Can anyone offer advice as to whether I can, and how I go about it, insisting that a panel of funding Commissioners put their decision, and the reasons for their decision in writing. My mother has previously been diagnosed as suffering from both Alzheimer's and vascular dementia. Since November 2014 she has been detained in hospital, initially under Section 2 of the Mental Health Act and latterly under deprivation of liberty. I found a care home on the 7th January 2015 who were prepared to accept my mother even though she requires round the clock one-to-one supervision. The homes financial quotation reflects this need and is, understandably, very expensive. The Commissioners have agreed that my mother qualifies for CHC funding but won't agree to the one-to-one. Instead they insist on various 'care facilities/CHC independent hospitals' carrying out their own assessments. Not one has accepted that they are the appropriate place for her i.e. she is not violent; isn't taking anti-psychotic medication etc. Also, they are all outside of an acceptable visiting area. This pantomime seems acceptable to my mother's social worker and senior case worker but I have lost patience. So, 5 months on from me finding a suitable care home, my mother is still in hospital and I am now being told that she is blocking an acute bed. Clearly the Commissioners have made their decision but won't put it in writing and, until they do so, I feel unable to Appeal a decision which I feel sure is based purely on finance and does not truly take into account her clinical needs.