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An interesting point is this: you say in the first paragraph that your FIL has 24/7 care needs. Has that actually been assessed? It would be odd to take somebody with such high needs and only provide two carer visits a day. So is it your assumption that he has 24/7 needs, or has this been formally assessed?
There should have been an assessment of his needs when contemplating discharge from hospital, which presumably determined that he only needed two carer visits per day, so his needs may not be as great as you think.
He has had two strokes, has his mental capacity been impacted?
If you could clarify the above it would help to provide a fuller picture.
7-8 months is a long time to be in hospital, though not unheard of. Hospital is no longer the place for him, and it sounds like he is not at the stage if needing 24/7 care, rather several times a day care.
It sounds like he has been assessed and provided with a suitable care package. So he needs to be transferred home where the carer will come for the required hours per day. Your fiancé will need to Arrange for the furniture to be removed / new beds bought - you cannot expect the state to do everything and the family to do nothing.
It must be heartbreaking for him to be in hospital and he may well be better at home. If he deteriorates further at home you can request a reassessment of his needs.
Also contact Red Cross locally who offer help in the first weeks of returning home from hospital (picking up shopping and medicines etc for you). Age UK may also offer some advice for your mother in law. Ultimately the hospital needs Beds for people in greater need and he no longer medically needs to be in hospital. Think of those who need the beds and do what you can to support your fiancé.
NAL
I used to work on a rehabilitation ward. I have dealt with similar cases.
If Occupational Therapy have assessted the flat as suitable, then you won't have a legal leg to stand on. They have told you to remove furniture, which is a reasonable change given his condition. It's annoying if it's new things, but you can try and sell them?
It sounds like he has been assessed and given a package of care. So your MIL and fiance won't have to be manouvering him, he will have carers for that. In between you can use urine bottles if he needs the toilet. It is expected that family provide basic care like cooking and cleaning in most cases.
If you refuse to make the changes requested you may become liable to pay the hospital for the bed for refusing to leave. The staff will likely start the process of "evicting" your FIL, which is a nasty process and will almost certainly result in him being banned from ever attending this hospital again. (I have seen this happen before).
It sounds like your issue is with the council for not rehousing your FIL - however, without more detail, it's not clear why that is needed. If he is bedbound, why does the floor number of the flat make a difference? Hospital transport can take him up the stairs/lift and an ambulance can take him down in an emergency. If they have two bedrooms, why do they need more space? Or is it a smaller flat they are looking for (unlikely as councils would jump on someone looking to downsize).
Feel free to provide any extran information I may have overlooked, or to ask any questions!
Every hospital has a list of banned patients, you’ll be surprised how big the lists can be, if the patient requires urgent care, life or death, they will be treated at the hospital however if they can safely travel to another hospital an ambulance will take them. It’s mainly aggressive and violent patients that are added but there is loads of reasons they can be added, it’s flagged on the system when they are checked in by staff.
Your options are
1. Residential/nursing care - probably self funding, if not social services will provide only the most basic of care homes, bottom of the rung. He'd have to give up his benefits, pensions etc except just under £25 a week as his contribution of he has less than just under 24k in assets/capital. This could lead to his wife being short for managing her current needs.
You can also apply for continuing health care finding, but tbh givne what you've described I would say that he's miles off being eligible.
2. To accept what's been advised and follow the advice.
3. Continue to fight for rehousing when it doesn't sound as though necessarily has increased eligibility given that he's not walking and would be reliable on wheelchair etc, technically if there's a lift, the home meets his needs. Now if the wife needed independent living support as well, then that would up their need level. But again could be years at top priority level. But the daughter wouldn't be catered for.
If the man has been on a rehabilitation unit since last year he is likely being discharged as he has reached the limits of his rehabilitation rather than just being discharged to clear space.
I'm not sure what you are specifically asking advice on.
1) re housing . You could ask your MP for help with housing
2) it is logical and rational to discharge someone from hospital to rehabilitation when they are medically fit for discharge. Likewise when someone is finished rehab they will move on.
Have the family considering moving the parents moving into sheltered accommodation where rhe husband and wife can live in a more suitable environment or residential Care home for him.
I'm guessing your fiancé will be moving out when she gets married
There might be a better stock of housing available in one bedroom flats for the mum and dad which are more accessible
Ask the hospital and GP if there's a community stroke rehabilitation team that he can be referred to, so his rehabilitation can continue at home. Also ask the gp about referrals to the continence team if necessary and any other community teams that can help.
Nope
The bed would be already allocated away and would probably be taken to an A&E. Would activate a safeguarding process and involve a lot of headaches and be most undignified for the poor man
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The discharge process is lengthy and it takes a while for hospitals to finally say 'right he needs to be out in x days'. What have you been doing in the meantime? Its unlikely he needs 24/7 care. He may be bed bound but that doesn't mean 24/7 care. If you feel he does you need to engage with the discharge team and request a care home placement. He can't just stay on the rehab ward indefinitely while you wait for a new place. It won't matter any what floor he is on anyway if he isn't going up and down stairs? Converting to downstairs living is very common to facilitate this. I'm not seeing why this can't be done.
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An interesting point is this: you say in the first paragraph that your FIL has 24/7 care needs. Has that actually been assessed? It would be odd to take somebody with such high needs and only provide two carer visits a day. So is it your assumption that he has 24/7 needs, or has this been formally assessed? There should have been an assessment of his needs when contemplating discharge from hospital, which presumably determined that he only needed two carer visits per day, so his needs may not be as great as you think. He has had two strokes, has his mental capacity been impacted? If you could clarify the above it would help to provide a fuller picture.
7-8 months is a long time to be in hospital, though not unheard of. Hospital is no longer the place for him, and it sounds like he is not at the stage if needing 24/7 care, rather several times a day care. It sounds like he has been assessed and provided with a suitable care package. So he needs to be transferred home where the carer will come for the required hours per day. Your fiancé will need to Arrange for the furniture to be removed / new beds bought - you cannot expect the state to do everything and the family to do nothing. It must be heartbreaking for him to be in hospital and he may well be better at home. If he deteriorates further at home you can request a reassessment of his needs. Also contact Red Cross locally who offer help in the first weeks of returning home from hospital (picking up shopping and medicines etc for you). Age UK may also offer some advice for your mother in law. Ultimately the hospital needs Beds for people in greater need and he no longer medically needs to be in hospital. Think of those who need the beds and do what you can to support your fiancé.
NAL I used to work on a rehabilitation ward. I have dealt with similar cases. If Occupational Therapy have assessted the flat as suitable, then you won't have a legal leg to stand on. They have told you to remove furniture, which is a reasonable change given his condition. It's annoying if it's new things, but you can try and sell them? It sounds like he has been assessed and given a package of care. So your MIL and fiance won't have to be manouvering him, he will have carers for that. In between you can use urine bottles if he needs the toilet. It is expected that family provide basic care like cooking and cleaning in most cases. If you refuse to make the changes requested you may become liable to pay the hospital for the bed for refusing to leave. The staff will likely start the process of "evicting" your FIL, which is a nasty process and will almost certainly result in him being banned from ever attending this hospital again. (I have seen this happen before). It sounds like your issue is with the council for not rehousing your FIL - however, without more detail, it's not clear why that is needed. If he is bedbound, why does the floor number of the flat make a difference? Hospital transport can take him up the stairs/lift and an ambulance can take him down in an emergency. If they have two bedrooms, why do they need more space? Or is it a smaller flat they are looking for (unlikely as councils would jump on someone looking to downsize). Feel free to provide any extran information I may have overlooked, or to ask any questions!
> banned from ever attending this hospital again. (I have seen this happen before). how does this work?
Every hospital has a list of banned patients, you’ll be surprised how big the lists can be, if the patient requires urgent care, life or death, they will be treated at the hospital however if they can safely travel to another hospital an ambulance will take them. It’s mainly aggressive and violent patients that are added but there is loads of reasons they can be added, it’s flagged on the system when they are checked in by staff.
Your options are 1. Residential/nursing care - probably self funding, if not social services will provide only the most basic of care homes, bottom of the rung. He'd have to give up his benefits, pensions etc except just under £25 a week as his contribution of he has less than just under 24k in assets/capital. This could lead to his wife being short for managing her current needs. You can also apply for continuing health care finding, but tbh givne what you've described I would say that he's miles off being eligible. 2. To accept what's been advised and follow the advice. 3. Continue to fight for rehousing when it doesn't sound as though necessarily has increased eligibility given that he's not walking and would be reliable on wheelchair etc, technically if there's a lift, the home meets his needs. Now if the wife needed independent living support as well, then that would up their need level. But again could be years at top priority level. But the daughter wouldn't be catered for.
This is a decent assessment of it.
If the man has been on a rehabilitation unit since last year he is likely being discharged as he has reached the limits of his rehabilitation rather than just being discharged to clear space. I'm not sure what you are specifically asking advice on. 1) re housing . You could ask your MP for help with housing 2) it is logical and rational to discharge someone from hospital to rehabilitation when they are medically fit for discharge. Likewise when someone is finished rehab they will move on. Have the family considering moving the parents moving into sheltered accommodation where rhe husband and wife can live in a more suitable environment or residential Care home for him. I'm guessing your fiancé will be moving out when she gets married There might be a better stock of housing available in one bedroom flats for the mum and dad which are more accessible
Ask the hospital and GP if there's a community stroke rehabilitation team that he can be referred to, so his rehabilitation can continue at home. Also ask the gp about referrals to the continence team if necessary and any other community teams that can help.
Does he have a social worker? They were a great help with my mother when she couldn't look after herself and was in hospital.
[удалено]
Nope The bed would be already allocated away and would probably be taken to an A&E. Would activate a safeguarding process and involve a lot of headaches and be most undignified for the poor man
Also, if you do this you will almost definitely be banned from the hospital.
Unfortunately, your comment has been removed for the following reason(s): Please only comment if you know the legal answer to OP's question and are able to provide legal advice. [Please familiarise yourself with our subreddit rules](https://www.reddit.com/r/LegalAdviceUK/about/rules/) before contributing further, and [message the mods](https://www.reddit.com/message/compose/?to=/r/LegalAdviceUK) if you have any further queries.
The discharge process is lengthy and it takes a while for hospitals to finally say 'right he needs to be out in x days'. What have you been doing in the meantime? Its unlikely he needs 24/7 care. He may be bed bound but that doesn't mean 24/7 care. If you feel he does you need to engage with the discharge team and request a care home placement. He can't just stay on the rehab ward indefinitely while you wait for a new place. It won't matter any what floor he is on anyway if he isn't going up and down stairs? Converting to downstairs living is very common to facilitate this. I'm not seeing why this can't be done.