My brother and I spent two hours today going through the process by Zoom, with a negative outcome. In attendance was the care home manager, NHS clinician , social worker and community nurse My brother is convinced that the decision was made in advance `and they`re all in it together`. I`d like to think that it was totally a professional decision but does anyone else feel like it was `a done deal` before the professionals even go through the process.? Mum is permanently catheterised and it presents on-going issues with her having to have twice weekly bladder washes . It often by-passes making her incontinent and also bowel incontinence occurs from time to time; she has part of a catheter lodged inside her (it has broken off) and two bladder stones. She is liable to have infections due to these `foreign bodies` (but none recently) and we have been advised that she may get sepsis unless they are removed. However in view of her frailty my brother and I are reluctant to go down the operation route and Mum has made it clear she does not want an operation . She can only walk five steps and is 99% of the time is in a wheelchair; she has two forms of dementia but so far only short term memory loss; needs help with all personal aspects of her care. She needs occasional assistance with cutting up her food and can only drink out of a two handled beaker . In the summing up it was stressed that the management of her catheter was being provided by the nursing team and care home staff and that need was being addressed. I thought the assessment focused on nursing needs regardless of who was supplying them to show that she had a `need`. for the purpose of the assessment. They also seemed to concentrate on the fact she had no behavioural issues. I`m not sure if it is even worth going down the appeal route. I would welcome anyone else`s recent experience of the process