Comments for Live in care at Home - Elderly home care blog http://www.careathome.org/forum A blog for discussions and news articles on elderly home care Mon, 25 Jan 2010 20:17:33 +0000 http://wordpress.org/?v=2.9.1 hourly 1 Comment on NHS continuing care funding for the elderly by admin http://www.careathome.org/forum/nhs-continuing-care-funding-for-the-elderly/comment-page-1/#comment-906 admin Mon, 25 Jan 2010 20:17:33 +0000 http://www.careathome.org/forum/?p=78#comment-906 I have moved this discussion to our forum, as this seems a better medium for a discussion, not realising that this would be so popular as a post – this is here – http://www.careathome.org/homecareforum/showthread.php?tid=10 I have moved this discussion to our forum, as this seems a better medium for a discussion, not realising that this would be so popular as a post – this is here – http://www.careathome.org/homecareforum/showthread.php?tid=10

]]> Comment on NHS continuing care funding for the elderly by Helen http://www.careathome.org/forum/nhs-continuing-care-funding-for-the-elderly/comment-page-1/#comment-903 Helen Sat, 23 Jan 2010 22:18:01 +0000 http://www.careathome.org/forum/?p=78#comment-903 My mother was discharged from the E.M.I. ward of a local hospital two and a half months ago. after a three month stay following a stroke. She has vascular dementia, is doubly incontinent, cannot walk and only stands to be washed when two carers assist. The Senior Nurse Manager on the ward told me that she would need 24hr nursing care, however I have moved to her home as her 24hr carer with homecare coming in twice daily to toilet, wash, dress her etc. Mum is being charged weekly for this, having been assessed by the local authority. I get no respite unless I am prepared to pay what I consider to be far too much - I am a pensioner on pension credit and have a still semi-dependent young son . My mothers condition is deteriorating but the hospital has said that there is nothing more that can be done and that she is on the appropriate medication for her condition. My mothers behaviour can be unpredictable, I find her in various states of undress, her incontinence creates massive problems when she removes her pads and needs to be watched virtually all the time. Her sleep patterns vary so that sometimes she is awake in the middle of the night and I find it difficult to balance her laxatives in order balance her constipation problem, with various doctors and district nurses having differing opinions and suggestions. Is my mother eligible for N.H.S. funded continuing healthcare, and if so how does this apply when the patient is at home? Is it worth going to a specialist solicitor for advice and do you think they would take on my case? If Mum is eligible for N.H.S. funded continuing care would I be able to have a live-in nurse with me attending on the persons days off? I really hope you can help me with answers to these questions....Thankyou. My mother was discharged from the E.M.I. ward of a local hospital two and a half months ago. after a three month stay following a stroke. She has vascular dementia, is doubly incontinent, cannot walk and only stands to be washed when two carers assist. The Senior Nurse Manager on the ward told me that she would need 24hr nursing care, however I have moved to her home as her 24hr carer with homecare coming in twice daily to toilet, wash, dress her etc. Mum is being charged weekly for this, having been assessed by the local authority. I get no respite unless I am prepared to pay what I consider to be far too much – I am a pensioner on pension credit and have a still semi-dependent young son . My mothers condition is deteriorating but the hospital has said that there is nothing more that can be done and that she is on the appropriate medication for her condition. My mothers behaviour can be unpredictable, I find her in various states of undress, her incontinence creates massive problems when she removes her pads and needs to be watched virtually all the time. Her sleep patterns vary so that sometimes she is awake in the middle of the night and I find it difficult to balance her laxatives in order balance her constipation problem, with various doctors and district nurses having differing opinions and suggestions. Is my mother eligible for N.H.S. funded continuing healthcare, and if so how does this apply when the patient is at home?
Is it worth going to a specialist solicitor for advice and do you think they would take on my case? If Mum is eligible for N.H.S. funded continuing care would I be able to have a live-in nurse with me attending on the persons days off?
I really hope you can help me with answers to these questions….Thankyou.

]]> Comment on Contact us at Care at Home by mariadebs http://www.careathome.org/forum/contact-us-at-care-at-home/comment-page-1/#comment-892 mariadebs Fri, 15 Jan 2010 13:40:09 +0000 http://www.careathome.org/forum/?page_id=100#comment-892 I am confused by CHC. My mother is treminally ill with breast cancer. She spent four weeks in hospital sorting out getting her lung drained. There they determined she was not eligible for CHC. She spent 4 weeks in the community with 24 hour support from family- GPs being called twice a week, district nurse every day. It turns out she was really badly constipated. She is now in the hospice getting all her symptoms sorted out and will be in for two weeks. They say she does not meet the criteria for the fast track as she is lilely to live more than four weeks. But they also say she does not meet the criteria to be referred for CHC. Basically we have been unable to get an assessment of her needs. She probably only has 2-3 months to live and laready we have these complications. I know you can't answer personal circumstances- but just how terminal do you have to be to even get an assessment. The hospice says they regularly have people die a few days after being turned down!!!!! I am confused by CHC. My mother is treminally ill with breast cancer. She spent four weeks in hospital sorting out getting her lung drained. There they determined she was not eligible for CHC. She spent 4 weeks in the community with 24 hour support from family- GPs being called twice a week, district nurse every day. It turns out she was really badly constipated. She is now in the hospice getting all her symptoms sorted out and will be in for two weeks. They say she does not meet the criteria for the fast track as she is lilely to live more than four weeks. But they also say she does not meet the criteria to be referred for CHC. Basically we have been unable to get an assessment of her needs. She probably only has 2-3 months to live and laready we have these complications. I know you can’t answer personal circumstances- but just how terminal do you have to be to even get an assessment. The hospice says they regularly have people die a few days after being turned down!!!!!

]]> Comment on Your link here by Jamie Whitehouse http://www.careathome.org/forum/your-link-here/comment-page-1/#comment-885 Jamie Whitehouse Sun, 10 Jan 2010 21:18:35 +0000 http://www.careathome.org/forum/?page_id=4#comment-885 interested in a link interested in a link

]]> Comment on NHS continuing care funding for the elderly by admin http://www.careathome.org/forum/nhs-continuing-care-funding-for-the-elderly/comment-page-1/#comment-884 admin Sun, 10 Jan 2010 15:24:43 +0000 http://www.careathome.org/forum/?p=78#comment-884 I have moved this discussion to our forum, as this seems a better medium for a discussion, not realising that this would be so popular as a post - this is here - http://www.careathome.org/homecareforum/showthread.php?tid=10 I have moved this discussion to our forum, as this seems a better medium for a discussion, not realising that this would be so popular as a post – this is here – http://www.careathome.org/homecareforum/showthread.php?tid=10

]]> Comment on NHS continuing care funding for the elderly by Jamie Whitehouse http://www.careathome.org/forum/nhs-continuing-care-funding-for-the-elderly/comment-page-1/#comment-882 Jamie Whitehouse Wed, 30 Dec 2009 19:26:33 +0000 http://www.careathome.org/forum/?p=78#comment-882 Hi all, Since the completion Johnson, Roe and Eyton-Jones cases in September 2009, it seems that the existing websites that provide support on challenging PCT's on NHS continuing care funding have ceased to be maintained. I have started a new support page at http://www.serveronecare.com and I would ask everyone for their support. I intend to publish the assessment forms for each authority in england, once I have received copies so that everyone can see the huge differences in how the national policies are being applied. I also have started a case database of all the cases that are taken to the ombudsman for determination, or are appealed. I have added a link to this website to my homepage, and I would be very grateful if you would be so kind to return the favour to help spread the word. Many thanks Hi all,

Since the completion Johnson, Roe and Eyton-Jones cases in September 2009, it seems that the existing websites that provide support on challenging PCT’s on NHS continuing care funding have ceased to be maintained. I have started a new support page at http://www.serveronecare.com and I would ask everyone for their support.

I intend to publish the assessment forms for each authority in england, once I have received copies so that everyone can see the huge differences in how the national policies are being applied. I also have started a case database of all the cases that are taken to the ombudsman for determination, or are appealed.

I have added a link to this website to my homepage, and I would be very grateful if you would be so kind to return the favour to help spread the word.

Many thanks

]]> Comment on NHS continuing care funding for the elderly by admin http://www.careathome.org/forum/nhs-continuing-care-funding-for-the-elderly/comment-page-1/#comment-879 admin Wed, 16 Dec 2009 11:23:53 +0000 http://www.careathome.org/forum/?p=78#comment-879 Hi Jenny - Your Grandmother should receive Attendance Allowance (apply to Department of Work and Pensions DWP) lower rate (£47.10 per week) for care day or night and higher rate (£70.55) for care day and night. This is non means tested Nursing care has to be provided by (or in an enviroment with) a registered nurse and so it is unlikely that the Nursing Care Contribution (£106.30 per week) would be payable in her own home, however you could ask your local PCT She should also be assessed by the local authority/social services to check out the level of care needed and there may be a grant for work around the house, if required ie grab bars, stair lift etc. Hi Jenny – Your Grandmother should receive Attendance Allowance (apply to Department of Work and Pensions DWP) lower rate (£47.10 per week) for care day or night and higher rate (£70.55) for care day and night. This is non means tested Nursing care has to be provided by (or in an enviroment with) a registered nurse and so it is unlikely that the Nursing Care Contribution (£106.30 per week) would be payable in her own home, however you could ask your local PCT She should also be assessed by the local authority/social services to check out the level of care needed and there may be a grant for work around the house, if required ie grab bars, stair lift etc.

]]> Comment on NHS continuing care funding for the elderly by admin http://www.careathome.org/forum/nhs-continuing-care-funding-for-the-elderly/comment-page-1/#comment-878 admin Wed, 16 Dec 2009 11:23:13 +0000 http://www.careathome.org/forum/?p=78#comment-878 Hi Dee - As your Mum has assets below £23,000 your mother will be funded by the local authority. However, her State Pension and any attendance allowance will go towards the cost, as you have discovered, with the exception of £21.90 per week personal allowance which is deemed to be sufficient for the type of needs you have outlined. I am afraid there is nothing that can be done about this, maybe family members and friends could buy toiletries and clothing for xmas and birthdays etc. Hi Dee – As your Mum has assets below £23,000 your mother will be funded by the local authority. However, her State Pension and any attendance allowance will go towards the cost, as you have discovered, with the exception of £21.90 per week personal allowance which is deemed to be sufficient for the type of needs you have outlined. I am afraid there is nothing that can be done about this, maybe family members and friends could buy toiletries and clothing for xmas and birthdays etc.

]]> Comment on Why Care at Home rather than nursing homes or rest homes by admin http://www.careathome.org/forum/why-care-at-home-rather-than-nursing-homes-or-rest-homes/comment-page-1/#comment-877 admin Tue, 15 Dec 2009 21:05:13 +0000 http://www.careathome.org/forum/?p=93#comment-877 Hi Steven - It will depend on your mothers assets and needs. The Local Authority will assess her (they may organise this at the hospital before she is due to leave) to see whether she requires care in a home or can manage at home with assistance. If she is assessed as in need of a care home and has assets below £23,000 then the Local Authority are obliged to find a place for her and will assist with funding - some top up by a third party may be required. If her assets are above £23,000 then she will be funding for her own care and so the selection will be up to her - try to ensure it is affordable for the long term. Attendance Allowance is non-means tested and will be paid if she is self funding - apply to the Department of Work and Pensions (DWP) and if she is in need of nursing care then there is a further allowance Registered Nursing Care Contribution (RNCC) to assist with the higher costs - again non-means tested. From what you have said, she will not be eligible for continuing care. Hi Steven – It will depend on your mothers assets and needs. The Local Authority will assess her (they may organise this at the hospital before she is due to leave) to see whether she requires care in a home or can manage at home with assistance. If she is assessed as in need of a care home and has assets below £23,000 then the Local Authority are obliged to find a place for her and will assist with funding – some top up by a third party may be required. If her assets are above £23,000 then she will be funding for her own care and so the selection will be up to her
- try to ensure it is affordable for the long term. Attendance Allowance is non-means tested and will be paid if she is self funding – apply to the Department of Work and Pensions (DWP) and if she is in need of nursing care then there is a further allowance Registered Nursing Care Contribution (RNCC) to assist with the higher costs – again non-means tested. From what you have said, she will not be eligible for continuing care.

]]> Comment on NHS continuing care funding for the elderly by admin http://www.careathome.org/forum/nhs-continuing-care-funding-for-the-elderly/comment-page-1/#comment-876 admin Tue, 15 Dec 2009 21:00:59 +0000 http://www.careathome.org/forum/?p=78#comment-876 Hi M Borisova - If you mean the high level of nursing care that is required to individuals granted full NHS funding, I would suggest that you contact your local PCT in this regard. Continuing care is usually granted for individuals in very poor health (over and above those requiring nursing care) or who currently have unstable conditions, and therefore the level of care would be very high indeed and may not be possible in their own homes. Hi M Borisova – If you mean the high level of nursing care that is required to individuals granted full NHS funding, I would suggest that you contact your local PCT in this regard. Continuing care is usually granted for individuals in very poor health (over and above those requiring nursing care) or who currently have unstable conditions, and therefore the level of care would be very high indeed and may not be possible in their own homes.

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