Case studies & success stories

Retrospective Claim Success Story

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Retrospective Review

This week’s success story concerns a retrospective claim for a gentleman who was receiving care at home.

When the family approached Farley Dwek for advice, the Integrated Care Board (ICB) had already completed their Decision Support Tool (DST), recommending eligibility for NHS Continuing Healthcare Funding for a period of months towards the end of the patient’s life. We reviewed the DST and available evidence, and recommended an appeal be submitted for an additional 18-months of funding.

Our expert team prepared a Written Submission using the evidence provided by the family. The case was more challenging than some, in so far as there were no formal care records, as would be the case for someone residing in a residential care or nursing home. Nevertheless, with statements from the carers and our client’s detailed diaries, we were able to present a cogent case for eligibility for CHC Funding.

Upon receipt of our Written Submission, the ICB arranged a Local Resolution Meeting which we attended with our client. A deciding factor was our client’s ability to provide detailed information to the Local Review Panel, in addition to the written evidence.

After a short wait, the ICB wrote to confirm it had awarded CHC funding for the full period under appeal. A great outcome for the family!

You don’t need any more worry about how to come up with the money at a time when you are trying to cope with the emotion and distress of trying to get the best care possible for loved ones. This needs sorting out and I’m glad Farley Dwek is on my side and helping through the process.

Brian Marshall

I found this firm to be thorough, professional, knowledgeable, and available when needed. The outcome was exactly what we had been hoping for. I have no doubt that this firm played a significant role in achieving that.

CHC client

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

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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