Overview
7Ms NSM, in her oral and written evidence, states that in 2006, she was living with her family in Australia, while her mother (the subject person) and father, German nationals, lived in Germany. That year, Ms NSM's father and younger brother died, and she travelled to Germany to care for her mother who had a recent history of small strokes and was unable to cope alone. During Ms NSM's time in Germany, a German Court made a guardianship order granting authority for her to look after her mother's affairs, including financial affairs.
8Ms NSM returned to Australia after a year and, up until two months ago, has continued to live in this country. By 2011, her mother had developed Alzheimer's Disease and was unable to live independently. Ms NSM successfully applied for a visa for her mother to live in Australia. In 2011, Mrs FGS arrived in Australia and initially resided with Ms NSM and her family in their home. However, Mrs FGS' mental state deteriorated and her care needs increased. According to an Aged Care Client Record dated 20 July 2011, Mrs FGS had been in Australia for eight weeks and could not look after herself. In particular, she had behavioural issues associated with her dementia, including wandering and physical and verbal outbursts. The ACAT assessment recommended high level residential and respite care, and an EACH dementia package.
9In October 2011, Ms NSM made arrangements for her mother to be placed in aged care facility A. Mrs FGS remained at that facility until her transfer to aged care facility B in April 2014. Mrs FGS does not have any income or assets in Australia, and the Tribunal was informed that she has no entitlement to an Australian pension under the conditions of her residency. She did, however, for a period of time after arriving in Australia, continue to receive a German pension.
10According to Ms NSM, in December 2012 she (Ms NSM) became unwell and was unable to attend to her mother's financial affairs. She said that her illness caused memory loss, and problems with coordination and concentration. She said she fell behind in payments of her mother's nursing home fees, and was also too unwell to attend to her mother's German pension payments, resulting in their cessation in 2013.
11In June 2014, Ms NSM's husband, a professor of surgery in the UK, organised for her (Ms NSM) to travel to Europe for treatment of her illness which had not yet been formally diagnosed. While she has been in Europe, she has been diagnosed with severe temporal lobe epilepsy, for which she is currently receiving treatment and is making improvements.
12The substitute applicant, Mr TJH, told the Tribunal that he has known Mrs FGS for some time, as he was previously a manager of aged care facility A, where Mrs FGS previously resided. Mr TJH said the application for a financial management order was made because the facility has been unable to recover its fees despite a number of attempts to resolve the situation with Ms NSM. In particular, Mr TJH said the nursing home had been assured previously by Ms NSM that the sale of Mrs FGS' property in Germany would enable the fees to be paid. However, this has never occurred and the debt remains unpaid. Mr TJH stated that the amount of fees outstanding in respect of Mrs FGS' current accommodation is $20,500. A further $27,000 remains outstanding in relation to her residence at aged care facility A. A debt collection agency has been involved; however, the monies have not been recovered.
13Ms NSM states that she is presently organising for her mother's German pension payments to be reinstated. She states that her mother is entitled to three types of German pension and also expects her mother to receive $37,000 in back payments. She said the process may take some time, as the German agencies require various forms to be completed, including by the nursing home in Australia. Ms NSM said that once the process is complete, she will arrange for payment of the total debts to the nursing homes in NSW. In respect of the debt amount that will not be covered by the back payment of German pension, she said she would use part of the proceeds of the sale her own property (in Sydney).
14Ms NSM told the Tribunal that she intends to live in the United Kingdom where her husband has secured a position at a University. She said she intends to fly back to Australia in the next couple of weeks to pack up her own house in Sydney and to make arrangements for her mother to travel back to Germany to live permanently. She states she is making inquiries about nursing home accommodation for her mother in Germany. If her mother's health insurance coverage permits, she will also consider placing her mother in a nursing home in the United Kingdom, close to where she will be living with her family. Mr TJH was unaware of those proposals.
15When asked by the Tribunal what arrangements are in place for her mother while she is overseas, Ms NSM informed the Tribunal that her daughter, Ms TSM, has been liaising with the nursing home about Mrs FGS' treatment and care. Mr TJH confirmed that this is the case and agreed that Ms TSM was available to discuss health matters concerning Mrs FGS when contacted by the nursing home.