...and a quick request for advice please:
Apart from predicating a large part of our appeal on the fact there was woeful lack of due process on reaching my mum's CHC withdrawal decision, we also have a wealth of CH and GP evidence to demonstrate why the DST is outdated or plain wrong.
My mother already has one "Severe" on cognition", but they downgraded Behaviour from the previous Severe (because she's bed-bound and not wandering about etc), hence the loss of funding.
But that leads onto mobility. The DST "evidence" waffles on about mobility and how she needs hoisting, sometimes into a wheelchair. But that was 18 months ago - yes - they're still using that "evidence".
The reality now is that since late 2012, as confirmed by the CH, my mother is TOTALLY immobile. I phoned the CH yesterday, and they said in an emergency, they wouldn't attempt evacuation in a wheelchair because of her contractures and her immobility, and would use a skid pad to literally drag her to safety.
The DST definition of Severe is total immobility - and yet they maintain she is only "High Needs" - thus making her ineligible for CHC.
Can anyone suggest please why my mother cannot be scored "Severe"?
A lot might depend on this - I realise it's in the CCG's interests to say she is not "Severe" in this domain, but if they follow the DST definition, I don't see how they have any room for manoeuvre.
Many thanks
Apart from predicating a large part of our appeal on the fact there was woeful lack of due process on reaching my mum's CHC withdrawal decision, we also have a wealth of CH and GP evidence to demonstrate why the DST is outdated or plain wrong.
My mother already has one "Severe" on cognition", but they downgraded Behaviour from the previous Severe (because she's bed-bound and not wandering about etc), hence the loss of funding.
But that leads onto mobility. The DST "evidence" waffles on about mobility and how she needs hoisting, sometimes into a wheelchair. But that was 18 months ago - yes - they're still using that "evidence".
The reality now is that since late 2012, as confirmed by the CH, my mother is TOTALLY immobile. I phoned the CH yesterday, and they said in an emergency, they wouldn't attempt evacuation in a wheelchair because of her contractures and her immobility, and would use a skid pad to literally drag her to safety.
The DST definition of Severe is total immobility - and yet they maintain she is only "High Needs" - thus making her ineligible for CHC.
Can anyone suggest please why my mother cannot be scored "Severe"?
A lot might depend on this - I realise it's in the CCG's interests to say she is not "Severe" in this domain, but if they follow the DST definition, I don't see how they have any room for manoeuvre.
Many thanks
