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CCG Continuing Healthcare Funding Appeals

Useful information from ‘Care to be Different’: Top ten tips!

“From 1st September 2020, the Government has instructed Clinical Commissioning Groups (CCGs) to restart their retrospective appeals for Continuing Healthcare Funding.

Retrospective appeals look at whether an individual was historically entitled to NHS Continuing Healthcare Funding (CHC). If found eligible on appeal, they should have all their care fees that were paid during the period of eligibility refunded by the NHS in full, including the cost of accommodation.

However, the current backlog of retrospective reviews is thought to be substantial and includes both appeals that were previously waiting to be decided pre-COVID (19th March 2020) as well as those deferred or postponed since this date due to COVID-19. One would expect that these outstanding appeals should take priority over any new appeals now being lodged with CCGs since 1st September 2020. It is anticipated that there are many thousands of cases currently waiting in the appeal queue.”

Confused? Read this article before you start your retrospective appeal.

 

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