Requesting a review of home support hours

Reviews usually have to be requested

Approved hours reflect an assessment made at one point in time. When needs increase, ask the local Home Support Office directly for a review of the assessment of need, and put the request in writing as well as by phone.

Evidence that helps

• A two-week log showing where the gaps fall and what happens in them
• Any falls, missed medication, weight loss or hospital attendances since the last assessment
• A note of what family are currently covering, and what is no longer sustainable
• Any recent letter from a GP, hospital or therapist

While you wait

• Ask what community or voluntary services could cover specific gaps
• Ask about respite if a family carer is close to exhaustion
• If you can pay, private hours can bridge a gap — keep the public application open regardless

If you disagree with the outcome

Ask what the local process is for reviewing a decision, and ask for the decision and the reasons in writing. A Citizens Information centre can help you understand your options.

Sources

• Health Service Executive (HSE) — Home Support Service
  Open the official source
• Citizens Information Board — Citizens Information — older people and carers
  Open the official source