Advertisement
If you have a new account but are having problems posting or verifying your account, please email us on hello@boards.ie for help. Thanks :)
Hello all! Please ensure that you are posting a new thread or question in the appropriate forum. The Feedback forum is overwhelmed with questions that are having to be moved elsewhere. If you need help to verify your account contact hello@boards.ie
Hi there,
There is an issue with role permissions that is being worked on at the moment.
If you are having trouble with access or permissions on regional forums please post here to get access: https://www.boards.ie/discussion/2058365403/you-do-not-have-permission-for-that#latest

Private carer-implications

  • 31-03-2013 2:18pm
    #1
    byhookorbycrook
    Moderators, Education Moderators, Regional South East Moderators Posts: 12,507 Mod ✭✭✭✭


    Mods feel free to move this if not in correct forum.

    Background to story: Elderly relative moved to private nursing care by gp. Can no longer manage with just morning and evening home help.

    Relative doesn't want to stay in home, even though becoming very frail, forgetful and physically incapacitated. Can apply for "Fair deal" scheme if they stay in the home.

    So here come the qs: If person pays for private 24 live-in care, could that prevent the elderly person from getting "Fair Deal" scheme in the future?

    Who is the carer' employer and are there PRSI ,tax implications etc?

    What about insuring carer against injury caused by lifting and indeed if the elderly person gets injured in their care?

    Are there any other issues in employing someone you can think of?


Comments

  • #2
    Truman Burbank
    Registered Users, Registered Users 2 Posts: 543 ✭✭✭Truman Burbank


    byhookorbycrook wrote: »
    Mods feel free to move this if not in correct forum.

    Background to story: Elderly relative moved to private nursing care by gp. Can no longer manage with just morning and evening home help.

    Relative doesn't want to stay in home, even though becoming very frail, forgetful and physically incapacitated. Can apply for "Fair deal" scheme if they stay in the home.

    So here come the qs: If person pays for private 24 live-in care, could that prevent the elderly person from getting "Fair Deal" scheme in the future?

    Who is the carer' employer and are there PRSI ,tax implications etc?

    What about insuring carer against injury caused by lifting and indeed if the elderly person gets injured in their care?

    Are there any other issues in employing someone you can think of?

    It seems you're asking if the patient can be taken out of the private Nursing Home to receive private care at home and then apply for the (public) Fair Deal Scheme?? This is not easy to organise. There is a trojan amount of work to do to get homecare in place. And the last thing anyone wants is a fall and a broken hip. You've written your relative "doesn't not want to stay in home". Do you mean their own home or the Nursing Home??

    GPs don't normally organise this in isolation. Someone has to pay for it, so it's done in consultation with the Nursing Home, patient (where compos mentis) and family +/- local Health Center. There's quite a lot of discussion, picking out a suitable Nursing Home, waiting for a place (public and private) and form filling. That's why there are so many elderly waiting in acute hospitals for nursing home beds. You mentioned previous morning and evening home help - so perhaps you are talking about a HSE 'Homecare Package' (+/- private evening hire), so there would have been HSE community involvement already to have your relative placed?? Anyway........ the local Health Center Medical Social Worker (MSW) would answer all your questions. You can call directly or ask your relative's Public Health Nurse (PHN) to have the MSW call you. They do this day-in, day-out....... Alternatively, ask the Nursing Home if there is an MSW assigned. You want to speak with someone independent, not the owner/director of the Nursing Home.

    For those at home - There are a number of day hospitals, attached to acute hospitals, that have Drs, nurses, physios, OTs, MSWs, STs etc that evaluate patients medically/Falls Clinics/Memory Clinics etc that can be accessed via the GP. There are also community based day centers that have MSWs. These are not normally long-term, usually 6-8 weeks. Bus collects.

    You also want to have all involved relatives on the same page from Day 1. And Power-of-Attorney (if necessary).


  • #3
    byhookorbycrook
    Moderators, Education Moderators, Regional South East Moderators Posts: 12,507 Mod ✭✭✭✭byhookorbycrook


    Thanks for the reply, we have been told today that she can no longer cope at home and needs nursing home care 24 hours a day, so that seems to be the best option right now.


  • #4
    Truman Burbank
    Registered Users, Registered Users 2 Posts: 543 ✭✭✭Truman Burbank


    byhookorbycrook wrote: »
    Thanks for the reply, we have been told today that she can no longer cope at home and needs nursing home care 24 hours a day, so that seems to be the best option right now.

    That is what it sounded like in your post. Do s/w the MSW re costs. The Fair Deal Scheme is (IMH(umble)O) excellent. All the best.


Advertisement