Case studies & success stories
Records Review Service Success Story
We helped with
Records Review Service
Farley Dwek were instructed in 2015 by ‘Mrs X’ (to protect her identity) on behalf of her mother to undertake our Records Review Service.
Our Nurse Specialist reviewed the available medical evidence and care home records and concluded that Mrs X’s mother was eligible for a previously unassessed period of care spanning some 15 months prior to her death.
As a result of our Records Review, we accepted instructions from Mrs X to register a Retrospective claim with the NHS Clinical Commissioning Group (CCG).
After years and months of endless chasing for updates, the CCG outsourced their review to an external company in September 2018 in order to expedite their case load.
We eventually received the CCG’s draft Needs Portrayal Document in December 2019, and in return promptly provided them with our detailed Written Submissions in response a few weeks later, in early 2020. Due to Covid delays, it took some time before the matter could be reviewed by the CCG’s Multi-Disciplinary Team (MDT), who subsequently confirmed that the patient was indeed eligible for CHC funded care for the full 15-month period under consideration.
Although this CHC process may have taken just short of 6 years to complete, it goes to show that perseverance can pay off! The family are expected to receive reimbursement in excess of £55,000 for their mother’s wrongly paid care fees.
Get in touch if you would like us to carry out a review of your relative’s records to assess whether they may be eligible for CHC funded care or if you need professional advocacy support to help fight your corner at an MDT or appeal.