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I would be glad to hear from anyone with knowledge or experience of setting up a personal assistance scheme for a person with cognitive and/or other impairments resulting from a head injury, especially where Direct Payments are used a source of funding. I work for a local authority implementing a Direct Payments Scheme, and I am looking for examples of ways in which people with cognitive impairments can be provided with suitable assistance to enable them to manage Direct Payments to obtain necessary services. One suggested model involves setting up a Trust, so that the task of managing the money is formally shared by others who ensure that the User's wishes and choices are acted upon. Has anybody used this approach? Barry Ruffell Project Liaison Officer, West Sussex Direct Payments Scheme 35 Worthing Road, East Preston, W. Sussex, BN16 1BQ Tel: 01903 - 782345 Fax: 01903 - 779377 e-mail: Barry [log in to unmask] %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%