Following a successful retrospective claim at NHS England, Compass CHC, the continuing healthcare experts have secured a refund of care fees of over £265,000.
In this case, Compass CHC instigated a retrospective assessment with the NHS. Whilst the initial assessment process, and later appeal with the Integrated Care Board found against a finding of a primary health need, Compass CHC advised the family to progress with an appeal with NHS England. Following an Independent Review Panel, NHS England agreed that the patient met the criteria retrospectively, and our client has now received reimbursement of over a quarter of a million pounds.
Director, Louis Seymour, said: “I am exceptionally pleased that the NHS has agreed to retrospectively award funding. Whilst it is of course frustrating that the initial assessment process and local level appeal was unsuccessful, it is a clear example that the appeal process can be successful, and can result in significant sums of wrongfully paid care fees being reimbursed. Compass CHC are trusted experts in navigating the complex continuing healthcare process. We were able to identify the crucial areas which have corroborated an entitlement and make it undeniable that irrespective of the finances involved, the patient met the criteria. This is what we do, and I am incredibly proud of what our team achieve for families such as this.”
Currently, it is possible to request a retrospective review of Continuing Healthcare Funding entitlement for any period after 1 April 2012, provided that the period being reviewed is classed as an ‘unassessed period of care’. * This means that the period under review must not have already been reviewed by the NHS Integrated Care Board.
If you believe that you, or your loved one may have been entitled to continuing healthcare funding but an assessment was never completed by the NHS, please contact us today on 0800 008 7777 for a free, no-obligation assessment. Our specialist advisors will guide you through the retrospective process and advise on whether a retrospective claim should be pursued.
*Please note this time period relates only to retrospective claims pursued with NHS Integrated Care Boards in England. Retrospective claims in Wales operate differently, so please contact our specialist advisors if you require advice in relation to a claim for an individual residing in Wales.
