Professional Services
(Decision Review)
For Solicitors, Financial Advisers and Later-Life Professionals dealing with NHS Continuing Healthcare

Independent CHC Decision Review

This service is for professionals advising clients who have received a “not eligible for NHS Continuing Healthcare” decision and require an independent expert assessment of whether that decision is legally and evidentially sustainable.
It is particularly suitable where:

• An appeal is being considered
• A client disputes the reasoning of the Integrated Care Board (ICB)
• There is uncertainty about whether grounds for challenge exist
• A second opinion is required before escalation

​
This service does not constitute representation. It provides structured, written analysis to inform professional advice.

​Fee:
​
 £950 (scroll down for Paypal payment link)

Why getting an independent review matters

CHC eligibility decisions are highly technical. Particular attention is given to cases where eligibility appears to have been influenced by the stabilisation of needs within a structured care setting (“well-managed need”), or where reasoning reflects local commissioning practice rather than strict application of the National Framework. These issues frequently sit at the heart of flawed CHC decisions.

An independent review provides clarity before significant time and cost are invested in escalation.

What the review covers

• Domain-by-domain analysis of the Decision Support Tool (DST)

• Review of the outcome rationale and decision letter

• Identification of procedural irregularities or departures from the National Framework

 

• Scrutiny of reliance on “well-managed need” principle and whether it has been applied in accordance with the National Framework

 

• Identification of inappropriate reliance on local policy, resource considerations, or social care frameworks inconsistent with national guidance

 

• Assessment of application of the Primary Health Need test (nature, intensity, complexity, unpredictability)

 

• Realistic assessment of appeal prospects

What you receive

You will receive

• A structured written advisory report (typically 8–12 pages)
• Clear identification of strengths and weaknesses
• Recommendations for next steps
• A 60-minute professional consultation call to discuss findings​​ ​

How to arrange a Decision Review

You can purchase a Decision Review directly using the payment link below:
​This includes review of the DST, outcome letter, and any key supporting documentation

By proceeding, you confirm that you have read and agree to ARROW’s Terms of Service.

Once payment and all relevant documentation have been received, ARROW will confirm instruction by email and the review will begin.

​Turnaround

​You can expect completion within 7-10 working days from receipt of complete documentation.

If you would like to discuss your specific requirements in advance of booking, please get in touch.

contact us

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