Hi Dizzy, you are doing the typical things that parents do in these situations. You downrate everything you do, and it seems 'normal' to you.
So "A bit more focussed play to help support development and for his physio"
No, you need to carry out daily programmes of play therapy to help your DS progress, and feedback the results to your portage worker/physio.
"Attendance at portage sessions"
No, you spend x amount of minutes at a daily/weekly/monthly portage session, then carry out the prescribed activities for x minutes, y times per day.
How is your DS's head control? Is it delayed? If yes
You have to provide extra support to ensure that your DS's neck is protected and his head is supported as he has delayed head control.
"He keeps getting poorly from coughs colds etc so more GP trips"
He has a tendency to pick up low-level viral infections so you have to be alert to the first signs of these, and take him to the GP for assessment.
And so on, and so forth. The assessors can only credit what you say, so you have to be explicit.
Decision makers have no medical training, they have no expertise in Downs Syndrome, they only have a manual of conditions, and a Decision Makers' Guide. And your form.
So, for example, if you have to give a medicine, you write down the steps you take to prepare it, how you prepare the child for doing so, the administration, the cleaning of the syringe afterwards, etc.
The actual 'taking medicine' may be 30 seconds, but by the time you have factored in all the steps above, that is easily 10 minutes of the day.
Do you see? It isn't just what you do, it is the time it takes to prepare, the time it takes to do, the extra thought processes, etc.
Keep yourself a diary for a week, write down every single thing you do for your DS. Then look at it and see if you would do it differently for a child who didn't have his delayed development? If the answer is 'no', that is care that arises from his condition.
My DD1 has a brain malformation. Some of her care is 'normal' for a child of 18 months, some of it is 'normal' for a 2 year old, and some of it is 'normal' for a 3 year old. But the fact that she is nearly 5 means that it is all 'extra care' for her, because at nearly 5 she should be needing the care that a nearly 5 year old gets.