chc

connieonny

Registered User
Feb 9, 2010
77
0
uk
If someone's Behaviour domain was an A at the time the NHS checklist was performed, and if their Behaviour (and associated emotional needs etc) are now being managed with medication and other measures by the time the full DST is due to take place, how can anyone stand a chance of receiving NHS CHC? Surely they would now score much lower? Yet without this medication and other support the behaviour and other associated domains would be priority and high? Is the 'well managed need' valid at all?
 

piedwarbler

Registered User
Aug 3, 2010
7,189
0
South Ribble
If someone's Behaviour domain was an A at the time the NHS checklist was performed, and if their Behaviour (and associated emotional needs etc) are now being managed with medication and other measures by the time the full DST is due to take place, how can anyone stand a chance of receiving NHS CHC? Surely they would now score much lower? Yet without this medication and other support the behaviour and other associated domains would be priority and high? Is the 'well managed need' valid at all?

A well managed need is still a need and it still needs managing. That is my understanding of it.

It's all a bit vague isn't it and is there to be challenged. I disagree with the entire DST as if the "primary need is health based" then care should be free. It doesn't say "if the primary need is health based and quite severe" :eek::mad:
 

connieonny

Registered User
Feb 9, 2010
77
0
uk
Thank you for your reply. That would be my understanding also. Think we have a battle on our hands though. Does anyone know if the completed DST needs to be signed off at the actual meeting? And will they ask for our contribution in any way? I believe we should be given a copy (forgive me, have done so much reading the document and the frameowrk it is all a blur now), but will this come with the decision? I don't want to sign anything there and then as I won't have had time to read it thoroughly.
 

FifiMo

Registered User
Feb 10, 2010
4,703
0
Wiltshire
Hiya,

What happened with us was that each member of the multidisciplinary team went and did their own assessment using the DST. A meeting was then called for everyone to provide their inputs based on their area of specialism into the final/combined document. I was invited to this meeting and any comments I made were listed on the form also. At the end of the meeting the chairperson gave me an indication of what the outcome was likely to be but said she would confirm this formally. I received a copy of the 'final' document along with everyone else who was there and we were asked to confirm that t was a true reflection of what had been discussed at the meeting.

I have to say that I was impressed by how it was all organised and despite previous misgivings, I certainly didn't get the feeling that things were being predetermined in any way. In fact, for the first time, I had encountered an in depth discussion about her illness and her needs.

Hope this helps

Fiona
 

connieonny

Registered User
Feb 9, 2010
77
0
uk
Goodness Fiona, you were late to bed! Thankyou!
I am hoping that our meeting shall be conducted professionally. The Home has said that they will just tell the truth, working from the care plan. We haven't yet been party to the care plan since they are still assessing MiL and, I assume, making up the plan. My worry is if we have to argue the finer points about her care. Obviously we know MiL intimately having cared for her for so long, and we know exactly how her illness affects her, and what she is capable of, or not. In fact she has deteriorated further still since going into the Home, but at this point it is now going to be their word against ours. I suppose I am concerned about spoiling the relationship which we are trying to build with staff by arguing things out. Let's hope it doesn't come to that, but we do intend to fight for what is right and just.
 

J W

Registered User
Apr 19, 2013
126
0
Hope you have good backing from the home which will help. In our case we felt the opposite as things seemed not to tally with certain events, and problems seemed to be made light of, and kept using the phrase " well managed ".