We were initially instructed in May 2016, where we looked to pursue a standard case to secure funding in place going forward for Mrs Seddon. Unfortunately, however, Mrs Seddon passed away in February 2017 and so we then proceeded with the case with a view to claim back previously incurred care costs. We gathered and reviewed medical records to cover the period that Mrs Seddon was in Brendoncare care home, which was from April 2014 up until her passing in February 2017. We then drafted comprehensive representations outlining evidence to support the contention that Mrs Seddon was eligible for full CHC funding throughout this period.
On the basis of our letter of representations alone, the CCG agreed that Mrs Seddon was eligible for CHC funding throughout the entire period from 01/04/2014 – 27/02/2017. This will result in an approximate reimbursement of just below £150,000, as the care fees were approximately £4,400 per month.
