Stuart’s Story

Stuart (not his real name) took advantage of our Clinical Review Service and instructed us to review his father’s potential eligibility for NHS Continuing Healthcare Funding (CHC).

The matter was allocated to one of our specialist nurse assessors who then promptly met with the patient and his family at the care home. Having reviewed his care home records and medical records, our specialist nurse considered that there were good prospects of successfully claiming CHC funding to cover the cost of his ongoing care fees and accommodation.

For continuity, the same nurse subsequently attended the NHS’s Multi-Disciplinary Team meeting as the family’s appointed advocate. The MDT agreed to recommend CHC funding to pay for all future care fees.

Based on our review of the available evidence, we felt that Stuart’s father should also have been assessed and awarded CHC funding much earlier. Farley Dwek were then instructed by Stuart to pursue a retrospective claim against the CCG and seek reimbursement of past care home fees paid for the time when his father should have been found eligible for CHC funding.

After submitting our application form, the CCG gave careful consideration to the matter and upheld our claim. As a result of our intervention, the family are now expected to receive over £28,000 reimbursement of back-dated care fees.

Many families without legal representation only tend to look forward to see how they can save huge monthly care fees for their spouse, parent or relative. Sadly, many are totally unaware that in certain circumstances they can also make a retrospective claim for CHC funding as well!

If you want help assessing your relative’s potential current or past eligibility for CHC funding, or else need professional expert advocacy support at an MDT or appeal, get in touch with us directly on 0800 011 4136 or via our website to find out how we can help you.