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Guest post: SN parenting: 'it's money - not our son's disability - that casts a shadow over our lives'

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MumsnetGuestPosts · 02/02/2015 11:16

When someone tells that you your child will be disabled your world crumbles around you. I will never forget the day that I had to hold down my beautiful, screaming baby boy, three weeks before he was supposed to have been born, so that he could have his fourth CT scan since his premature delivery at 29 weeks. The sonographer didn't even bother to hide the horror on his face as he looked at the screen. I'm no expert, but even I could see that there were black circles where there should be white masses. My son had a brain injury. Things would never be the same again.

It took another 18 months to get the diagnosis that our son had severe quadriplegic cerebral palsy, and we had hundreds of appointments in that period. They crushed us - every appointment I attended with my lovely little boy, gurgling and smiling at me, seemed to end in a catalogue of things that I should not expect him ever to do: sit, walk, talk, eat, engage with people, make friends, or even know who we were. The lowest point was when a prematurity consultant told us ‘we don't use the term vegetable any more, but…’. I sobbed for three hours afterwards.

When I think back to those appointments, I can remember my deep, visceral fear - but now, they are only memories. Early intervention makes a huge difference to children like our son. That man was wrong: at nearly three, he can't crawl, stand or walk independently, but he is bright and funny. His laugh is incredible. He has lots of friends and an amazing, unique bond with his sister. He knows ten colours, some basic shapes, and every day he tells me that he loves me: ‘Ay uv ooo, Mummm’.

Although his challenges are many and I wish he didn't have to face them, we accept them. This wasn't a world we were prepared to inhabit, but we do. We can't imagine (and we don't want to imagine) our son any other way, and we are optimistic - now we see his life as one of potential, rather than of limits.

But – as any parent of a disabled child will tell you – there is something that casts a long shadow over our lives: money. It's all about the blooming money.

Of course, raising any child doesn't come cheap, but when your child is disabled, the costs rise astronomically. Our little boy can't drink out of a sippy cup for example, so he has to have a cup with a straw which is recommended by his speech therapist. It's about £15. Not crazy, you might think – except that it has a design flaw, which means that the straw has a shelf life of a couple of months. And you can't buy the straw separately. And of course, we have to have two at any one time. That's nearly £200 a year on a drinks bottle. There's also the £100 we've spent on different types of cutlery – all recommended by our occupational therapist, all with a waiting list of about 8-12 weeks for a free pair to try - because our son is desperate to self-feed. None have worked, so I'm about to order some more.

And there's the big stuff: the £2,500 we have to find for a new supportive swivel car seat, the £1,600 we had to find for his fabulous trike. I could go on.

We are endlessly being asked to make up for cuts in our services, which vary in provision dramatically from one Primary Care Trust (PCT) to another. Take his glasses, for instance - if we happened to live near a hospital that dispensed glasses, each £60 pair would be free. The same goes for his specialist orthotic footwear, no longer funded by our PCT, which cost £120 a pair. His record for outgrowing them is two months.

He needs these things, and dozens of other things, every month. I don't resent this – I would give him the proverbial shirt of my back – and I do understand that someone has to fund these items and that resources are scarce. I also get that I am lucky. I work, as does my partner, so we can save and buy these things. But we have had to make some tough decisions: selling things, denying ourselves and our other child.

In other circumstances, there are no decisions to make. You are rendered utterly powerless and it is soul destroying. You are told of treatments that would help your child or equipment that is ‘essential’ to stop further health complications, but that waiting lists are too long and budgets too tight for you to access them. I have seen therapists cry when they are forced to deliver such news. This is why parents jump out of planes and walk over hot coals - to raise the money to buy their child a bed that will help with hip displacement, or a walking frame another hospital in another county would have loaned free of charge.

And in our case it could get a whole lot worse very soon. In order for me to stay in work, our son attends the same mainstream nursery that our daughter attended. We pay a premium for this, and he has a 1:1 support worker to be his arms, legs and voice, as they don't always cooperate. We are locked in a battle with our Local Authority over how much 1:1 support they will offer because they cap provision based on age. It is cheaper for them to push me out of work and onto benefits than to support our son with enough hours so that I can continue to work and pay taxes.

If our Local Authority won't budge it is devastatingly simple: we will lose our home, one of the few connections we have to our old life. We will have to find accessible housing, likely in another area, and might have to go to the back of all the waiting lists for therapies and equipment we have slowly clawed our way up over the past few years.

Cerebral palsy places huge demands on our son and presents enormous challenges in his life. But honestly, what most threatens his cognitive and physical potential, what crushes our spirit and our resolve, is money worries and austerity measures. And we are some of the lucky ones. For now, at least.

OP posts:
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Owllady · 06/02/2015 14:06

Sorry if I am going off on a tangent. It's just the carers act is supposed to protect us and support us as parent carers (and other carers) to work but it doesn't. The legalities are ignored by local authorities and you barely get enough respite (if you get anything) just to carry on caring, let alone work.

In our experience your extended family can't or won't help either and friends can either cope with your family or they can't and that's just friendship, not any practical help.

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BertieBotts · 06/02/2015 14:19

OK, yes, IsItMeOr, you make an excellent point that the system has grown and people assume it's someone else's responsibility. I was assuming it had been designed as a whole somewhere, which clearly isn't the case. I should have realised that.

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juneau · 06/02/2015 16:28

This post really saddened me and I'm sorry you're struggling like this. I'd always imagined that if we'd had a disabled child the help would be there - both practical and financial - but it clearly isn't. I'm angered that cuts to these kind of essential services are being made. I was already angry about library hours and reduced hours at our recycling centre and carers for the elderly and this is one more thing to add to the list. We are a wealthy, developed nation with a relatively high tax burden (although probably not high enough, tbh), yet still we're failing the most vulnerable. How can this be?

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IsItMeOr · 06/02/2015 16:29

Bertie I have been lucky(?!) enough to see things from a few different sides, and generally compassion and good intent has been there. I'm not sure any system can cope with matching finite resources against unlimited needs, but I think it could be better, and I think everybody should be very concerned about the implications of cutting public spending over the next five years.

From the Office of Budgetary Responsibility's report published alongside the Chancellor's autumn statement:

"Looking forward, the Government’s policy assumption for total spending implies that the burden of the remaining consolidation would fall overwhelmingly on the day-to-day running costs of the public services – and more so after this Autumn Statement. Between 2009-10 and 2019-20, spending on public services, administration and grants by central government is projected to fall from 21.2 per cent to 12.6 per cent of GDP and from £5,650 to £3,880 per head in 2014-15 prices. Around 40 per cent of these cuts would have been delivered during this Parliament, with around 60 per cent to come during the next. The implied squeeze on local authority spending is similarly severe."

I am horrified by the implications for families who rely on public services and benefits to help them just survive.

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AccessAllAreas · 06/02/2015 18:08

Every word rings true.

Money is the huge stress factor for us, too, particularly in a climate of vicious LA cuts.

Our son has autism, and although he is lucky to have a local authority funded place at an excellent specialist educational provision (which we had to fight tooth and nail for), local authority spending cuts are impacting our lives in many devastating ways.

Our council plans to cut millions from its school transport budget, and are currently running a 'consultation' on alternative ways to fund it. One being 'direct payments' from parents. My son's school isnt local and he travels to school via a taxi with a LA funded escort. We couldnt afford to pay for that, and I have another child in another school, so the practicalities of me doing it ...I cant imagine.

His specialist holiday play scheme (respite for us, too) has been cut from 12 days a year to three days a year. His term-time weekend club (also huge respite for us and for his sister) for children with ASD will close in March due to LA cuts unless parents are willing to pay for the service themselves (£1500 per year - no chance).

The council used to fund 1:1 support workers for autistic children to access a range of inclusive play opportunities, but that is no longer...

It is a bleak picture. I gave up a well paid career to care for my son, as we have suitable after school childcare and someone needs to be hone at 3pm every day for him, which means money is incredibly tight.

I dont think the government or local authorities really understand what these cuts mean for the outcomes of disabled children. Respite for families and appropriate education and play opportunities for the most vulnerable children can be make or break for disabled children and their families.

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AccessAllAreas · 06/02/2015 18:10

*have NO suitable childcare, sorry

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saintlyjimjams · 07/02/2015 08:59

Well I have heard yesterday that it looks as if ds1's basic care needs will be met over half term. But to get to that point I had to pull in my MP and a Minister and it also had to become dangerous (I have been injured repeatedly). I have also had to point out repeatedly that I could not guarantee any of my children's safety (not ds1 or his brothers) without the basic support ds1 needs (this is 100% true - not hyperbole - and because of my injuries they know it).

Fingers crossed it works & functions at half term - it's all rather patched together and a mish mash of different care providers, so at risk (imo) of falling apart on the actual day, but at least there's a chance we might make it through to the other side of half term with us all in one piece.

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PheasantPlucker · 09/02/2015 19:52

Thanks for writing this OP.

You write so well, and are reaching many people to explain this widespread and troubling issue.

MY dd is 14, with a range of SNs. The beaurocracy and fighting with the local authority exhausts me.

I wish you and your family well.

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SueRutherford · 05/03/2015 01:15

I completely understand and agree with Mrboosmum about finances and extra costs, as does all the people whose replies I've read.
I have never been political but now all this austerity has made me realise just how much we are all at the mercy of people who just do not care. It was when Rachel Reeves the MP came to see us in november last year that I realised some politicians do care. I am terrified of the future and what will happen when Warren gets to be 18 and treated as an adult. I won't say any more because I already got angry and upset reading Mrboosmum's blog.
I hope that one day all our disabled kids and grandkids will be looked after as they should be, with love and kindness.
This is a bit Paul wrote about Warren on his blog. Warren is another kid with a rare chromosome disorder, less than 100 in the world! I hope the link works if anyone is interested. //www.underoccupied.net/warren

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raindrops99 · 05/06/2015 23:03

Flowers
You sound like a really lovely mum.

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stephc007 · 03/01/2016 21:30

Totally understand your fears on this front. I've blogged recently on how it's all about the money, and how scary it is that no-one really plans ahead and understands what money will be needed for each child. Those of us who don't work, for various reasons, end up being very poorly paid carers and also live in fear of that money being taken away. None of it is fair :(

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