NHS Continuing Healthcare Funding Ineligibility - Review of Merits of Appeal

If your loved one has received an NHS Continuing Healthcare Funding ineligibility decision, our expert NHS continuing healthcare appeal solicitor can provide you with sound advice. This should give you a clear idea about your chances of a successful appeal.

When the NHS Integrated Care Board (ICB) has undertaken an eligibility assessment, you will receive written confirmation of this outcome. This will detail your right of appeal and the time limit in which you need to lodge that appeal.

You can send us a copy of the NHS Continuing Healthcare Funding Ineligibility decision outcome letter and Decision Support Tool (DST). Our experienced solicitors can review these documents and provide you with initial advice on the prospects of an appeal.

At the very least, we need to see the decision outcome letter and a full copy of the DST.

It can be helpful to provide a simple note of any concerns or observations you have about either the needs assessment or assessment process. We will take this into account when providing you with advice on an NHS Continuing Healthcare Funding Ineligibility Decision.

If you would also like us to consider clinical evidence as part of our review, such as care home or medical records, then it’s important that you obtain them for the correct time period. We can also request these on your behalf.

How to Appeal an NHS CHC Decision

Generally, most people are looking for an initial indication of whether an appeal may be worth exploring. If you are wondering about how to appeal a CHC funding decision, It’s best to start with the decision outcome letter, DST and any comments you wish to make. We will be able to explain what evidence you can obtain to appeal an NHS Continuing Healthcare decision. Each case is different, so we tailor our approach to suit your needs.

You only pay us for the time we spend on your case, and once we’ve identified the right service for you, we will provide you with a clear and accurate estimate of our fees in advance of undertaking the review.

Below are some case studies showcasing how we've successfully helped clients navigate NHS Continuing Healthcare Funding ineligibility decisions. These real-life examples demonstrate our approach, the challenges involved, and the positive outcomes we’ve achieved.

I instructed James to review my mum’s recent NHS Continuing Healthcare assessment to advise me about the prospects of a successful appeal. Although there were not solid grounds to proceed, I am grateful to James for his candor, and for sharing his views with me early in the process, which enabled me to make the right decision before incurring further costs.

I found James online and agreed to him reviewing my dad’s recent DST. James’ advice was the MDT had made a robust recommendation that my dad was eligible, and the ICB had declined to accept that recommendation, but had not set out legally compliant reasons for doing so, and he was confident that I should appeal. He represented me at an online meeting with the ICB which agreed to overturn the decision. Had I not sought out the advice, the flawed decision would have stood.