Clinical Review Service

Following the assessment meeting, our nurse will produce a detailed report which we will send to you, setting out their assessment of your relative’s care needs. This report follows the same format as the Decision Support Tool (DST) used by the NHS when determining an individual’s eligibility for NHS Continuing Healthcare Funding.

The report will help you to understand whether, in our view, there is any realistic prospect of arguing that your relative should potentially qualify for NHS Continuing Healthcare Funding.

If our nurse’s report concludes that your relative may not qualify for funding at the moment, you will be able to use the report as a baseline and for comparison purposes, when monitoring important changes in their condition, in case they meet the funding criteria at any future reassessment. Furthermore, the report will also give you the reassurance of knowing that the matter has been assessed objectively by a skilled nurse who has a wealth of experience in this specialised field.

If, following the Clinical Review Service, we believe that your relative could potentially qualify for NHS Continuing Healthcare Funding, we can offer you further specialist services to assist and guide you through the NHS assessment process or you can use the report to help you to apply for funding yourself.

Our Clinical Review Service can also be used prior to considering whether to appeal a decision where (a) funding has been rejected, or (b) existing funding is withdrawn.

What the Clinical Review Service includes:

The Clinical Review Service is offered on a fixed price basis and includes: all administration costs, the time and travel costs for our nurse to visit you and your relative in their care environment, the assessment of your relative’s care needs based on a discussion with you/your relative, a review of available records (if appropriate), a written report, and a further telephone discussion with you based on that report. There may be an additional cost if we have to obtain and review the records after the CRS has taken place. Of course, our nurse will also be able to answer any detailed questions you may have about all aspects of the assessment process on the day.