If a client already has a District Nurse and/or MacMillan Nurses visiting on a regular basis, is a Live-in Nurse necessary?

You need to consider whether local visiting Nurses alone can do enough to meet the needs and aspirations of the Client:

Local Nurses tend to vary on a daily basis and are available for limited visiting times only. A Live in Nurse provides friendly, skilful and ever present care on a continuous basis. This is valuable to people who are intensely private, who have trouble remembering or who become distressed at seeing a succession of different faces
If there’s an emergency after the local Nurse leaves then the Live in Nurse is there to provide instant practical help and emotional support. She will knowledgably liaise with the emergency services
A Live in Nurse typically assists with many of the household chores and allows family members and friends to spend more quality time with the Client
Consultus Nurses work closely with the local primary care team so that the identified benefits of nursing are complemented and enhanced throughout the day and night.

At the end of the day, the choice is yours.