Falling in the gap, not I'll enough for hospice care, but very ill at home, but who wants to end up in hospital over and over again.

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My mum is 85, soon 86. 

I care for her when I visit weekly,  but mainly my dad. He is 81 and also undergoing soon radiotherapy for an inoperable tumour. 

My mum is so ill, but nobody is helping manage her illness, in terms of how she feels, her body. Mobility issues worsening, but my dad wants her at home. Discharge Carers sent away as the times they turn up are so sporadic, far too early in the morning when she is feeling unwell, or too early to send her to bed! Completely pointless and unmanageable, caused more stress in the end. She sleeps mostly I day! Ontop of that both suffered a stroke. My dad recovered but tired.

What to do? 

I want her in a respite setting. 

How to get her in or get a Marie Currie nurse to help out. She falls in between the gap. No respite on offer by McMillan hospice, only if you are 3 days to 2 weeks from death! As they keep saying. No physical visits by cancer specialists Mcmillan nurses, only once si ce March pandemic began, as policy is over phone advice. My mum is not earing, she is so thin. The physical demise is not taken at all into account. Her GP  rarely comes out. We cannot often get through on the phone. I wait often nearly 20 minutes,  do you honestly think, eldey patients can manage that?

The system is totally not up to scratch. Sporadic and slow. The impact of hospice policy not to give respite is definitely affecting us. 

Her cancer symptoms are severe, not the pain as much but all over body itching, as was one of side effects and thus drugs to manage this have been removed since on palliative care plan.  In and out of hospital meant constant changes to drugs. Drugs that before hospital admissions had a purpose, but suddenly stopped. Nobkdy actually looks at this in detail. 

My parents paid into the NHS all their life, why should they use their savings for more care,when it is there to be used for paying bills, repairs to property etc. 

No idea if she even qualifies for any free 24 hr respite care, probably not as they owner a household! STill waiting from doctor for referral for care assessment. I am going to speak to Marie Currie as a last resort. Nobody wants to go through their private finances with strangers, bad enough when discharge carers keep telling my dad about paying for care, have you got more than £23k? You would not tell that to strangers in a street!

I have to say, the amount of time spent on telephone,  going over the same issues is staggering! Referrals so slow, some not to date even done like incontinence issues, pads she needs. Huge cost on that for both. My biggest anger is that there is no access to specialist palliative doctors. It is not good enough. 

Anyone else experiencing,  falling in the gap, where only options are yoy yoing between hospital and home?

The virus impact, has been a disaster for cancer patients.

  • Hi @4mum,

    Sorry to hear about your mum and wish there was a magic wand I could wave. I wonder if it might help you to ring the helpline to see if they could suggest an alternative to you.

    Definitely relate to the not wanting to be in and out of hospital - I always know when my wife is really ill when she actually wants to go to the hospital but it is usually not long before she wants to get out again.

    Some years ago we had a local community hospital that offered respite care, but then it was closed and sold off. I wonder if the local hospice might know of other options too that you might discuss.

    Covid has not made anything easier either.

    Hope some of those ideas help, keep posting when you need and I hope you all find the help you need.

    <<hugs>>

    Steve

    Community Champion Badge

  • Hello 4 mum

    You can claim attendance allowance for your mum. It will be fast tracked - the doctor fills in a form or Macmillan will for you.  It can be done online too.  About £89 weekly and not means tested.  That will pay for about 4 hours of private care who can come when you want.

    your Gp should be participating in multidisciplinary meetings regarding your mums health and a a pathway be established.  The gold pathway.  You could maybe get details.

    my husband doesn’t eat much but is on high calorie creamy shots and protein jelly.  Both prescribed by the Macmillan dietician.  Might be worth contacting them .  I have found the community dietician service very poor.

    totally agree about the prescription failures after hospital stays - my own pet frustration is the delay on discharge whilst waiting for the medicines to arrive on the ward.  My husband waited 8 hours last time.   


    if you emessage  your parents doctor requesting incontinence pads and are refused there are online suppliers who are quite reasonable price wise.  A large box is delivered here monthly and costs about £50.  The pads are comfier than the nhs ones and work out at about 30p each.

    We have not gone through the Care Assessment procedure either as We have savings but have worked out what is and isn’t means tested.

    We try our hardest not to yo yo into the hospital as it always seems that the infection or whatever gets better but the general well-being worse.

    if your mum requires a nursing home she may be entitled to continuing health care funding which the nhs pays for.  You have to ask for a checklist to be done.  If the checklist is positive a full assessment is completed and funding granted.  It is a bit of a minefield.

    my sympathies are with you as I feel your frustration as I have had it too.   my best wishes to your parents.

  • My 85 year Dad was diagnosed with inoperable stage 4 cancer and is receiving end of life care.  The hospital referred Dad to the local palliative care team and a local hospice called a week or so later.  I must say their support has been invaluable, where it is near impossible to get to speak to a doctor, let alone see one the Hospice team have been wonderful, I can call them when I need advice.

    The Hospice nurse also communicates with the GP and get's things moving, they suggested my Dad takes some high calorie drinks, so they mentioned this to the GP and now we have them on repeat prescription.  I wonder if you can ask your GP to refer you Mum to your local hospice team or the consultant she is under at the Hospital, they should do this for you.

    The Hospice Team also made a fast track referral to the NHS continuing care service; I moved in with my Dad to care for him when he came out of hospital, but there is a limited to the amount I can help him with his personal care and now we have a carer coming every day as he is less able to attend to this himself now, they also said this can be increased if necessary, it will be reviewed after 3 months but it is not means tested.

    The hospice team will also apply for an attendance allowance, this is usually a rather long form to complete but they will take away that stress for you, they will also discuss mobility and offer any aids, hospital bed at home if needed.

    I hope you can soon get some support.

    All the best.