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Hi @ayjay
Sorry for the delay in responding, I only have a few hours a week to respond to posts, so often posting a reply takes longer than I would like.
Actually, you were probably not that far from the mark with your "nobody knows" comment! As things currently stand each local authority is allowed to use their own financial assessment criteria so you won't find detailed national guidance on the calculation that will be applied. Some local authorities publish the calculation that they use on their website but all should provide it on request.
My expectation would be that local disability advice services would normally know the Disabled Facilities Grant (DFG), means-testing calculation formula being used in their area. So if your local information service has already advised you then that is probably an accurate answer.
It is disappointing that you don't seem to be getting the information and advice that you need from the OT's involved with your wife's care. I know in many areas resources have been cut to the bone and waiting lists are ridiculous. What is clear is that even if you pass the means test to get a DFG you won't be able to get it without having an OT visit, assess and sign it off.
From your post it sounds as if there is some confusion about if you should be dealing with the hospital OT or the community OT on this matter. Sometimes local working arrangements differ, but generally speaking the hospital OT will normally be involved with assessing the home only to ensure that the discharge is 'safe'.
In my experience, the hospital OT isn't going to get involved with longer term arrangements, such as major home adaptations, unless they are essential to get the disabled person safely discharged from hospital. Basically, with regards to personal hygiene, they will just want to ensure that immediate needs are addressed, so in the 'short term' **** washes and the use of a commode are often assessed as adequate.
Ideally, the hospital OT's will liaise and 'handover' to their colleagues working as community OT's. Unfortunately this doesn't always happen as we might hope so do ensure that you follow up with the community OT as soon as you have a discharge date for your wife. It will be the community OT that needs to advise you an how your home can be adapted to met your wife's longer term needs. If the bathroom isn't big enough to accommodate her needs other, more creative or expensive solutions may need to be considered (such as, room reconfigurations, extensions, XY tracking, hoist etc).
If you are confident that you are not going to meet the means test to get a DFG and are going to have to fund an adaptations from private means, and the wait to see the community OT is lengthy, then you might decide to act before having had them assess and advice. In which case you may feel that investing in getting advice from an OT in independent practice would be wise:
https://www.rcotss-ip.org.uk/find
As this post may well be read by others at a later date or with differing circumstances I would just like to point out that, at the time of writing, DFG's are not means tested for children. Also that currently there is a review taking place into DFG's and it is likely that they will be replaced with a different system/criteria in the not to distant future.
Best Wishes
Jean
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