Abolishing home care charges has helped to keep our older and Disabled people living independently with expert support
In 2014, Hammersmith & Fulham (H&F) Council made a groundbreaking decision to abolish all home care charges for older and Disabled residents—a move that remains unique across England. Ten years later, the council continues to be the only one in the country offering this life-changing service entirely for free.
To date, more than 5,000 local residents have benefited from the service, funded through meticulous financial management of council budgets. The initiative enables carers to provide vital support with daily tasks such as medication management, eating and drinking assistance, and personal care, helping residents maintain their independence in the comfort of their own homes.
“Our residents deserve better,” said H&F Deputy Leader, Councillor Alex Sanderson. “We are still the only council in the country to provide this service entirely for free. Home care charges have rightly become known as a tax on disability.”
Transforming Lives
Residents like Florence Mahon, who has lived in H&F since 1957, attest to the program’s profound impact. Florence began receiving free home care after undergoing knee replacement surgery. Her carers visit five days a week, assisting her with her morning routine and helping her remain active and independent.
“It’s impacted my life quite a lot, and I don’t think I could survive without it,” said Florence. “Without the care, I wouldn’t be going out. And there’s no way I could afford to pay for it. It would just be out of my reach.”
The service has also been praised by the NHS, as it facilitates faster hospital discharges by ensuring patients can recover safely at home. This not only reduces healthcare costs but also frees up hospital beds for those in greater need.
Supporting Families
The program extends its benefits to families, allowing them to focus on spending quality time with their loved ones instead of worrying about caregiving responsibilities.
Fulham resident Sonia Funcheon, an 86-year-old grandmother, receives care visits three times a day. Her carers provide assistance with meals, shopping, and personal care, ensuring she can continue living independently in her own home.
“They’re very, very good. All my needs are met by them,” said Sonia. “I’m very surprised that all this care is free. It’s been a relief that you don’t have to pay for it.”
A Model for Compassionate Governance
H&F Council’s flagship policy not only ensures dignity and independence for its residents but also challenges national norms. As the council marks a decade of free home care, it stands as a model of compassionate governance, proving that innovative financial management can drive impactful social change.
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