Insights

What we learn from the cases we run

Practical writing on NHS Continuing Healthcare in England — how eligibility is really decided, where assessments go wrong, and what families can do about it. Written by the people who argue these cases, not summarised from other websites.

Coming next

  • What the BBC's care fees coverage did not have room to explain
  • The 1 April 2012 cut-off: what it means if care started before then
  • Reading a Decision Support Tool: the five entries we check first
  • Well-managed needs, and why “she's settled” costs families funding

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Care Home Cost Claims is operated by Christodoulos Ltd (trading as Theodorous), authorised and regulated by the Solicitors Regulation Authority, SRA number 809508.

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The issue closest to your family's situation

NHS Continuing Healthcare is not one single application problem. A family who has never been offered a Checklist is in a different position from someone whose full Decision Support Tool has just been refused, and both are different again from a family challenging the withdrawal of existing funding. The strongest next step depends on where the NHS process has reached and what the contemporaneous care records actually show.

If you are at the beginning, start with who qualifies for NHS Continuing Healthcare and our guide to the CHC Checklist. If a full assessment has taken place, understanding the Decision Support Tool and the 12 care domains is usually more useful than focusing on diagnosis alone. The assessment should look at the nature, intensity, complexity and unpredictability of the person's needs and at how those needs interact.

If funding has been refused, read our CHC appeal guide and the explanation of an Independent Review Panel. If the person had been funded and the NHS later stopped or reduced the package, see what to check when CHC funding is withdrawn. Families who have already paid substantial care fees can also read about retrospective care home fee claims and claims pursued by an estate after death.

Our articles are written to help families understand the evidence and procedure before deciding whether they need legal help. They are general information rather than advice on a particular case. Where we review a matter, the starting point is usually the decision letter, Checklist or DST, together with the care records and the family's account of what day-to-day care actually involves.