My mother is now in respite care for two weeks after a brief stay in EAU and a tiring night for us all in A & E. We have been told there is a top-up fee of £60 per week for my mothers stay. I understand this is because some places do not accept council contract rates, so people like us have to pay an additional fee. We've had to accept this so that at least our mother gets the rest and recovery she deserves. My immediate worry is if we have to pay this when she goes into permanent nursing care (due to her dementia). As I live in the North West , is there any one that has experience of these things. Are they anything to worry about ? My main concern is that places may charge what they like, now or in the future. I'd also be glad to hear from any one if they have successfully dealt with this issue. To date , our social worker has sent us a list of homes for us to investigate. I'm also concerned that any delays will effect my mothers recovery and overall health.