These are the main documents needed to understand the National Framework. Your Mother should be assessed for the Nursing Care Contribution (in the region of £100+) prior to the Continuing Healthcare assessment. This can be agreed if she requires full nursing even if the CHC fails.

Revised 2009 Edition of National Framework:
http://www.dh.gov.uk/en/Publications...ance/DH_103162

Revised 2009 Checklist
http://www.oxfordshirepct.nhs.uk/you...listjuly09.pdf

Revised 2009 Decision Making Tool
http://www.oxfordshirepct.nhs.uk/you.../DSTjuly09.pdf

It does take a lot of time but it is worthwhile becoming knowledgeable about the facts of these assessments.

It is important to emphasise unpredictability and high risk. For instance if your Mother falls alot, you need proof of how many times over say 3 mths. My husband had 28 recorded falls within 3 mths.:eek:

Remember you can always appeal if the first application fails. If this happens I recommend the Alzheimers Society Volunteer Group who will help folk in that situation. They were tremendously helpful to me.
http://alzheimers.org.uk/site/script...documentID=398

Good luck.

I will try to explain. My husband varies between late end and final stage - not necessarily absolute final (he varies daily and I am on a rollercoaster with it).

I will try to attach a link about the stages of Alzheimers but every person is different.
http://alzheimers.org.uk/site/script...documentID=101

If you google ‘Stages of Dementia’ you will find ‘7 stages’ or ‘3 stages’ which may interest you.

In my husband's case we know he is not fit even to undergo the ambulance journey for a pacemaker check up. Even if he withstands this and it needs replacement the GP says he is unlikely to withstand the procedure (its hardly an operation).

My husband has apnea, contractures and subject to mini strokes. We know it is not in his best interests to prolong life. It hurts me like hell.

Maybe as a spouse I have more say but or I am fortunate to have wonderful understanding GPs.

May as children you need POA to cover welfare and health to have any say. I am unclear on this as it is beyond my experience.

I am not sure who you mean by Management Staff? It may be worth you discussing this with the GP as they may be more rounded with their views.

Not sure if this helps but hope so.
Best wishes

Darn - I knew there was something I had forgotten....

As Pippa points out it is possible that she might qualify for NHS CC, either now, or at some point in the future. Also there is the nursing component or whatever they are calling it at the moment: if she's not eligible for CC she might be eligible for that.

When does the NHS pay for care?: http://www.alzheimers.org.uk/site/sc....php?fileID=75
Assessments for NHS-funded nursing care: http://www.alzheimers.org.uk/site/sc...documentID=104