Told your relative does not qualify for NHS funding?
Continuing Healthcare pays for all of a person’s care, in full, wherever they live — no means test, no property, no top-up. It is also the decision families are most often talked out of. We read it properly, and where there is a case, we argue it.
A refusal is a decision, not a fact
Most refusals we look at are not wrong because someone acted in bad faith. They are wrong because the assessment recorded what your relative could do on a good morning, and scored the care domains accordingly.
A Checklist is often completed by someone who met your relative once, and screens them out before a full assessment ever happens. Where an assessment does take place, each domain is scored in isolation, so nothing adds up to a primary health need. Nature, intensity, complexity and unpredictability are named in the paperwork and never actually argued.
And nobody counts the night
Care that only looks manageable because family are quietly doing half of it gets recorded as manageable. The family is in the room but not represented, and the meeting moves faster than anyone can think.
- A Checklist screened your relative out before any full assessment
- The decision letter does not explain the reasoning behind it
- Needs met by staff or by family were never recorded
- Care is being funded privately at £1,000 a week or more
- Behaviour, seizures or unpredictable needs were scored low
Five stages — and we tell you early if there is no case
Paperwork review
The Checklist, the assessment records, the care plan and the daily notes, read in full. You get a written opinion. If there is no case, we say so — that conversation is cheaper than a year of hope.
Evidence
We build the record the assessment should have had: medication, falls and incident logs, weight and nutrition, behaviour, and night-time need.
The assessment
We prepare you for the multidisciplinary meeting and attend it with you, in person or online, and argue the domains as they should be argued.
Local resolution
Where the decision stands, we put the written challenge to the NHS body and represent you through it.
Independent review
Where local resolution does not settle it, we prepare and present the case at the final independent stage.
Is the Decision Support Tool worth challenging?
Five questions. No email, nothing stored. The result tells you whether there is something to argue, and what to ask for first.
Is a claim for a past period worth making?
Four questions about a period that was paid for. No email, nothing stored.
FEES
Fixed fees, agreed before we start
We do not work on a percentage of what you recover. That would give us a reason to push cases that should not be pushed.
Eligibility cannot be guaranteed. Continuing Healthcare decisions are made by the relevant NHS body. We give independent care advice, not legal advice.
CHC Review
- Records read in full
- Written eligibility opinion
- Recommended next step
If there is a case to argue
CHC appeal questions
Can you guarantee we will win?
No, and be wary of anyone who says otherwise. The decision belongs to the NHS body. What we promise is that the case is argued properly and that you understand every step of it.
Can we claim back care we have already paid for?
Sometimes. Where care was funded privately during a period that should have been NHS-funded, that money can be pursued. We will tell you honestly whether the records support it.
Do you have to visit us?
No. Records review, written opinions and most representation are done by telephone, video and document. We attend assessments in person where it helps.
We are not near Eastbourne. Does that matter?
No. CHC work is carried out nationally. Only in-person attendance is limited by travel, and that is agreed case by case.
You don’t need to know which service you need.
Just tell us what’s happening.
No pressure. No care-provider commissions. Just a conversation about what may help.