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The Fair Deal (Nursing Home Support Scheme) provides financial assistance towards the cost of long stay nursing home care. Under the scheme, people who need nursing home care have their income and assets assessed, and then make a contribution towards the cost of their care based on this assessment. The HSE will pay the balance (if any) of the costs of care in designated public, and approved private, nursing homes covered under the scheme. All Silver Stream Healthcare Group nursing homes are currently included in the Nursing Home Support Scheme.

As the budget for this scheme is fixed each year, there is sometimes a waiting list for financial support. The processing time for all Support Scheme applications can take up to eight weeks, so it is important that you apply as early as possible to ensure that you receive financial assistance prior to your admission.

Anyone who requires long stay residential care can apply. You must ordinarily be resident in Ireland, which means you have been living (or intend to live) in the country for at least one year.

There are two types of financial support available under this scheme – State Support and a Nursing Home Loan (Ancillary State Support).

There are two parts to the application process:

  1. A care needs assessment
  2. A financial assessment


For more information on the Fair Deal Scheme and to download an application form please follow the link:

Your income and assets are assessed and your weekly contribution is worked out. The HSE will pay the rest of the weekly cost of your care, this is called State Support.

This is an optional extra feature of the Nursing Home Support Scheme for people who own property or land-based assets in Ireland. Instead of paying your full weekly contribution for your care from your own means, you can choose to apply for a Nursing Home Loan, to cover the portion of your contribution which is based on property or land assets. The HSE will then pay that portion of your cost of care on top of your State Support payment.

The loan is paid back to the State after the sale of all, or part, of the asset or upon your death, whichever occurs first. Repayment of the loan is made to the Revenue Commissioners. In certain cases, repayment of the loan can be deferred. This part of the scheme is designed to protect people from having to sell their home during their lifetime to pay for nursing home care.

For more information about the Nursing Home Loan and to download an application form please follow the link and complete Part 6 of the form.