I can't believe the NHS can think a proper and fair assessment of needs is possible with a small four week snap shot. We also experienced similar and during the MDT I used the analogy that it's like trying to judge the quality of an art work through a straw - you're never going to see the whole picture.
So the assessor was happy to disregard your behaviour charts because they fell outside the 1 month review window but is happy to mark your mum down based on a speculative opinion on what 'may' change in the future. That (in my mind) is a flagrant abuse of process, the MDT should surely only be used as a method to assess
current needs, not what may or may not change in the future - that's what CHC reviews are for.
Optimisation is BS. We spent six months being refused a checklist assessment because mum was not medically 'optimised'. When I kicked up a fuss and asked to be pointed to the part of the National Framework which states a person needs to be 'optimised' before being assessed they responded with another refusal to assess until she was medically 'titrated'. This didn't change until we got mums MP involved.
Speculation on what may change in the future should not be part of the process - the National Framework is clear in that it's current needs which are important.
We have spoken to a number of people over the past month who have been refused assessment for NHS Continuing Healthcare Funding (CHC) because their relative is not “optimised”. This seems to be the latest NHS buzzword, as it is not mentioned anywhere in the National Framework. We told you about...
caretobedifferent.co.uk