Funding social care: the role of deferred payment agreements

Document type
Mosseri-Marlio, William; Vasilev, Danail
Date of publication
1 March 2017
Social Work, Social Care and Social Services, Health Services, Poverty Alleviation Welfare Benefits and Financial Inclusion
Social welfare
Material type

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England’s social care system is widely believed to be in crisis. As the population ages, the number of people requiring adult social care and support is on the rise. At the same time, local authorities – who are responsible for delivering state-funded assistance – have curbed expenditure in response to reduced central government grants.

Wholesale funding reform is likely to take years, if not decades, to implement, so addressing pressures in the short term must remain a priority. Extending deferred payment agreements (DPAs) could help in this regard. Under a DPA, a local authority agrees to defer an individual’s care costs until a later date. This funding, plus interest, is then recouped by the local authority when the participant’s house is sold.

Since implementation of the Care Act 2014, councils have been obliged to offer DPAs to those who would otherwise have to sell their home to fund residential care. But even after this extension in coverage, take-up rates have remained low. This may indicate there is scope for widening eligibility for DPAs.

This paper uses data from the English Longitudinal Study of Ageing (ELSA) to uncover who currently benefits from DPAs, and explore the merits of relaxing the DPA means-test.

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