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{"id":4204,"date":"2016-12-05T15:43:53","date_gmt":"2016-12-05T15:43:53","guid":{"rendered":"http:\/\/assistansbloggen.se\/?p=4204"},"modified":"2016-12-05T15:43:53","modified_gmt":"2016-12-05T15:43:53","slug":"assistansbehov-dygnet-runt-men-inte-pa-sjukhus","status":"publish","type":"post","link":"http:\/\/assistans.tv\/blogg\/2016\/12\/05\/assistansbehov-dygnet-runt-men-inte-pa-sjukhus\/","title":{"rendered":"Assistansbehov dygnet runt-men inte p\u00e5 sjukhus"},"content":{"rendered":"

Jag har en klient som \u00e4r beviljad assistansers\u00e4ttning d\u00e5 F\u00f6rs\u00e4kringskassan bed\u00f6mt att karakt\u00e4ren p\u00e5 funktionsneds\u00e4ttningen \u00e4r av s\u00e5dan att det \u00e4r s\u00e4rskilt angel\u00e4get att en personlig assistent finns till hands och ut\u00f6var en aktiv tillsyn av \u00f6vervakande karakt\u00e4r och h\u00e4lsotillst\u00e5nd kr\u00e4ver ett starkt begr\u00e4nsat antal personer med ing\u00e5ende kunskaper om honom. Men n\u00e4r han nu \u00e4r inlagd p\u00e5 sjukhuset f\u00e5r han inte en minut i assistansers\u00e4ttning.<\/p>\n

 <\/p>\n

Motiveringen som F\u00f6rs\u00e4kringskassan anv\u00e4nder sig av \u00e4r att de bed\u00f6mer att karakt\u00e4ren av funktionshindret inte g\u00f6r det angel\u00e4get att den personliga assistenten finns till hands p\u00e5 sjukhuset samt att h\u00e4lsotillst\u00e5ndet inte kr\u00e4ver ett starkt begr\u00e4nsat antal personer med ing\u00e5ende kunskaper om den s\u00f6kande och dennes funktionshinder.<\/em> Varf\u00f6r kassan g\u00f6r en annan bed\u00f6mning i nu aktuellt beslut \u00e4r sv\u00e5rt att f\u00f6rst\u00e5. Sjukhuspersonal har f\u00f6rvisso kunskap om diagnoserna i allm\u00e4nhet men det ska framh\u00e5llas att de inte har ing\u00e5ende kunskaper om den enskildes funktonshinder och hur det p\u00e5verkar just honom. De kan inte avg\u00f6ra om ett anfall \u00e4r p\u00e5 v\u00e4g eller om anfallen kommer att komma i en serie, d\u00e5 de inte har den ing\u00e5ende kunskapen som \u00e4r absolut n\u00f6dv\u00e4ndig.<\/p>\n

\"\"<\/a><\/p>\n

Vidare anf\u00f6r F\u00f6rs\u00e4kringskassan att den enskildes kommunikationssv\u00e5righeter inte kr\u00e4ver att en personlig assistent m\u00e5ste finnas till hands f\u00f6r att han ska kunna kommunicera med tredje person p\u00e5 sjukhuset. B\u00e5de logopedintyg och F\u00f6rs\u00e4kringskassans grundbeslut s\u00e4ger mot denna motivering. Eftersom den enskilde har en mental utvecklingsst\u00f6rning \u00e4r det uppenbart att han inte kan f\u00f6rmedla budskap till sjukhuspersonalen och han kan inte f\u00f6rst\u00e5 budskap som sjukhuspersonalen f\u00f6rmedlar till honom. Det kr\u00e4vs s\u00e5ledes en person med ing\u00e5ende kunskaper om hans kommunikationss\u00e4tt och mentala utvecklingsniv\u00e5 f\u00f6r att han skall kunna g\u00f6ra sig f\u00f6rst\u00e5dd och ocks\u00e5 f\u00f6rst\u00e5 personalen p\u00e5 sjukhus.<\/p>\n

 <\/p>\n

Sammanfattningsvis kan det konstateras att kassan inte f\u00f6retagit n\u00e5gra egentliga utrednings\u00e5tg\u00e4rder med anledning av ans\u00f6kan och beslutet saknar \u00e4ven individuell motivering. Den enskilde och hans anh\u00f6riga \u00e4r av den best\u00e4mda uppfattningen att personlig assitans under sjukhusvistelser \u00e4r f\u00f6ruts\u00e4ttning f\u00f6r hans s\u00e4kerhet och f\u00f6r att s\u00e4kerst\u00e4lla att han uppn\u00e5r goda levandsvillkor \u00e4ven under kortare sjukhusvistelser.<\/p>\n

 <\/p>\n

L\u00e4karna ser det som sj\u00e4lvklart att den enskilde i detta fall m\u00e5ste f\u00e5 assistans under sin sjukhusvistelse och kommer nu skriva kompletterande intyg som vi ska tillf\u00f6ra till \u00e4rendets ompr\u00f6vning, som f\u00f6rhoppningsvis kommer fram till att assistansers\u00e4ttningen beh\u00f6vs \u00e4ven under sjukhusvistelsen.<\/p>\n

 <\/p>\n

\/\/Niklas<\/p>\n

Jurist<\/p>\n","protected":false},"excerpt":{"rendered":"

Jag har en klient som \u00e4r beviljad assistansers\u00e4ttning d\u00e5 F\u00f6rs\u00e4kringskassan bed\u00f6mt att karakt\u00e4ren p\u00e5 funktionsneds\u00e4ttningen \u00e4r av s\u00e5dan att det \u00e4r s\u00e4rskilt angel\u00e4get att en personlig assistent finns till hands och ut\u00f6var en aktiv tillsyn av \u00f6vervakande karakt\u00e4r och h\u00e4lsotillst\u00e5nd kr\u00e4ver ett starkt begr\u00e4nsat antal personer med ing\u00e5ende kunskaper om honom. Men n\u00e4r han nu … <\/p>\n