Today did not start well. Isobel was still asleep at 9,30am when Sarah Parker from the Ellenor Trust phoned to report a major problem. Without notice Bexley Council had changed the referral system from the 1st October and now required a different report from the one completed at great length yesterday. The district nurse, Wendy Williams will come round tomorrow in order to go over the same ground again in a different format. At the least, this appears to mean a weeks delay as the referral will not be pre-checked today and presumably will not be assured smooth passage at Fridays committee meeting.

Isobel seemed more tired today although on one occasion she walked better in the morning. Iona came over in the later part of the morning; Isobel was bathed; this operation is always difficult but she does not like using the shower which would be much easier. Isobel had more long rambling incoherent conversations today, often it was impossible to understand what topic she was trying to talk about, this is all very depressing.

Liz came over in the afternoon bringing food supplies from her school again. Liz left at abut 3pm and Iona left a bit later to deliver a letter about Isobel to Hillview. Tracey Cook from Bexley's Care Central 'phoned to say that she would be at tomorrows meeting with Wendy Williams, this was set for 9.30am. Seywag called round later to give Isobel a short discharge questionnaire - she still claimed to be able to do housework! He said that his boss, Steven Jones, had written a good letter yesterday in support of the need for Isobel's long term care, and reiterated his view that long term care outside the home was needed as her needs had become so severe.

Isobel had chicken hot pot for dinner followed by ice cream and soft fruits. She stayed awake until after midnight.