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£53.00 to pay for a carer sounds like the lower rate of Attendance Allowance, if this is the case you can apply for the higher rate of approx £76.00.

Continuing Care is an assesment process with many questions rated high/moderate/low care needs by professional teams involved with the care of the patient IE social workers/health professionals.  A person may be deemed as having moderate care needs even if they are unable to weight bear, for example, as this may be routine and not unpredictable.  There are so many variables to the assesment and it may include input by carers.  The result is a care plan and decision on who pays for it.  Usually the higher the needs score, the more likely NHS will foot some or all of the bill, moderate needs means it's more likely Social services will foot the bill and therefore a contribution may well be required from the patient (means tested). Panels meet to decide this and it is sometimes beyond me how they come to their decisions however everything is documented and follows a strict process and criteria.

Help The Aged recently merged with Age Concern to become Age UK - all local offices of Age UK have and Information & Advice Line who are very knowledgable.  Some Help the Aged and Age Concerns exist on a local level who also provide Info & Advice.