I have included one or two suggestions that involve some cost but I would strongly advise you consider them.
Dental Care Services available if you can no longer attend your dental practice
Community Dental Care.
This is secondary dental care for patients who cannot be seen in general practice.
This covers a number of conditions including dementia.
Patients are seen at an NHS Hospital, specialist health centres or mobile clinics. Alternatively dentists working in the community come to your home to provide care.
Details of the local community dental service can be obtained from the the local primary care organisation (England), the local health board (Wales) the dental practice board (National Services Scotland) or the local trust (Northern Ireland).
Domiciliary Dental Care
This is where a general dental practitioner has an NHS contract to visit patients in their own home when they cannot visit the practice in person.
This is not available throughout the UK.
Residential Healthcare Funding
For care fees advice, there is a professional body called SOLLA, The Society of Later Life Advisers. The SOLLA website contains more detailed advice about individual situations together with a section to locate a local adviser.
Local Authority Financial Assessment
The means tested limit for capital is £23,250. So if a person has any capital of more than £23,250 they
have to pay for their own care.
Capital means property as well. There is an exception. If somebody else lives in the property, a spouse at any age, a relative who is over 60 or a disabled relative of an early age.
There are two means tested limits the second is £14,250. If someone has got between £14,250
and £23,250, then they will get some contribution from the local authority, but not a full contribution.
If a person is under the second means tested limit of £14,250, the council will pay what they call a "tariff". The "tariff" is the amount if the person was in their local authority owned residential care home. If the person's savings are below £14,250, they would qualify for the tariff amount which varies with each local authority. If the person wants to stay in a care home which is dearer than the tariff they cannot use their own £14,250 fund, it has to be funded by a third-party (family or friends)
NHS Continuing Healthcare Funding
NHS continuing healthcare is an ongoing package of health and social care that is arranged and funded solely by the NHS where an individual is found to have a primary health need. Such care is provided to an individual aged 18 or over to meet needs that have arisen as a result of disability, accident or illness.
NHS Continuing Healthcare pays for help and care at home or in a care home for people who need a lot of help because of their health. The NHS pays for this.
Firstly you need to ask your social worker, your family doctor, a nurse or another health worker like an occupational therapist to submit an NHS continuing healthcare checklist and then this will lead to an assessment by a multi disciplinary team.
The process is difficult to negotiate and is not particularly suited to people whose only medical condition is dementia.
Guidance is provided that sets out the principles and processes of the national framework for NHS continuing healthcare in https://www.gov.uk/government/publications/national-framework-for-nhs-continuing-healthcare-and-nhs-funded-nursing-care
* As at 01/04/2023
Personally I would suggest you contact:-
Age UK (http://ageuk.org.uk ) who completed the attendance allowance and blue badge form for us.
Alzheimer's Society ( alzheimers.org.uk )
Alzheimer Scotland (alzscot.org) Scotland's Dementia Charity
Citizens Advice is an independent charity offering free advice and assistance in the completion and submission of both Attendance Allowance (AA) and Personal Independence Payment (PIP) application forms. Citizens Advice will, subject to staff availability, complete the form with you and advise you where and how to send it to the correct DWP department. They can also support you with benefits checks to see whether you could be entitled to any other help.You can contact Citizens Advice on their website www.citizensadvice.org.uk or by telephone for free in: England: 0800 144 8848, Northern Ireland 0800 915 4604, Scotland 0800 028 1456 or Wales 0800 702 2020.
Carers UK ( carersuk.org )
Dementia UK ( dementiauk.org ) Dementia UK is the specialist dementia nursing charity. Their nurses, known as Admiral Nurses, provide free, life-changing support and advice on a continuing basis to all those affected by dementia through their UK network of over 450 Admiral Nurses. Admiral Nurses are not available throughout the UK, however, the Dementia UK Helpline is available on 0800 888 6678 Monday to Friday 9am-9pm and Saturdays, Sundays and Bank Holidays 9am-5pm, except 25th December
Your County Council and Local Council will also be able to guide you towards charities in your area.
For Dementia Charities and services local to you simply search (on Google):-
Local dementia charities near me, or
Local dementia services near me
For me, as a full time carer, the "carers only" group stands out.
Carers groups are where you can share your own experiences, challenges and occasionally your deepest thoughts in a confidential and safe environment.
Not to mention those little and often not so little gems of information.
One National Carers Group that meets regularly is Dementia Club UK
Unfair Treatment Advice
If you feel that you have been unfairly treated in a shop, cafe or restaurant because you have dementia contact:-
Equality Advisory Support Service (EASS)
This is a free service that advises and assists individuals on issues relating to equality and human rights, across England, Scotland and Wales. EASS provides information and advice on Discrimination and Human Rights and is not a legal advice service. The EASS provides information about the Equality Act 2010 and the Human Rights Act 1998. They recommend you consult a lawyer if you want legal advice, wish to take legal action or want advice on the merits of your case.
The advice line is available on Freephone 0808 800 0082 Monday to Friday 9;00am to 7:00pm and Saturday 10:00am to 2:00pm.
Alternatively use the contact form https://www.equalityadvisoryservice.com/app/ask
If unfortunately you find that you need to complain about the NHS or if you find it difficult to understand your care and support or find it hard to speak up, there are people who can act as a spokesperson for you.
The Independent Heath Complaints Advocacy Service can help individuals make a complaint about a National Health Service (NHS), which covers all NHS funded treatment, this includes NHS hospitals, GP's, Ambulance Services, District Nurses, Mental Health Services, Dentists, Pharmacists or Opticians.
There are charities where a trained and vetted volunteer will come to your home and sit with the person.
Or perhaps take them out for an hour or two, just the two of them to a garden center of cafe or perhaps to a group of people with similar conditions which in our case was singing. Singing is often suggested because as well as joining in a group or simply listening to music helps with both social and mental stimulation.
Several Charities and Local Councils run Day-Care Centres where the person with dementia can get a change of company and often activities (and lunch) while carers can have half or a full day of respite. Search locally, some are paid for and some are free.
There are some things you need to think about, who can help
In the short term if you need to go to the hospital for 2 to 4 hours.
In the medium term for 2 to 4 days
In the longer term for several weeks or months.
And where are the contact details for these people and do they all know each others details.
The Red Emergency Folder with the persons care needs, medication and social preferences. Placed in a prominent position for the emergency services. Some health regions do different colored folders but the principle is the same.
The Lions Message in a Bottle Scheme is a simple idea that encourages people to keep their basic personal and medical details in a common place where they can easily be found in an emergency.
The information is kept in a bottle. The bottle is kept in the fridge, where the emergency services will expect to find it in the event of being called to your home.
They will know you have a bottle by a label. One on the fridge door and one on the inside of your front door.
The Lions Club British Isles Lionsclubs.co.uk supply the bottles free of charge to individuals and is supported by the following services:Ambulance Police Fire & Rescue, Emergency Doctors Primary Care Trusts.
Contact your local Lions Club or telephone Lions Clubs Head Quarters on 0345 833 9502, alternatively order a Message in a Bottle by emailing email:mdhq@lionsclubs.co.uk
Write down your details.
Whether it is in the Red Emergency Folder or in the Lions Message in a Bottle.
The Lions club list is a great guide to what to include:
• Your full name and brief physical description
• Your doctorʼs name, Surgery address and telephone number
• A brief description of any medical conditions you are suffering from
• Allergies and allergic reaction to medication
• Location of your medication in your home
• The names, addresses and phone numbers of two people who may be contacted in any emergency
• Details of any pets that may be on the premises
They also advise that you keep your repeat prescription list with your medication, this is of great help to paramedics.
Complete THE HERBERT PROTOCOL.
This is an Adult at risk profile containing information intended to assist care workers , partner agencies and the police if the person it refers to goes missing.
It is very comprehensive as it includes a photograph as well as GP's contact details, Medical Information, any particular phobias, places they may go, jobs, interest and hobbies, weekly habits, travel, their daily routines and primary contacts.
Details can be filled in online or can be downloaded and filled in by hand. Completing the online version allows it to be distributed (emailed) to selected people you would want to be made aware should the person go missing.
It is just a 20 minute job and I think that it is very important that it is done before the need arises.
Fire & Rescue Services
Fire & Rescue Services throughout the UK offer Free Home Safety Checks. As part of the service they check any smoke alarms currently installed and offer advice on fitting smoke alarms to ensure an effective early warning of a developing fire.
Register with your utilities Priority Service Register.
Contact your:-
Gas Supplier and Gas distribution services (0800 111 999)
Electricity Supplier (Tel. 105) and the Power Grid Priority Service (0800 169 2996)
Water Company
Telephone Company (Register with BT via the "BT Inclusion Team" 0800 919 591)
Telephone changes presently taking place throughout the country
Please take time to read this as the changes that are coming may stop you calling emergency services.
If you or someone you care for is likely to be confused by new technology:-
Register yours or their needs with their landline telephone provider NOW.
If the person is not registered they could be changed over at any time.
My Wife has Alzheimer’s Disease and I thought we were registered, but I was wrong and we were changed over to the new system on the 8th November 2021 and we were left without any landline phone.
If you have previously registered with the landline telephone service provider’s Priority Service, check as this may have been deleted from their records following the introduction of the new Data Protection Act 2018.
If you register with their telephone service provider this should avoid being changed over before 2025 and without taking into account any needs.
BT Openreach, which manages the UK's 14 Million phone and internet network, is retiring the Public Switched Telephone Network (copper wired telephone lines) by 31 December 2025. That means home phone (landline) providers, such as BT, Sky and Virgin Media O2 are now moving customers to a digital technology known as “Voice over Internet Protocol” (VoIP), which carries calls over a broadband connection.
Telephone service providers are required to give 1 month’s notice to everyone before their telephone system is changed to VoIP. Unfortunately the notice can appear to be a “standard letter”
If you have a single telephone adjacent to a modem, on the changeover day simply plug it into the back of the modem but there is nothing to do until the changeover day.
If you have your phone plugged into a remote socket elsewhere in the house, or only have a cordless landline phone, they will stop working with VoIP so as soon as you receive the notification letter, people or carers should:-
1. Ask for 1or 2 free Voice over Internet Protocol (VoIP) phones.
2. Or ask for a free adapter that allows you to continue to use one existing corded phone. Existing cordless phones connected to the electricity will no longer work in remote telephone sockets.
3. If you are in an area prone to electricity power cuts:-
If you are with BT ask for a Free Battery Back Up unit for the Modem/Hub.
This will allow the modem to continue to work for at least one hour following a power cut.
The new VoIP phones have a battery that can continue to work for up to 12 hours.
In a power cut, charged mobile phones and laptop computers will continue to work but after 1 hour they may have to rely on an alternative Wi-Fi signal.
4. If you are with BT, request a Free Priority Fault Repair application form. The form needs countersigning by a doctor or consultant which may incur a charge. The form is also available at:- www.bt.com/content/dam/bt/help/including-you/BT_Free_Priority_Fault_Repair.pdf
5. Any existing landline only customers with BT that are changed over to Digital Voice (VoIP) will be provided with a Free Smart Hub 2 (modem) and they will not pay a monthly rental for this Smart Hub 2. Those customers will not have broadband and all the other services that come with the chargeable service such as BT Wi-Fi and BT Cloud.
6. Other landline service providers may have different policies which you need to check.
On the 29th March 2022, because of the problems raised above, BT paused the changeover to the new VoIP phones. On 8th March 2023 BT restarted the rollout.
Pack Your Bags
Pack a bag each just in case either or both of you need to go into hospital even for just one night. Now is the time to do it because when you need it most you will have enough on your mind. Don't forget to tell others where the bags are.
Put in the bag the obvious but while you can think about it make sure you add something that will remind you both of home.
Pyjamas
Knickers or underpants
Tooth Brush and toothpaste
Slippers
That spare pair of glasses
A photo of the pair of you and that little something to remind you of home, a favorite soft toy, something you cherish but can be replaced
A little cash, just enough for a newspaper or a treat, not much in case it gets lost
Don't forget a list of phone numbers and a list of medications, simply the same as you have in your Red Emergency Folder or your Lions Message in a Bottle.
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