A is a child with a range of complex learning and physical disabilities, who will need significant support all his life. However, since he can walk without the use of aids, albeit not far, his Personal Independence Payment has been reduced. This means, in turn, that he has lost access to other services, including transport to, and attendance at, a day centre. His parents now have to use public transport to get him to regular hospital appointments. This is in a rural area where services are not regular, or accessible, to their son’s medical needs. They now have to juggle their working shifts around his mobility requirements. Their situation is not sustainable and whilst they are clear they do not want him in residential care, they fear they may not be able to continue caring for their son at home.