Hi Mark,
welcome to the forums .......... sorry to hear about your fathers injury.
regarding care provision it can be a minefield, normally setup with case conferences etc prior to discharge from spinal unit or hospital in conjunction with your local authourity. Basically the local council has a duty of care provision, but how its provided and by whom is very flexible, I only have a couple of hours of care a day and the option of direct payments is a choice for me to make not dictated by the local authority its probablly best if you check this fact sheet out too
''Charging for Community Care Services'' available as a free download from the spinal injuries association here;-
http://www.spinal.co.uk/view-category.php?categoryID=28 Andy