Case studies & success stories

Retrospective Claim Success Story

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Retrospective Review

This week’s success story concerns a retrospective claim for a gentleman who was receiving care at home.

When the family approached Farley Dwek for advice, the Integrated Care Board (ICB) had already completed their Decision Support Tool (DST), recommending eligibility for NHS Continuing Healthcare Funding for a period of months towards the end of the patient’s life. We reviewed the DST and available evidence, and recommended an appeal be submitted for an additional 18-months of funding.

Our expert team prepared a Written Submission using the evidence provided by the family. The case was more challenging than some, in so far as there were no formal care records, as would be the case for someone residing in a residential care or nursing home. Nevertheless, with statements from the carers and our client’s detailed diaries, we were able to present a cogent case for eligibility for CHC Funding.

Upon receipt of our Written Submission, the ICB arranged a Local Resolution Meeting which we attended with our client. A deciding factor was our client’s ability to provide detailed information to the Local Review Panel, in addition to the written evidence.

After a short wait, the ICB wrote to confirm it had awarded CHC funding for the full period under appeal. A great outcome for the family!

The service I have received from Andrew Farley for a Continuing Healthcare Funding claim for my mother has been excellent. The initial contact with Andrew gave me a clear picture of the process, outlining timescales and explaining the stages that I would have to go through to achieve a successful outcome.

Mrs P

From the moment I picked up the phone to Farley Dwek the stress levels we suffered dropped significantly as we had everything explained to us.

Gilmour Shelley

I cannot recommend FARLEY DWEK enough should you find yourself in this unfortunate situation. They ring you when they say they will, they write to you with updates and keep you informed all the way. I'd like to especially thank Ruth Pople and Jonathan Dwek who I regularly spoke to during the process.

Chris Gregg

We approached FD for help in appealing a faulty CHC funding decision. Highly impressed with the in-depth & very detailed investigation by their expert nursing practitioner. Eventually we got a very good result which was entirely the result of FD’s work. Definitely recommended.

Rob

You don’t need any more worry about how to come up with the money at a time when you are trying to cope with the emotion and distress of trying to get the best care possible for loved ones. This needs sorting out and I’m glad Farley Dwek is on my side and helping through the process.

Brian Marshall

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