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INTRODUCTION TO SOCIAL CARE INSURANCE

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Ellis Bates Insurance Brokers Fact

Sheets for Shared Lives

prepared in conjunction with NAAPS UK Ltd









Please note that these fact sheets are for guidance only and are

not a substitute for advice from a qualified insurance broker.

Ellis Bates Insurance Brokers Fact Sheet 1



Public Liability Insurance for

NAAPS Shared Lives Carer Members

What is Public Liability Insurance?



Public Liability insurance protects you from claims arising from personal injury or

property damage by a third party arising from alleged negligence on your part.



Who is it for?



This Policy is for people approved by their Scheme to provide long term Shared

Lives arrangements and/or short breaks. This Policy:



• applies to SL carers who provide accommodation for 29 days or more in

any year and covers those Carers for any role undertaken as a Shared

Lives carer ie long term, day support, short breaks kinship.

• covers any support carers you use provided they are officially approved by

the scheme and are substituting for or working alongside you the main

carer. All members of the immediate family may be on the main Carer’s

policy where approved by the scheme as either joint main carers or support

carers and usually up to 2 additional, named support carers can be included

for the standard single SL members premium. For more you should refer to

Ellis Bates.

• covers you if you need to support service users with the completion of

benefit forms and other administrative jobs



What are you covered for?



The legal costs in defending you and meeting the compensation claim where you

are legally forced to pay as a result of a Civil claims (ie being sued) by the

service user (or their representative) or a member of the public in respect of

alleged injury or property damage (up to a maximum indemnity of £5,000,000).

This also includes costs incurred in defending you whether negligent or not.



Premiums



Shared Lives Carers Annual Premium - £110

Shared Lives Carers providing 28 day (or less) short breaks per year -£65 a year



We hope that this Fact Sheet is helpful to you. If you should have any insurance

questions then we would be happy to hear from you and will always help. Our

offices are open 9.00am to 5.00pm Monday to Friday and the direct line number

for the Social Care team at 01423 724518.

2

Ellis Bates Insurance Brokers Ltd is authorised and regulated by the Financial Services Authority for the

transacting of general insurance. Company Registration Number: 3316860

Registered Office: Adam House, Ripon Way, Harrogate, North Yorkshire, HG1 2AU

Ellis Bates Insurance Brokers Fact Sheet 2



Community Services Public Liability Policy

What is Public Liability Insurance?



Public Liability insurance protects you from claims arising from personal injury or

property damage by a third party arising, from alleged negligence on your part



This policy is intended to capture services provided under a SL scheme other

than those offered by SL Carers including:



• Day Care for those (non-SL) carers who operate day care services.

• Support carers who work alongside or in addition to a main Carer whose

policy does not cover support carers.

• Carers who are not SL carers but who provide support for service users in

the service user’s own home or out in the community but under a SL

Scheme.



What are you covered for?



The legal costs in defending you and meeting the compensation claim where you

are legally forced to pay as a result of a Civil claims (i.e. being sued) by the

service user (or their representative) or a member of the public in respect of

alleged injury or property damage (up to a maximum indemnity of £5,000,000).

This also includes costs incurred in defending you whether negligent or not.



Premium: £85 per year for support carers and £65 for respite carers.



We hope that this Fact Sheet guide is helpful to you. If you should have any

insurance questions then we would be happy to hear from you and will always

help. Our offices are open 9.00am to 5.00pm Monday to Friday and the direct

line number for the Social Care team at 01423 724518.









3

Ellis Bates Insurance Brokers Ltd is authorised and regulated by the Financial Services Authority for the

transacting of general insurance. Company Registration Number: 3316860

Registered Office: Adam House, Ripon Way, Harrogate, North Yorkshire, HG1 2AU

Ellis Bates Insurance Brokers Fact Sheet 3



Legal Expenses Insurance

NAAPS Shared Lives carer membership includes NAAPS own legal expenses

policy giving you access to



• 24hr legal advice help-line on any legal issues whatsoever.

• cover up to £100,000 (where there is considered to be more than a 50%

chance of winning the case) for:



Legal defence costs for criminal, discrimination, health & safety, data

protection actions or regulatory authority disciplinary hearings.

Representation costs in the event of a Scheme seeking to de-approve

or alter the approval status of a SL Carer.

Representation costs in the event of an appeal against a de-approval

or alteration of status of a SL Carer.



Legal advice and representation



Where the issues relate directly to being a Shared Lives carer, the Insurer has

agreed to employ solicitors selected by NAAPS (who are known to be familiar

with all aspects of Shared Lives) both to provide advice if you ring the helpline

and to directly assist if you require representation



We hope that this Fact Sheet is helpful to you. If you should have any insurance

questions then we would be happy to hear from you and will always help. Our

offices are open 9.00am to 5.00pm Monday to Friday and the direct line number

for the Social Care team at 01423 724518.









4

Ellis Bates Insurance Brokers Ltd is authorised and regulated by the Financial Services Authority for the

transacting of general insurance. Company Registration Number: 3316860

Registered Office: Adam House, Ripon Way, Harrogate, North Yorkshire, HG1 2AU

Ellis Bates Insurance Brokers Fact Sheet 4



Home Insurance

What is Home insurance?



Carers who provide services in their own home may not have sufficient cover

under a standard home insurance policy. This is principally because such

policies normally cover domestic use of a house and the family that live there.

The Ellis Bates Care Sector Home Policy sidesteps the normal limitations in

cover that may exist providing NAAPS members with covers for resident clients,

accidental damage (including damage by residents) and multiple occupancy

without theft restrictions.



Who is it for?



Any NAAPS member can benefit from specially discounted insurance rates.



What does it cover?



The policy covers buildings, contents and items taken away from the home

including jewellery, watches, camera equipment. The cover also includes wheel

chairs and other disability aids. Cover includes belongings of resident or respite

service users.



Premiums



Premium levels depend on the amount of cover needed but the basic policy

covers up to 5 bedrooms with a generous level of £60,000 contents and

£500,000 buildings at very competitive rates.



We hope that this Fact Sheet is helpful to you. If you should have any insurance

questions then we would be happy to hear from you and will always help. Our

offices are open 9.00am to 5.00pm Monday to Friday and the direct line number

for the Social Care team at 01423 724518.









5

Ellis Bates Insurance Brokers Ltd is authorised and regulated by the Financial Services Authority for the

transacting of general insurance. Company Registration Number: 3316860

Registered Office: Adam House, Ripon Way, Harrogate, North Yorkshire, HG1 2AU

Ellis Bates Insurance Brokers’ Frequently Asked Questions for

NAAPS Shared Lives Carer Members



The following is a list of frequently asked questions presented to Ellis Bates by

Shared Lives carers.



1. What should I look out for as a Shared Lives carer when buying a

home policy?



Where you are paid by the authority there can be problems with some home

policies as your insurer may regard you as carrying out a business as a Shared

Lives carer and not recognise the Service User as being a family member.

Business use at home on non-NAAPS policies can provide the following

restrictions.



(i) Accidental damage caused by non-family members for whom the

Shared |Lives carer is being paid to provide accommodation, is not

normally covered.

(ii) People cannot insure items that do not belong to them as they have

no ‘insurable interest’ (legal definition) so Service Users belongings

may not be covered on a non-NAAPS arranged Shared Lives carers

policy.

(iii) The belongings of support carers are not covered under the main

Shared Lives carer’s home.

(iv) Where insurers consider that a Shared Lives carer is using the home

for business purposes then theft claims may be paid only where there

has been a physical break-in. Homes not used for business purposes

are usually covered where thieves just walk in through open patio

doors and steal, providing the house isn’t unoccupied at the time. The

Ellis Bates Care Sector Home Policy specially arranged for NAAPS

members includes the ‘walk-in’ cover even though there is a ‘paid-for’

guest or two.



2. Is it easy to obtain travel insurance for Service Users?



Travel policies including medical expenses and carers need to consider particular

things such as:



(i) Medical expenses costs arising from pre-existing medical conditions

are excluded unless specifically declared. Even then, Insurers don’t

always cover costs arising from these conditions. Ellis Bates has

access to a scheme for Shared Lives Service Users that will often

grant cover for costs arising from pre-existing medical conditions,

sometimes for a higher premium to fairly reflect the higher risk.



6

Ellis Bates Insurance Brokers Ltd is authorised and regulated by the Financial Services Authority for the

transacting of general insurance. Company Registration Number: 3316860

Registered Office: Adam House, Ripon Way, Harrogate, North Yorkshire, HG1 2AU

(ii) It is always advisable to inform the travel agent and airline of any

medical conditions of the Service User so that they can be prepared

for any issues that might present themselves on the aircraft. It can

relieve stress at the airport and minimise restrictions in the ability to fly

that might ruin the holiday. It also aids the airline in completing their

pre-flight risk assessments.



3. What are the motor insurance issues for Shared Lives carers of

service users?



(i) Occasionally, vehicles may have to be modified to meet the needs of

passengers with disabilities and these modifications need to be

communicated to insurers.

(ii) Social domestic & pleasure use is not sufficient for Shared Lives

carers. Therefore carers should have personal business use cover

which doesn’t necessarily attract higher premiums.

(iii) Shared Lives carers are excluded from any requirement to register as

licensed car hire operators so long as they operate domestically.



4. What happens when I go on holiday and need respite/support?



The Shared Lives policy automatically covers for a support carer to replace

them for 28 days at any one time within the member’s own home, without

the need to refer to Ellis Bates. However, the support carer must be

registered with the Scheme and the holiday cover agreed with the Scheme.



5. How do I go about getting home insurance cover for more than one

address?



As a Shared Lives Carer, this would only apply if you were offering kinship

in two different properties or you were supporting people in your own home

but also offering kinship in an additional house. In these situations both the

properties have to be approved by the Scheme and, where you support no

more than 3 people in total across the 2 properties, you purchase 2 Shared

Lives policies, one for each location.



6. What if the service user is receiving direct payments?



The Shared Lives public liability policy covers Scheme-approved activities.

If a Service User receives direct payments and pays the carer for duties

outside of the Scheme, then the Shared Lives public liability may fall short

of those extra activities. The Shared Lives carer should consult with Ellis

Bates to find a suitable solution.









7

Ellis Bates Insurance Brokers Ltd is authorised and regulated by the Financial Services Authority for the

transacting of general insurance. Company Registration Number: 3316860

Registered Office: Adam House, Ripon Way, Harrogate, North Yorkshire, HG1 2AU

7. Does the Public Liability Insurance cover the consequences of

behaviour by people who are supported who display challenging

behaviour?



Yes but only where negligence applies. If injury is sustained by someone

then it doesn’t always follow that there has been negligence.



8. Are risk assessments essential to the insurance policy?



It is a condition of the Shared Lives public liability policy that written risk

assessments are carried out as part of the service user plan and are

followed.



9. What cover do I get under the Abbey Protection Legal Expenses

policy?



(i) The Abbey Legal protection policy has replaced the DAS legal

expenses policy from 2009.

(ii) Included in the cost of NAAPS membership is a 24hr legal advice

help-line on any legal issues whatsoever in addition to the following

covers up to £100,000 where there is considered to be more than a

50% chance of winning the case.

(iii) Legal defence costs for criminal, discrimination, health & safety, data

protection actions or regulatory authority disciplinary hearings.

(iv) Appeal costs against the scheme following de-approval, or unfair

alteration/refusal to alter the terms of registration.



10. What happens if I am late paying my premiums?



(i) There is now a maximum of 30 days past 1st September renewal date

by which you must have paid.

(ii) After the 30th day the cover is lapsed and regulatory compliance is

threatened. Re-instating the cover after this 30 day period will result in

a £30 administration charge to set up a new cover.

(i) Cover cannot be backdated once cancelled.



11. How can Service Users' property be best insured?



(i) Shared Lives carers are expected to ensure that service users’

property is protected and insurance is one way in which that may be

done.

(ii) Home insurance policies may be extended to include belongings of

the resident service user.

(iii) A Service User’s Personal Belongings policy in the name of that

person, from Ellis Bates covering £7,500 belongings on an All Risks



8

Ellis Bates Insurance Brokers Ltd is authorised and regulated by the Financial Services Authority for the

transacting of general insurance. Company Registration Number: 3316860

Registered Office: Adam House, Ripon Way, Harrogate, North Yorkshire, HG1 2AU

basis for £75 premium per annum is also available if you have not

extended your own home policy.



12. What financial planning facilities are available to NAAPS members?



(i) Funeral Expenses policies are available for service users with no

medical underwriting to meet end of life expenses.

(ii) A full range of financial planning advice is available to NAAPS

members on life insurance and retirement planning.



13. Do I need Personal Accident Insurance?



(i) Personal Accident pays specific benefits to the insured person if they

have an accident. Public Liability insurance only pays compensation to

others when the carer is legally liable so the two covers are quite

different. As carers are self-employed they only receive payment when

they are available to provide the service so protecting their income

following accident or sickness could be important.

(ii) Currently, few NAAPS members have asked Ellis Bates to provide this

type of cover. Discounted scheme rates could be provided if at least

200 members grouped together to buy this cover. Individual

applications will still be considered.



14. What are the Ellis Bates insurance benefits of being a NAAPS Shared

Lives Carer member?



(i) NAAPS have negotiated a range of discounted rates for members.

Frequently, the premium savings from standard policies can exceed

the cost of NAAPS membership fees.

(ii) NAAPS understand the insurance needs of Shared Lives carers. All

policies provided are upgraded accordingly to provide covers specific

to carers needs.

(iii) Few legal expenses insurance companies have heard of Shared Lives

and so their understanding of the needs of Shared Lives carers

reflects this. NAAPS & Ellis Bates have selected solicitors with known

skills and experience in Shared Lives and have contracted Abbey

Legal Insurance Company to use those solicitors in the advice and

handling of Shared Lives issues.



We hope that these frequently asked questions are helpful. If you have any

comments or further questions that you consider ought to be added to this list for

the benefit of other shared lives carers, then please e-mail these to

steve.arthington@ellisbatesgroup.com or ring Steve Arthington on 01423 724519









9

Ellis Bates Insurance Brokers Ltd is authorised and regulated by the Financial Services Authority for the

transacting of general insurance. Company Registration Number: 3316860

Registered Office: Adam House, Ripon Way, Harrogate, North Yorkshire, HG1 2AU


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