Specialist Support for Families Navigating the NHS Continuing Healthcare Process

ARROW provides independent NHS Continuing Healthcare (CHC) advice and advocacy. If you or your loved one require 24-hour care due to health needs and are either privately funding this care or contributing to a local authority care package, you may be eligible for FREE NHS Continuing Healthcare, which can cover the entire cost of care.

We provide structured, evidence-led advice, advocacy and representation at every stage of the NHS Continuing Healthcare (CHC) process - from first enquiry through to assessment, review and appeal.

Dr Setterfield assisted us through the CHC application process. To be quite frank, we would have been lost without her support and expertise."
Heather B, Norwich

NHS Continuing Healthcare Explained

What ARROW Does

​ARROW supports individuals and families seeking NHS Continuing Healthcare (CHC) funding - whether at the early enquiry stage, during assessment, at review, or through to the appeal stages.

CHC is a fully funded package of care provided by the NHS for adults with significant, complex, ongoing health needs. Unlike adult social care, it is not means-tested. However, the eligibility process is complex, technical and often inconsistently applied.

ARROW provides independent advice, structured preparation and professional representation and advocacy to ensure that decisions are reached fairly and in accordance with the legal framework.

our services

Who We Help
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We work with families who are:
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• Facing an imminent hospital discharge and unsure who should fund ongoing care
• ​Told their relative does not qualify for NHS Continuing Healthcare and need clarity
• Asked to contribute to care fees despite significant health needs
• Supporting someone with dementia, Parkinson’s disease, stroke, brain injury or other complex conditions (although please note, eligibility is not dependent on diagnoses)
• Concerned that savings, property or lifelong assets may be used to fund care
• Preparing for a CHC Checklist, Decision Support Tool (DST), review or appeal
• Challenging a funding decision that does not reflect the reality of daily care needs
• Unsure whether NHS Continuing Healthcare applies at all - and want a clear, evidence-led view

our services

You can arrange a confidential call to discuss your circumstances and options at any stage of the NHS Continuing Healthcare process - from early enquiries to funding refusals and appeals.

Dr Setterfield demonstrates a passion both for the subject and for obtaining justice for her clients. She is easy to communicate with, gives honest and clear assessments of the case and how best to proceed.​"
D Burroughs, Brechin

How it Works

1. Start with Clarity

Begin with a FREE CHC Eligibility Check, a free initial email enquiry or a free introductory callback.

Whether you’re exploring NHS Continuing Healthcare (CHC) for the first time, preparing for an assessment, responding to a funding decision or considering an appeal, ARROW offers independent support tailored to your circumstances.
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If you need more personalised advice, you can choose from a range of specialist services, including one-to-one advice clinics, detailed online reviews, practical support for specific assessments and appeals, or comprehensive case management.

2. Build the Evidence

Every successful NHS Continuing Healthcare case depends on the quality of the available evidence.
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Where relevant, ARROW reviews hospital letters, consultant reports, care records and previous assessments to identify the strengths of the case, highlight any evidential gaps and ensure that care needs are accurately understood within the NHS Continuing Healthcare framework.

3. Preparation and Representation

ARROW provides practical guidance to help individuals and families prepare for Checklist and Decision Support Tool (DST) assessments, reviews and appeals.
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Where required, this may include detailed written submissions, assessment preparation and independent representation, ensuring that decisions are based on the available evidence and the correct legal and procedural framework.

Why Specialist Support Matters

Click on image to view Government Guidance and Tools for NHS CHC

NHS Continuing Healthcare is a legal entitlement, not a discretionary benefit. The National Framework sets the legal test. 

​However, the boundary between health and social care is often blurred in practice, and eligibility decisions can be influenced by narrow interpretations of guidance or an over-reliance on local process.
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Decisions must turn on the nature, intensity, complexity and unpredictability of needs - not on diagnosis, setting, cost or internal processes and policy. Where well-managed needs are treated as reduced needs, or where reassessment thresholds are misapplied, the integrity of the decision can be compromised.

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Why Choose ARROW?
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ARROW provides independent, structured and evidence-led support at every stage of the CHC process - from initial assessment through to review and appeal. We also provide a retrospective funding service.

Each case is approached with detailed analysis of the available records and careful application of the eligibility framework. The aim is fairness and clarity: ensuring that the individual’s needs are accurately understood, coherently presented, and judged against the correct legal test.

ARROW’s approach is measured and realistic. Where eligibility is unlikely, that will be made clear from the outset. Where there is a credible case, it will be prepared thoroughly and progressed with integrity.

​While no outcome can ever be guaranteed, careful preparation and structured advocacy can significantly improve the clarity and strength of a case.

We had not even realised that Mum might qualify for Continuing Healthcare funding but Ros fought hard on her behalf and secured it for her. We are so grateful, as the difference the funding made to Mum's last few months was huge.  Thank you."
Kate L, Henley-in-Arden

You can arrange a confidential call to discuss your circumstances and options at any stage of the NHS Continuing Healthcare process - from early enquiries to funding refusals and appeals.

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