Care or Nursing Home for Type1 with Dementia?

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Depends on the financial situation of the individual plus the consensus of the correct assessors from their local health board as to who funds them for what, how long and where. Not perfectly straightforward a subject whoever/wherever you/they happen to reside. However - the CAB and eg Help the Aged as well as their GP can/should be able to assist. I strongly advise not attempting to arrange this solo, as it's a process fraught with loopholes, that will not be obvious until you get involved in trying to do it.
 
That may fall within the remit of CHC funded by the NHS, best to take advice from a solicitor with knowledge of the healthcare system...
 
It's not that simple, the type of "home" doesn't determine the funding. You are potentially looking for Continuing Healthcare (the CHC referenced by @MrPixels). This will be assessed & possibly funded by your local ICB (integrated care board, formerly CCG).

Have a read of this & check out the links to Beacon.
 
I think the response from @trophywench is spot on. It is so mixed across England (I have no knowledge of the rest of UK) in terms of how supportive a local authority would be, even before the fairly recent transition from CCGs to Integrated Care Systems (ICSs) last year. Right now in the new geographic ICS of Buckinghamshire, Berkshire & Oxfordshire (BOB) the integration is extremely noticeable for its current lack of integration - just to worsen any ability to find a definitive statement on support.

Also there are invariably other health aspects beyond the T1 diagnosis and Dementia, which should have significant bearing on that person's care needs.

And certainly don't try this solo. The problem though is who to seek help from, who might be best to "hold your hand" and be at least a 2nd pair of ears, logging the many inconsistencies and contradictions that might arise, as well as gauging the accuracy of what is being "promised". I'm not sure I'd turn to a solicitor at any stage; they can deal with the legal niceties of which person and when can take over the legal responsibility for someone, as a cold translation of what the law defines. But unless that solicitor knows the person in need closely their utility is very limited and we found very expensive and slow. Registration alone took longer than the person for whom we were seeking help lived!
 
RBZ5416 said:
It's not that simple, the type of "home" doesn't determine the funding. You are potentially looking for Continuing Healthcare (the CHC referenced by @MrPixels). This will be assessed & possibly funded by your local ICB (integrated care board, formerly CCG).

Have a read of this & check out the links to Beacon.
Click to expand...
good call.
 
I can’t speak on funding but I would talk to nursing homes or homes that provide nursing care and see what they say. My mum is in residential care in a home that has residential, dementia, and nursing units. She’s type 2 diabetic who uses insulin and they have the district nurse in every day to give her her once a day injection. If she needed more doses she would be moved up to the nursing floor. So in terms of care I would presume that a nursing home with a dementia floor would be the correct placement. Whether that would be entirely covered by NHS/LA funding of just the top up will depend on her circumstances and the area you’re in but the home would be able to give you some help in that regard.
 
Proud to be erratic said:
I think the response from @trophywench is spot on. It is so mixed across England (I have no knowledge of the rest of UK) in terms of how supportive a local authority would be, even before the fairly recent transition from CCGs to Integrated Care Systems (ICSs) last year. Right now in the new geographic ICS of Buckinghamshire, Berkshire & Oxfordshire (BOB) the integration is extremely noticeable for its current lack of integration - just to worsen any ability to find a definitive statement on support.

Also there are invariably other health aspects beyond the T1 diagnosis and Dementia, which should have significant bearing on that person's care needs.

And certainly don't try this solo. The problem though is who to seek help from, who might be best to "hold your hand" and be at least a 2nd pair of ears, logging the many inconsistencies and contradictions that might arise, as well as gauging the accuracy of what is being "promised". I'm not sure I'd turn to a solicitor at any stage; they can deal with the legal niceties of which person and when can take over the legal responsibility for someone, as a cold translation of what the law defines. But unless that solicitor knows the person in need closely their utility is very limited and we found very expensive and slow. Registration alone took longer than the person for whom we were seeking help lived!
Click to expand...
A solicitor with in depth knowledge of the system can be invaluable, however you do need to do your research to find the tight one. We took advice from a specialist lawyer, it helped that we had met her at an Alzheimers carers meeting, when we were looking into CHC for my father in law who had dementia. An application was made and turned down, as I'm told is often the case, the solicitor advised us to challenge the decision which we did. All rather stressful I must admit. Sadly he died shortly before the outcome of the appeal, which ruled that he was entitled to CHC funding.
 
What seems to be difficult is to separate what counts as 'nursing' care from social care which does seem to then determine who pays for what and may also depend on the individuals financial situation.
My partners Mum who was 98 was receiving 4 carers visits per day as she was bedridden and all that that entails, no hearing, very little sight, no substantial savings, receiving various benefits from which the carers bill which was about £600 per months had to be paid.
It does seem a minefield to know what people's entitlement is.
 
Leadinglights said:
What seems to be difficult is to separate what counts as 'nursing' care from social care which does seem to then determine who pays for what and may also depend on the individuals financial situation.
My partners Mum who was 98 was receiving 4 carers visits per day as she was bedridden and all that that entails, no hearing, very little sight, no substantial savings, receiving various benefits from which the carers bill which was about £600 per months had to be paid.
It does seem a minefield to know what people's entitlement is.
Click to expand...
It is a minefield.
 
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