Case studies & success stories

PUPoC Success Story

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Retrospective Review

We were instructed to carry out a retrospective review of a previously unassessed period of care (PUPoC) and consider whether our client was eligible for NHS Continuing Healthcare Funding (CHC). Following a lengthy battle with the NHS Integrated Care Board (ICB), we were successful and CHC was awarded for the period under review.

In order to obtain reimbursement of the care fees paid, we then supplied our client’s documentary proof of payment to the ICB – including invoices and a statement of account from the care home, and bank statements.

The ICB duly responded with their offer letter of reimbursement together with breakdown of their figures and interest calculation. Having forensically checked their figures, we calculated that they had wrongly applied interest – resulting in a much lower offer. Their miscalculation represented a significant shortfall of a startling £17,000. When challenged, the ICB accepted they had made an inadvertent error and re-submitted their calculation for acceptance. Fortunately, our client employed our services because as a result of our intervention, the family is substantially better off.

Whilst we accept that this was a genuine mistake by the ICB, it should not have happened. It does, however,concern us that families representing themselves might not have been able to understand the interest calculation or indeed be astute enough to realise that they were being short-changed (albeit inadvertently), or know how to successfully challenge the ICB’s miscalculation. Without representation, an innocent party could easily have accepted a lower payment without being any the wiser.

We also offer our Restitution Calculation Service – a brand NEW, unique, stand-alone service, to help families who have managed to navigate the CHC process on their own, and to ensure that they receive fair and proper restitution and reimbursement of care fees paid.

I feel like the presence of Farley Dwek in the process was the key factor in our family securing the funding and saving £1,400 per week in care home fees for the BUPA hospital that we had chosen. To say we are pleased with Farley Dwek is an understatement. We’ve been absolutely delighted with everything the team has done and would recommend any family in the same circumstances speak directly to them to give them the best chance of getting the funding.

Mr Barrow

Through out my dealings with Farley Dwek I found them to be efficient and very helpful. But above all their honesty impressed me the most. Never have come across an organisation that would put ethics before profit. For this alone I would highly recommend them.

Tim

We would thoroughly recommend Farley Dwek as an organisation and Debbie Payton in particular. We feel that all that she has achieved on behalf of my father is worth every penny and we believe we could not have got this outcome without her. We cannot thank Debbie enough.

Rachel W

We approached FD for help in appealing a faulty CHC funding decision. Highly impressed with the in-depth & very detailed investigation by their expert nursing practitioner. Eventually we got a very good result which was entirely the result of FD’s work. Definitely recommended.

Rob

My sister and I have received absolutely first class professional support, guidance and advice throughout an extended period of time, seeking CHC on behalf of our mother. Every member of the team, with whom we had various communications with, were professional, courteous, and clear. The process is a challenging one and without their guidance, support and expert knowledge we would not have achieved the successful outcome that we did. We cannot recommend them enough.

CHC client

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