Has anyone any experience regarding top up fees. My poor brother who is 59 has been in a care home for about 3 years. He fell from a hoist and broke his hip and has been in hospital for about 4 weeks. He is unable to walk, talk, feed himself or perform any kind of personal care. The hospital say he can be discharged but he cannot go back to the home where he was as his needs are now more complex, but there are not any council homes that are suitable and the private homes say they need a top up fee paid by either the family a friend or a charity. As he is so disabled, surely he is entitled to have his care paid for by the NHS. The family are not in a position to pay.