Case studies & success stories
Fiona’s Story
We helped with
CHC funding
‘Fiona’ (not her real name) instructed us to undertake a review of her late mother’s case for NHS Continuing Healthcare Funding (CHC) and to see if she was eligible for a refund of care home fees that were wrongly paid whilst a resident in a care home. The period in question spanned several years before Fiona’s mother was awarded fast-track funding for end of life care in the weeks immediately prior to her passing.
Farley Dwek obtained and reviewed the care home and GP records. Our CHC team concluded that due to an increase in her mother’s health needs and challenging behaviours, there were good grounds for reclaiming backdated care home fees during this lengthy period when her mother should have been assessed as eligible for CHC funding.
A letter of claim was sent to the NHS Clinical Commissioning Group (CCG) requesting a retrospective review.
The CCG’s appointed nurse assessor eventually provided several draft, separate Decision Support Tools (DSTs) for each year in question under review, and invited our comments prior to the matter proceeding to an assessment by an NHS Multi-Disciplinary Team (MDT).
Having reviewed the CCG’s DSTs, and with Fiona’s input, Farley Dwek then provided our own detailed robust Written Submissions in response for consideration by the MDT.
The MDT panel outcome found that Fiona’s mother was indeed eligible for CHC funding for part of the period under review and her representatives are expected to receive a refund in expected to be in excess of £40,000.