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    Right Some Good News, None Payer Acieved Retrospective

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    patrick11

    Right Some Good News, None Payer Acieved Retrospective

    Post by patrick11 on Fri 13 Jan 2012 - 17:59

    Before I break the good news,

    what you are about to read is that I fought the battle differently, Due to our mother's constant wandering, crying on a daily basis ,behaviour problems, Falls and being moved from one home to another due to previous care/ Nursing homes not WANTING to meet her care needs, As the Medication did not have the desired effect that they Desired I,e. EASY MANAGEMENT TO BE SEEN AS STABLE AND DENIED HER LEGAL RIGHT TO FREE HEALTH CARE ,

    This was at a time I knew nothing absolutely nothing. But then I found Stephen Squires Forum I received a lot of help from Stephen Squires who wrote letters and made phone calls to our local P.C.T Pointing out their unlawful handling of our Mother's case. Long story: Stephen Squires To you I am very very Grateful for all of your help and assistants, I would not be in the position I am in today if not for you, I am also Very very grateful for the help of others on the forum Victoria Meldrew, Mark Edge, Alien pirate, Firmac Bodecia, Andrew wells More Recently Ian To name but a few, To all members I am very grateful because without all of you posting on the forum I would not of got anywhere, I learnt a lot from all of you Via your postings, A Big Thank you To all Of You

    Mick.

    To continue

    When mum was moved to a third home I had _ had enough, I stopped paying (My Choice My Risk) her top up fee consisting of her state pension, I decided to fight for her legal rights, I though if they are going to medicate her with last resort medication. And pass her from pillar to post then it should be done lawfully.

    In June 2007

    I demanded a Mental Health Assessment without medication under the mental Health Act 1983/5 to monitor her real overall needs, (Not an easy task) Eventually Mother was put into a unit that specialises in mental health assessments, June 2007 by July 7th 2007 Mum suffered a major stroke (Needless to say caused by Medication) any way Mum survived this ordeal, I jumped up and down complained vigorously made as much fuss that I could Concerning any medication. I argued with them about all and or any proposed medication as I held them responsible for what happened to Mum,

    Mum was kept there for a year throughout all this time meeting after meeting trying to get me to agree to a Covert medication regime. I just refused to play party to it, I Reminded them that no one not even a relative can give consent on behalf of an adult who has lost capacity But I can legally Challenge what might be proposed, ( I had read the mental health Act by this time)

    I also reminded them that Mum was entirely their responsibility Long story, in June 2008 Mum was placed in Yet another assessment unit with continuing care beds, Problems from the start as you may of read some of my previous posts Re Mum being attacked and suffered facial injuries several occasions, Mum was immobile due to her stroke she was nursed in a kirton chair transfers were by hoist, After many meetings also my usual disagreement Re the medications Mum was finally awarded FF/CC October 2008

    The meetings continued with staff and the Consultant psychiatrist still trying to get me to agree to certain medications, I Provided them with print out's off of the internet concerning the adverse effects of all of the medication they kept proposing . The printouts were swiftly disregarded
    by the so called professional Consultant psychiatrist who at one stage had to apologies to me personally as I had proven him wrong on a particular medication. it had been removed from use by NICE 2 years previously. He wasn't up to speed ( I enjoyed that moment) In fact I have it voice recorded, I listen to it often Just to hear him squirming his way through the meeting

    All this continued until March 2010, When the So called professional Consultant psychiatrist stated that he would apply to have my Mother Sectioned under the mental health Act. He thought that this was going to Pi** me off as he said that I could always object, Was he wrong he certainly was
    why would I want to object, I had achieved Justice For My mother, From here on things were going to be lawful Section 3 Leading to Section 117 Equals Fully Funded Continuing Health care for life
    Mum Was sectioned on 17th March 2010

    Before this I had already submitted a Retrospective claim for all of the fee's paid from mum's state pension From October 2004 up to January 2007 When I stopped paying, Due to her being Evicted and moved around . They had already sent out a portrayals needs pack for us to agree or not agree, after reading the portrayals needs pack ( a pack of lies) I noticed that some documents had not been completed. none were signed or dated by the person who compiled the documents. And some documents hand written that were illegible, I also Noticed that the documents that they had based their decision to refuse FF/CC upon had been assigned Reference numbers ( like 135, 436. 430. 564. Ect, Ect.

    Well I just wrote back and demanded that they fully complete the documents that were incomplete also have them signed and dated by whoever compiled those documents, I also demanded that the hand written documents be re_written. As they were UN-lawful if they could not be easily read also I ask for them to be signed and dated by whoever compiled them

    I also demanded a full set of copies of the documents that had been assigned Reference numbers that they used to base their decision upon (Their Rational), for the purpose of cross referencing the documents with those we had in our possession ( To be able to put our evidence forward in contradiction of their Cherry/ Hand Picked Evidence)

    Yes the old Nut-Meg came back we cannot provide copies from a third party Meaning (No) you cant have them, OK so I wrote back stating that before they could access the copies of the documents that I now require. They by law had to obtain our consent before they could access the same Documents themselves and that we had already got in our possession copies of the same but without the reference numbers, could they now please provide us copies of their rational I,e: the documents with the assigned Reference numbers

    A week before This Christmas 2011 I rang the P.C.T to get an update are they going to send the copies requested or not, And was told there was no need for the documents to be sent as they had now decided that Mum had met the criteria Since August 2006 (Retrospectively)This was prior to Mum Being evicted from the Third care home under section 2 August 2006 as an formal patient in a small assessment unit Mum was treated there and then returned to the home She was evicted from awaiting to be re homed, Mum Was re homed In the 1st N.H.S Assessment home in June 2008.

    I was told no need to fill in or send the portrayals needs pack Back to them and that I would Receive a letter of confirmation after Christmas, Well the good news is I have received the letter of confirmation today , We have secured Retrospective Redress (Refund Of fees) as of August 2006
    We have been asked to provide invoices for that period for re-payment

    We are now moving forward with retrospective claim for the period of October 2004 up to July 2006 Our evidence is much stronger than we had for the period already granted so should not be to much of a problem

    Well there you are, The reason I have posted all of the above is to let you know that you can win if you stand strong and battle away ( I did not need to use a Solicitor ) You only need to read and absorb what every one posts on this forum and pick out what best suits your purpose. Reading
    everything and I mean everything, Stephen Squires, Victoria Meldrew, Ian Every one who posts on this forum has something of use to you. It helped me and my family

    Remember this I was totally THICK Before I found this forum. I still feel a little thick at times but that is how the N.H.S get you by Moving the Goal posts every now and then. But take heart from my story , YOU CAN BEAT THEM I DID AND I WAS THICK BUT SOON LEARNT

    A little advice, Don't be rushed into rash reply or rushed into meetings There is no legislation that sets time limits to reply or to attend meetings This is another ploy by the P.C.T To rush you into making mistakes. Take the time (As they do) you need to take the time to gather your evidence set your stall out. Make sure you are ready for them with plenty of evidence before you reply or ready for meetings , Read and Re- read all medical records and state your case

    Be warned It happened to us, Along the way you are Intimidated. You are accused Via Fabricated story's of being A Bully of Staff Abusive And a Racist We Have suffered all of that, But when we challenged them to provide their evidence to substantiate their claims THEY COULDNT EVIDENCE ANYTHING

    I Cheated a little along the way, I voice recorded most situations, It's called self survival. I could evidence things they couldn't, They tried the breach of confidentiality trick when told them they had been recorded and that I could play it back to them,

    They tried to have me done for the third party trick but I hadn't played it back to a third party. It was for my own use. I told them they couldn't be considered as a third party because they were party (involved ) In the recordings i.e. If I was accused of something I hadn't done by a certain party it was not illegal to play it back to the accusing party as they are not a third party

    I'll stop Rambling on now, Hope the above gives you some insight and strength to go the distance it can be done, Good Luck may this year bring you all justice


    Very Kind Regards

    Mick & Family

    P.S I Will be hanging around I'm Not Going To disappear In to the sunset

    maryjo

    Re: Right Some Good News, None Payer Acieved Retrospective

    Post by maryjo on Fri 13 Jan 2012 - 18:30

    Excellent news. Very well done. You deserve a good result after all that hard work.

    Have a or two on me.

    maryjo (hoping to join the drinkers eventually)

    Pussycat

    Re: Right Some Good News, None Payer Acieved Retrospective

    Post by Pussycat on Fri 13 Jan 2012 - 18:58

    Mick, you are bloody wonderful ! cheers That is the best news I've heard for a very long time. It shows that persistence and tenacity do pay off.

    Oh how they must be hating the fact they came up against someone who was not going to be bullied or give in to their 'corrupt' system. Lets hope only 2012 will be the start of a fantastic new year for you, and the information you give on this forum study ( along with countless others) will help others to take on these people and obtain the correct outcome that is righty theirs. Well done Mick cat

    patrick11

    Re: Right Some Good News, None Payer Acieved Retrospective

    Post by patrick11 on Fri 13 Jan 2012 - 19:02

    Victoria Meldrew wrote:Well done, Bruv! Wink

    I think most of us have know for a long while now what you're made of. Namely, a very special brew, also known as the kind of strong stuff that doesn't put up with bullshit; with an inner resolve that will forever stand you and your family in good stead - and your much loved Mum too.

    To say that I'm pleased to read your enormously positive post, full of good New Year cheer, would be an understatement.

    So I'll just say ............. cheers cheers cheers

    Well done, Bruv! I am very very pleased for you.

    VM pig


    V/M Smile

    Many Many Thanks For All your Help And Encouragment Along the weary path that i have had to tread, Without people like you also others who contribute on this forum you have helped to make the impossible Very possible If that makes sense. I am very greatfull for your time taken to help me. i can only say Victoria Meldrew For prime minister, Or better still that the six lucky numbers of the lottery soon come your way


    From a very lucky and greatful and privalaged to know you Mick

    Pussycat

    Re: Right Some Good News, None Payer Acieved Retrospective

    Post by Pussycat on Fri 13 Jan 2012 - 19:08

    Mick you are a lovely fella, and lets hope the six lucky numbers come up for you too cat

    maryjo

    Re: Right Some Good News, None Payer Acieved Retrospective

    Post by maryjo on Fri 13 Jan 2012 - 19:55

    VM - you set the challenge.

    http://www.youtube.com/watch?v=3YgmqKr7njQ

    and don't mock it, I love it. You, being the age you are, will doubtless remember it. Embarassed

    patrick11

    Re: Right Some Good News, None Payer Acieved Retrospective

    Post by patrick11 on Fri 13 Jan 2012 - 20:20

    maryjo wrote:VM - you set the challenge.

    http://www.youtube.com/watch?v=3YgmqKr7njQ

    and don't mock it, I love it. You, being the age you are, will doubtless remember it. Embarassed


    Maryjo Smile

    I think you have found the right song that i can dedicate to my mother with a small ajustment here and there, Thank you Maryjo

    I dedicate this to my beautiful Mother Jean Griffin, Who Made Me What I am

    Everything I am, I am because of you
    And everything I do, Mum, I do it just for you
    You stood by me when the times were rough
    How can I ever thank you enough?
    Everything I am, Mother, I am because of you

    Got my feet on the ground, you found some good in me
    Everything I am, is what you mean to me
    I couldn't have made it without you, no
    Can I ever thank you, Mum, thank you, Mum?
    'Cause everythin' I am, I am because of you

    Everything I am, I am because of you
    Everything I am, I am ....

    I love you Mum

    Mick



    patrick11

    Re: Right Some Good News, None Payer Acieved Retrospective

    Post by patrick11 on Fri 13 Jan 2012 - 20:40

    Victoria Meldrew wrote:No, I would not even go anywhere near mocking it, MJ.

    This one is even closer to me .... closer to this VM who is a very old me!! ....

    http://www.youtube.com/watch?v=C1KtScrqtbc

    .... and, there's not one single mole-hole-digger-with-a-big-shovel who will ever ever ever get me to explain why this one goes beyond me, beyond my heart, and far beyond my understanding ...............

    It's mine!!!!

    It will always remain mine!!!!! Untouchable by any mole-hole-digger-with-a-big-shovel.

    It is all mine.

    But I'm willing to share it with you.

    VM pig



    V/M Smile

    For all of your kindness & help for the big contribution you make in each and evry one of our lives

    I Dedicate this song to you personaly Just call whenever Mick

    http://www.youtube.com/watch?v=Q7RPCFfudmU

    mergymraeg100

    Re: Right Some Good News, None Payer Acieved Retrospective

    Post by mergymraeg100 on Fri 13 Jan 2012 - 21:07

    Very many congratulations Patrick 11 to you and your family cheers cheers cheers thank you for taking the time to inform us.

    kind regards

    MG

    patrick11

    Re: Right Some Good News, None Payer Acieved Retrospective

    Post by patrick11 on Fri 13 Jan 2012 - 21:16

    mergymraeg100 wrote:Very many congratulations Patrick 11 to you and your family cheers cheers cheers thank you for taking the time to inform us.

    kind regards

    MG


    mergymrage Smile

    Thank you, I will be here Like A football manager pushing & encourageing you all to stay to the end of the game, I will try & Help wherever i can if i can

    Mick

    sillysally

    Re: Right Some Good News, None Payer Acieved Retrospective

    Post by sillysally on Fri 13 Jan 2012 - 22:22

    Really heartening and excellent news Mick. Very well done to you and your family and all your helpers along the way.
    The relief must be huge. Enjoy every second of it as youdeserve it.

    Very many delighted hugs. Very Happy

    ian

    Re: Right Some Good News, None Payer Acieved Retrospective

    Post by ian on Sat 14 Jan 2012 - 1:02



    Hello Mick

    Absolutely brilliant news and no one could have earned and deserved it more. You did it your way my8 and you did it well, you took all the blows and all the setbacks and still fought on to win.

    Never believe you are not a very intelligent person because you are and what you have been successfull with is a master-class of how it should be done.

    This is what this forum is about winning and helping others. Smile cheers cheers lol!

    Very kind regards Ian


    JOHN

    Re: Right Some Good News, None Payer Acieved Retrospective

    Post by JOHN on Sat 14 Jan 2012 - 4:47

    Oh wow what a man.

    strugglingbutdetermined

    Re: Right Some Good News, None Payer Acieved Retrospective

    Post by strugglingbutdetermined on Sat 14 Jan 2012 - 11:18

    I'm so pleased for you Mick - when you were "really down" what did you do to regain the courage to continue - please do tell me.
    I truly hope you are able to get on with your own life now, and are able to fill the enormous gap this cr-p makes.
    Please do stay around.
    SBD
    xxxxxxxxxxx Stay happy.

    patrick11

    Re: Right Some Good News, None Payer Acieved Retrospective

    Post by patrick11 on Sat 14 Jan 2012 - 12:32

    strugglingbutdetermined wrote:I'm so pleased for you Mick - when you were "really down" what did you do to regain the courage to continue - please do tell me.
    I truly hope you are able to get on with your own life now, and are able to fill the enormous gap this cr-p makes.
    Please do stay around.
    SBD
    xxxxxxxxxxx Stay happy.


    S/B Smile

    I never realy let it get me down, i looked at it like i was always going to win, if i got fed up i just picked up the phone and bored the pants of some one at the P.C.T, I studed the mental health Act, i Researched all the medication, i took comfort in reading on this forum. if i ever felt low. i asked for help to sort out paperwork (My Good Lady The Wife Shirley) ask Good friends for advice

    Thank you Victoria Meldrew who was very helpful and supportive all the way V/M's Experience Helped me Find a way through all the boggs we are faced with, we have become virtual internet brother and sister V/M Was my guiding light the information from Experience helped me side step all the pitfalls. Helped me make the right Decision In the way i Dealt with Mums Case)

    Stephen Squires Help Was just as valuble I am extreamly greatfull for his help the phone calls and Letters were very helpfull

    When they accused me of things. i just laughed in their faces because i could prove them wrong, i have my phone rigged up to a digital recorder, i also carry a digital recorder with me and used it at every meeting, i wasnt bothered about breaking any law,or their Confidencial rights to privicy, They were breaking the law, I Taunted them when they threatened to take me to court, I told them get me in court i can then put my case before the judge with all recordings, I will also make sure that my mother is in court at the same time With all of the photographs that i had taken


    What Kept Me Going, This Lady My Mum Who Made Me Who I am it wasn't For the money It was For JUSTICE And i will stay around to help others to Get the same JUSTICE


    My mum whilst in so called professional care Take A look

    bodecia2007

    Re: Right Some Good News, None Payer Acieved Retrospective

    Post by bodecia2007 on Sat 14 Jan 2012 - 12:48

    Well Done Mick !! flower

    So sorry about the way you Mum was treat though. It's an ongoing disgrace and those who are responsible for these cowardly acts should be made to pay.

    strugglingbutdetermined

    Re: Right Some Good News, None Payer Acieved Retrospective

    Post by strugglingbutdetermined on Sat 14 Jan 2012 - 12:49

    God bless her Mick, what lovely blue eyes, and you too
    xxxxxxxxxx
    I think that photo says it all.
    SBD

    strugglingbutdetermined

    Re: Right Some Good News, None Payer Acieved Retrospective

    Post by strugglingbutdetermined on Sat 14 Jan 2012 - 12:50

    not sure about your eye colour Mick, but God bless regardless.

    xxxxxxxxxxxxx

    patrick11

    Re: Right Some Good News, None Payer Acieved Retrospective

    Post by patrick11 on Sat 14 Jan 2012 - 13:00

    strugglingbutdetermined wrote:not sure about your eye colour Mick, but God bless regardless.

    xxxxxxxxxxxxx


    strugglingbutdetermined Smile

    Your username say's it all for me, I did Struggle But I was also Determined to get justice
    i also fluttered thoes same blue Eye's my mother gave me when needed

    God Bless, Kind Regards

    Mick & Family

    sillysally

    Re: Right Some Good News, None Payer Acieved Retrospective

    Post by sillysally on Sat 14 Jan 2012 - 15:02

    Thnaks also for the lovely music references earlier in this thread. All bang on and very evocative. Smile

    shaz1

    Re: Right Some Good News, None Payer Acieved Retrospective

    Post by shaz1 on Sat 14 Jan 2012 - 22:20

    Well done Mick you truely deserve it and i echo what others have said you are an inspiration to us all. Your mum, bless her, is blessed to have a son like you.

    I can only speak for myself when i say that without the likes of you and VM and Ian and others on here I would not be able to fight on as i do most of my fighting on my own and you guys are my only salvation and my first port of call when i`m struggling.

    The choices of music were indeed very emotive, I love you

    mergymraeg100

    Re: Right Some Good News, None Payer Acieved Retrospective

    Post by mergymraeg100 on Sun 15 Jan 2012 - 17:31

    The picture of your mother has reduced me to a state of great sorrow and tears. The picture reminds me of the injuries my mother has suffered in professional care the kind of injuries and neglect that should they have occurred whilst in my care, I would have been charged with gross neglect and placed into prison.Thank you for the picture Mike, a lady worthy of your and Shirley's fight for justice. The expression on your mother's face and in her eyes speaks volumes. Smile
    MG pale

    neixs04

    Re: Right Some Good News, None Payer Acieved Retrospective

    Post by neixs04 on Tue 17 Jan 2012 - 8:55

    Well done Mick, all your hard work has paid off

    Graymalkin

    Re: Right Some Good News, None Payer Acieved Retrospective

    Post by Graymalkin on Tue 17 Jan 2012 - 12:10

    Dear All,

    First of all, Well done Mick, I'm so pleased for you! You have been a constant source of encouragement, advice and information and I'm very grateful to you. Thank you so much!
    Now for my own bit of 'good news''.......I have just heard that the PCT have admitted defeat and will refund my late rel's care fees! (I had already been refunded the fees for the last 4 months of Rel's life) I'm totally poleaxed, can't believe that this journey is finally nearly over, (started almost exactly 4 years ago to the very day) I keep re-reading the letter in disbelief!
    I couldn't have done this without the kind friends on this Forum, I am truly grateful.

    Kind Regards,
    Graymalkin (Greyer than when I started!)

    maryjo

    Re: Right Some Good News, None Payer Acieved Retrospective

    Post by maryjo on Tue 17 Jan 2012 - 12:36

    Graymalkin wrote: Dear All,

    First of all, Well done Mick, I'm so pleased for you! You have been a constant source of encouragement, advice and information and I'm very grateful to you. Thank you so much!
    Now for my own bit of 'good news''.......I have just heard that the PCT have admitted defeat and will refund my late rel's care fees! (I had already been refunded the fees for the last 4 months of Rel's life) I'm totally poleaxed, can't believe that this journey is finally nearly over, (started almost exactly 4 years ago to the very day) I keep re-reading the letter in disbelief!
    I couldn't have done this without the kind friends on this Forum, I am truly grateful.

    Kind Regards,
    Graymalkin (Greyer than when I started!)


    Excellent news - very excellent! cheers

    This sort of news encourages us all to keep on with the fight with the help of people on the Forum.

    Very well done. Have a cup of tea (and a chocolate).

    bodecia2007

    Re: Right Some Good News, None Payer Acieved Retrospective

    Post by bodecia2007 on Tue 17 Jan 2012 - 13:16

    Absolutely great news Graymalkin - cheers

    patrick11

    Re: Right Some Good News, None Payer Acieved Retrospective

    Post by patrick11 on Tue 17 Jan 2012 - 13:16

    maryjo wrote:
    Graymalkin wrote: Dear All,

    First of all, Well done Mick, I'm so pleased for you! You have been a constant source of encouragement, advice and information and I'm very grateful to you. Thank you so much!
    Now for my own bit of 'good news''.......I have just heard that the PCT have admitted defeat and will refund my late rel's care fees! (I had already been refunded the fees for the last 4 months of Rel's life) I'm totally poleaxed, can't believe that this journey is finally nearly over, (started almost exactly 4 years ago to the very day) I keep re-reading the letter in disbelief!
    I couldn't have done this without the kind friends on this Forum, I am truly grateful.

    Kind Regards,
    Graymalkin (Greyer than when I started!)


    Excellent news - very excellent! cheers


    This sort of news encourages us all to keep on with the fight with the help of people on the Forum.

    Very well done. Have a cup of tea (and a chocolate).





    G/M Hooray Smile Thats two in a week Fantaby doozey Smile To all memembers out there stick with it you could be the next to spread Good News, As you see it can be done Remember JUSTICE is for all who seek it

    I would like to say this, If in the Past and now i have posted anything that has helped you in any way, Then i can tell you this. i feel proud to have acheived that, Having left the education system with no academic qualification whatsoever. I was a lad who just left school to go to work and help my mum and dad as times were hard, The world just went by, i had no need to seek further education hard work put the food in the cupboard, paid the rent We survived

    After seeing my Mother taken into care. and then made to contribute to that care after working hard all her life, Paying taxes National insurence scimping and scrapeing going without, I was not going to stand by and let this Corrupt system get away with it, I Got me head down and studed some law, the Data Protection Act. The Mental Health Act

    I Found this Forum, Received Great help From Esquires, A whole host of helpfull information on this forum from wonderfull people Like Victoria Meldrew, Bodecia, Alien Pirate, Pussycat. Even Bobs More recently Ian, Just to mention A few, I gained my courage from theses In-fact from all who posted on this forum

    So a huge thank you, to all members i was determind to get JUSTICE With all you posting you all helped in one way or another, So keep posting stick together and one day soon JUSTICE Will also be yours

    Don't be scared to ask Questions Just post up and get an answere

    To all members Good luck And god speed

    Mick & Family

    Pussycat

    Fantasticcccccccccccc

    Post by Pussycat on Tue 17 Jan 2012 - 14:26

    Well done you Graymalkin. Another piece of brilliant news.
    Best wishes cat

    shrinkingviolet

    Re: Right Some Good News, None Payer Acieved Retrospective

    Post by shrinkingviolet on Tue 17 Jan 2012 - 16:11

    Fantastic news Mick and Graymalkin.
    Heartening for the rest of us.

    cheers cheers Well done. cheers cheers

    Best wishes
    S/V

    sillysally

    Re: Right Some Good News, None Payer Acieved Retrospective

    Post by sillysally on Tue 17 Jan 2012 - 18:15

    Great news Greymalkin. Have a well earned and relaxed evening. Tell us how you did it please; it all helps.

    Graymalkin

    Re: Right Some Good News, None Payer Acieved Retrospective

    Post by Graymalkin on Wed 18 Jan 2012 - 14:21

    Double rations all round!

    How did I do it???

    I think the reason for any success in this area is always down to persistence and research (knowing yer onions!)
    Knowing the dreaded NF and DST backwards and sideways, and never taking 'no' for an answer.

    In my case I was invited to do a written presentation (not invited to the meeting). I produced this using the DST as a guide and referring every step of the way to the 4 Key Indicators (Nature intensity Predictability and Complexity). As it turned out, on reading the rationale, much more weight was given to these than the needs themselves in each domain. It seems this is the case with many assessments. So my advice to anyone would be to concentrate your mind on this aspect as you consider each domain.

    I would advise you to do your research on wider policies! The DST User Notes instruct that 'Completion of the tool should be carried out in a manner that is compatible with wider legislation and national policies':

    NICE www.nice.org/ for the published clinical guidlines (which gives links to key documents) on the particular conditions: eg Dementia, Pressure Ulcer Management etc. Then you can then quote all the needs as identified by NICE (Natonal Institute for Clinical Excellence) As we know, eligibility is all to do with NEEDS, not what is being done (or not being done to meet those needs).
    Then there's the Dept Health End of Life Care Strategy
    And also the National Service Framework for Long Term Conditions. both of these identify needs and tell us what 'SHOULD' be happening. It is irrelevant if there are shortcomings in patient care and needs are not identified or met. It is the NEED which is relevant. keep going back to that!

    My final bit of advice is to show 'Complexity' in a very visual way. I used a circle of card that came under a supermarket pizza and wrote all the domains round the edge like a clock face. (I used Palliative Care and infection Control as the 12th Domain). Then I drew lines connecting which ever 2 domains I felt impacted on each other, gave them an arrow and a number so I could write a key. for example: between Nutrition and Cognition I put: 'low blood sugar increased confusion'. Then going back the other way: 'When confused R would refuse meals'. I did this systematically all round the clock face and ended up with a lovely complex spider's web matrix which they did not argue with! According to the rationale 'Complexity' clinched it!

    Don't forget when you do this: Effect is a noun, Affect is a verb!!! Remember like this: Effect is an End Result; Affect is an Action!!! Lesson over!!

    Good luck one and all!

    GM

    shrinkingviolet

    Re: Right Some Good News, None Payer Acieved Retrospective

    Post by shrinkingviolet on Wed 18 Jan 2012 - 15:18

    GM,
    Thank you.
    Very informative post.

    ian

    Re: Right Some Good News, None Payer Acieved Retrospective

    Post by ian on Wed 18 Jan 2012 - 18:59



    Hello Graymalkin

    Let me also say well done for your victory and very well deserved.

    I was also very impressed with the way you went about it and the very clear way you outlined in your recent post.

    Your case and Micks are both top class victories and the information coming back from these victories is just what we want.

    It is time perhaps to consider our own framework guidance for challenging these decisions. I realise that every case is different and the circumstances will differ but it would be ideal if we had our own good practise guide.

    Very kind regards Ian.

    CJUK

    Re: Right Some Good News, None Payer Acieved Retrospective

    Post by CJUK on Wed 18 Jan 2012 - 20:37


    Congratulations to you both Mick and Graymalkin. Superb results. cheers

    Gives me just the boost needed to take the final step and sue the pants off them.

    Cheers

    CJUK

    sillysally

    Re: Right Some Good News, None Payer Acieved Retrospective

    Post by sillysally on Wed 18 Jan 2012 - 23:39

    Excellent advice and a briliant presentation with a great outcome. Thank you, and very well deserved. cheers

    mergymraeg100

    Re: Right Some Good News, None Payer Acieved Retrospective

    Post by mergymraeg100 on Fri 20 Jan 2012 - 18:33

    Graymalkin: Thank you so much. A visual representation of complexity is a brilliant idea....I will have to see if I can remember how to create a pie chart.....thank you for a very valuable lesson.The twelfth domain is the domain that gives me the greatest cause for confusion...I would appreciate a further explanation on how you used Palliative Care and Infection Control to achieve an Effect....sorry if I appear dim...Smile

    MG

    Guest
    Guest

    Re: Right Some Good News, None Payer Acieved Retrospective

    Post by Guest on Mon 23 Jan 2012 - 18:35

    I've copied this from another thread ........

    The gutter is too good for you but at the same time not good enough for you, FinnMickey. The sewage system might be a better place for your unwarranted abuse of people who genuinely care.

    Today I've checked back through your posts on this forum - because I care about care - and you've posted more abusive posts this year alone than others have ever posted in their lifetime on this forum. I'm not alone in that caring about people, because that's my only reason for being here. Others have also been reading your posts on this forum. What happened to you about 6 months ago now when you suddenly went AWOL from the world? Share it with us and we'll do all we can to support you through your obvious trauma.

    Your most recent posts are the most offensive that I have ever read on any forum that purports to care about people.

    You are most definitely alone. You wouldn't get a foot in the door at Bletchley Park not in many other places that care. At risk of repeating myself, you are an utter disgrace.

    Steve, delete me too if this FinnMickey is considered by you to be acceptable. I want nothing to do with it any longer.

    VM pig

    juwi

    Re: Right Some Good News, None Payer Acieved Retrospective

    Post by juwi on Mon 23 Jan 2012 - 19:09

    Mick, VM and others irritated by the silly little person - ignore him, if you can. I reckon he's a PCT/Lansley plant, placed to distract people from the main purpose of the forum. Fail to rise to his not very subtle bait and he/they have failed to take up people's energy and attention.

    ian

    Re: Right Some Good News, None Payer Acieved Retrospective

    Post by ian on Mon 23 Jan 2012 - 19:30



    Hello Juwi

    Very good point but sometimes its hard not to hit back.

    Finntroll could well be a plant or a internet troll or somebody with a very serious problem.

    FM wasnt always like this take a look back at the Sticky top of page about solicitors, FM wrote some good posts then.

    The picture of Micks Mum speaks more than a thousand words why we are here and what we know we have to continue to do FM/Finntroll wont stop us.

    Very kind regards Ian

    maryjo

    Re: Right Some Good News, None Payer Acieved Retrospective

    Post by maryjo on Mon 23 Jan 2012 - 21:16

    I feel I should admit that I have some news to share but will not be posting it until this silly little person is banned. The news will have implications for others, I think. It includes good words about Hugh James.
    However, things are developing so it can wait.
    I agree, it is very difficult to ignore FM and it is taking a lot of patience waiting for the Administrator to act.

    Graymalkin

    Re: Right Some Good News, None Payer Acieved Retrospective

    Post by Graymalkin on Tue 24 Jan 2012 - 13:50

    Dear all,

    Mergymraeg - apologies for the delay in answering your query (I treated myself to a long weekend away!)

    I 'll try and explain how I fitted Palliative care and Infection Control into the matrix:

    PALLIATIVE CARE: Note the definition in the Glossary on page 48 of the NF: 'The active holistic care......'. The key word is holistic, it means the whole person, so I simply connected Palliative Care in the 12th domain to each domain where there was a need. Palliative Care means bringing everything together in the totality of need, it requires active planning and co-ordination. PC is not a 'do nothing' approach!

    I'll point out here that End of Life Care(EOLC) is not duration specific. The D of Health EOLC Strategy acknowledges this; Quote: 'EOLC is variable...' (paragraph 3.7) It explains that there are various trajectories of decline at the end of life... '... including those who are very frail for months or years before death with a steady progressive decline' (para 3.3). So when you include these issues in your report/presentation include this reference as the PCT might try and tell you that end of life is only the last few weeks or days.

    INFECTION CONTROL.
    Get hold of your PCT's Infection Control Policy, if it's not on the website ask Freedom of Information for it. Then you have ammunition about what should be happening, such a prevention of cross infection, disposal of infected clinical waste, tackling the risk of Healthcare Aquired Infections (HCAIs) MRSA, C.Diff. particularly regarding frail and vulnerable residents in Care/Nursing Homes.
    I connected Infection control in the 12th Domain to each of the domains where there was a history of infections (bladder and chest), and chronic infection (MRSA infected diabetic ulcers. Include risk of infections if there are any indwelling devices (catheter, PEG) open wounds, chronic chest problems)
    Infection Control impacts on the other domains in terms of: early recognition of signs of infection, timely and appropriate response to obtain specimens, prescribe antibiotics, treat symptoms and minimise risk. Also I included the risk of cross infection and disposal of infected clinical waste, dressings uribags etc.

    I hope this helps?
    Kind regards GM

    shrinkingviolet

    Re: Right Some Good News, None Payer Acieved Retrospective

    Post by shrinkingviolet on Tue 24 Jan 2012 - 14:39

    GM,
    Thank you again for another brilliant post on how to do it.

    S/V

    mergymraeg100

    Re: Right Some Good News, None Payer Acieved Retrospective

    Post by mergymraeg100 on Tue 24 Jan 2012 - 16:41

    GM Thank you so much, you have made my day.... Smile
    MG

    fimac4

    Re: Right Some Good News, None Payer Acieved Retrospective

    Post by fimac4 on Fri 3 Feb 2012 - 13:17

    Well done to both of you, sorry this has been late. I am still around and still busy helping whenever I get asked, it remains a principal with me.
    Getting good news is a great moral boost for everyone still fighting and I remain hugely grateful to Steve and Robin for giving us this site, without it a lot of us might not have won.
    Thanks guys and well done to the latest two winners. My last win was Nov and the gentleman in question sadly died less than eight weeks later! Guess that proves he had health needs then!
    Fimac4

      Current date/time is Thu 23 Feb 2012 - 16:24