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{"id":4769,"date":"2017-06-05T09:32:01","date_gmt":"2017-06-05T07:32:01","guid":{"rendered":"http:\/\/assistans.tv\/blogg\/?p=4769"},"modified":"2017-07-14T09:09:22","modified_gmt":"2017-07-14T07:09:22","slug":"mal-nr-2120-17-kammarratten-goteborg","status":"publish","type":"post","link":"http:\/\/assistans.tv\/blogg\/2017\/06\/05\/mal-nr-2120-17-kammarratten-goteborg\/","title":{"rendered":"M\u00e5l nr 2120-17 i Kammarr\u00e4tten i G\u00f6teborg"},"content":{"rendered":"

\"\"<\/p>\n

Kammarr\u00e4tten i J\u00f6nk\u00f6ping meddelade 2017-05-08 ett mycket intressant och v\u00e4gledande beslut i fr\u00e5ga om r\u00e4tt till ut\u00f6kning av insatsen personlig assistans med anledning av ett tillsynsbehov som uppkommit genom ett sjukdomstillst\u00e5nd.<\/strong><\/p>\n

Individen i m\u00e5let var beviljad ekonomiskt st\u00f6d till sk\u00e4liga kostnader f\u00f6r personlig assistans enligt 9 \u00a7 2 LSS f\u00f6r s\u00e5v\u00e4l grundl\u00e4ggande som andra personliga behov. Med anledning av sjukdomsfall\u00a0hade personen ans\u00f6kt\u00a0om tillf\u00e4llig ut\u00f6kning av antalet timmar f\u00f6r tiden den 25 februari – 20 mars 2016. Socialn\u00e4mnden i Simrishamns kommun\u00a0hade avslagit\u00a0ans\u00f6kan med motiveringen att behovet ska tillgodoses genom den huvudman som har det faktiska ansvaret f\u00f6r att tillgodose hennes behov av sjukv\u00e5rd, det vill s\u00e4ga det sjukhus som den s\u00f6kande initialt hade vistats p\u00e5. Socialn\u00e4mnden hade i sitt beslut\u00a0anf\u00f6rt att behovet av sjukv\u00e5rdande insatser enligt h\u00e4lso- och sjukv\u00e5rdslagen (1982:763) principiellt inte kan beaktas vid bed\u00f6mningen av om r\u00e4tt personlig assistans enligt LSS f\u00f6religger.<\/p>\n

Enligt intyg som hade utf\u00e4rdats av individens l\u00e4kare\u00a0hade s\u00f6kanden farit\u00a0illa av att vistas p\u00e5 sjukhus. D\u00e4rf\u00f6r hade det bed\u00f6mts\u00a0vara gynnsamt f\u00f6r henne att forts\u00e4tta sitt tillfrisknande i hemmet. S\u00f6kanden hade ett ut\u00f6kat behov av personlig assistans f\u00f6r tillsyn i hemmet under den aktuella perioden. Sedan\u00a0den s\u00f6kande hade l\u00e4mnat sjukhuset\u00a0hade det inte funnits\u00a0n\u00e5gon insats som faktiskt hade\u00a0tillgodosett det ut\u00f6kade hj\u00e4lpbehovet och hj\u00e4lpbehovet\u00a0hade \u00f6verstigit\u00a0vad hon redan var beviljad genom socialn\u00e4mndens beslut. F\u00f6rvaltningsr\u00e4tten i Malm\u00f6 anf\u00f6rde att det krav p\u00e5 samverkansavtal g\u00e4llande v\u00e5rdplanering mellan kommunf\u00f6rbundet och regionen var ovidkommande vid bed\u00f6mningen av s\u00f6kandens behov av assistans. Genom att s\u00f6kanden hade blivit utskriven fr\u00e5n sjukhuset, ans\u00e5g F\u00f6rvaltningsr\u00e4tten att sjukhuset inte l\u00e4ngre hade haft ansvar som huvudman f\u00f6r att f\u00e5\u00a0individens hj\u00e4lpbehov tillgodosedda.<\/p>\n

F\u00f6rvaltningsr\u00e4tten anf\u00f6rde vidare att en utg\u00e5ngspunkt f\u00f6r att kunna beviljas personlig assistans \u00e4r att den enskilde har ett s\u00e5dant hj\u00e4lpbehov som avses i 9 a \u00a7 LSS som inte faktiskt tillgodoses p\u00e5 annat s\u00e4tt och att insatsen beh\u00f6vs f\u00f6r att tillf\u00f6rs\u00e4kras goda levnadsvillkor (7 \u00a7 LSS). Den omst\u00e4ndigheten att ett hj\u00e4lpbehov eventuellt skulle kunna ha tillgodosetts p\u00e5 annat s\u00e4tt ans\u00e5gs av F\u00f6rvaltningsr\u00e4tten inte kunna medf\u00f6ra annan bed\u00f6mning. Vad socialn\u00e4mnden hade anf\u00f6rt som grund f\u00f6r att avsl\u00e5 ans\u00f6kan om ut\u00f6kad assistans, dvs. att sjukv\u00e5rden borde ha agerat p\u00e5 visst s\u00e4tt och borde ha haft ansvaret f\u00f6r att tillgodose s\u00f6kandens tillsynsbehov, ans\u00e5gs av F\u00f6rvaltningsr\u00e4tten sakna betydelse f\u00f6r bed\u00f6mningen av s\u00f6kandens faktiska behov av ut\u00f6kad personlig assistans. Enligt vad som framgick av utredningen hade s\u00f6kanden inte haft n\u00e5gra hj\u00e4lpinsatser efter utskrivningen fr\u00e5n sjukhuset ut\u00f6ver sin redan beviljade personliga assistans. F\u00f6r det fall att ytterligare insatser hade varit p\u00e5kallade, ans\u00e5g F\u00f6rvaltningsr\u00e4tten att kommunen hade haft det yttersta ansvaret f\u00f6r dessa och att kommunen d\u00e4rf\u00f6r inte hade haft fog f\u00f6r att avsl\u00e5 s\u00f6kandens ans\u00f6kan om ut\u00f6kad assistans p\u00e5 grunden att\u00a0assistansen borde ha tillgodosetts genom sjukhusets f\u00f6rsorg. F\u00f6rvaltningsr\u00e4tten upph\u00e4vde d\u00e4rf\u00f6r socialn\u00e4mndens beslut och \u00e5tervisade detta till n\u00e4mnden f\u00f6r pr\u00f6vning av sk\u00e4liga kostnader f\u00f6r den s\u00f6kandes personliga assistans.<\/p>\n

Socialn\u00e4mnden \u00f6verklagade F\u00f6rvaltningsr\u00e4ttens dom till kammarr\u00e4tten i J\u00f6nk\u00f6ping. Kammarr\u00e4tten fann emellertid i linje med underinstansen att s\u00f6kanden inte hade skrivits ut fr\u00e5n sjukhuset i syfte att hon skulle f\u00e5 fortsatta sjukv\u00e5rdsinsatser i hemmet, varf\u00f6r Kammarr\u00e4tten avslog socialn\u00e4mndens \u00f6verklagande och fastst\u00e4llde F\u00f6rvaltningsr\u00e4ttens dom.<\/p>\n

Se domen i sin helhet nedan.<\/p>\n

20170508KRDomM\u00e5lnr212017<\/a><\/p>\n

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

Kammarr\u00e4tten i J\u00f6nk\u00f6ping meddelade 2017-05-08 ett mycket intressant och v\u00e4gledande beslut i fr\u00e5ga om r\u00e4tt till ut\u00f6kning av insatsen personlig assistans med anledning av ett tillsynsbehov som uppkommit genom ett sjukdomstillst\u00e5nd. Individen i m\u00e5let var beviljad ekonomiskt st\u00f6d till sk\u00e4liga kostnader f\u00f6r personlig assistans enligt 9 \u00a7 2 LSS f\u00f6r s\u00e5v\u00e4l grundl\u00e4ggande som andra personliga … <\/p>\n