Exhausted family ‘crisis’ over lack of help with disabled son
THE “exhausted and desperate” parents of a severely disabled child who requires 24/7 care say they are in “crisis” due to the lack of carers available to them.
Michael and Ellen Jones, from Caernarfon, spend every hour of their day looking after their six-year-old son, Hari, who has been diagnosed with a rare genetic neuro-muscular disorder.
Hari is unable to breathe properly and is unable to walk or sit up as a result of the condition, called x-linked myotubular myopathy.
He is fed through a tube which is fixed to his neck at all times and requires constant supervision in case the tube blocks or his breathing stops – something that could happen at any given moment, his dad, Michael, says.
Hari spent the first four years of his life at Alder Hey children’s hospital in Liverpool. For large parts of that period, Michael and Ellen, who also have a 12-year-old daughter called Tiami, lived in the hospital with Hari, but they were able to take him home to Caernarfon after they were given a house that was suitable for his needs.
After Hari moved from Alder Hey to Caernarfon in 2019, the family was assigned a care package which meant
that carers would regularly visit their home to look after Hari.
Carers would be allocated a day shift or a night shift – each one lasting 12 hours – due to the constant supervision necessitated by Hari’s condition.
Over the course of last year, fewer carers would be available to look after Hari, which meant the burden of care was increasingly placed on the shoulders of Michael and Ellen.
Michael, 36, suffers from a serious illness himself – an undiagnosed disease which has left him with internal bleeding on several occasions – and has been in and out of hospital in
recent years, having also been in a coma for a time in 2018.
Michael’s condition, for which he receives treatment from the rare disease unit at a hospital in Birmingham, means he is unable to take a handson role in the care of his son. As a result, his partner, Ellen, 32, does most of the care work.
Michael says he has had to cancel important hospital appointments and has discharged himself from hospital a day after a procedure in the past due to Ellen being alone at home with no support.
Since the turn of the year, very little support has been available to the family, Michael says, and said the conditions of the care package on which they relied are no longer being fulfilled.
He claims this means Hari’s care has been left solely to Ellen for extended periods of time as she has been left with no choice but to take up both the day shift and the night shift herself for days on end, taking short naps in between while Michael keeps an eye on Hari.
Over the next two weeks, only three days’ worth of care has been assigned for Hari, meaning Ellen will have to work day and night for the rest of this time, Michael says.
Betsi Cadwaladr University Health Board (BCUHB) has said it is working closely with the family to ensure they continued to receive the right support.
Speaking about the family’s ordeal, Michael says: “From March last year, we began to highlight some of the issues with the care package we were on at the time with the health board, because fewer and fewer carers were available for shifts.
“During that time, my partner Ellen had to work through it. It’s 24-hour care and you can’t expect one person to do that for long periods on end. She did that until Christmas, when we had a big meeting with the company for which the carers worked.
“We were told at that point that a carer would be coming over to help over the holiday. That never happened, so we were without support for most of that period, and then in January the company told us that they would be pulling out of the contract with immediate effect.
“Their contract with the health board was up for renewal at the end of March but they didn’t have the capacity to offer the care for months before that.
“Ellen has just come out of doing nine shifts in a row. The shifts used to be 12 hours when we had care, but now they last the whole day. I can’t do much because of my condition, but I keep an eye on Hari so Ellen can sleep,” Michael says.
Michael claims to have warned BCUHB on numerous occasions last year over how their current situation would arise if no contingency plan was in place should something go wrong with their care package.
He is also in touch with MS Sian Gwenllian, who he says has written to the health board many times, though no solution has been found.
Speaking about the issue, the MS said: “I have been privileged to know this family for a few years and I’ve been working with them to try to get the care and respite package that they need. It’s disappointing and frustrat
ing that no long-term sustainable solution has been found but I’ll continue to support them and to work with them and the health board in pursuit of an answer.”
According to Michael, BCUHB says it is unable to find a care company in Wales which could facilitate the family’s needs.
Michael claims he has suggested a number of UK-based companies to the health board, all of which he says have told him they could provide the care needed, only for the health board to tell him differently, he claims.
The only options currently on the table for the family, Michael says, is to send Hari to a hospice in Chorley for days at a time for respite, or to wait “nine months” until the health board organises an in-house solution for their care needs.
The former, Michael says, is not an option because Hari has said that he does not want to go to a hospice and that Ellen would need to be with him regardless because of his specific needs.
The latter would mean that Ellen would have to continue to care for her son day and night most days for the best part of the year to come.
At the moment, Michael says, three carers are assigned to the family, but this is “nowhere near enough” because they have other placements and are not available most of the time.
The situation has left the family exhausted. “I’m on my knees asking for help”, says Michael.
“We’re like zombies. Ellen is sustained by adrenalin; she puts all her energy into caring for Hari.
“She doesn’t have five minutes to leave the house. She has to constantly be on her A-game to keep Hari safe.
“She’s in her pyjamas all day and will then jump into the shower before a few hours’ asleep and then it all starts again.
“Then there’s me, I’m ill all the time, so I’m putting more strain on her,” adds Michael.
“It’s like she’s a single parent. The health board knows that. We’re just asking for the care he is supposed to have.
“There’s going to be a breaking point soon. We are in crisis and we need a solution now.”
Christine Lynes, the health board’s Area Nurse Director (West), says: “We are working very closely with Mr and Mrs Jones to ensure that the care provided for their son is appropriate, safe and meets the family’s needs.
“We fully understand their concerns, and are in the process of recruiting additional members of the team.”