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Where do I get a list of nursing homes?

If you apply for the Nursing Home Support Scheme (NHSS), better known as the Fair Deal scheme, you do so through a regional NHSS office and it will have a list of registered nursing homes in your area. 

A list of the approved nursing homes and their cost of care is available on the HSE website.

You can find the contact details for the NHSS office in your area by either consulting the HSE website or ringing the HSE helpline 1850 24 1850. 

Nursing Homes Ireland has a list of private nursing homes on its website but not every nursing home would be listed.

 

How do I choose a nursing home?

Find out as much as you can about nursing homes in your area. The Health Information and Quality Authority (HIQA) has set out the National Quality Standards for Residential Care Settings for Older People in Ireland.

The HSE has also drawn up a checklist that may be useful to you in putting together your own questions.

The HIQA website also carries the reports of inspections of nursing homes and you should consult these before choosing a nursing home.  

 

Do I have to pay for nursing home care?

There are no free nursing home beds in Ireland and everyone must pay something towards the cost of their care. 

There are two ways of paying for nursing home care, one through the Nursing Home Support Scheme (NHSS), which is commonly called the Fair Deal, and the second is by paying a private nursing home the full cost of the care directly.  If you apply for the NHSS the HSE will assist with the cost of the nursing home. 

If you chooses to go privately then either the older person or someone on their behalf will have to pay the full cost of the nursing home.

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Age Based Analysis of Mortgage Arrears Released for First Time

We welcome the publication, by the Irish Times, of data released for the first time by the Central Bank of Ireland that shows the number of people approaching, or already at retirement age, who are dealing wtih significant mortgage debt. The information gives a clearer picture of the worrying situation for Ireland’s ageing population. Simply, a lack of evidence exists on the cost of ageing with less complete data collected about us the older we become. As a result, crucial policy decisions are made without the availability of disaggregated and representative data which can result in discriminatory outcomes. We need an urgent rethinking of how we gather evidence and inform policy that meets the needs of a changing Ireland.

While there has been an assumption that older people close to, and in receipt of, the State pension are generally mortgage-free home owners, it is clear that this is no longer true with many still carrying large mortgages, in mortgage arrears or living in precarious private rentals with no security of tenure in older age. We should all have a choice to age in place which means the creation of age friendly environments, including the provision of support services locally, which enable people to remain in their own homes and in communities for longer; but the changing nature of homeownership, rising cost of living, and the lack of a coordinated policy response to the housing crisis means many people will be facing a very difficult situation in later life. 

Many older people live in the most vulnerable situations in our society. An increasing number are struggling to meet the rising cost of living – in particular costs around rent and mortgages - in the context of a State pension that sees many surviving on incomes only just above the poverty line. Latest CSO EU SILC figures show 1 in 10 older people at risk of poverty. New taxes, and rising prices in recent years have a greater impact on older people generally living on a fixed income with limited opportunities to improve their situation. Budget 2020 saw the income of older person headed households increase by €1.08 per week for those living with another person, and by €6.08 per week for those living alone in older age. It did not offer the majority of older people the support needed to meet the increasing costs of living and it did not offer a concrete plan to support us to age in place.

Ageist attitudes towards working later in life still exist, for example many older people have reported high levels of discrimination during recruitment. Discriminatory mandatory retirement clauses are still in place forcing people out of the workforce earlier than they may wish. These two things undermine people’s ability to continue working in later life whether by choice or necessity. In the context of a buoyant labour market, we urgently need a fundamental shift in how we view and support older workers.

An increasing number of older people are experiencing fear about retirement due to worries about income adequacy. Less than half of those working have a private or occupational pension to support them in later life. While Age Action welcomes the publication of the recent autoenrolment scheme by the Minister for Employment Affairs and Social Protection which will see increased pension coverage for more than an estimated half a million workers, the current design will further drive existing pension inequalities unless there is a targeted intervention to include people in low paid jobs, particularly women and long term unemployed.

Our economy has been built on the backs of those already in, and approaching, older age: these are the same women and men who lived through the Marriage Bar, shouldered several recessions and are now dealing with the accumulated disadvantages. Successive government policies have failed to adequately plan and provide for an ageing population which will ultimately impact on all of us throughout our lives.