What Happens Next
One of our specialist nurses will undertake our Records Review Service – a clinical retrospective analysis of your relative’s care needs over their period of care, in order to advise whether there are any reasonable prospects of successfully reclaiming care home fees that have already been paid. If we think you might be able to reclaim such fees, we are able to offer various funding options depending on the circumstances (subject to terms and conditions).
In some cases CCGs agree refunds for part periods of care only, and our legal team then decide whether to appeal for refunds against those periods in dispute. There are also issues of interest payments due on the care costs paid, and again, our legal team are highly skilled at working out the often complex interest calculations, to make sure that the maximum entitlement is refunded.
People often miss out on Funding in many circumstances, including:
- Being discharged from hospital straight into a care home.
- Those whose eligibility has been assessed and rejected, but whose condition subsequently worsened and was never reassessed.
- Those who received NHS-Funded Nursing Care (which pays for the nursing element of their care), but who were never assessed to see if they were in fact eligible for fully-funded NHS Continuing Healthcare.
- More affluent patients who assumed no help would be available. NHS Continuing Healthcare Funding is not means-tested – so if you qualify for health reasons, you get it.
To find out whether you might be entitled to claim back your care home fees, email details of your enquiry to us.