Facts
[A.] was an apprentice at Elektro [B. AG] and was insured with the Swiss Accident Insurance Institution (SUVA) against the consequences of accidents. On 18 July 1992, he suffered an accident with a tractor and sustained a luxation fracture of the spine in the C2/3 region with high tetraplegia. SUVA acknowledged its obligation to provide benefits for the consequences of this event.
By decision of 19 September 1994, SUVA awarded the insured a pension with a disability degree of 100%, compensation for severe helplessness, and an integrity compensation, effective 1 January 1995. For the time after his return home, it promised him contributions towards home care under Art. 18 paras. 1 and 2 AIO. Following the insured's objection, SUVA gradually increased the monthly care contribution up to CHF 16,058.-.
After the insured's mother retired, an additional nursing professional had to be hired. The [C.] Centre subsidized the care, whereupon SUVA covered the actual wage costs for the nursing professionals, less the helplessness compensation and the contribution from the [C.] Centre.
In April 2011, the [C.] Centre informed SUVA that it would no longer be able to subsidize the insured's care from 2012 onwards. Thereupon, SUVA reduced its care contribution by decision of 25 September 2012 and objection decision of 7 March 2013, effective 1 October 2012, to CHF 6,000.-.
Considerations
The Federal Court holds that the insured is also entitled to home care at the expense of SUVA beyond October 2012 within the framework of Art. 18 para. 1 AIO in conjunction with Art. 21 para. 1 lit. d AIA. The only issue in dispute is the scope of this entitlement.
SUVA acknowledges a care effort of around 191 minutes per day as special medical care services. The effort of 157 minutes per day for showering, washing, etc., as bindingly determined by the lower instance, is undisputedly not considered medical care and is already covered by the helplessness compensation.
The only disputed point…