I am still pondering my questions relating to the Health and Social Care side if this, I will be back later with those.
The first one that pops into my head is about a personal situation. If you are given a budget for Health care, would that be Nationally set, or would it take into account your disability or combination of disabilities, and would it take into account variations in local provision?
The reason I ask is because I have uncontrolled epilepsy, and ideally need to see a Neurologist every 12-26 weeks, 26 at most. However - my PCT does not have a Neuro AT ALL. In order to see a Neurologist, I have to travel 60 miles each way on public transport. Currently, as I am not working, I get my travel costs reimbursed. Would the travel costs also have to come out of the personal budget, or would that be separate to the Health needs budget, or would I get an additional amount as the service I need to use is not provided locally?
Also, if you have a child with complex health issues, SEN requiring quite a bit of support just to access the curriculum AND you have a need for additional Care to be provided, in as much as respite care, would the budget given actually cover the payments for everything? My DD currently sees a cardiac consultant, an ENT consultant, a child development paediatrician, OT, physio, Audiology Consultant, CAHMS, a Paed Neurologist (again, 120 mile round trip), and she is also due to see the geneticist again soon, she has over 3 hours a week help in school (despite NOT being able to get a statement), and it is being looked at giving me some respite care due to the difficulties faced by my family, with having a Lone Parent who is disabled looking after 4 DC, two of whom also have disabilities.
If the budget offered wasn't enough to cover all this, who would get to choose what was most important to spend the money on? And would I be able to, say, spend Health money on getting her additional support at school if there was no SA+ any more and she stopped getting the 3 hours a week that she currently gets?