A woman receives care at home from nurses funded by CHC from the CCG and a parent. On CHC review, disputed DST domain scores were decided by the Panel itself, and the Rationale was not signed. Her mother was called ‘disrespectful’ when she flagged up the breach of the National Framework! Input from a @CASCAIDr adviser has secured ongoing CHC status and nursing care, challenged the proposed budget for irrationality (including a +60% cut in the trachy bibs supplied monthly) – and sought retrospective funding for the ever decreasing SOCIAL care in the past service.