If you are unhappy with the outcome of your CHC assessment you can appeal by asking the CCG to review your case. If you do decide to appeal, we have a target of 90 days to complete the appeal process. If for whatever reason, it takes longer than this, we will let you know in writing.
There are three stages to the appeal process:
- You or your carer/representative can contact the CHC team and ask us to complete a local review.
- If you are unhappy with the local review, you can ask to refer your case to an Independent Review Panel (IRP). To request an IRP, you will need to write a short letter to the NHS Commissioning Board of your regional NHS CHC team (see address for south region below) explaining that you have completed the local review process and briefly outlining your reasons for appeal.
- The Board will send you an IRP form to complete. On this form, you’ll need to explain your reasons for requesting an IRP in more detail and detail any complaints you have about the CHC assessment. You’ll receive the outcome of the IRP in writing. If you are unhappy with the independent review, you can complain to the Parliamentary and Health Service Ombudsman. The role of the ombudsman is to let you know if the decision made by the NHS was in line with the national eligibility framework; it does not generally make a judgement on whether they NHS has made the right decision.
To contact your CHC team for a local review:
NHS Continuing Healthcare and NHS-funded Nursing Care Team
5th floor, Civic Offices
Civic Way, Fareham
Hampshire, PO16 7AZ
T: 0300 123 4448
E: WHCCG.continuingcare@nhs.net
To contact the NHS Commissioning Board in south region for an Independent Review Panel form:
Ms E Roberts
NHS England Continuing Healthcare Team (South)
South West House
Blackbrook Park Avenue
Taunton, TA1 2PX
T: 01823 361000
E: england.south-chc@nhs.net