Specialist Support for Families Navigating the NHS Continuing Healthcare Process

ARROW provides independent NHS Continuing Healthcare (CHC) advice for individuals and families across England.
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Whether you’re exploring whether NHS Continuing Healthcare may be relevant, preparing for an assessment, responding to an eligibility decision, or considering an appeal, ARROW provides clear, evidence-led advice tailored to the stage you’re at.

Choose as much or as little support as you need- from a one-hour Advice Clinic to detailed online reviews, practical assessment support and specialist representation for reviews and appeals. Click below for more details.

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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

How ARROW Can Help

Every family’s situation is different. Some people simply want to know whether NHS Continuing Healthcare is worth exploring. Others are preparing for an assessment, responding to a funding decision or challenging an outcome they believe is wrong.

ARROW provides independent specialist advice at each of these key stages, allowing you to access the level of support that’s right for your circumstances without committing to ongoing case management.

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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

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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 online 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 an eligibility decision or considering an appeal, ARROW offers independent specialist advice tailored to your individual circumstances.

From there, you can choose the level of support that’s right for you, whether that’s an Advice Clinic, a Detailed Online CHC Review, Practical CHC Support, or specialist assistance with CHC Reviews or Appeals.

2. Build the Evidence

Every NHS Continuing Healthcare decision depends on the quality of the available evidence.
Where appropriate, ARROW reviews hospital letters, consultant reports, care records and previous assessments to identify the strengths of the case, highlight important evidential gaps and ensure that care needs are properly understood within the NHS Continuing Healthcare Framework.

3. Prepare With Confidence

Whether you’re preparing for a Checklist or Decision Support Tool (DST) assessment, a three- or twelve-month review, or an appeal, ARROW provides practical guidance and, where appropriate, specialist representation to help ensure that your case is presented clearly, accurately and in accordance with the relevant 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. Eligibility is determined by applying the legal test set out in the National Framework for NHS Continuing Healthcare.
In practice, however, distinguishing between health needs and social care needs is rarely straightforward. The evidence must be carefully considered against the four key characteristics of a Primary Health Need, and decisions should never be based on diagnosis, age, care setting, financial circumstances or local policy.
Independent specialist advice can help you understand how the NHS Continuing Healthcare Framework applies to your own circumstances, identify any gaps in the available evidence, and prepare confidently for the next stage of the process.

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Why Choose ARROW?
​ARROW provides independent, evidence-led NHS Continuing Healthcare advice tailored to the stage of the process you have reached. Whether you are exploring eligibility, preparing for an assessment, responding to a funding decision, or considering an appeal, you’ll receive clear, practical guidance based on your individual circumstances.

Every case is approached with careful analysis of the available evidence and a thorough understanding of the NHS Continuing Healthcare Framework and the legal principles that underpin it. The aim is to ensure that care needs are accurately understood, clearly presented and assessed against the correct legal test.

ARROW’s approach is honest, realistic and independent. Where NHS Continuing Healthcare is unlikely to be appropriate, that will be explained from the outset. Where there is a credible case, you’ll receive practical, evidence-based advice to help you make informed decisions about the most appropriate next steps.
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While no outcome can ever be guaranteed, careful preparation, clear evidence and a thorough understanding of the legal framework can make a significant difference.

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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