You have an insight into the individual’s needs, you may even care for them. You share this knowledge with our Specialist Advisors, and we confirm that what you have said suggests there may be a primary health need.
Why do we need to complete an investigation?
The answer is simple: we need to check whether the clinical evidence supports this initial view.
We do this by drawing on over ten years of experience and expertise in supporting families through the complexities of the NHS Continuing Healthcare process.
Why do we carry out a preliminary investigation?
Whilst many of our clients have a strong understanding of a patient’s needs, we often find that, where the individual is residing in a care home, there can be crucial information regarding their needs that the family are unaware of. This information could go undiscussed during the NHS assessment process.
Our robust investigation allows us to gather all of the relevant records and cross-refer these with the 12 care domains listed in the NHS criteria. We then draft comprehensive representations, setting out exactly why there is a basis to suggest that the individual has a primary health need and is entitled to Continuing Healthcare funding.
Why do we draft full representations?
NHS Continuing Healthcare is an evidence-based process. Evidence can include verbal submissions from a carer or family member, but critically from an NHS standpoint, there is significant weighting on written records such as care records, hospital records and GP records.
Understanding what the records are demonstrating before the NHS review them is crucial. Also, if a patient’s needs are not being adequately reflected in their records, the care provider must be informed so that this can be rectified ahead of the assessment, to ensure a robust assessment can be undertaken.
We have a team of medical and legal experts who can establish exactly what evidence is required to support an outcome of a primary health need. Our investigation enables us to provide you with a comprehensive written report, ensuring you proceed to the NHS assessment stage armed with the evidence required to put forward the strongest possible case.
Unsure if you or a loved one qualifies?
If you think you or a loved one may be eligible for CHC funding, don’t delay. We’re here to guide you through every step.
Submit an enquiry to get started.
