I feel really terrible asking about the financial aspects of my MILs care at this stage but following a discussion with someone from the health case management team ( whoever they are ) I was told that she has been approved for fasttrack CHC but the family must pay a top up of her fees ( with CHC ) because she is living in a care home that charges above LA rates . I was told she had made “ a lifestyle choice “ to live in this expensive CH and therefore must pay the difference between LA rate and the CH rate . She did not make a choice to get dementia or a choice for this CH . It was the ONLY home that would take her at Christmas in an emergency. A cheaper home that assessed her in the new year refused to take her . Am I right in thinking top ups are not permitted with CHC whatever the cost of the CH ?