Appeals Management Service
Who is this service for?
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This service is for individuals and families seeking to appeal a “not eligible for NHS Continuing Healthcare (CHC)” decision. The ARROW Appeals Service manages the entire process on your behalf — from submitting an initial request for an informal discussion through to representing your case at Local Resolution, the Independent Review Panel (IRP), and, if necessary, preparing and submitting a formal complaint to the Parliamentary and Health Service Ombudsman (PHSO). We ensure that every stage of the appeal is thoroughly prepared, evidence-based, and compliant with national guidance. Our focus is on identifying procedural errors, evidential gaps, and misinterpretations of the eligibility criteria to give your case the strongest possible foundation. |
To find out more about the CHC appeals process, click here:
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What we do ✅ Comprehensive Case Review
We examine the Decision Support Tool (DST), outcome letter, and all correspondence to identify procedural or evidential errors made by the Integrated Care Board (ICB). ✅ Evidence Mapping and Preparation We review and cross-reference medical and care records, highlighting where needs have been under-scored or misinterpreted within the eligibility domains. ✅ Compilation of an Evidence Bundle We collate and paginate all relevant records and documentation into a structured evidence bundle to support your appeal at each stage. ✅ Written Appeal Submissions We prepare detailed, evidence-based submissions for the ICB (Local Resolution), NHS England (IRP), or the PHSO, setting out where the process or application of guidance has been flawed or unfair. ✅ Representation at Appeal Hearings Your ARROW advocate can attend the Local Resolution meeting or IRP to present the case, challenge inconsistencies, and ensure your evidence is accurately understood and considered. ✅ Ongoing Guidance and Escalation If all appeal routes have been exhausted, we will prepare and submit a formal complaint to the PHSO, outlining any procedural failings, administrative errors, or issues of maladministration in the way your CHC case was handled. This is a variable fee service. Costs are based on the stage of your appeal and the extent of our involvement. Please contact us for more details: 
Why choose ARROW? 🎯 End-to-End Appeal Management – From informal discussion through to formal complaint before the PHSO, we manage every stage on your behalf.
🎯 Evidence-Led Approach – Appeals supported by a clear, comprehensive evidence bundle and structured procedural reasoning. 🎯 Specialist Expertise – Detailed knowledge of CHC law, the National Framework, and NHS appeals processes. 🎯 Integrity and Transparency – Honest appraisal, clear communication, and a commitment to achieving a fair and lawful outcome. 💡 Why This Service Matters Appealing a CHC decision requires careful evidence analysis and a clear understanding of the complex rules set out in the National Framework. Many families find it difficult to challenge decisions effectively without professional help. The ARROW Appeals Service provides structured support through each stage of the process — from local resolution to national escalation — ensuring your case is presented accurately, supported by a clear evidence trail, and handled with professionalism and integrity. You only pay for the level of support required, with costs based on the stage of your appeal and the extent of our involvement. Please contact us to find out more about how we can help with your appeal: 
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