Hi.
This is from autism.org. Might be worth appealing if you have evidence to support the middle or high care rate. I was told night issues play quite a role with getting middle or higher. You will get £21.80 + £21.80 i think. Not sure but I think ours were backdated from date I applied until i received my first payment.
How does my child qualify for middle or high rate care?
To qualify for middle care the child must meet any one of the four rules listed below.
To qualify for high care the child must meet one of the day time rules and one of the night time rules listed below.
The two day time rules are:
Frequent attention is needed throughout the day in connection with bodily functions.
We discussed the meaning of ‘attention’ and ‘bodily functions’ above. Key to this part of the criteria is that the attention must be needed frequently and must be spread throughout the day. For example a child who needed a couple of hours additional help in the morning to get up, washed and dressed but then needed no more additional care during the rest of the day would not qualify for middle or high care under this rule because the care needed is not spread throughout the day, they would instead qualify for low care because the additional help is more than an hour.
Continual supervision is needed throughout the day to avoid substantial danger.
For this rule it is important to describe how the supervision needed is a lot more than the supervision needed by other children of the same age. Explain what dangers you are avoiding by providing the additional level of supervision.
The two night time rules are:
Prolonged or repeated attention is needed at night in connection with bodily functions.
Prolonged means about 20 minutes and repeated is twice or more, we discussed the meaning of ‘attention’, ‘bodily functions’ and ‘night time’ above. For example if you have to be up at night time for more than 20 minutes to help a 14 year-old to get up, use the toilet and then get back to bed you could qualify under this rule. Soothing a child back to sleep can count as attention with a bodily function, but only if it is ‘substantially in excess of the sort of help that other children of the same age need.
The child needs watching over at night for a prolonged period or at frequent intervals to avoid substantial danger.
‘Watching over’ means someone being awake to watch over the child. Prolonged means about 20 minutes and repeated is twice or more, and we discussed the definition of ‘night time’ above. For example if a child wakes in the middle of the night, and you have to get up to watch over them because it is dangerous to leave them unsupervised, you could qualify under this rule.