Living with dying: Financial help 

Financial help 

People with a terminal illness may experience financial hardship, and most are entitled to one or more government benefits. But people don't always know how to claim these benefits, or whether they would be likely to qualify for them. A woman who recalled being shown how to apply for a Disability Living Allowance said that no one had asked her or her husband if they were managing financially. (For more help see 'Organisations' listed in the 'Resources and Information' section, Directgov  the DSS Benefit Enquiry Line Tel: 0800 88 2200 and Citizen's Advice Bureau.)

Statutory sick pay is usually paid during the first 28 weeks of sickness (not for the first three days) to people who earn more than the minimum ((£97 per week in May 2010). For current rates see Directgov.  Employment and Support Allowance is usually paid after Statutory Sick pay has stopped.

For a person to qualify for Employment and Support Allowance  Work Capability Assessment needs to be carried out.
 
Directgov explains what this involves:
 
“After your initial claim for Employment and Support Allowance, you have to complete a questionnaire about how your illness or disability affects your ability to complete everyday tasks.
 
Your own doctor may be asked to provide a medical report.
 
An approved healthcare professional will consider the questionnaire and any medical reports, along with any other information you may have provided.
 
If the approved healthcare professional feels that the DWP will need more information to make a decision on your benefit claim, they will recommend that you attend a face-to-face medical assessment.”
 
For more information on Employment and Support Allowance see Directgov’s website.


People under the age of 65 who need care and attention may be able to claim Disability Living Allowance (Care Component). Those over the age of 65 may claim Attendance Allowance. Those living alone who find it difficult to do domestic tasks, gardening or look after themselves because of pain or fatigue, may also qualify for these benefits. These benefits are not means-tested.

People need to know about Disability Living Allowance and Attendance Allowance and to claim as soon as a diagnosis of serious illness is made, because there is no legal right for these benefits to be backdated. They can be backdated only at the discretion of the Benefits Office.

One elderly man who we talked to was pleasantly surprised to find that he could obtain Attendance Allowance even though he lived alone. He was also glad to find it wasn't taxed.

 

 

One woman said that the Disability Living Allowance had made a huge difference to her and her husband, and another said that her Disability Living Allowance enabled her to pay for someone to do her cleaning.

If a person is terminally ill and not expected to live longer than six months, under Social Security Special Rules he or she can obtain Attendance Allowance or Disability Living Allowance immediately, instead of having to wait a number of months. The patient (or a relative or representative) must fill in the relevant form and must also ask the doctor to complete a DS1500 report form. Both forms have to be sent to the Department of Work and Pensions.

 

 

Some people did not know that they might be eligible for Disability Living Allowance. Others didn't want to apply for benefits. One man didn't think he would qualify for benefits and said that he hated bureaucracy. A woman who had cancer of the kidney said that she hadn't applied for benefits or chosen to see a palliative care nurse because at the moment she was managing and she didn't want to think of herself as disabled.

 

 

Some people had struggled to get their benefits and delays had occurred. One woman explained that if a person is expected to live for more than 6 months, to get Disability Living Allowance that person has to fill in a long form to demonstrate that benefits are really needed. She suggested that when filling in the form people should think about the help they need on their bad days rather than the help they need on their good days.

 

 

Many people were grateful that their Macmillan nurses or social workers had helped them to fill in the Social Security forms. One woman said that her Macmillan nurse 'miraculously' produced the relevant form and helped to complete it. Nurses also helped a woman with myeloma to obtain benefits while she was in hospital. The money she received from her Disability Living Allowance helped her to buy a wheelchair. Some hospitals and some Primary Care Trusts have a Benefits Adviser.

 

 

People under 65 who have difficulty walking can also claim Disability Living Allowance (Mobility Component). These people can also apply for a Disabled Badge for parking (Blue Badge Scheme). Motability is a voluntary organisation which helps people gain access to a car.

 

 

Some people are entitled to Industrial Injuries Disablement Benefit. It will be paid, for example, if a person can demonstrate he was in contact with asbestos during the course of paid employment after July 1948, or during military service. It may also be possible to claim a Lump Sum payment from the government or personal injury compensation from an employer. (For advice about mesothelioma, see Macmillan Cancer Support).

 

 

Last reviewed May 2010.

Last updated May 2010.

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