required to make a contribution to the cost of your care, just as you may already be paying towards services provided by your local authority.


Any contribution you do make is based on your ability to pay. A financial assessment will be carried out by an officer from the Local Authority before you make any decisions regarding the receipt of a direct payment.


Can I have help to manage my direct payment?


Yes. A direct payment can be managed by you alone or you can have friends and/or family to help you manage this. 


Once your package is established your independent living adviser will assist you to take on more responsibility for the management of your direct payment, but will always be available to support you if things go wrong.


If I decide I want a direct payment, can I change my mind later?


Yes. You can opt in or opt out of receiving a direct payment at any time.


A few people experience some problems at the outset as everything is new to them, but your Independent Living Advisor will discuss ways of enabling you to manage your direct payment more easily.


Who can receive a direct payment?


In most circumstances, if you are already entitled to community care services, you will have the right to be offered a direct payment. Direct payments are available to many people, including:

  • People with physical disabilities
  • People with a sensory impairment
  • People with learning disabilities
  • People using mental health services
  • Carers of any of the above groups
  • People with parental responsibility for a disabled child
  • Older people


Your social worker/care co-ordinator will discuss your eligibility with you and will explain what level of support, if any, you may need to manage your direct payment.

You must want to have a direct payment – no one can force you to have this.


How will social services pay the money to me?


Social services will pay the money directly into a bank account that must be used for the money involved in funding your support i.e. direct payment money, your contribution (if you have to make one) and money from the independent living fund (if you receive this). You must not use this bank account for any personal money.

Self Funding


Majesty Healthcare has a specialist team which is able to negotiate competitive rates depending on your needs.


We will send you an easy to understand bill (with no hidden charges) every week for you to pay and the amount will be agreed before our care starts.


Before looking at self-funding options, you should make sure that you have exhausted all the local authority and health authority funding options and that you are claiming all the state and other benefits you’re entitled to.


Health Funded Clients or Local Authority


The NHS will provide funding for any health related needs that you may have after you have been assessed by the local authority, and they will be responsible for paying us directly.


For more info please contact Majesty Healthcare on 01423 203 924 or fill in contact form below and one of our specialist consultants will call you.

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