How we examine the decision
We do not substitute our view for a clinical assessment. We test whether the evidence was accurately captured, whether the recorded needs support the conclusions, whether the process involved the appropriate people and whether the reasons deal with conflicting evidence.
Our review method
- Define the decision and deadline. We identify what was decided, by whom, when it took effect and which review, complaint or appeal route applies.
- Reconstruct the chronology. Events, documents and changes of position are placed in date order so the reasoning can be tested against what was known at the time.
- Map policy to evidence. Each relevant criterion is matched to the material relied on, material overlooked and explanation given.
- Separate the available routes. Administrative complaint, statutory review, appeal, regulator and Ombudsman routes are not treated as interchangeable.
- State the remedy. The final work identifies a proportionate outcome and the evidence supporting it.
Frequently asked questions
Can you guarantee CHC funding?
No. We strengthen the accuracy and presentation of the evidence but cannot guarantee an eligibility outcome.
What is most important in a CHC challenge?
Contemporaneous care evidence, the interaction of needs and a clear explanation of any mismatch between the record and the decision.
Do you handle clinical negligence?
No. Clinical-negligence advice and litigation require an authorised specialist solicitor.