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Our Services
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Quick Reference Table
(please scroll down for more detail)
(please scroll down for more detail)
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ARROW Free 30-Minute Consultation |
ARROW CHC Eligibility Review |
ARROW Comprehensive Support Package |
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Free Initial Enquiry
The Free Initial Enquiry allows you to provide details of the individual’s health and care needs by email, including any recent assessment, review or refusal and receive a confidential, no-obligation response.
You may include a phone number if you would prefer a call, or choose to receive a response by email only. There is no requirement to book a consultation. There are no follow-up sales calls, no marketing, and no pressure to proceed. You will receive a personal response setting out whether there appears to be a credible CHC case to pursue, whether a review or appeal may be appropriate, or whether the needs described are more likely to fall within social care. You can then decide whether to take any further steps. Book a Quick Chat - Free 30- Minute Consultation
If you would prefer to talk things through, you are welcome to book a free 30-minute telephone consultation.
This is not a formal assessment, but a focused conversation to understand your position — whether you are at the beginning of the process or responding to a decision already made. You will receive a clear and realistic view of where you stand and what the sensible next step may be. There is no obligation to proceed beyond this call. ARROW CHC Eligibility Review
For those who want a clear, professional opinion before committing to the full CHC process, the ARROW CHC Eligibility Review provides an in-depth, fixed-fee assessment that mirrors the structure of the NHS Checklist and Decision Support Tool.
This service involves detailed examination of needs across all CHC domains and results in a written report setting out whether eligibility is realistically achievable. It provides clarity, manages expectations, and allows families to proceed - or not - on an informed basis Find out more: ARROW Comprehensive Support Package
Our most popular service, the ARROW Comprehensive Support Package provides full support throughout the NHS Continuing Healthcare process. It is designed for families who want structured guidance and representation from the earliest stages through to the final decision.
This service covers preparation for the Checklist and the Decision Support Tool (DST) assessment, as well as advocacy at both meetings. Medical and care records are reviewed in detail and the individual’s needs are carefully mapped across the CHC domains so that they are presented clearly and accurately. Written submissions are prepared in advance of meetings to ensure that the evidence is organised and properly aligned with the eligibility criteria set out in the National Framework. ARROW can also help initiate or facilitate the Checklist stage and liaise directly with the Integrated Care Board (ICB) to ensure that the process moves forward correctly. Throughout the process, procedural steps are monitored, and any issues that arise are addressed promptly. Support continues between meetings. Families receive regular updates and advice as the case progresses. If the individual’s condition changes, this is incorporated into the evidence. Clients are fully prepared for what to expect at each stage, so that meetings feel structured rather than overwhelming. After the DST meeting, the outcome is reviewed carefully. If eligibility is not awarded, the decision is examined in detail to determine whether there are grounds for reconsideration or appeal, and clear advice is provided on next steps. This service provides continuity, oversight and steady guidance throughout what can otherwise be a complex and stressful process. Find out more: Three- and Twelve-Month Reviews
If NHS Continuing Healthcare funding has been withdrawn, or is said to be at risk following a routine three-month or annual review, ARROW provides structured support to protect existing funding where the evidence supports its continuation.
A review is intended to check that care arrangements remain appropriate. It should not remove funding unless there is clear and reliable evidence that the person’s needs have genuinely reduced. In practice, funding is sometimes challenged where needs are simply being well managed, or where the review does not accurately reflect the individual’s day-to-day reality. This service involves careful comparison of the person’s current needs with those recorded when CHC was originally awarded. The review documentation is analysed in detail to identify inconsistencies, gaps or unsupported conclusions. Where appropriate, written representations are prepared to challenge decisions that are not properly evidenced, ensuring that any proposal to remove funding is rigorously tested against the facts. Find out more: Appeals Management Service
Where NHS Continuing Healthcare eligibility has been refused, ARROW provides structured and sustained support through the local resolution process and, where necessary, escalation to an Independent Review Panel (IRP) and Parliamentary Health Service Ombudsman (PHSO) where necessary
Appeals are not simply a matter of disagreement. They require careful analysis of the original assessment, detailed comparison against the evidence, and precise identification of where the National Framework has been misapplied or where reasoning is flawed. This service involves a thorough review of the most recent Decision Support Tool, panel rationale, clinical records and procedural steps, followed by the preparation of comprehensive written representations grounded in the legal test. Where matters proceed to the Independent Review Panel (IRP) or the Parliamentary and Health Service Ombudsman (PHSO), the case is prepared in full. This includes careful examination not only of the evidential position, but also of whether the correct process was followed at each stage. The analysis ensures that the individual’s needs are clearly presented, properly aligned with relevant case law, and considered within the legal framework that governs CHC. The aim is not simply to repeat earlier arguments, but to demonstrate, methodically, where the original decision — or the way it was reached — failed to reflect the individual’s actual needs or comply with the requirements of the National Framework. FInd out more: Retrospective Funding Service
Where care has been provided in the past and no NHS Continuing Healthcare assessment was ever carried out, it may be possible to pursue a retrospective funding claim. Such claims can only relate to previously unassessed periods of care and must demonstrate that the individual met the CHC eligibility criteria at the relevant time.
These cases require detailed review of historic medical and care records, often covering extended periods of time. The evidence must be reconstructed carefully and mapped against the eligibility criteria as they applied at the relevant date. ARROW undertakes structured analysis of archived documentation, prepares detailed submissions, and guides families through the retrospective review process with clarity about prospects and evidential strength. Retrospective claims are document-heavy and time-sensitive. A careful, methodical approach is essential to ensure that historic needs are properly understood and fairly assessed. Find out more: Short-Notice Advocacy
In urgent situations - such as imminent Checklist assessments, DST meetings, reviews or appeal hearings -ARROW offers short-notice advocacy where availability allows.
This service provides focused preparation and representation within compressed timescales. Documentation is reviewed rapidly but carefully, key issues are identified, and structured guidance is provided so that the individual’s needs are presented clearly and accurately at the meeting itself. The arrangement is fixed-fee, with cost determined by the stage and urgency of the process. Please contact ARROW directly to discuss availability. A Tailored Approach
There is no single route through NHS Continuing Healthcare. Some families require initial clarity; others need sustained representation across assessment, review and appeal. In some cases, circumstances change mid-process and strategy must adapt accordingly.
ARROW provides proportionate, evidence-led support at every stage. If you are unsure how to proceed - whether you are at the beginning, facing a review, or considering an appeal - the Free Initial Enquiry or Quick Chat provides a sensible starting point. |
