Fair Deal Nursing Home Scheme Appeal in Ireland
Reviewed by the Commoner Law Editorial Team. Sourced from Irish Acts of the Oireachtas, statutory instruments, and official guidance. Written in plain language for general understanding — this is educational content, not legal advice. Our editorial standards
What is this right?
The Fair Deal Scheme (Nursing Home Support Scheme Act 2009) supports the long-term residential care of around 23,000 people. The applicant contributes 80% of weekly income plus 7.5% of assets per year (capped at 22.5% of the principal residence after three years). The HSE Nursing Home Support Office issues a decision; the applicant or family has 40 working days to appeal to the HSE Appeals Office.
The two most-fought issues:
- The five-year asset look-back — assets transferred in the five years before the application are added back to the financial assessment. Caselaw on what counts as a transfer for value is unsettled.
- The 'reasonable to be cared for in the home' question — eligibility under s.7 turns on whether the applicant's needs cannot reasonably be met at home. This is medical and social-care evidence territory.
When does it apply?
- You or a family member received a Fair Deal decision from the HSE Nursing Home Support Office.
- You disagree with the eligibility decision, the financial assessment, or the asset look-back.
- You are within 40 working days of the decision letter.
What to Do If Your Fair Deal Decision Is Wrong
- Lodge the appeal in writing to the HSE Appeals Office within 40 working days.
- For financial-assessment disputes, attach full Revenue records, bank statements, and asset valuations for the five-year look-back period.
- For eligibility disputes, obtain a fresh OT assessment and / or geriatrician letter speaking to home-care suitability.
- Consult Citizens Information or a solicitor familiar with NHSSS appeals — the asset look-back caselaw is non-trivial.
What should you NOT do?
- Don't liquidate assets in a hurry to 'reset' the look-back. The look-back rule is anti-avoidance — transfers within five years are added back regardless.
- Don't miss the 40-working-day deadline.
Common Questions
When does it apply — fair deal nursing home scheme appeal?
You or a family member received a Fair Deal decision from the HSE Nursing Home Support Office.You disagree with the eligibility decision, the financial assessment, or the asset look-back.You are within 40 working days of the decision letter.
What should I do if the HSE refused or under-awarded my Fair Deal application?
Lodge the appeal in writing to the HSE Appeals Office within 40 working days.For financial-assessment disputes, attach full Revenue records, bank statements, and asset valuations for the five-year look-back period.For eligibility disputes, obtain a fresh OT assessment and / or geriatrician letter speaking to home-care suitability.Consult Citizens Information or a solicitor familiar with NHSSS appeals — the asset look-back caselaw is non-trivial.
What should you NOT do — fair deal nursing home scheme appeal?
Don't liquidate assets in a hurry to 'reset' the look-back. The look-back rule is anti-avoidance — transfers within five years are added back regardless.Don't miss the 40-working-day deadline.