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Direct payments can seem a bit daunting at first; however, you will receive lots of help to set everything up, employ a personal assistant if you decide to do so, and maintain the necessary records.

What can direct payments be used for?

You can spend your direct payments on what you decide will best meet your personal outcomes as set out in your care and support plan.

Personal care services

You can use your money to pay for carers to come to your home and help you with day-to-day activities like washing, dressing and making meals. You can decide how, when and where you want someone to support you.

Your direct payments support team will provide you with a list of home care agencies who are registered with the Care Inspectorate Wales (CIW) or you can find a care service on their website. Show the agency your care and support plan and discuss how they intend to meet your needs before you go ahead.

Personal assistant

If you prefer, you can use your direct payments to employ one or more personal assistants. This option gives you most control over the support you get; however, it also means you will become the person’s employer with all the responsibilities that involves.

Social activities

You can spend your money on social activities, evening classes and even holidays if they are in your care plan. Direct payments can also help if you want to do paid work or a training course.

Equipment and minor home adaptations

If you need special equipment or minor home adaptations an amount to cover these things might be included in your direct payments.

Special equipment might include computers, mobility aids, safety devices, transfer aids and assistive technology.

Time off caring

If you are a carer, you might get direct payments to pay for respite care or to employ someone to help you in your caring role, perhaps so you can return to work, education or simply enjoy some time to yourself.

Short-term needs

Direct payments can support your return to independence, e.g. for intermediate care or following hospital discharge.

Direct payments can also be used for a short stay in residential care (there are strict time limits of the length of stay depending on the circumstances so check first with your direct payments team).

Is there anything direct payments can’t be used for?

It’s important to remember that direct payments must be used to meet the outcomes set out in your care and support plan. You can’t use the money to:

  • buy services from your local council or another council
  • pay for long-term residential care
  • pay for health care or housing
  • employ your partner or a close relative who lives in the same household (unless there are exceptional circumstances, e.g. a language barrier.)

Direct payments cannot be used to purchase equipment that the NHS must provide or home adaptations that can be paid for with a Disabled Facilities Grant.

Last updated: 31/01/2018