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immediate needs quote
 
 
we will respond to your enquiry as soon as possible   Who needs an annuity quote for long term care?
If you or an elderly relative require long term care, possibly through a nursing home or residential care, an immediate needs annuity could help cap or reduce the total costs.

To fund this assistance entirely from your own resources could quickly erode assets such as savings and the family home.
Our partner firms will source the most competitive immediate needs quote from all the providers, free and without obligation or commitment to buy annuities through them (for details see below what happens now?).

How we can help
We help thousands of people each year with quotes. For the fastest service please ensure you provide a contact telephone number and address details. Your details are only used in relation to your immediate needs enquiry.
Important
From past experience of rates offered, you should expect the cost of an immediate needs annuity to be 4 to 5 times the income required (eg £10,000 in annual income would require capital of between £40,000-£50,000).

For the most competitive quotes, please ensure you mention and fully detail all medical conditions and activities of daily living (see below). By doing this you can save thousands of pounds on the amount of capital needed to purchase an immediate needs annuity income.

If you are happy with the highest quote, our personalised service is offered at no cost to you and available to people that need an immediate annuity purchase. The benefits are:
   
• Same rates or better than going direct
• Dedicated client manager to look after your purchase
of the annuity
• Able and happy to discuss your alternatives
• Process all paperwork on your behalf
• Deal with life company administration for you
• Oversee payment arrangements to your chosen
nursing home
• Personalised service at no cost to you
 
 
Annuity quote - immediate needs form
To find the best provider offering the Highest Income for your immediate needs annuity please read our terms and conditions, fill in the form below and submit it to us. This is a free service, no charges are payable to complete this information. * required fields.
* Source of enquiry  
  Please could you tell us how you found the sharingpensions.co.uk website:  
 
  General details (complete in all cases)  
  Your details are only used in relation to your immediate needs enquiry. This form should be completed by the applicant. If you are completing this form on behalf of the applicant, please tick the 'yes' box below, stating your relationship with them (e.g. son, daughter, friend, care home manager etc) and give your name and contact details:  
  yes no
Relationship:  
* Your email:  
  * For the fastest service, please provide a daytime contact telephone number or home number (e.g. to confirm annuity details and features etc)  
Work/Mobile:  
or Home:  
     
* Your title:   other:  
* Your full name:  
* Address 1:  
Address 2:  
* City/Town:  
County:  
* Postcode:  
  Please enter further applicant's details if not already mentioned above.  
Applicant name:  
* Applicant DOB:  
   
  Have you visited your GP or attended hospital within the last 12 months?:  
    no   yes  
   
* Funds for annuity (complete in all cases)  
  What is the total annual cost for the residential or nursing home fees:  
Total fees (£):
  Have you secured NHS funding or support from the Local Authority to cover some of the costs of a nursing home where your relative's health is impaired:  
NHS funding:   no   yes  
Local Authority:   no   yes  
  What income would you need from an annuity, or the lump sum you have for an annuity:  
Annual income (£):
OR lump sum (£):
  Please complete the following if you are currently being provided with care:  
Not receiving care:  
Care Home (with nursing care):  
Care Home (no nursing care):  
Own Home:  
Other:  
  How long has care been provided:  
Date care started:
 
  Disease and impairments  
  Please indicate if you or your relative suffers from any of the following diseases or conditions and the severity:  
  1. Cancer   2. Stroke
  Date
diagnosed		  

Date
diagnosed		  
  not applicable   not applicable  
  Cured in the short term   Minor disability, some ADLs alone  
  Receiving treatment   Major disability, total care  
  Receiving palliative care        
             
  3. Diabetes   4. Heart failure
  Date
diagnosed		  

Date
diagnosed		  
  not applicable   not applicable  
  Non insulin dependent   Controlled with medication  
  Insulin dependent   Medication but still symptoms  
             
  5. Pneumonia   6. Respiratory Disease
  Date
diagnosed		  

Date
diagnosed		  
  not applicable   not applicable  
  1-2 eposodes in the last year   Requires intemittent oxygen insufflation  
  3 or more eposodes in the last year   Requires daily
oxygen insufflation		  
             
  7. Contracture   8. Pressure Ulcers
  Date
diagnosed		  

Date
diagnosed		  
  not applicable   not applicable  
  Partial stiffening of one or more joints   Moderate skin defect with blisters  
  Severe stiffening of one or more joints   Severe skin defect with necrotic tissue  
             
  9.Nutrition    
  Date
diagnosed		  

     
  Independent        
  Requires assistance        
  Artificial nasogastic or PEG feeding        
             
  Please indicate if one or more of the following disabling diseases have been diagnosed:  
    No Yes   Diagnosed  
  10. Dementure    
  11. Multiple Sclerosis    
  12. Motor Neurone Disease    
  13. Parkinson's Disease    
 
  Activities of daily living  
  Please indicate if you or your relative has difficulty with any of the following activities of daily living:  
  1. Communication    
  Good/fluent, easy to understand  
  Moderate, sometimes difficult to understand but
makes needs known		  
  Poor or unintelligible cannot make needs known  
       
  2. Orientation    
  Alert or lucid and responsive  
  Sometimes forgetful, vague with lucid periods  
  Confused with no lucid periods