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Employing Your Own Care Through The Direct Payment Scheme


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#1 Scribbler

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Posted 01 February 2011 - 10:00 AM

Employing Your Own Care In The UK Using The Direct Payment Scheme

I have employed my own Carers for 16 years, which I do through the, "Direct Payment Scheme." Although I have been doing this for many years I am not an authority on the matter. It's a bit of a Post Code Lottery, as different areas have different rules; I can only write from my personal experiences.

Q. What is the Direct Payment Scheme?

A. It was set up by the Government to allow people the right to manage their own care. The Government actively encourage Local Authorities to use Direct Payment, so by law they must provide a Duty of Care to a disabled person. They are often reluctant to do this, so you may need to fight your corner. If your Social Services refuse to help, contacting your MP can be beneficial.

Once you have obtained your rights, your local Social Services will work out the number of hours of care you need. Obviously, the Social Services will try to avoid their legal responsibility by refusing your request, or cut this down to a bare minimum so it is advisable to write out your own care plan.

Due to my high level of injury I require 24 x 7 care, this is why I employ Live-In Carers, but some Clients may not require or wish for that much care.

Depending on your level of injury and what amount of care you consider you require your care plan must be extremely detailed. Start from the beginning of your day and itemising every task that needs doing for you throughout the day, including the length of time it takes to do that task. Even the simplest tasks must be included, an example being, "Making me a cup of coffee = 10 minutes." If you make out your own care plan you will stand a better chance of getting the correct funding to suit your disability.

Q. How does the funding work?

A. Once your total funding has been assessed correctly, Direct Payments can be used by you to employ your own Carers. Your local Social Services will only fund part of this care, they will also approach the Independent living Fund for part of the money, plus you may have to contribute, this is ‘Means Tested’ and depends on your income and savings. Of course ILF funding isn’t always easy to obtain, as certain criteria have to be met.

If you still wish to manage your own care using this method you will have to open an Internet Bank Account, which is solely for the purpose of paying your Carers, plus other related expenses, such as Advertising for Carers, paying someone to do your Payroll, Employer Liability Insurance etc.

My Social Services, plus the I LF transfer their contributions into my Care Account every 4th week; I transfer my contribution on a weekly basis. Once this is set up and you start to employ Carers, you then become an ‘Employer’ with all the responsibilities that it entails.

You must keep records and receipts of everything you pay from your Care Account, as someone from the ILF will check your accounts from time to time. I find this quite easy to do as I stay on top of that side of things.

Some people do not wish to be an employer. To get around this they use Direct Payments to employ carers through an Agency or contract carers who are Self-Employed; its similar to you contracting an electrician or other self employed tradesman to do a job. Doing it this way the client does not have to pay the carers Tax and National Insurance, plus they do not have the many responsibilities that an employer has.

The ILF

Unfortunately the ILF looks like being scrapped in the near future This is bound to affect both new claimants and existing recipients of the ILF, making our Care Funding less certain. Only time will tell, so lobby your MP about this matter.


Advertising & Interviewing

When advertising for a carer you must stipulate the main things that are important to you. If you need someone who drives or is a non-smoker make sure you include this in your advert. Also ask for 3 references, which you can check by telephone.

When you get to the interview stage make sure the candidates have read and understood your advert correct. I have been caught out by a carer who answered my advert for a non-smoker, but in fact was a smoker.

Contract and Care Plan

It is essential you draw up a contract, which protects both you and your employee. You can get advice about contracts via your Social Services, ACAS and the Rowan Organisation but you need to tailor it to your specific requirements. It is advisable that this contract has a probationary period, this way you will know if you are both suited to work together.

When you interview a prospective carer it is advisable you show them a copy of this contract along with your care plan, which should itemise your daily routine but you do not have to include the time it takes to do each routine.

Responsibilities of being an Employer

Although there are many benefits in managing your own care there are also a few downsides one can easily fall into. You will be responsible for your employees’ health and safety so will have to adhere strictly to those regulations. You will also be responsible for their pay, which includes tax and National Insurance, payslips, holiday pay and extra pay for Bank Holidays. I personally employ an Accountant to do my payroll for me at a cost of around £40 per month; this can be paid for from your Care Account.

Q. How much do I pay my Carer?

A. Your local Social Services should know this, but in my experience they make mistakes. I always contact my Direct Payments Office who know the hourly rates of pay for weekly daytime rates, sleepover rates and Sunday rates. You don’t pay this entire amount to your Carer, as you will need to hold some back to pay the other expenses, which I’ve mentioned above.

Maternity/Paternity Leave

All employers are required by law to give their employees maternity/paternity leave. However, there is an obstacle you must be aware of. When you interview a prospective female Carer she does not have to state that she is pregnant and you are not allowed to ask her this question as it is classed as sexual discrimination.

An unscrupulous Carer can work for you for just one day then inform you the job is too hard for her because she is pregnant. You are then obliged by law to pay her while she is on maternity leave but also pay to employ another carer to take her place. I know this sounds completely unfair but it is the law.

Make sure you include information about Pregnancy in your Contract and the rules your employee must carry out.

Pregnancy

As soon as you know you are pregnant please provide me with the following notifications in writing?

  • Notification of your pregnancy in writing
  • A certificate from a registered medical practitioner or a registered midwife showing that you are pregnant
  • Notification in writing of when you expect to leave my employment

I will then carry out a risk assessment.

Sick Leave

You must have a back-up plan in case your Carer is taken ill and unable to work. It’s advisable to register with 2 or more Care Agencies in the hope they can provide Emergency Cover. I also keep in touch with my Ex Carers who can often fill that gap as Emergency Cover.

Make sure you include information about Sick Leave in your Contract and the rules your employee must undertake to obtain Sick Pay. Below is the correct procedure an employee must undertake.

Sickness or Injury

If you are unable to work due to illness you must follow these procedures.

  • On the first day you must try and inform me at least 1 hour before your start time. Please put this in writing.
  • Inform me in writing on the first day and each subsequent day that you are ill.
  • You can sign a “Self Certification” form from the Post Office for the first seven days but after 7 days you must get a Doctors Certificate.
  • You will need to give these certificates to me, so I can pass them onto payroll. If you don’t then you might not receive any Statutory Sick Pay to which you might be entitled.
  • You will not get your normal pay but might be entitled to what is called Statutory Sick Pay. You will need to ask payroll about this.

Confidentiality

It is essential you include in your Contract a Confidentiality clause. Unscrupulous employees may spread gossip about you, which can cause you distress. If you discover your employee has broken the confidentiality clause you can dismiss them for Gross Misconduct.

Confidentiality and Security

You must respect my privacy (and that of my family and friends) and maintain a professional approach at all times. You must keep any information gained in the course of working for me confidential and not discuss my affairs with others, except with my specific permission. Principles of confidentiality can be summed up as:

  • How someone lives their lives is their own affair
  • The simplest bits of gossip can have disastrous consequences
  • Information about somebody is their property and must not be discussed without their permission

Dismissing an Employee

Issue the correct periods of notice

An employee can be instantly dismissed for gross misconduct without severance pay. Examples of gross misconduct are: -

  • Theft
  • Careless or intentional damage to the employers property
  • Fraud
  • Coming to work in an unfit state e.g. – under the influence of alcohol or drugs or using drugs on your property.
  • Verbal or written abuse to your employer or third party
  • Breach of confidentiality
  • Serious insubordination, including conduct which undermines the employers authority, independence or self determination
  • Deliberately or knowingly endangering the safety of the employer.
  • Abuse or use of your employers property without their knowledge or consent

There is a downside to Instant Dismissal, as you would be left without care. As long as you’ve warned your employee of their Gross Misconduct you can dismiss them at the end of that placement. You can hand them a letter when they leave, stating your reasons for dismissal.

Contractual and statutory notice periods

An employee who has worked for a company continuously for one month or more must give and receive notice of dismissal/redundancy or intention to leave. The notice period must be included in a written statement of employment particulars which must be issued to your employee within two months of them starting work.

If an employee works less than one month she/he is not entitled to any notice pay. Most contracts state that holidays are paid on each complete calendar month and as she/he has not worked for a full calendar month then she/he is not entitled to any holidays.

An employee who has worked for less than 1 year is only entitled to 7 ‘Working’ days notice. After 1 year an Employer with a complaint about the employee must give one verbal warning, any further cause for complaint the Employer has to give a written warning. Any further cause for complaint the employee will receive a final written warning, followed by 2 weeks notice unless mutually agreed otherwise.

Dismissing an Employee is complex.

As dismal procedures are so complex, you need to make your contact as water tight as possible by stipulating your dismissal terms. You can obtain lots of information about fair and unfair dismissal from this link. http://www.businessl...&type=RESOURCES

If you look on the business link web site it gives you lots of advice on employment

The website is www.businesslink.gov.uk

ACAS know all the Employment Laws for both Employer and Employee. They have a helpline to call for free advice.

The ACAS website is http://www.acas.org....?articleid=1410

Even though I have written about Contracts and trying to make them watertight, it still doesn’t prevent a Carer breaking their Contract, which they do. ACAS states that a Carer who is in breach of their Contract is liable to pay the costs of you, the Employer obtaining Emergency Care.

In my experience they are only interested in themselves, they know it will cost you money to pursue a claim against them so they leave when it suits them. If you, the Employer are in breach of Contract a Carer can take you to an Employment Tribunal.

Scribb’s

Edited by Apparelyzed, 03 February 2011 - 09:28 AM.
Additional info added

True Happiness can only be achieved if you share it with someone. Scrib's

#2 greybeard

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Posted 01 February 2011 - 12:31 PM

Hi Scribbs. Good piece. It must have taken ages to type with your pencil.

In the Dismissing an Employee section, No. 7 - - Did you mean insubordination?

Also, do you want to check the section about verbal and written notices? My recollection, although vague, is that to warrant dismissal, there has to be a verbal and then a written warning for at least two similar breaches of the terms and conditions, i.e. two offences related to timekeeping would be OK, but one for timekeeping and one for a failing to mop a floor (or other minor infringement, would not.



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#3 Tetracyclone

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Posted 01 February 2011 - 01:49 PM

Simon,

I suggest once this essay of Scribbs has all kinks worked out that it might become part of the sites official information page. That way it will not "sink into the forum".
Look! It's a snail! It's a sloth! Able to creep short distances before lunch!

#4 Apparelyzed

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Posted 01 February 2011 - 01:59 PM

Hi Tetra,

That was the idea, which is why it's been Pinned to stay at the top of the forum.

Regards

Simon.

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#5 Scribbler

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Posted 01 February 2011 - 02:43 PM

View Postgreybeard, on 01 February 2011 - 12:31 PM, said:

Hi Scribbs. Good piece. It must have taken ages to type with your pencil.

In the Dismissing an Employee section, No. 7 - - Did you mean insubordination?

Also, do you want to check the section about verbal and written notices? My recollection, although vague, is that to warrant dismissal, there has to be a verbal and then a written warning for at least two similar breaches of the terms and conditions, i.e. two offences related to timekeeping would be OK, but one for timekeeping and one for a failing to mop a floor (or other minor infringement, would not.




Hi GB,

As I stated at the beginning of the article, I'm not an authority on Employment Law, this is why I seek guidance from the likes of ACAS who were the people involved in the wording of the Gross Misconduct part; even I thought it should be "Insubordination.

I've never employed anyone for a full year so haven't been through that part of the dismissal procedure. I just mentioned it has 3 stages and know it can be quite complicated. I didn't go into too much detail as I included the website links.

Once Members start asking questions, I'm sure Simon will help me add & edit any additional information as the Employment Laws change so often.

GB. It was a 6 pencil job but worth it.. :D

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#6 Mrs Wisteria

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Posted 01 February 2011 - 06:05 PM

Just a very quick response - Scribbs I willbe happy to have a look at this for you - I am just not able to do it today. I am an ex HR Employment Law specialist - I am a bit rusty though so do need to check against current stuff. Can you leave it with me?
v
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#7 javaftper

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Posted 01 February 2011 - 06:58 PM

this is a good idea and will be very useful to people in the process of applying for or managing their direct payments.

It may be worth noting in the-'how does the funding work' section that the ILF fund is now closed to new applicants and is currently scheduled to be withdrawn completely in 2015. Obviously the funding people are currently getting from the fund towards their contributions will need to be replaced from somewhere but as yet this has not been decided to my knowledge. I imagine it will be social services or potentially the NHS depending on whether your local authority enables part funding from social services and the NHS. It would seem strange if they close down the ILF organisation just and then end up creating a similar sort of body however I suppose this is also a possibility.

#8 Scribbler

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Posted 02 February 2011 - 01:09 PM

View PostMrs Wisteria, on 01 February 2011 - 06:05 PM, said:

Just a very quick response - Scribbs I willbe happy to have a look at this for you - I am just not able to do it today. I am an ex HR Employment Law specialist - I am a bit rusty though so do need to check against current stuff. Can you leave it with me?
v

Dear Mrs W, :D

I do know the law on dismissal procedures but it can depend on how you word your Contract. I've PM'd Simon about editing the original article to add the following: -

Dismal procedures are so complex, you need to make your contact as water tight as possible by stipulating your dismissal terms. You can obtain lots of information about fair and unfair dismissal from this link. http://www.businessl...&type=RESOURCES


View Postjavaftper, on 01 February 2011 - 06:58 PM, said:

this is a good idea and will be very useful to people in the process of applying for or managing their direct payments.

It may be worth noting in the-'how does the funding work' section that the ILF fund is now closed to new applicants and is currently scheduled to be withdrawn completely in 2015. Obviously the funding people are currently getting from the fund towards their contributions will need to be replaced from somewhere but as yet this has not been decided to my knowledge. I imagine it will be social services or potentially the NHS depending on whether your local authority enables part funding from social services and the NHS. It would seem strange if they close down the ILF organisation just and then end up creating a similar sort of body however I suppose this is also a possibility.

Javaftper. I realise the ILF may be scrapped so would suggest adding this: -

Unfortunately the ILF looks like being scrapped in the near future This is bound to affect both new claimants and existing recipients of the ILF, making our Care Funding less certain. Only time will tell, so lobby your MP about this matter.


Thank you both for your input.

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#9 andypandy17

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Posted 05 February 2011 - 03:58 PM

Personal Budgets are now been brought in across the country to take over from Direct Payments

#10 Tinbasher

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Posted 05 February 2011 - 08:47 PM

View Postandypandy17, on 05 February 2011 - 03:58 PM, said:

Personal Budgets are now been brought in across the country to take over from Direct Payments

I am writing something for this thread at the moment but just to be clear, personal Budgets are NOT "taking over from" Direct Payments. Direct Payments are stil the only legal way to recieve cash to manage your care. Personal Budgets are simply a new way of allocating the resource they have no legal basis or framework in law.

Two really useful Toolkits are ...

http://northwest.ski...?lID=242&sID=56 Direct Payment User Toolkit

http://northwest.ski...?lID=244&sID=56 Personal Assistant Toolkit

And more useful stuff here http://northwest.ski...blications.aspx

Tin

Edited by Tinbasher, 05 February 2011 - 08:52 PM.

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#11 curbyi

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Posted 23 May 2011 - 06:37 PM

View PostTinbasher, on 05 February 2011 - 08:47 PM, said:

View Postandypandy17, on 05 February 2011 - 03:58 PM, said:

Personal Budgets are now been brought in across the country to take over from Direct Payments

I am writing something for this thread at the moment but just to be clear, personal Budgets are NOT "taking over from" Direct Payments. Direct Payments are stil the only legal way to recieve cash to manage your care. Personal Budgets are simply a new way of allocating the resource they have no legal basis or framework in law.

Two really useful Toolkits are ...

http://northwest.ski...?lID=242&sID=56 Direct Payment User Toolkit

http://northwest.ski...?lID=244&sID=56 Personal Assistant Toolkit

And more useful stuff here http://northwest.ski...blications.aspx

Tin

Having read the problems that the absolute gent Scribbler encountered i feel it is high time i updated my employee contracts/ Job descriptions.
One of them has been working for me for several years and is becoming quite complacent in her attitude.

Thank you Tin and Scribbler and other contributors in this thread for your help with knowledge and links.
Finally can anyone suggest any book publication covering contract law ?
I can put it off no longer !!

Edited by curbyi, 23 May 2011 - 07:19 PM.

If it don't make sense I blame the voice typing software misunderstanding me not my failure to listen in English classes!

#12 edlee

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Posted 23 May 2011 - 07:21 PM

Complacent or not,, one must keep in mind the analogy of frying pan and fire. Being an employer is a tricky business,, as Scribs can attest. If the employees are basically honest, something as simple as a change in your routine could help reduce the complacency brought on by doing the same things every day.

If the employee is NOT basically honest,,, all bets are off. Figuring out which employee you have is the trickiest part.

This is a great thread,, no matter in what country you happen to live.
ed

#13 curbyi

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Posted 24 May 2011 - 02:31 PM

Can any one recommend a template contract that they use ?
If it don't make sense I blame the voice typing software misunderstanding me not my failure to listen in English classes!

#14 Tinbasher

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Posted 24 May 2011 - 02:45 PM

Hi

The toolkits I mentioned in my post above have sample contracts in them.

Tin
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#15 curbyi

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Posted 24 May 2011 - 03:30 PM

View PostTinbasher, on 24 May 2011 - 02:45 PM, said:

Hi

The toolkits I mentioned in my post above have sample contracts in them.

Tin

Sorry Tin its right at the bottom and missed it on quick scan.
Thanks so much for providing link to this document it is invaluable full of great stuff.
If it don't make sense I blame the voice typing software misunderstanding me not my failure to listen in English classes!

#16 andypandy17

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Posted 28 May 2011 - 01:16 PM

View PostTinbasher, on 05 February 2011 - 08:47 PM, said:

View Postandypandy17, on 05 February 2011 - 03:58 PM, said:

Personal Budgets are now been brought in across the country to take over from Direct Payments

I am writing something for this thread at the moment but just to be clear, personal Budgets are NOT "taking over from" Direct Payments. Direct Payments are stil the only legal way to recieve cash to manage your care. Personal Budgets are simply a new way of allocating the resource they have no legal basis or framework in law.

Two really useful Toolkits are ...

http://northwest.ski...?lID=242&sID=56 Direct Payment User Toolkit

http://northwest.ski...?lID=244&sID=56 Personal Assistant Toolkit

And more useful stuff here http://northwest.ski...blications.aspx

Tin


Calm down dear ! I was only trying to help

#17 Scribbler

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Posted 30 May 2011 - 08:06 AM

As I've been unwell, I've only just started back on the Site so have missed your Posts.

Can I suggest you sit down with your employee and discuss, in a calm and polite manner, the things that are worrying you. Try and make it constructive, plus praise them for the things they do well.

As for a Contract. I paid a Solicitor who's a specialist in Employment Law to update my Contract and make it as watertight as possible. However, he told me, "It doesn't matter how watertight a Contract is, you will always get employees who break it."

My Contract states both parties must give "14 'working' days notice." I've had a number of employees fail to do this, so are in breach of Contract. They know it would cost me money to do anything about this but if I didn't give them the correct notice they would immediately threaten me with Tribunal proceedings which costs them nothing.

As we all require different care the Contract needs to incorporate our personal requirements as well as all the legal side. I'll see if there's a way of placing a copy of my Contract on this Thread, as long as its less than 200KB. I'll also seek Simon's permission.

I hope I've been of some help.

Scribb's.
True Happiness can only be achieved if you share it with someone. Scrib's

#18 dilly

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Posted 21 August 2011 - 03:15 PM

We have just discovered that there is a leaflet from the dept.of health entitled Direct Payments for Health Care. At the moment just 8 Primary care trusts are participating in this as a pilot scheme.

We have a letter from DOH saying "The PCTs that have been approved to make direct payments for health care are part in a national evaluation which will report in Autumn 2012. If the results are favorable then it is likely that direct payments for healthcare will be extended aross the country"

Which will mean no more means testing for SCIs as at the moment for people using their Local Authority DP.

If we all ask for DP via the NHS, it will mean more say in what PAs we employ and no more means testing.

No matter how bad you think the day is, if you're looking down at the grass and not looking up at the roots, everything else is O.K.

#19 javaftper

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Posted 24 August 2011 - 11:31 AM

View Postdilly, on 21 August 2011 - 03:15 PM, said:

We have just discovered that there is a leaflet from the dept.of health entitled Direct Payments for Health Care. At the moment just 8 Primary care trusts are participating in this as a pilot scheme.

We have a letter from DOH saying "The PCTs that have been approved to make direct payments for health care are part in a national evaluation which will report in Autumn 2012. If the results are favorable then it is likely that direct payments for healthcare will be extended aross the country"

If we all ask for DP via the NHS, it will mean more say in what PAs we employ and no more means testing.

1. I have attached the personal health budgets pilot site list which was last updated in June this year. I believe there are more than eight PCT's involved however many of the trusts are concentrating on specific areas such as stroke, mental health etc so perhaps the 8 are the ones offering continuing Healthcare. If you look at the attached document you can see which PCT's are trialling continuing Healthcare personal health budgets.

2. Hopefully the results will be favourable and personal health budgets will be extended to everyone who is eligible next year however I did notice in the consultation document that they may consider extending the trial to 5 years if deemed necessary which would extend to 2014.

3. yes definitely- the more interaction disabled people/groups have with the NHS on this subject the better.

Attached Files



#20 Tinbasher

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Posted 24 August 2011 - 04:53 PM

You are very over optimistic thinking an sci can simply choose to avoid means testing by seeking health DP.

CHC is very tightly assessed and is only for health related care, you would be surprised at how very narrow the definition of health care is!

Getting 100% CHC is high quad territory.

Tin
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Never grow old, never die young.

#21 dilly

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Posted 25 August 2011 - 04:16 PM

View PostTinbasher, on 24 August 2011 - 04:53 PM, said:

You are very over optimistic thinking an sci can simply choose to avoid means testing by seeking health DP.

CHC is very tightly assessed and is only for health related care, you would be surprised at how very narrow the definition of health care is!

Getting 100% CHC is high quad territory.

Tin


No matter how bad you think the day is, if you're looking down at the grass and not looking up at the roots, everything else is O.K.

#22 dilly

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Posted 25 August 2011 - 05:44 PM

View Postdilly, on 25 August 2011 - 04:16 PM, said:

View PostTinbasher, on 24 August 2011 - 04:53 PM, said:

You are very over optimistic thinking an sci can simply choose to avoid means testing by seeking health DP.

CHC is very tightly assessed and is only for health related care, you would be surprised at how very narrow the definition of health care is!

Getting 100% CHC is high quad territory.

Tin
Hi Tin,
Your reply is rather negative.
Alan was awarded CHCF in Dec. 2008. He started the process in 2005 which involved an assesment, refusal, re-assement again refusal - clinical review panel - adjourned because it had not been properly conveened. Then the review panel postponed because the lead nurse was on annual leave. Finally the clinical review panel determined that his health care needs did fit the eligibilty criteria.
But now, nearly 3 years later and still the CHC team have been unable to source a suitable care package. Alan is seeking DoH Direct Payments for Health Care, to recruit and manage his own carers again. Which he did very successfully for 12 years via the local authorities, but the means testing was proving very onerous.
At the moment Alan is in correspondence with the DoH to persuade the PCT to participate in the pilot schemes currently running. For further information see NHS 'Future Forums'.

Hopefully other SCI folks reading this will be encouraged to fight for CHCF which is rightfully theirs.
as your signature says
'Never give up'

Dilly

No matter how bad you think the day is, if you're looking down at the grass and not looking up at the roots, everything else is O.K.

#23 Tinbasher

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Posted 25 August 2011 - 07:54 PM

DILLY

I wasn't saying don't try but I have only just stood down as Social Services rep on my local CHC review panel. CHC is not easy and is based solely on heath needs.
Never give up, never slow down.
Never grow old, never die young.

#24 Tatiana

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Posted 26 August 2011 - 07:11 AM

Thats so helpful scribbler thankyou.

I contacted my social services department and they never mentioned direct payment to me, they implied that my DLA benefit was to be used for any care that i may need,especially as i am in receipt of a care component with my benefit.

What is the criteria for this payment?..i need help getting sorted for my shower...cant cook for myself as yet and cannot do my own washing/cleaning....?

I have someone starting next week for 1 1/2 hrs a morning and will pay them from my DLA.

Any advice very welcome

:) :)

#25 dilly

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Posted 26 August 2011 - 01:15 PM

View PostTatiana, on 26 August 2011 - 07:11 AM, said:

Thats so helpful scribbler thankyou.

I contacted my social services department and they never mentioned direct payment to me, they implied that my DLA benefit was to be used for any care that i may need,especially as i am in receipt of a care component with my benefit.

What is the criteria for this payment?..i need help getting sorted for my shower...cant cook for myself as yet and cannot do my own washing/cleaning....?

I have someone starting next week for 1 1/2 hrs a morning and will pay them from my DLA.

Any advice very welcome

:) :)
Hi Tatiana
First step for you would be to get an assesment of your care needs from your local authority, for Direct Payments. They may come back to you and demand a contribution from you, but the SIA publish a very useful leaflet called Disability Related Expenditure, which details the expenses you can offset against any income/benefits that you receive.

No matter how bad you think the day is, if you're looking down at the grass and not looking up at the roots, everything else is O.K.

#26 Tatiana

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Posted 27 August 2011 - 09:14 AM

Thankyou Dilly :-)

#27 Tinbasher

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Posted 27 August 2011 - 11:34 AM

Tatiana

I think your area is only providing services to those it decides are in "critical and substantial" need. Amazingly showering and dressing aren't considered high enough.

You should remind them that under the Chronically Sick and Disabled Persons Act and the Community Care Act you are legally entitled to an assessment "by a properly qualified person" not just on the phone by an admin person.
Never give up, never slow down.
Never grow old, never die young.

#28 Scribbler

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Posted 28 August 2011 - 12:08 PM

My "Personal Opinion" on means tests and CHC is this: -

Why should someone who is extremely wealthy not have to contribute something for their care. If a Millionaire received CHC they wouldn't contribute a penny; is this fair.

I was injured serving my Country but my 100% War Disablement Pension is still means tested. I'm a believer in contributing something for my care needs, so I'm happy to. I've been managing my own care and employing Carers for 16 years using the DP system, apart from a few problems its been fine.

Although there are some pilot schemes on managing your own CHC, the majority of CHC recipients have to use Agency Care. This is expensive for the Health Service compared to using DP; the Care Agency makes a fortune but pay their Carers peanuts.

As I'm old, and been injured over "Half a Century" my health needs are greater now. My SS keep trying to get me on CHC but I don't want that.

There is only so much money to go round the Health Service, so if a wealthy person pays nothing for their care then someone else losses out; maybe a cancer patient. As my wife died from cancer I would hate to think she couldn't get the drugs she needed because a wealthy person was on CHC.

I'm certainly not against people receiving the care they need, I'm just against the system, which can be abused.

The Member who knows all there is to know about DP and CHC is Tinbasher. If he writes something then its correct. Tinbasher has helped me a few times; he's well worth listening to.

Scribb's

Edited by Scribbler, 28 August 2011 - 12:11 PM.

True Happiness can only be achieved if you share it with someone. Scrib's

#29 eighty8

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Posted 28 August 2011 - 03:55 PM

View PostScribbler, on 28 August 2011 - 12:08 PM, said:

My "Personal Opinion" on means tests and CHC is this: -

Why should someone who is extremely wealthy not have to contribute something for their care. If a Millionaire received CHC they wouldn't contribute a penny; is this fair.

I was injured serving my Country but my 100% War Disablement Pension is still means tested. I'm a believer in contributing something for my care needs, so I'm happy to. I've been managing my own care and employing Carers for 16 years using the DP system, apart from a few problems its been fine.

Although there are some pilot schemes on managing your own CHC, the majority of CHC recipients have to use Agency Care. This is expensive for the Health Service compared to using DP; the Care Agency makes a fortune but pay their Carers peanuts.

As I'm old, and been injured over "Half a Century" my health needs are greater now. My SS keep trying to get me on CHC but I don't want that.

There is only so much money to go round the Health Service, so if a wealthy person pays nothing for their care then someone else losses out; maybe a cancer patient. As my wife died from cancer I would hate to think she couldn't get the drugs she needed because a wealthy person was on CHC.

I'm certainly not against people receiving the care they need, I'm just against the system, which can be abused.

The Member who knows all there is to know about DP and CHC is Tinbasher. If he writes something then its correct. Tinbasher has helped me a few times; he's well worth listening to.

Scribb's

Hi Scibb's,

So many things I agree with in your post. But!

My dear wife has always been my main carer, but we are both getting older now, so feeling the strain!

I was using my county SS department Direct Payments scheme for about 12 years and my care was determined as 50% medical need and 50% social care on a time allocated basis. During that time I used an agency but mainly employed my own staff (with all that that entailed).

The NHS were quite happy to contribute to fund the medical part of my care (bowel and bladder management) and I was assessed, means tested and contributed for the social care (assisted showering and dressing etc).

As years passed the increasing contribution for the social care became a drain on my resorces so I started the process of applying for NHS Continuing Healthcare Funding.

Having proved my eligibility for the very tight criteria required, I was granted NHSCHCF. However the PCT wanted to solve their problem by finding me a bed in a home mainly occupied by EMI or a bed in a local community hospital. This solution would distroy our family life!

My dispute is (like you) with the system.

How come the NHS was prepared to contribute to the county SS department for my medical care, but now having accepted full resposibility for my care they are unable (it is apparently illegal) to set up an individual Direct Payment scheme now? I have heared of Independant User Trusts, but these too are expensive operations to run.

I am now trying to get my county Primary Care Trust to join the pilot scheme for 'Direct Payments for Health Care' so I do not have to use expensive live in 24/7 Care Agencies and can organize my own care arrangements to suit our family life.

I am waiting with baited breath! but these things take such time!

Eight8

#30 Tinbasher

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Posted 28 August 2011 - 09:41 PM

88 PM me with your location in the UK.

Tin
Never give up, never slow down.
Never grow old, never die young.




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