Decision Support Tool Service
Who is this service for?
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This service is for individuals with a positive Checklist who need support with the full eligibility assessment using the NHS's universal screening tool, the Decision Support Tool (DST). Conducted by a multidisciplinary team (MDT), the DST evaluates the patient's health-related care needs across 12 assessed domains, in order to determine their eligibility for NHS Continuing Healthcare (CHC) funding. |
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What we do ✅ Comprehensive Review – We analyse all up-to-date medical and care records, identifying key evidence to support the need for 24-hour care. ✅ DST Evidence Compilation – We summarise and document evidence within a copy of the Decision Support Tool (DST) to assist in completing the official DST during the assessment. ✅ Written Representations – We prepare detailed submissions for the ICB and Multi-Disciplinary Team (MDT), clearly demonstrating how the individual’s needs establish a primary health need for CHC eligibility. ✅ Pre-Assessment Meeting – Your ARROW consultant will meet with you to review all compiled evidence, refine written submissions, and ensure you fully understand the assessment process. ✅ Preparation & Confidence – Whether or not you choose ARROW advocacy at the assessment, we ensure you feel well-prepared and confident in presenting your case. Optional Advocacy at the Assessment ✅ Assessment Representation – Your ARROW advocate can accompany you to the Multi-Disciplinary Team (MDT) assessment to ensure a fair and thorough evaluation. ✅ Expert Evidence Presentation – We present structured arguments based on all available evidence to ensure the DST accurately reflects the patient’s needs. ✅ Demonstrating 'Primary Health Need' – We ensure all relevant evidence is used to show the patient’s eligibility for NHS Continuing Healthcare (CHC). ✅ Challenging Local Authority Limits – We argue that the complexity of the patient’s needs exceeds what the Local Authority can legally provide, reinforcing their entitlement to NHS-funded care. ✅ Ensuring Procedural Fairness – We monitor the process to ensure correct procedures are followed, identifying any errors that could support an appeal. 💡 Short-Notice Advocacy Available – If you need urgent representation, we offer a short-notice service with at least three days’ notice before the DST assessment. This is a fixed fee service. Please contact us for more details: 
Why choose ARROW? 🎯 Seamless & Cost-Effective Support – ARROW provides expert case preparation and professional advocacy to maximise the chances of securing NHS Continuing Healthcare (CHC) funding. 🎯 Comprehensive Evidence Review – We conduct an in-depth analysis of medical and care records, ensuring all relevant evidence is identified and structured effectively to support the need for full-time care based on health needs. 🎯 Expert Guidance & Representation – We guide you through every stage of the process, offering clear advice and professional advocacy at both the Checklist and Decision Support Tool (DST) assessments. 🎯 Detailed Written Representations – Key evidence is submitted to the assessment team and ICB panel before the assessment, strengthening the case by demonstrating how the individual’s care needs meet the CHC eligibility criteria. 🎯 A Strong, Evidence-Based Approach – Every argument we present is backed by robust medical and care records, ensuring that the case for full-time NHS-funded care is clearly and persuasively demonstrated. With ARROW’s comprehensive support, you can navigate the CHC assessment process with confidence, knowing your case is prepared to the highest standard. To find out more about how we can help with your Decision Support Tool assessment, please contact us: 
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