Case studies & success stories
Mrs X’s Story
We helped with
CHC funding
Our CHC team won a challenging battle after many years, successfully securing retrospective NHS Continuing Healthcare Funding (CHC) for the late Mrs X.
We argued that her local Clinical Commissioning Group had wrongly denied Mrs X CHC funding and forced her family to undertake a retrospective appeal to an Independent Review Panel (IRP) convened by NHS England.
Our request for an appeal to IRP was lodged at the end of June 2017.
However, because NHS England had found a number of issues with the way the CCG’s outsourced agents had completed their reviews, the CCGs were instructed to review their cases again before NHS England would arrange the IRP meeting.
Despite much chasing and delays by the CCG reviewing matters, an appeal date was eventually provided for October 2020. Our team filed detailed written submissions in support of the appeal.
However, just days prior to IRP taking place, the CCG conceded partial eligibility, accepting that Mrs X would have been eligible for NHS Continuing Healthcare funding for the initial 10 months period of care.
We remained dissatisfied with the CCG’s position, contending that Mrs X was eligible for the full retrospective period of care claimed ie another year’s worth of wrongly paid care fees beyond this initial period. Despite our invitation to save NHS England time and expense, the CCG refused to extend the eligibility period, and so the matter proceeded to the full IRP (which took place remotely due to COVID restrictions). Farley Dwek Solicitors represented Mrs X and were wholly successful in persuading the CCG to grant retrospective funding for this extended period as well.
Total restitution recovered for Mrs X’s family in excess of £60,000.