i realise that this is a revived thread, but Don'tknow raises a valid point that deserves an answer.
The reason AA doesn't have to be spent on specifically getting the care for the problems listed on the form, is because often it is not possible to remedy the problem. For example: if you have problem with your mobility, severe arthritis or breathing problems, there is little you can do to sort the problems out, short of having 24/7 carers and even if the staff etc were available, the cost of such help would far exceed the value of the Attendance Allowance. carers cannot resolve incontinence problems
What Attendance Allowance does is acknowledge that the level of your disability has reached a stage where it makes it very difficult for you to live an ordinary life, and remember an ordinary life includes one free of mental illness and depression and where you an continue your ordinary life, probably not wild swimming, but getting to a Knit and Knatter session, or to the local old peoples centre.
Most people on AA live at home and home conditons vary enormously, as does whether you live alone or not. For this reason AA is given to people for them to spend as best suits them to improve their lives. In the years I was a Home Adisor, clients bought very practical items like orthopedic beds, special chairs, and other aids to living. One man had a tv so old he had to get out of his chair to change channels because it was pre-zapper. One of the first things he bought was a new tv with a zapper. He had severe arthritis and often watched programs he did not want to see because it was too painful to get up and change channels. I could write reams on the things money was spent on to improve peoples quality of life, even if it could do little to mitigate their disability.