PUPoC Success Story

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.