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!

We felt more confident going into the review process with Farley Dwek on our side. After they attended the assessment meeting with us we secured the funding and we continue to save on the astronomical care home fees that we might otherwise have had to pay.

Edward Battersby

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

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

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

From the moment I picked up the phone to Farley Dwek the stress levels we suffered dropped significantly as we had everything explained to us.

Gilmour Shelley

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