Case studies & success stories

Retrospective CHC Claim Story

We helped with

CHC funding

A case of maladministration, botched assessments and shocking behaviour by the CCG, which left our client at her wits’ end when she approached us for assistance.

This patient had very complex physical and psychological needs and had already been awarded CHC funding for a two-year retrospective period. Unbelievably, the CCG had then completed a Checklist for the subsequent two years she was in nursing care, with the outcome that she did not qualify for full assessment!

We reviewed the care and medical records for the period and found there to be NO discernible difference in the patient’s presentation; in fact, her needs had actually increased during the time the CCG claimed she did not qualify for full assessment!

We drafted a detailed complaint to the CCG, setting out the inadequacies of the Checklist, supported by extensive clinical evidence. The CCG’s Complaints Team ultimately agreed with our submission and instructed the CHC Team to undertake a full retrospective review of the outstanding period.

The CHC Team went on to complete a Needs Portrayal Document, using the records we provided to them, and a full Decision Support Tool. Our client was delighted when funding was finally awarded, some six years after her mother’s death. Even more satisfying than the reimbursement of wrongly paid fees to her mother’s Estate was to be vindicated after all those years of being treated like a nuisance who did not understand the criteria for CHC.

We could not be happier for our client and encourage anyone who encounters such abusive tactics from their CCG to contact us for our professional advice. As this case shows, getting expert help really can make all the difference.

Andrew had a high degree of expertise in this field and was able to offer practical advice on how best to prepare an evidenced based case. He was also able to identify areas where the framework had been incorrectly applied. With this expert knowledge and guidance, we were successful in our appeal and the original recommendation of the DST was overturned. Our mother was awarded full CHC funding, backdated with payments refunded. The best £300 we ever spent!

Jane

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

The service I have received from Andrew Farley for a Continuing Healthcare Funding claim for my mother has been excellent. The initial contact with Andrew gave me a clear picture of the process, outlining timescales and explaining the stages that I would have to go through to achieve a successful outcome.

Mrs P

From first contact with the managing partner Andrew Farley and Ruth Pople, Senior Case Manager , Farley Dwek appeared to be a very well organised Law firm. The staff is very professional and takes all the time to explain sometimes complicated situations.

CHC client

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

Get in touch with our team today

Call 0161 272 5222 Email help@farleydwek.com