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Reinstallation back in their own homes of severely disabled people who are ventilator dependent is increasingly becoming a viable trend. Such a development calls for detailed and imaginative planning and negotiations with several agencies. More than a decade of experience in Southport has highlighted the need for early and comprehensive negotiations to ensure that these profoundly disabled people are not denied a quality of life to which they are entitled and which advances in technology has made possible.

Recommendations concerning the costing and management for patients requiring domiciliary ventilation